The Journal of the American Academy of Orthopaedic Surgeons This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Equitable Integration of Patient-Reported Outcomes Into Clinical Practice-Opportunities, Challenges, and a Roadmap for Implementation
J Am Acad Orthop Surg. 2024 Jan 9. doi: 10.5435/JAAOS-D-23-00798. Online ahead of print.ABSTRACTPatient-reported outcome measures (PROMs) provide a standardized assessment from the patient about their own health status. Although originally developed as research tools, PROMs can be used in clinical care to complement objective functional measures (eg, range of motion) and are increasingly integrated to guide treatment decisions and predict outcomes. In some situations, when PROMs are used during clinical care they can improve patient mortality, outcomes, engagement, well-being, and patient-physician communication. Guidance ...
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 9, 2024 Category: Orthopaedics Authors: Lauren M Shapiro Patricia Katz Brocha Z Stern Robin N Kamal Source Type: research

Diagnostic Test Performances for Identifying Periprosthetic Joint Infection in Hip Hemiarthroplasty
CONCLUSION: Our findings support the continued use of routine serum and synovial fluid tests for diagnosing PJI in HHA patients. Optimal cutoff values for both synovial fluid biomarkers were very close in alignment with the 2018 International Consensus Meeting criteria.LEVEL OF EVIDENCE: Level III, retrospective comparative study.PMID:38194645 | DOI:10.5435/JAAOS-D-23-00305 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 9, 2024 Category: Orthopaedics Authors: Mehdi S Salimy Tyler J Humphrey Cameron R Egan Kyle Alpaugh Hany S Bedair Christopher M Melnic Source Type: research

Mental Health Effects on the Minimal Clinically Important Difference in Total Joint Arthroplasty
DISCUSSION: The presence of a MHD had a prominent negative influence on pTHA patients. Patients who underwent rTJA had lower MCID-I rates, higher MCID-W rates, and lower patient-reported outcome measure scores despite less influence from a MHD.LEVEL OF EVIDENCE: Level III, retrospective comparative study.PMID:38194673 | DOI:10.5435/JAAOS-D-23-00538 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 9, 2024 Category: Orthopaedics Authors: Mehdi S Salimy Aris Paschalidis Jacquelyn A Dunahoe Antonia F Chen Kyle Alpaugh Hany S Bedair Christopher M Melnic Source Type: research

Tranexamic Acid and Holding Venous Thromboembolism Prophylaxis Morning of Surgery Do Not Decrease Transfusion Requirements in Patients Undergoing Anterior Intrapelvic Approach for Acetabular Open Reduction and Internal Fixation
The objective of this study was to determine factors that may affect transfusion rates for patients requiring an anterior intrapelvic (AIP) approach for an acetabulum fracture.METHODS: This was a multicenter retrospective comparison study (3 trauma centers at two urban academic centers). Patients who had an AIP approach for an acetabulum fracture without other notable same-day procedures (irrigation and débridement and/or external fixation were only other allowed procedures) were included. One hundred ninety-five adult (18 and older) patients had adequate records to complete analysis with no preexisting coagulopathy. The ...
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 8, 2024 Category: Orthopaedics Authors: Brian H Mullis Joshua H S Chang Nihar Shah Ramsey S Sabbagh Michael T Archdeacon Henry Claude Sagi Roman M Natoli Source Type: research

Approach to Tibial Shaft Nonunions: Diagnosis and Management
This article provides guidance based on the most recent literature that can be used to aid the treating provider in the diagnosis, workup, and management of tibial shaft nonunions.PMID:38190574 | DOI:10.5435/JAAOS-D-23-00453 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 8, 2024 Category: Orthopaedics Authors: Elizabeth P Wellings Steven L Moran Aaron J Tande Krystin A Hidden Source Type: research

Patient-Reported Outcome Measure Collection and Utilization: A Survey of American Academy of Orthopaedic Surgeons Members
J Am Acad Orthop Surg. 2024 Jan 4. doi: 10.5435/JAAOS-D-23-00879. Online ahead of print.ABSTRACTGiven the benefits of patient-reported outcome measure (PROM) implementation and future reporting policies, the PROMs Workgroup conducted a study to evaluate the sentiment and practice patterns related to PROM collection and utilization. A survey including questions regarding sentiment and practice patterns related to PROM importance, collection, and utilization was administered to all members. Data were reported descriptively, and open-ended responses were analyzed using content and frequency analysis. Six hundred twelve surgeo...
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 5, 2024 Category: Orthopaedics Authors: Lauren M Shapiro Kurt Spindler Brian Cunningham Jason Koh Source Type: research

Optimizing the Entry Point for Medullary Hip Screws
CONCLUSION: In a sample with broad variation in femoral anatomy, there is a specific, roughly 1.5 mm wide interval that is 6.4 mm medial to the GT tip that serves as the IEP for the most common MHS systems. No notable difference seems to exist in the IEP among these MHS systems.PMID:38181514 | DOI:10.5435/JAAOS-D-23-00360 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 5, 2024 Category: Orthopaedics Authors: Kevin Huang Zachary A Rockov Lukas O Foster Jawad Najdawi Abrianna S Robles Geoffrey S Marecek Source Type: research

High Tibial Osteotomy in Knee Reconstruction and Joint Preservation
J Am Acad Orthop Surg. 2024 Jan 3. doi: 10.5435/JAAOS-D-23-00323. Online ahead of print.ABSTRACTHigh tibial osteotomy is a dynamic operation, used as an effective procedure in both joint preservation and knee stability. Applications and indications are expanding, with good results in the treatment of malalignment associated with arthrosis, knee instability, meniscus deficiency or transplants, and/or cartilage restoration. Appropriate patient selection and preoperative planning are critical to achieving good outcomes after surgery. Coronal and sagittal plane corrections made through the proximal tibia can effectively alter ...
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 4, 2024 Category: Orthopaedics Authors: W Michael Pullen Harris Slone Geoff Abrams Seth L Sherman Source Type: research

Ethical Considerations of Artificial Intelligence in Health Care: Examining the Role of Generative Pretrained Transformer-4
This article focuses on the ethical principles surrounding the use of Generative Pretrained Transformer-4 and its conversational model, ChatGPT, in healthcare settings. One concern is potential inaccuracies in generated content. LLMs can produce believable yet incorrect information, risking errors in medical records. Opacity of training data exacerbates this, hindering accuracy assessment. To mitigate, LLMs should train on precise, validated medical data sets. Model bias is another critical concern because LLMs may perpetuate biases from their training, leading to medically inaccurate and discriminatory responses. Sampling...
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 4, 2024 Category: Orthopaedics Authors: Suraj Sheth Hayden P Baker Hannes Prescher Jason A Strelzow Source Type: research

Instability in Patients With Lumbar Spine Disease Undergoing Posterior Approach and Lateral Approach Primary Total Hip Arthroplasty
This study compared postoperative dislocation rates in patients who had lumbar spine disease and underwent primary THA using a posterior or direct lateral approach.METHODS: Between 2011 and 2017, consecutive cohorts of primary THAs were retrospectively reviewed. One surgeon routinely used a posterior approach, while the other used a direct lateral approach. Chart and radiographic review were conducted to identify patients who had lumbar spine disease. Dislocations among cohorts with and without lumbar spine disease were compared by posterior and direct lateral approaches.RESULTS: The overall dislocation rate was 1.3% (15/1...
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 4, 2024 Category: Orthopaedics Authors: Amrit Parihar Evan R Deckard Leonard T Buller R Michael Meneghini Source Type: research