Management of Isolated Greater Trochanter Fractures Associated With Total Hip Arthroplasty
J Am Acad Orthop Surg. 2023 Dec 22. doi: 10.5435/JAAOS-D-23-00560. Online ahead of print.ABSTRACTPeriprosthetic hip fractures are recognized complications associated with total hip arthroplasty. Over the past decade, there has been a 2.5-fold increase in the incidence of periprosthetic fractures which is expected to grow exponentially in the future. Most of these fractures require surgical fixation or revision arthroplasty. Fractures of the greater trochanter represent a subset of periprosthetic fractures for which there is currently no consensus in the literature regarding the optimal management. The purpose of this revie...
Source: The Journal of the American Academy of Orthopaedic Surgeons - December 26, 2023 Category: Orthopaedics Authors: Andrew Fraval Erik M Hegeman Chad A Krueger Source Type: research

Risk Factors of Emergency Department Utilization After Outpatient Surgery for Sports-Related Injuries
DISCUSSION: Rate of ED utilization after outpatient surgery for sports-related injuries is low (<2.2%), with postoperative musculoskeletal pain and reinjury as the two most common causes, highlighting the importance of postoperative pain management and injury prevention. Arthroscopic procedures showed markedly lower ED utilization compared with open surgery, although not indicative of overall superiority.LEVEL OF EVIDENCE: III, Retrospective Cohort Study.PMID:38147678 | DOI:10.5435/JAAOS-D-22-00715 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - December 26, 2023 Category: Orthopaedics Authors: Mingda Chen Yazdan Raji Lakshmanan Sivasundaram James E Voos Source Type: research

Management of Isolated Greater Trochanter Fractures Associated With Total Hip Arthroplasty
J Am Acad Orthop Surg. 2023 Dec 22. doi: 10.5435/JAAOS-D-23-00560. Online ahead of print.ABSTRACTPeriprosthetic hip fractures are recognized complications associated with total hip arthroplasty. Over the past decade, there has been a 2.5-fold increase in the incidence of periprosthetic fractures which is expected to grow exponentially in the future. Most of these fractures require surgical fixation or revision arthroplasty. Fractures of the greater trochanter represent a subset of periprosthetic fractures for which there is currently no consensus in the literature regarding the optimal management. The purpose of this revie...
Source: The Journal of the American Academy of Orthopaedic Surgeons - December 26, 2023 Category: Orthopaedics Authors: Andrew Fraval Erik M Hegeman Chad A Krueger Source Type: research

The New Year for JAAOS
J Am Acad Orthop Surg. 2024 Jan 1;32(1):1. doi: 10.5435/JAAOS-D-23-01039.NO ABSTRACTPMID:38127640 | DOI:10.5435/JAAOS-D-23-01039 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - December 21, 2023 Category: Orthopaedics Authors: Peter S Rose Source Type: research

Neutrophil to Lymphocyte Ratio as an Indicator of Periprosthetic Joint Infection: A Retrospective Cohort Study
The objective of this review was to evaluate NLR changes in patients with confirmed PJI, to compare NLR between an aseptic revision and a revision for PJI, and to establish whether an NLR of 2.45 is an appropriate cutoff for predicting infection.METHODS: A retrospective review of patients who underwent revision TJA for PJI at a single center between January 1, 2005, and December 31, 2018, was performed and compared with an aseptic cohort who underwent aseptic revision TJA. NLR was calculated from complete blood counts performed at index surgery and at the time of revision surgery. Receiver operating characteristic curves w...
Source: The Journal of the American Academy of Orthopaedic Surgeons - December 21, 2023 Category: Orthopaedics Authors: Leah Nairn Surabhi Sivaratnam Kamal Bali Thomas J Wood Source Type: research

The New Year for JAAOS
J Am Acad Orthop Surg. 2024 Jan 1;32(1):1. doi: 10.5435/JAAOS-D-23-01039.NO ABSTRACTPMID:38127640 | DOI:10.5435/JAAOS-D-23-01039 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - December 21, 2023 Category: Orthopaedics Authors: Peter S Rose Source Type: research

Neutrophil to Lymphocyte Ratio as an Indicator of Periprosthetic Joint Infection: A Retrospective Cohort Study
The objective of this review was to evaluate NLR changes in patients with confirmed PJI, to compare NLR between an aseptic revision and a revision for PJI, and to establish whether an NLR of 2.45 is an appropriate cutoff for predicting infection.METHODS: A retrospective review of patients who underwent revision TJA for PJI at a single center between January 1, 2005, and December 31, 2018, was performed and compared with an aseptic cohort who underwent aseptic revision TJA. NLR was calculated from complete blood counts performed at index surgery and at the time of revision surgery. Receiver operating characteristic curves w...
Source: The Journal of the American Academy of Orthopaedic Surgeons - December 21, 2023 Category: Orthopaedics Authors: Leah Nairn Surabhi Sivaratnam Kamal Bali Thomas J Wood Source Type: research

The New Year for JAAOS
J Am Acad Orthop Surg. 2024 Jan 1;32(1):1. doi: 10.5435/JAAOS-D-23-01039.NO ABSTRACTPMID:38127640 | DOI:10.5435/JAAOS-D-23-01039 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - December 21, 2023 Category: Orthopaedics Authors: Peter S Rose Source Type: research

Neutrophil to Lymphocyte Ratio as an Indicator of Periprosthetic Joint Infection: A Retrospective Cohort Study
The objective of this review was to evaluate NLR changes in patients with confirmed PJI, to compare NLR between an aseptic revision and a revision for PJI, and to establish whether an NLR of 2.45 is an appropriate cutoff for predicting infection.METHODS: A retrospective review of patients who underwent revision TJA for PJI at a single center between January 1, 2005, and December 31, 2018, was performed and compared with an aseptic cohort who underwent aseptic revision TJA. NLR was calculated from complete blood counts performed at index surgery and at the time of revision surgery. Receiver operating characteristic curves w...
Source: The Journal of the American Academy of Orthopaedic Surgeons - December 21, 2023 Category: Orthopaedics Authors: Leah Nairn Surabhi Sivaratnam Kamal Bali Thomas J Wood Source Type: research

The New Year for JAAOS
J Am Acad Orthop Surg. 2024 Jan 1;32(1):1. doi: 10.5435/JAAOS-D-23-01039.NO ABSTRACTPMID:38127640 | DOI:10.5435/JAAOS-D-23-01039 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - December 21, 2023 Category: Orthopaedics Authors: Peter S Rose Source Type: research

Neutrophil to Lymphocyte Ratio as an Indicator of Periprosthetic Joint Infection: A Retrospective Cohort Study
The objective of this review was to evaluate NLR changes in patients with confirmed PJI, to compare NLR between an aseptic revision and a revision for PJI, and to establish whether an NLR of 2.45 is an appropriate cutoff for predicting infection.METHODS: A retrospective review of patients who underwent revision TJA for PJI at a single center between January 1, 2005, and December 31, 2018, was performed and compared with an aseptic cohort who underwent aseptic revision TJA. NLR was calculated from complete blood counts performed at index surgery and at the time of revision surgery. Receiver operating characteristic curves w...
Source: The Journal of the American Academy of Orthopaedic Surgeons - December 21, 2023 Category: Orthopaedics Authors: Leah Nairn Surabhi Sivaratnam Kamal Bali Thomas J Wood Source Type: research

Traumatic Rhabdomyolysis: Crush Syndrome, Compartment Syndrome, and the 'Found Down' Patient
J Am Acad Orthop Surg. 2023 Dec 13. doi: 10.5435/JAAOS-D-23-00734. Online ahead of print.ABSTRACTTraumatic rhabdomyolysis is a systemic manifestation of muscle injury and can occur from various traumatic etiologies, including crush syndrome (CrshS) and compartment syndrome (CS). Although historically described in natural disaster survivors trapped under collapsed structures, the frequency of CrshS has increased in the setting of 'found down' patients from opioid overdoses. Signs and symptoms of the injured limb in CrshS may range from pressure-induced skin changes to neurologic deficits and paralysis. Although its pathophy...
Source: The Journal of the American Academy of Orthopaedic Surgeons - December 18, 2023 Category: Orthopaedics Authors: John J Fernandez Shelby R Smith Source Type: research

Electrical Stimulation Use in Upper Extremity Peripheral Nerve Injuries
J Am Acad Orthop Surg. 2023 Dec 14. doi: 10.5435/JAAOS-D-23-00437. Online ahead of print.ABSTRACTPeripheral nerve injuries can be debilitating and often have a variable course of recovery. Electrical stimulation (ES) has been used as an intervention to attempt to overcome the limits of peripheral nerve surgery and improve patient outcomes after peripheral nerve injury. Little has been written in the orthopaedic literature regarding the use of this technology. The purpose of this review was to provide a focused analysis of past and current literature surrounding the utilization of ES in the treatment of various upper extrem...
Source: The Journal of the American Academy of Orthopaedic Surgeons - December 18, 2023 Category: Orthopaedics Authors: Nathan T Morrell Ryan K Dahlberg Kelly L Scott Source Type: research

The Effect of Underrepresented Minority Mentorship on Orthopaedic Spine Surgery Recruitment and Diversity: A 20-Year Analysis at a Single Institution
CONCLUSION: This retrospective study provides empirical evidence of the importance of URM representation among orthopaedic spine surgery faculty and the potential effect on URMs pursuing orthopaedic fellowships. Institutions should consider prioritizing the representation of URM faculty in spine surgery to address the lack of current and future diversity in the field.LEVEL OF EVIDENCE: III.PMID:38109731 | DOI:10.5435/JAAOS-D-23-00666 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - December 18, 2023 Category: Orthopaedics Authors: Stephane Owusu-Sarpong Tyler K Williamson Kola Jegede Nirmal C Tejwani Source Type: research

Orthotic Devices for the Foot and Ankle
J Am Acad Orthop Surg. 2023 Dec 15. doi: 10.5435/JAAOS-D-23-00832. Online ahead of print.ABSTRACTMillions of Americans wear ankle-foot orthotic devices for protection, pain relief, and deformity correction. Inquiries about off-the-shelf and custom devices are a common reason for evaluation with a foot and ankle surgeon or general orthopaedic surgeon. Despite limited high-quality evidence for their use, these devices can have a notable clinical impact on physical function. An up-to-date understanding of orthotic device options and their appropriate use in managing musculoskeletal pathologies applies to all orthopaedic provi...
Source: The Journal of the American Academy of Orthopaedic Surgeons - December 18, 2023 Category: Orthopaedics Authors: Tonya W An Gary Berke Wendy Beattie Jeremy Y Chan Source Type: research