Effect of Depression Interventions in Patients Undergoing Total Joint Arthroplasty Without a Formal Diagnosis of Depression: A Systematic Review
CONCLUSIONS: Overall, a wide range of interventions aimed at psychological optimization of patients undergoing TJA can improve depressive symptoms, pain, and function, even in the absence of a formal diagnosis of depression. Specifically, cognitive-based psychotherapy and enhanced perioperative support had the best evidence. Routine pharmacotherapy plays a limited role, if any, in the care of TJA. Additional efforts to develop pragmatic, evidence-based, and reproducible interventions are warranted to continue to optimize outcomes in TJA patients.PMID:38626430 | DOI:10.5435/JAAOS-D-23-01130 (Source: The Journal of the Ameri...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 16, 2024 Category: Orthopaedics Authors: Faran Chaudhry Samuel Morgan Colin Kruse Jesse Wolfstadt Seper Ekhtiari Source Type: research

Treatment of Shoulder Osteoarthritis With Intact Rotator Cuff and Severe Glenoid Retroversion
J Am Acad Orthop Surg. 2024 Apr 10. doi: 10.5435/JAAOS-D-23-00669. Online ahead of print.ABSTRACTThe American Academy of Orthopaedic Surgeons has developed an Appropriate Use Criteria (AUC) for Treatment of Shoulder Osteoarthritis with Intact Rotator Cuff and Severe Glenoid Retroversion. Evidence-based information, in conjunction with the clinical expertise of physicians, was used to develop the criteria to determine the appropriateness of various treatments of shoulder osteoarthritis with intact rotator cuff and severe glenoid retroversion. The AUC for Treatment of Shoulder Osteoarthritis with Intact Rotator Cuff and Seve...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 16, 2024 Category: Orthopaedics Authors: Melissa A Wright Matthew J Smith Christopher J Roach Source Type: research

Women's Representation as Principal Investigators Among Pediatric Orthopaedic Clinical Trials: An Analysis of ClinicalTrials.Gov
CONCLUSION: Progress toward gender parity in pediatric orthopaedic research is evident; however, disparities still exist. Efforts to provide additional research opportunities for women in orthopaedics may be crucial in attracting and retaining diverse talent in the field. Targeted initiatives may have potential in achieving equal representation in orthopaedics.PMID:38626437 | DOI:10.5435/JAAOS-D-23-00958 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 16, 2024 Category: Orthopaedics Authors: Amir H Karimi Robert J Burkhart Monish Lavu Aakash K Shah R Justin Mistovich Source Type: research

Risk Factors Associated with Thromboembolic Complications After total Hip Arthroplasty: An Analysis of 1,129 Pulmonary Emboli
This study aimed to identify risk factors of developing pulmonary embolism (PE) and deep vein thrombosis (DVT) after THA using a modern cohort of patients reflecting contemporary practices.METHODS: The Premier Healthcare Database was queried for primary, elective THAs from January 1st, 2015, to December 31st, 2021. Patients who developed PE or DVT within 90 days of THA were compared with patients who did not develop any postoperative VTE. Differences in patient demographics, comorbidities, hospital factors, perioperative medications, chemoprophylactic agents, and allogeneic blood transfusion were compared between cohorts. ...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 16, 2024 Category: Orthopaedics Authors: Kevin C Liu Neelesh Bagrodia Mary K Richardson Amit S Piple Nicholas Kusnezov Jennifer C Wang Jay R Lieberman Nathanael D Heckmann Source Type: research

Declining Inflation-Adjusted Medicare Physician Fees: An Unsustainable Trend in Hip Arthroscopy
DISCUSSION: Medicare reimbursement for all seven of the commonly used hip arthroscopy services did not keep up with inflation, demonstrating marked reductions from 2011 to 2021. Specifically, the inflation-adjusted reimbursements decreased between 19.23% and 24.69% between 2011 and 2021.PMID:38626441 | DOI:10.5435/JAAOS-D-23-00080 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 16, 2024 Category: Orthopaedics Authors: Andrew G Kim Adam A Rizk Jason G Ina Steven J Magister Michael J Salata Source Type: research

Principles of Minimally Invasive Reduction and Nail Fixation for Subtrochanteric Femur Fractures
J Am Acad Orthop Surg. 2024 Apr 9. doi: 10.5435/JAAOS-D-23-00904. Online ahead of print.ABSTRACTSubtrochanteric femur fractures have a reputation as difficult orthopaedic injuries to treat. Strong deforming forces, including the hip musculature and high physiologic forces, must be counteracted to obtain and maintain reduction. Adding to the complexity is a wide variety of fracture morphologies that must be recognized to execute an appropriate surgical plan. The challenging nature of this injury is demonstrated by nonunion rates of 4% to 5%, but some series have reports of up to 15% and malunion rates of 10% to 15%. Improve...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 16, 2024 Category: Orthopaedics Authors: Jeffrey Brewer Francisco Fuster Samantha Mosle Marilyn Heng Source Type: research

Cemented Stem Design in Total Hip Arthroplasty: Fixation Philosophies, Biomechanics, and an Updated Classification System
J Am Acad Orthop Surg. 2024 Apr 10. doi: 10.5435/JAAOS-D-23-00914. Online ahead of print.ABSTRACTThere is renewed interest in cemented femoral fixation in total hip arthroplasty in the United States, and to fully appreciate the evolution of cemented femoral stem designs, an understanding of their history and design rationale is essential. To adequately study the outcomes of modern-day designs, a comprehensive classification system is also necessary. The biomechanical principles, failure mechanisms, and clinical outcomes associated with various cemented femoral stems are described in this comprehensive review. In addition, ...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 16, 2024 Category: Orthopaedics Authors: Vishal Hegde Andrew B Harris Bryan D Springer Harpal S Khanuja Source Type: research

Applications of Natural Language Processing for Automated Clinical Data Analysis in Orthopaedics
J Am Acad Orthop Surg. 2024 Apr 10. doi: 10.5435/JAAOS-D-23-00839. Online ahead of print.ABSTRACTNatural language processing is an exciting and emerging field in health care that can transform the field of orthopaedics. It can aid in the process of automated clinical data analysis, changing the way we extract data for various purposes including research and registry formation, diagnosis, and medical billing. This scoping review will look at the various applications of NLP in orthopaedics. Specific examples of NLP applications include identification of essential data elements from surgical and imaging reports, patient feedb...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 16, 2024 Category: Orthopaedics Authors: Yasir AlShehri Arashdeep Sidhu Laks V S Lakshmanan Kelly A Lefaivre Source Type: research

Effect of Depression Interventions in Patients Undergoing Total Joint Arthroplasty Without a Formal Diagnosis of Depression: A Systematic Review
CONCLUSIONS: Overall, a wide range of interventions aimed at psychological optimization of patients undergoing TJA can improve depressive symptoms, pain, and function, even in the absence of a formal diagnosis of depression. Specifically, cognitive-based psychotherapy and enhanced perioperative support had the best evidence. Routine pharmacotherapy plays a limited role, if any, in the care of TJA. Additional efforts to develop pragmatic, evidence-based, and reproducible interventions are warranted to continue to optimize outcomes in TJA patients.PMID:38626430 | DOI:10.5435/JAAOS-D-23-01130 (Source: The Journal of the Ameri...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 16, 2024 Category: Orthopaedics Authors: Faran Chaudhry Samuel Morgan Colin Kruse Jesse Wolfstadt Seper Ekhtiari Source Type: research

Treatment of Shoulder Osteoarthritis With Intact Rotator Cuff and Severe Glenoid Retroversion
J Am Acad Orthop Surg. 2024 Apr 10. doi: 10.5435/JAAOS-D-23-00669. Online ahead of print.ABSTRACTThe American Academy of Orthopaedic Surgeons has developed an Appropriate Use Criteria (AUC) for Treatment of Shoulder Osteoarthritis with Intact Rotator Cuff and Severe Glenoid Retroversion. Evidence-based information, in conjunction with the clinical expertise of physicians, was used to develop the criteria to determine the appropriateness of various treatments of shoulder osteoarthritis with intact rotator cuff and severe glenoid retroversion. The AUC for Treatment of Shoulder Osteoarthritis with Intact Rotator Cuff and Seve...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 16, 2024 Category: Orthopaedics Authors: Melissa A Wright Matthew J Smith Christopher J Roach Source Type: research

Women's Representation as Principal Investigators Among Pediatric Orthopaedic Clinical Trials: An Analysis of ClinicalTrials.Gov
CONCLUSION: Progress toward gender parity in pediatric orthopaedic research is evident; however, disparities still exist. Efforts to provide additional research opportunities for women in orthopaedics may be crucial in attracting and retaining diverse talent in the field. Targeted initiatives may have potential in achieving equal representation in orthopaedics.PMID:38626437 | DOI:10.5435/JAAOS-D-23-00958 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 16, 2024 Category: Orthopaedics Authors: Amir H Karimi Robert J Burkhart Monish Lavu Aakash K Shah R Justin Mistovich Source Type: research

Risk Factors Associated with Thromboembolic Complications After total Hip Arthroplasty: An Analysis of 1,129 Pulmonary Emboli
This study aimed to identify risk factors of developing pulmonary embolism (PE) and deep vein thrombosis (DVT) after THA using a modern cohort of patients reflecting contemporary practices.METHODS: The Premier Healthcare Database was queried for primary, elective THAs from January 1st, 2015, to December 31st, 2021. Patients who developed PE or DVT within 90 days of THA were compared with patients who did not develop any postoperative VTE. Differences in patient demographics, comorbidities, hospital factors, perioperative medications, chemoprophylactic agents, and allogeneic blood transfusion were compared between cohorts. ...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 16, 2024 Category: Orthopaedics Authors: Kevin C Liu Neelesh Bagrodia Mary K Richardson Amit S Piple Nicholas Kusnezov Jennifer C Wang Jay R Lieberman Nathanael D Heckmann Source Type: research

Declining Inflation-Adjusted Medicare Physician Fees: An Unsustainable Trend in Hip Arthroscopy
DISCUSSION: Medicare reimbursement for all seven of the commonly used hip arthroscopy services did not keep up with inflation, demonstrating marked reductions from 2011 to 2021. Specifically, the inflation-adjusted reimbursements decreased between 19.23% and 24.69% between 2011 and 2021.PMID:38626441 | DOI:10.5435/JAAOS-D-23-00080 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 16, 2024 Category: Orthopaedics Authors: Andrew G Kim Adam A Rizk Jason G Ina Steven J Magister Michael J Salata Source Type: research

Principles of Minimally Invasive Reduction and Nail Fixation for Subtrochanteric Femur Fractures
J Am Acad Orthop Surg. 2024 Apr 9. doi: 10.5435/JAAOS-D-23-00904. Online ahead of print.ABSTRACTSubtrochanteric femur fractures have a reputation as difficult orthopaedic injuries to treat. Strong deforming forces, including the hip musculature and high physiologic forces, must be counteracted to obtain and maintain reduction. Adding to the complexity is a wide variety of fracture morphologies that must be recognized to execute an appropriate surgical plan. The challenging nature of this injury is demonstrated by nonunion rates of 4% to 5%, but some series have reports of up to 15% and malunion rates of 10% to 15%. Improve...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 16, 2024 Category: Orthopaedics Authors: Jeffrey Brewer Francisco Fuster Samantha Mosle Marilyn Heng Source Type: research

Cemented Stem Design in Total Hip Arthroplasty: Fixation Philosophies, Biomechanics, and an Updated Classification System
J Am Acad Orthop Surg. 2024 Apr 10. doi: 10.5435/JAAOS-D-23-00914. Online ahead of print.ABSTRACTThere is renewed interest in cemented femoral fixation in total hip arthroplasty in the United States, and to fully appreciate the evolution of cemented femoral stem designs, an understanding of their history and design rationale is essential. To adequately study the outcomes of modern-day designs, a comprehensive classification system is also necessary. The biomechanical principles, failure mechanisms, and clinical outcomes associated with various cemented femoral stems are described in this comprehensive review. In addition, ...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 16, 2024 Category: Orthopaedics Authors: Vishal Hegde Andrew B Harris Bryan D Springer Harpal S Khanuja Source Type: research