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.

The Association between Race and Extended Length of Stay in Low-energy Proximal Humerus Fractures in Elderly Patients
CONCLUSION: Our study highlights the notable influence of age and race on the likelihood of hospital admission and prolonged hospital stay. Specifically, Black patients exhibited prolonged hospital stay, which has been associated with lower-quality care, warranting additional exploration. Understanding these demographic and hospital-related factors is essential for optimizing resource allocation and reducing healthcare disparities in the care of PHF patients, especially as the population ages and the incidence of PHF continues to rise.PMID:38595161 | DOI:10.5435/JAAOS-D-23-00925 (Source: The Journal of the American Academy...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 10, 2024 Category: Orthopaedics Authors: Kevin T Root Alex J Burnett Jaquelyn Kakalecik Andrew B Harris Lauren Ladehoff Kamil Taneja Matthew R Patrick Jennifer E Hagen Joseph J King Source Type: research

Association of Pharmacologic Treatment of Depression/Anxiety With Initial Patient-Reported Outcome Measures in Patients With Hip and Knee Osteoarthritis
CONCLUSION: :Our results indicate that pharmacologic treatment of depression/anxiety is associated with improved psychological health but not with improved physical symptoms related to OA. We observed a nonsignificant trend that patients with depression/anxiety who warrant pharmacologic treatment tend to have worse physical symptoms than those who do not; however, unadjusted analyses suggest this is a complex relationship beyond the isolated effect of pharmacologic treatment.PMID:38595309 | DOI:10.5435/JAAOS-D-23-00887 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 10, 2024 Category: Orthopaedics Authors: Alexander R Farid Adriana P Liimakka Emily B Parker Jeremy T Smith Christopher M Melnic Antonia F Chen Jeffrey K Lange Source Type: research

Cervical Sagittal Alignment and Related Factor Analysis and Prediction Model in Patients Undergoing Revision Surgery After Anterior Cervical Fusion
CONCLUSION: The causes of revision surgery in cervical myelopathic patients after anterior cervical corpectomy and fusion/anterior cervical diskectomy and fusion are multifactorial. (T1S-CL)-C2S mismatch and high C2C7SVA are the best cervical sagittal parameters that increase the odds of revision surgery, and the effect is more enhanced when comorbidities such as smoking, low bone-mineral density, and increased levels of fusion are taken into account.PMID:38595101 | DOI:10.5435/JAAOS-D-23-00565 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 10, 2024 Category: Orthopaedics Authors: Manini Daudi Romani Hong-Qi Zhang Qi-Le Gao Shao-Hua Liu Ang Deng Source Type: research

"Trend" Statement Use in the Orthopaedic Literature
DISCUSSION: Trend statements are used to describe non-statistically significant findings with moderate frequency in the orthopaedic literature. Given the potentially misleading effects of trend statements, efforts should be made to mitigate their use. If trend statements are to be used, attention should be paid to defining what constitutes a "trend", explicitly acknowledging the lack of statistical significance of the finding to which the trend statement refers, and avoiding drawing undue conclusions from non-statistically significant data.PMID:38595127 | DOI:10.5435/JAAOS-D-23-00770 (Source: The Journal of the American Ac...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 10, 2024 Category: Orthopaedics Authors: Andrew J Luzzi Natalia Czerwonka Brandon Rogalski Michael L Knudsen William N Levine Source Type: research

Medicare in the 21st Century: Understanding the Program to Promote Improvements
J Am Acad Orthop Surg. 2024 Apr 9. doi: 10.5435/JAAOS-D-23-00464. Online ahead of print.ABSTRACTMedicare is the largest single purchaser of health care in the United States and currently helps to pay medical expenses for approximately one-fifth of the US population. The impetus for Medicare to move away from fee-for-service and toward value-based care payments reflects the need to incentivize and improve healthcare quality while containing increasing costs. This primer provides a detailed overview of several interrelated topics for an improved understanding of the Medicare program for orthopaedic surgeons, other clinicians...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 10, 2024 Category: Orthopaedics Authors: David M Kalainov Cynthia Barnard Jessica Walradt Source Type: research

Similar Medium-Term Revision Rates Following Acute Total Hip Arthroplasty Versus Open Reduction and Internal Fixation for Acetabular Fractures in the Elderly
CONCLUSIONS: No difference was observed in medium-term RFS between acute THA and ORIF for elderly acetabular fractures in California. Revision surgeries for either conversion or revision THA were relatively common in both groups, with roughly half of all revisions occurring within the first year postoperatively.LEVEL OF EVIDENCE: III.PMID:38595147 | DOI:10.5435/JAAOS-D-23-00771 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 10, 2024 Category: Orthopaedics Authors: Alexander Upfill-Brown Brendan Shi Bailey Mooney Daniel Chiou Dane Brodke Akash A Shah Benjamin V Kelley Erik N Mayer Sai K Devana Christopher Lee Nelson F SooHoo Source Type: research

Opioid-Sparing Nonsteroid Anti-inflammatory Drugs Protocol in Patients Undergoing Intramedullary Nailing of Tibial Shaft Fractures: A Randomized Control Trial
This study aims to determine whether the combination of oral acetaminophen and intravenous ketorolac is a viable alternative to opioid-based pain management in closed tibial shaft fractures treated with intramedullary nailing.METHODS: We conducted a randomized controlled trial evaluating postoperative pain control and opioid consumption in patients with closed tibial shaft fractures who underwent intramedullary nailing. Patients were randomized into an NSAID-based pain control group (52 patients) and an opioid-based pain control group (44 patients). Visual analog scale (VAS) scores and morphine milligram equivalents (MMEs)...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 5, 2024 Category: Orthopaedics Authors: Hans Hess-Arcelay Alexandra Claudio-Marcano Norberto J Torres-Lugo David Deliz-Jimenez Jose Acosta-Julbe Gabriel Hernandez Daniel Deliz-Jimenez Gamaliel Monge Norman Ram írez Luis Lojo-Sojo Source Type: research

The Statistical Fragility of Tranexamic Acid Use in the Orthopaedic Surgery Literature: A Systematic Review of Randomized Controlled Trials
DISCUSSION: Statistical outcomes reported in RCTs on the use of TXA in orthopaedic surgery are fragile. Reversal of a few outcomes is sufficient to alter statistical significance. We recommend reporting FI, rFI, and FQ metrics to aid in interpreting the outcomes reported in comparative trials.PMID:38574390 | DOI:10.5435/JAAOS-D-23-00503 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 4, 2024 Category: Orthopaedics Authors: Ashley N Brown Avanish Yendluri Kyle W Lawrence John K Cordero Calin S Moucha Brett L Hayden Robert L Parisien Source Type: research

5-Factor Modified Frailty Index as a Predictor of Outcomes After Hemiarthroplasty or Total Hip Arthroplasty for Femoral Neck Fracture
DISCUSSION: The mFI-5 is an independent predictor of morbidity and complications after hemiarthroplasty and THA for femoral neck fracture. Importantly, readmission risk was predicted by the mFI-5. The mFI-5 may present a valuable clinical tool for assessment of high-risk patients who might require additional resources and specialized care after femoral neck fracture.PMID:38569220 | DOI:10.5435/JAAOS-D-23-00936 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 3, 2024 Category: Orthopaedics Authors: Andrew G Kim Daniel Grits Jeffrey Zhong Austin M Chiu Landon Reading William Zuke Atul F Kamath Source Type: research