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.

Outcomes After Pseudomonas Prosthetic Joint Infections
CONCLUSION: Pseudomonas infections often present as polymicrobial PJIs but are difficult to eradicate in either polymicrobial or monomicrobial setting. A review of the current literature on Pseudomonas PJI reveals favorable infection clearance rates (63 to 80%) after DAIR while infection clearance rates (33 to 83%) vary widely after two-stage revision.PMID:38354412 | DOI:10.5435/JAAOS-D-23-00704 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - February 14, 2024 Category: Orthopaedics Authors: Billy I Kim Andrew M Schwartz Colleen M Wixted Isabel P Prado Breanna A Polascik Jessica L Seidelman Thorsten M Seyler Source Type: research

Coronal Alignment in Adult Spine Surgery
In this study, we review etiologies of coronal malalignment and their radiographic and clinical assessments, risk factors for and functional implications of postoperative coronal malalignment, and surgical strategies to optimize appropriate coronal realignment in adult spine surgery.PMID:38354413 | DOI:10.5435/JAAOS-D-23-00961 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - February 14, 2024 Category: Orthopaedics Authors: Zachary T Sharfman Aaron J Clark Munish C Gupta Alekos A Theologis Source Type: research

Association of Socioeconomic Status With Worse Overall Survival in Patients With Bone and Joint Cancer
DISCUSSION: Our results may have implications for developing interventions to improve access and quality of care for patients from lower SES backgrounds, ultimately reducing disparities in orthopaedic surgery.PMID:38354415 | DOI:10.5435/JAAOS-D-23-00718 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - February 14, 2024 Category: Orthopaedics Authors: Kyle Mani Emily Kleinbart Anne Schlumprecht Regina Golding Noel Akioyamen Hyun Song Rafael De La Garza Ramos Ananth Eleswarapu Rui Yang David Geller Bang Hoang Mitchell S Fourman Source Type: research

Infection Rates After Aseptic Revision Total Hip Arthroplasty With Extended Oral Antibiotic Prophylaxis
This study compared PJI rates in aseptic R-THA performed with EOAP with PJI rates in published studies of aseptic R-THA patients not receiving EOAP.METHODS: Prospectively documented data on 127 consecutive aseptic R-THAs were retrospectively reviewed. Evidence-based perioperative infection prevention protocols were used, and all patients were discharged on 7-day EOAP. Superficial and deep infections at 30 and 90 days postoperatively and at mean latest follow-up of 27.8 months were statistically compared with all US studies reporting the prevalence of PJI after aseptic R-THA. Complications related to EOAP within 120 days of...
Source: The Journal of the American Academy of Orthopaedic Surgeons - February 14, 2024 Category: Orthopaedics Authors: Amer Mohiuddin Justin Rice Mary Ziemba-Davis R Michael Meneghini Source Type: research

For Surgically Treated Geriatric Acetabular Fractures, Longer Duration between Admission and Surgery Is Associated with an Increase in Post-operative Complications: A Study Using the National Trauma Data Bank
DISCUSSION: In this database study, time from hospital admission to surgery was associated with a notable increase in inpatient complications but not inpatient mortality after adjusting for potentially confounding variables while age and mCCI were associated with both mortality and complications. Additional research is needed to determine the relationship between time to surgery with longer term mortality and complications and to assess causality.LEVEL OF EVIDENCE: Prognostic Level III.PMID:38335144 | DOI:10.5435/JAAOS-D-23-00511 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - February 9, 2024 Category: Orthopaedics Authors: Nicholas C Danford Sanket Mehta William D Lack Conor P Kleweno Source Type: research

Thermal Damage in Orthopaedics
J Am Acad Orthop Surg. 2024 Feb 8. doi: 10.5435/JAAOS-D-23-00838. Online ahead of print.ABSTRACTThere are numerous potential sources of thermal damage encountered in orthopaedic surgery. An understanding of the preclinical mechanisms of thermal damage in tissues is necessary to minimize iatrogenic injuries and use these mechanisms therapeutically. Heat generation is a phenomenon that can be used to a surgeon's benefit, most commonly for hemostasis and local control of tumors. It is simultaneously one of the most dangerous by-products of orthopaedic techniques as a result of burring, drilling, cementation, and electrocauter...
Source: The Journal of the American Academy of Orthopaedic Surgeons - February 9, 2024 Category: Orthopaedics Authors: Andrea N Rowland Oluwatodimu R Raji David B Nelles Eugene S Jang Dimitriy G Kondrashov Source Type: research

Risk of Subsequent Fusion After Isolated Decompression of Lumbar Facet Cysts
CONCLUSION: Patients undergoing isolated decompression for lumbar facet cysts undergo subsequent lumbar fusion at a 5-year rate of 6.79%. Risk factors for subsequent decompression include chronic kidney disease, hypertension, and osteoarthritis. This study will assist spine surgeons in appropriately counseling patients on expected postoperative course and potential risks of isolated decompression.PMID:38320287 | DOI:10.5435/JAAOS-D-23-00765 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - February 6, 2024 Category: Orthopaedics Authors: Vincent P Federico Enrico M Forlenza Alexander J Acuna Rajko S Vucicevic William K Conaway James W Nie Alexander J Butler Samy Gabriel Gregory D Lopez Howard S An Matthew W Colman Frank M Phillips Source Type: research

Osteochondritis Dissecans Lesions of the Knee: Evidence-Based Treatment
J Am Acad Orthop Surg. 2024 Jan 30. doi: 10.5435/JAAOS-D-23-00494. Online ahead of print.ABSTRACTOsteochondritis dissecans (OCD) of the knee is a potentially disabling condition in adolescent and young adults, which is likely multifactorial in origin. In recent years, there have been notable improvements in identification and treatment. Clinical presentation varies based mostly on OCD lesion stability. Patients with stable lesions generally present with vague knee pain and altered gait while mechanical symptoms and effusion are more common with unstable lesions. Lesions most commonly occur on the lateral aspect of the medi...
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 31, 2024 Category: Orthopaedics Authors: Michael A Nammour Craig S Mauro James P Bradley Justin W Arner Source Type: research

Subtle Syndesmotic Instability
J Am Acad Orthop Surg. 2024 Jan 30. doi: 10.5435/JAAOS-D-23-00707. Online ahead of print.ABSTRACTLatent or subtle syndesmotic instability is defined as an injury to the syndesmosis which is not apparent on static radiographs of the ankle. Syndesmotic injuries have also been referred to as high ankle sprains. Injury to the syndesmosis typically occurs with collision sports and often involves an external rotation force to the ankle. Diagnosis can be delayed because of negative initial imaging studies. Physical examination tests including the external rotation test, proximal squeeze test, and fibular shuck test can assist in ...
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 31, 2024 Category: Orthopaedics Authors: Paul M Ryan John L Eakin Jason T Goodrum Source Type: research

Academy of Orthopaedic Surgeons Technology Overview Summary: Concentrated Bone Marrow Aspirate for Knee Osteoarthritis
J Am Acad Orthop Surg. 2024 Jan 30. doi: 10.5435/JAAOS-D-23-00957. Online ahead of print.ABSTRACTThe Platelet-Rich Plasma (PRP) for Knee Osteoarthritis Technology Overview is based on a systematic review of current scientific and clinical research. Through analysis of the current best evidence, this technology overview seeks to evaluate the efficacy of PRP for patients with knee osteoarthritis. The systematic literature review resulted in 54 articles: 36 high-quality and 18 moderate-quality. The findings of these studies were summarized to present findings on PRP versus control/placebo, acetaminophen, non-steroidal anti-in...
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 31, 2024 Category: Orthopaedics Authors: Jonathan Dubin Philipp Leucht Martha Murray Ryan Pezold Staff of the American Academy of Orthopaedic Surgeons Source Type: research

The Impact of Socioeconomic Status on the Presence of Advance Care Planning Documents in Patients With Acute Cervical Spinal Cord Injury
CONCLUSION: Female patients and those from at-risk communities are markedly less likely to complete ACP. Attention to possible disparities during admission and ACP discussions may help ensure that patients of all backgrounds have treatment goals documented.PMID:38271675 | DOI:10.5435/JAAOS-D-23-00763 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 25, 2024 Category: Orthopaedics Authors: Tariq Z Issa Michael A McCurdy Yunsoo Lee Mark J Lambrechts Matthew B Sherman Andrew Kalra Perry Goodman Jose A Canseco Alan S Hilibrand Alexander R Vaccaro Gregory D Schroeder Christopher K Kepler Source Type: research

Anterior Vertebral Body Tethering: A Review of the Available Evidence
J Am Acad Orthop Surg. 2024 Jan 23. doi: 10.5435/JAAOS-D-23-00312. Online ahead of print.ABSTRACTIdiopathic scoliosis is a complex three-dimensional deformity of the spine with anterior overgrowth (hypokyphosis), coronal curvature, and axial rotation. Scoliosis treatment in the skeletally immature spine is therapeutically challenging because of growth and was commonly limited to observation, bracing treatment, or fusion. Fusion accomplishes powerful deformity correction at the expense of future growth and mobility of the involved segments, increasing the risk of adjacent segment degeneration and intervertebral disk disease...
Source: The Journal of the American Academy of Orthopaedic Surgeons - January 25, 2024 Category: Orthopaedics Authors: Suken A Shah Denver B Kraft Firoz Miyanji Source Type: research