Dysphagia After Anterior Cervical Spine Surgery: Pathophysiology, Diagnosis, and Management
J Am Acad Orthop Surg. 2024 Apr 18. doi: 10.5435/JAAOS-D-23-00778. Online ahead of print.ABSTRACTAnterior cervical spine surgery (ACSS) is a surgical intervention widely used for a myriad of indications including degenerative, oncologic, inflammatory, traumatic, and congenital spinal conditions. A primary concern for surgeons performing ACSS is the postoperative development of oropharyngeal dysphagia. Current literature reports a wide incidence of this complication ranging from 1 to 79%. Dysphagia after ACSS is multifactorial, with common risk factors being prolonged duration of operation, revision surgeries, multilevel su...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 24, 2024 Category: Orthopaedics Authors: Hai V Le Yashar Javidan Safdar N Khan Eric O Klineberg Source Type: research

Evaluating The Effect of Arthroscopic Rotator Cuff Repair with Concomitant Subacromial Decompression on 2, 4, and 6 Year Reoperation Rates
In this study, we compare mid-term revision surgery rates in patients undergoing arthroscopic RCR with or without concomitant ASD.METHODS: A retrospective cohort analysis was conducted using a national all-payer claims database. Current Procedural Terminology and International Classification of Disease, 10th Revision, codes were used to identify patients who underwent primary arthroscopic RCR with or without ASD in the United States. The primary study outcome was revision surgery at 2, 4, and 6 years. Univariate analysis was conducted on demographic variables (age, sex) and comorbidities in the Elixhauser Comorbidity Index...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 24, 2024 Category: Orthopaedics Authors: Mark Haft Zachary C Pearson Uzoma Ahiarakwe Sarah Y Nelson Uma Srikumaran Source Type: research

Risk of Adverse Events Following Total Knee Arthroplasty in Asthma Patients
DISCUSSION: Over one-tenth of patients undergoing TKA were identified as having asthma, and these patients were at greater odds of numerous pulmonary and non-pulmonary adverse events (a trend that increased with asthma severity), as well as 5-year revisions. Clearly, patients with asthma need specific risk mitigation strategies when considering TKA.LEVEL OF EVIDENCE: III.PMID:38657178 | DOI:10.5435/JAAOS-D-23-01142 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 24, 2024 Category: Orthopaedics Authors: Julian Smith-Voudouris Lee E Rubin Jonathan N Grauer Source Type: research

External Fixation Before Planned Conversion to Internal Fixation in Orthopaedic Trauma: Controversies and Current Trends
J Am Acad Orthop Surg. 2024 Apr 18. doi: 10.5435/JAAOS-D-23-01256. Online ahead of print.ABSTRACTExternal fixation is a widely used technique for a myriad of bone fractures and pathologies in all extremities. Despite its widespread use, controversies and unknowns still exist. This review article seeks to discuss current literature surrounding pin insertion technique, pin-site care, intraoperative use during conversion to definitive fixation, the relationship of pin sites to definitive fixation, and pin-site management after removal for temporary external fixation.PMID:38657184 | DOI:10.5435/JAAOS-D-23-01256 (Source: The Jo...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 24, 2024 Category: Orthopaedics Authors: Malynda S Wynn Yohan Jang George Ochenjele Roman M Natoli Source Type: research

The Effect of Crystal Arthropathy on the Diagnostic Criteria of Native Septic Arthritis
DISCUSSION: The presence of synovial crystals reduced the likelihood of septic arthritis and altered the laboratory diagnostic criteria. PMN% was nondiagnostic in the setting of synovial crystals.PMID:38652879 | DOI:10.5435/JAAOS-D-23-00857 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 23, 2024 Category: Orthopaedics Authors: Benjamin D Pesante Maryam Salimi Whitney L Miller Heather L Young Timothy C Jenkins Joshua A Parry Source Type: research

Letter to the Editor: Response to "Impact of Surgeon Case Volume on Outcomes after Reverse Total Shoulder Arthroplasty"
J Am Acad Orthop Surg. 2024 Apr 17. doi: 10.5435/JAAOS-D-24-00123. Online ahead of print.NO ABSTRACTPMID:38652881 | DOI:10.5435/JAAOS-D-24-00123 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 23, 2024 Category: Orthopaedics Authors: Michael Bickford Alexis Chow Caitlin Buch Source Type: research

Deep Learning and Multimodal Artificial Intelligence in Orthopaedic Surgery
J Am Acad Orthop Surg. 2024 Apr 17. doi: 10.5435/JAAOS-D-23-00831. Online ahead of print.ABSTRACTThis review article focuses on the applications of deep learning with neural networks and multimodal neural networks in the orthopaedic domain. By providing practical examples of how artificial intelligence (AI) is being applied successfully in orthopaedic surgery, particularly in the realm of imaging data sets and the integration of clinical data, this study aims to provide orthopaedic surgeons with the necessary tools to not only evaluate existing literature but also to consider AI's potential in their own clinical or researc...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 23, 2024 Category: Orthopaedics Authors: Anthony Bozzo James M G Tsui Sahir Bhatnagar Jonathan Forsberg Source Type: research

Effect of Spaceflight and Microgravity on the Musculoskeletal System: A Review
J Am Acad Orthop Surg. 2024 Apr 17. doi: 10.5435/JAAOS-D-23-00954. Online ahead of print.ABSTRACTWith National Aeronautics and Space Administration's plans for longer distance, longer duration spaceflights such as missions to Mars and the surge in popularity of space tourism, the need to better understand the effects of spaceflight on the musculoskeletal system has never been more present. However, there is a paucity of information on how spaceflight affects orthopaedic health. This review surveys existing literature and discusses the effect of spaceflight on each aspect of the musculoskeletal system. Spaceflight reduces b...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 23, 2024 Category: Orthopaedics Authors: Robert Lee Satcher Benjamin Fiedler Abdullah Ghali Douglas R Dirschl Source Type: research

Musculoskeletal Biorepository: Establishment, Sustainment, and Tips for Success
J Am Acad Orthop Surg. 2024 Apr 17. doi: 10.5435/JAAOS-D-24-00153. Online ahead of print.ABSTRACTA biorepository, also referred to as a "biobank," is a collection of biologic samples that are stored for laboratory research. With the emergence of precision medicine, the importance of leveraging individual patient biomolecular signatures to improve diagnosis, prognosis, and treatment is becoming increasingly recognized. Successful development and sustainment of a biorepository provides the potential for transformative preclinical research. Establishing a biobank requires a team approach with involvement of the institutions' ...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 23, 2024 Category: Orthopaedics Authors: Joseph W Galvin Brendan M Patterson Maria Bozoghlian James V Nepola Zachary T Colburn Source Type: research

Factors that Promote and Protect Against Financial Toxicity after Orthopaedic Trauma: A Qualitative Study
CONCLUSION: This qualitative study of orthopaedic trauma patients found work and emotional health-related factors to be primary drivers of financial toxicity after injury. Insurance and support from friends and family were the most frequently reported protective factors. Many participants described the pivotal role of the healthcare team in establishing recovery expectations and facilitating access to social welfare programs.PMID:38652885 | DOI:10.5435/JAAOS-D-23-01071 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 23, 2024 Category: Orthopaedics Authors: Nathan N O'Hara Mark J Gage Casey Loudermilk Carolyn Drogt Niek S Klazinga Dionne S Kringos Lily R Mundy Source Type: research

Treatment of Length-Unstable Pediatric Femur Fractures in Children Aged 5 to 11 years: A Focused Review
J Am Acad Orthop Surg. 2024 May 1;32(9):373-380. doi: 10.5435/JAAOS-D-23-00995.ABSTRACTPediatric femur fractures in children aged 5 to 11 years are typically classified as length-stable versus length-unstable. For length-stable fracture patterns, there is frequent consensus among pediatric orthopaedic specialists regarding the appropriateness of flexible intramedullary nails, submuscular plates (SMP), or lateral-entry rigid intramedullary nails (LE-RIMN). With length-unstable fracture patterns, however, the decision is more complex. Age, weight, fracture pattern, fracture location, surgical technique, surgeon experience, s...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 19, 2024 Category: Orthopaedics Authors: Dustin A Greenhill Anthony I Riccio Martin J Herman Source Type: research

Update on Educational Resources and Evaluation Tools for Orthopaedic Surgery Residents: Erratum
J Am Acad Orthop Surg. 2024 May 1;32(9):381. doi: 10.5435/JAAOS-D-23-00627.NO ABSTRACTPMID:38639650 | DOI:10.5435/JAAOS-D-23-00627 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 19, 2024 Category: Orthopaedics 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