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Resolving residual acetabular dysplasia following successful brace treatment for developmental dysplasia of the hip in infants. Bone Joint J. (IF 4.9) Pub Date : 2024-07-01 Ayesha Saeed, Catharine S Bradley, Yashvi Verma, Simon P Kelley
Radiological residual acetabular dysplasia (RAD) has been reported in up to 30% of children who had successful brace treatment of infant developmental dysplasia of the hip (DDH). Predicting those who will resolve and those who may need corrective surgery is important to optimize follow-up protocols. In this study we have aimed to identify the prevalence and predictors of RAD at two years and five years
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Use of natural language processing techniques to predict patient selection for total hip and knee arthroplasty from radiology reports. Bone Joint J. (IF 4.9) Pub Date : 2024-07-01 Luke Farrow, Mingjun Zhong, Lesley Anderson
To examine whether natural language processing (NLP) using a clinically based large language model (LLM) could be used to predict patient selection for total hip or total knee arthroplasty (THA/TKA) from routinely available free-text radiology reports.
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Virtual reality reduces anxiety of children in the plaster room: a randomized controlled trial. Bone Joint J. (IF 4.9) Pub Date : 2024-07-01 Maximilaan A Poppelaars, Lisa van der Water, Iris Koenraadt-van Oost, Pieter Boele van Hensbroek, Christiaan J A van Bergen
Paediatric fractures are highly prevalent and are most often treated with plaster. The application and removal of plaster is often an anxiety-inducing experience for children. Decreasing the anxiety level may improve the patients' satisfaction and the quality of healthcare. Virtual reality (VR) has proven to effectively distract children and reduce their anxiety in other clinical settings, and it seems
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Clinical characteristics and outcomes associated with culture-negative status in limb osteomyelitis patients. Bone Joint J. (IF 4.9) Pub Date : 2024-07-01 Hongri Wu, Xiaohua Wang, Jie Shen, Zhiyuan Wei, Shulin Wang, Tianming Xu, Fei Luo, Zhao Xie
This study aimed to investigate the clinical characteristics and outcomes associated with culture-negative limb osteomyelitis patients.
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Robotic arm-assisted conversion of unicompartmental knee arthroplasty to total knee arthroplasty. Bone Joint J. (IF 4.9) Pub Date : 2024-07-01 Fabio Mancino, Andreas Fontalis, Tarani S P Grandhi, Ahmed Magan, Ricci Plastow, Babar Kayani, Fares S Haddad
Robotic arm-assisted surgery offers accurate and reproducible guidance in component positioning and assessment of soft-tissue tensioning during knee arthroplasty, but the feasibility and early outcomes when using this technology for revision surgery remain unknown. The objective of this study was to compare the outcomes of robotic arm-assisted revision of unicompartmental knee arthroplasty (UKA) to
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Clinical evaluation of new bone formation during limb lengthening in children using ultrasound combined with superb microvascular imaging. Bone Joint J. (IF 4.9) Pub Date : 2024-07-01 Nijiati Yaxier, Yuan Zhang, Jun Song, Bo Ning
Given the possible radiation damage and inaccuracy of radiological investigations, particularly in children, ultrasound and superb microvascular imaging (SMI) may offer alternative methods of evaluating new bone formation when limb lengthening is undertaken in paediatric patients. The aim of this study was to assess the use of ultrasound combined with SMI in monitoring new bone formation during limb
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Redisplacement of reduced distal radius fractures in adults: does the type of casting play a role? The CAST study, a multicentre cluster randomized controlled trial. Bone Joint J. (IF 4.9) Pub Date : 2024-07-01 Britt Barvelink, Max Reijman, Sanne Smidt, Pedro Miranda Afonso, Jan A N Verhaar, Joost W Colaris, , , Flip van Beek, Marna G Bouwhuis, Milko M M Bruijninckx, Alexander P A Greeven, Taco Gosens, Mirte J Kok, Marike C Kokke, Gerald A Kraan, Kevin van Lakwijk, Michiel Leijnen, Merel van Loon, Daphne A van Rijssel, Niels W L Schep, Lenneke Scholtens, Mathieu M E Wijffels, Ninka Slebioda, Peer van der
It is not clear which type of casting provides the best initial treatment in adults with a distal radial fracture. Given that between 32% and 64% of adequately reduced fractures redisplace during immobilization in a cast, preventing redisplacement and a disabling malunion or secondary surgery is an aim of treatment. In this study, we investigated whether circumferential casting leads to fewer the redisplacement
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Augmented versus non-augmented locking-plate fixation in proximal humeral fractures. Bone Joint J. (IF 4.9) Pub Date : 2024-07-01 Umile G Longo, Lawrence V Gulotta, Sergio De Salvatore, Alberto Lalli, Benedetta Bandini, Diana Giannarelli, Vincenzo Denaro
Proximal humeral fractures are the third most common fracture among the elderly. Complications associated with fixation include screw perforation, varus collapse, and avascular necrosis of the humeral head. To address these challenges, various augmentation techniques to increase medial column support have been developed. There are currently no recent studies that definitively establish the superiority
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Decompression alone or decompression with fusion for lumbar spinal stenosis: five-year clinical results from a randomized clinical trial. Bone Joint J. (IF 4.9) Pub Date : 2024-07-01 Thomas Karlsson, Peter Försth, Patrik Öhagen, Karl Michaëlsson, Bengt Sandén
We compared decompression alone to decompression with fusion surgery for lumbar spinal stenosis, with or without degenerative spondylolisthesis (DS). The aim was to evaluate if five-year outcomes differed between the groups. The two-year results from the same trial revealed no differences.
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Are there patients with an intracapsular fracture of the hip who may benefit from an uncemented hemiarthroplasty? Bone Joint J. (IF 4.9) Pub Date : 2024-07-01 Corneliu Bolbocean, Zaid Hattab, Stephen O'Neill, Matt L Costa
Cemented hemiarthroplasty is an effective form of treatment for most patients with an intracapsular fracture of the hip. However, it remains unclear whether there are subgroups of patients who may benefit from the alternative operation of a modern uncemented hemiarthroplasty - the aim of this study was to investigate this issue. Knowledge about the heterogeneity of treatment effects is important for
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The Core outcome Clubfoot (CoCo) study: relapse, with poorer clinical and quality of life outcomes, affects 37% of idiopathic clubfoot patients. Bone Joint J. (IF 4.9) Pub Date : 2024-07-01 Yael Gelfer, Sean E Cavanagh, Anna Bridgens, Elizabeth Ashby, Maryse Bouchard, Donato G Leo, Deborah M Eastwood
There is a lack of high-quality research investigating outcomes of Ponseti-treated idiopathic clubfeet and correlation with relapse. This study assessed clinical and quality of life (QoL) outcomes using a standardized core outcome set (COS), comparing children with and without relapse.
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Research priorities of members of the British Association for Surgery of the Knee. Bone Joint J. (IF 4.9) Pub Date : 2024-07-01 Imran Ahmed, Andrew Metcalfe, , , Paul Baker, Simon Ball, David Beard, Leela Biant, Mark Blyth, Chinmay Gupte, Caroline Hing, Stephen McDonnell, James Murray, Hemant Pandit, Andrew Price, Chloe Scott, Andrew Toms
This study aims to identify the top unanswered research priorities in the field of knee surgery using consensus-based methodology.
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Above-knee amputation shows higher complication and mortality rates in line with lower functional outcome compared to knee arthrodesis in severe periprosthetic joint infection. Bone Joint J. (IF 4.9) Pub Date : 2024-07-01 Matthias Schnetz, Roman Maluki, Larissa Ewald, Alexander Klug, Reinhard Hoffmann, Yves Gramlich
In cases of severe periprosthetic joint infection (PJI) of the knee, salvage procedures such as knee arthrodesis (KA) or above-knee amputation (AKA) must be considered. As both treatments result in limitations in quality of life (QoL), we aimed to compare outcomes and factors influencing complication rates, mortality, and mobility.
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Predictive factors for critical care dependency after posterior spinal fusion for adolescent idiopathic scoliosis. Bone Joint J. (IF 4.9) Pub Date : 2024-07-01 Mohammed S Patel, Siddharth Shah, Mohamed K Elkazaz, Masood Shafafy, Michael P Grevitt
Historically, patients undergoing surgery for adolescent idiopathic scoliosis (AIS) have been nursed postoperatively in a critical care (CC) setting because of the challenges posed by prone positioning, extensive exposures, prolonged operating times, significant blood loss, major intraoperative fluid shifts, cardiopulmonary complications, and difficulty in postoperative pain management. The primary
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Equivalent mortality after operation with sliding hip screw or intramedullary nail for trochanteric AO/OTA A1 and A2 fractures reported in the Norwegian Hip Fracture Register 2008 to 2020. Bone Joint J. (IF 4.9) Pub Date : 2024-06-01 Amara Ahmad, Emma H Egeland, Eva H Dybvik, Jan-Erik Gjertsen, Stein A Lie, Anne M Fenstad, Kjell Matre, Ove Furnes
This study aimed to compare mortality in trochanteric AO/OTA A1 and A2 fractures treated with an intramedullary nail (IMN) or sliding hip screw (SHS). The primary endpoint was 30-day mortality, with secondary endpoints at 0 to 1, 2 to 7, 8 to 30, 90, and 365 days.
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Birmingham Hip Resurfacing at 25 years. Bone Joint J. (IF 4.9) Pub Date : 2024-06-01 Rajpal S Nandra, Walid A Elnahal, Alistair Mayne, Lesley Brash, Callum W McBryde, Ronan B C Treacy
The Birmingham Hip Resurfacing (BHR) was introduced in 1997 to address the needs of young active patients using a historically proven large-diameter metal-on-metal (MoM) bearing. A single designer surgeon's consecutive series of 130 patients (144 hips) was previously reported at five and ten years, reporting three and ten failures, respectively. The aim of this study was to extend the follow-up of
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Cost-effectiveness analysis of soft bandage and immediate discharge versus rigid immobilization in children with distal radius torus fractures. Bone Joint J. (IF 4.9) Pub Date : 2024-06-01 Daniel C Perry, Melina Dritsaki, Juul Achten, Duncan Appelbe, Ruth Knight, James Widnall, Damian Roland, Shrouk Messahel, Matthew L Costa, James Mason, , , Rahail Ahmad, Anastasia Alcock, Andrew Appelboam, Lisa Armour, Jane Bayreuther, Rhys Beynon, Charlotte Brown, Emily Cadman, Louise Conner, Nadine Darlow, Tessa Davis, Phoebe Gibson, Colin Gilhooley, Sylvester Gomes, Christopher Gough, David Hartin
The aim of this trial was to assess the cost-effectiveness of a soft bandage and immediate discharge, compared with rigid immobilization, in children aged four to 15 years with a torus fracture of the distal radius.
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Contact states with femoral cortical bone and periprosthetic bone mineral density changes differ between traditional and newly introduced fully hydroxyapatite-coated stems. Bone Joint J. (IF 4.9) Pub Date : 2024-06-01 Yohei Ohyama, Yukihide Minoda, Sho Masuda, Ryo Sugama, Yoichi Ohta, Hiroaki Nakamura
The aim of this study was to compare the pattern of initial fixation and changes in periprosthetic bone mineral density (BMD) between patients who underwent total hip arthroplasty (THA) using a traditional fully hydroxyapatite (HA)-coated stem (T-HA group) and those with a newly introduced fully HA-coated stem (N-HA group).
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A stepwise transformation: description and outcome of perioperative procedures in patients receiving a total knee arthroplasty. Bone Joint J. (IF 4.9) Pub Date : 2024-06-01 Wim F C van Houtert, Daniël O Strijbos, Richard Bimmel, Wim P Krijnen, Jelmer Jager, Nico L U van Meeteren, Geert van der Sluis
To investigate the impact of consecutive perioperative care transitions on in-hospital recovery of patients who had primary total knee arthroplasty (TKA) over an 11-year period.
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Clinical efficacy of multiple intra-articular injection for hip osteoarthritis. Bone Joint J. (IF 4.9) Pub Date : 2024-06-01 Ting Lei, Yiyi Wang, Mingqing Li, Long Hua
Intra-articular (IA) injection may be used when treating hip osteoarthritis (OA). Common injections include steroids, hyaluronic acid (HA), local anaesthetic, and platelet-rich plasma (PRP). Network meta-analysis allows for comparisons between two or more treatment groups and uses direct and indirect comparisons between interventions. This network meta-analysis aims to compare the efficacy of various
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Outcomes after completing growth-friendly surgical treatment for early-onset scoliosis in patients with skeletal dysplasia. Bone Joint J. (IF 4.9) Pub Date : 2024-06-01 Antti J Saarinen, Paul Sponseller, George H Thompson, Klane K White, John Emans, Patrick J Cahill, Steven Hwang, , Ilkka Helenius
The aim of this study was to compare outcomes after growth-friendly treatment for early-onset scoliosis (EOS) between patients with skeletal dysplasias versus those with other syndromes.
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Not all knees are the same. Bone Joint J. (IF 4.9) Pub Date : 2024-06-01 Samuel J MacDessi, Victor A van de Graaf, Jil A Wood, William Griffiths-Jones, Johan Bellemans, Darren B Chen
The aim of mechanical alignment in total knee arthroplasty is to align all knees into a fixed neutral position, even though not all knees are the same. As a result, mechanical alignment often alters a patient's constitutional alignment and joint line obliquity, resulting in soft-tissue imbalance. This annotation provides an overview of how the Coronal Plane Alignment of the Knee (CPAK) classification
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The relationship between pseudotumours and infected complications in patients who have undergone metal-on-metal total hip arthroplasty. Bone Joint J. (IF 4.9) Pub Date : 2024-06-01 Justin Leal, Christopher T Holland, Niall H Cochrane, Thorsten M Seyler, William A Jiranek, Samuel S Wellman, Michael P Bolognesi, Sean P Ryan
This study aims to assess the relationship between history of pseudotumour formation secondary to metal-on-metal (MoM) implants and periprosthetic joint infection (PJI) rate, as well as establish ESR and CRP thresholds that are suggestive of infection in these patients. We hypothesized that patients with a pseudotumour were at increased risk of infection.
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Re-revision and mortality rate following revision total hip arthroplasty for infection. Bone Joint J. (IF 4.9) Pub Date : 2024-06-01 Martin Resl, Luis Becker, Arnd Steinbrück, Yinan Wu, Carsten Perka
This study compares the re-revision rate and mortality following septic and aseptic revision hip arthroplasty (rTHA) in registry data, and compares the outcomes to previously reported data.
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Antibiotic calcium sulphate beads lower the bacterial burden and prevent infection in a mouse model of periprosthetic joint infection. Bone Joint J. (IF 4.9) Pub Date : 2024-06-01 Christopher M Hart, Benjamin V Kelley, Zeinab Mamouei, Amr Turkmani, Micah Ralston, Michael Arnold, Nicholas M Bernthal, Adam A Sassoon
Delayed postoperative inoculation of orthopaedic implants with persistent wound drainage or bacterial seeding of a haematoma can result in periprosthetic joint infection (PJI). The aim of this in vivo study was to compare the efficacy of vancomycin powder with vancomycin-eluting calcium sulphate beads in preventing PJI due to delayed inoculation.
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The induced membrane technique for the management of infected segmental bone defects. Bone Joint J. (IF 4.9) Pub Date : 2024-06-01 Jie Shen, Zhiyuan Wei, Hongri Wu, Xiaohua Wang, Shulin Wang, Guanglin Wang, Fei Luo, Zhao Xie
The aim of the present study was to assess the outcomes of the induced membrane technique (IMT) for the management of infected segmental bone defects, and to analyze predictive factors associated with unfavourable outcomes.
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Cost-effectiveness of enoxaparin versus aspirin in the prevention of venous thromboembolism after total hip or knee arthroplasty: an analysis from the CRISTAL cluster-randomized trial. Bone Joint J. (IF 4.9) Pub Date : 2024-06-01
The aim of this study was to evaluate the healthcare costs and benefits of enoxaparin compared to aspirin in the prevention of symptomatic venous thromboembolism (VTE) after total hip arthroplasty (THA) or total knee arthroplasty (TKA) using data from the CRISTAL trial.
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Prevalence and patterns of neuropathic pain in people with chronic post-surgical pain after total knee arthroplasty. Bone Joint J. (IF 4.9) Pub Date : 2024-06-01 Wendy Bertram, Nick Howells, Simon P White, Emily Sanderson, Vikki Wylde, Erik Lenguerrand, Rachael Gooberman-Hill, Julie Bruce
The aim of this study was to describe the prevalence and patterns of neuropathic pain over one year in a cohort of patients with chronic post-surgical pain at three months following total knee arthroplasty (TKA).
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Controversies in orthopaedic oncology. Bone Joint J. (IF 4.9) Pub Date : 2024-05-01 Lee M Jeys, Joachim Thorkildsen, Vineet Kurisunkal, Ajay Puri, Pietro Ruggieri, Matthew T Houdek, Richard A Boyle, Walid Ebeid, Eduardo Botello, Guy V Morris, , Minna K Laitinen, , Adesegun Abudu, Keisuke Ae, Manish Agarwal, Vivek Ajit Singh, Toru Akiyama, Jose I Albergo, John Alexander, Bugra Alpan, Ahmed Aoude, Apichat Asavamongkolkul, William Aston, Thomas Baad-Hansen, Tessa Balach, Joseph Benevenia
Chondrosarcoma is the second most common surgically treated primary bone sarcoma. Despite a large number of scientific papers in the literature, there is still significant controversy about diagnostics, treatment of the primary tumour, subtypes, and complications. Therefore, consensus on its day-to-day treatment decisions is needed. In January 2024, the Birmingham Orthopaedic Oncology Meeting (BOOM)
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Development and validation of a trauma frailty scale in severely injured patients: the Nottingham Trauma Frailty Index. Bone Joint J. (IF 4.9) Pub Date : 2024-04-01 Abdullah G Alqarni, Jessica Nightingale, Alan Norrish, John R F Gladman, Benjamin Ollivere
Frailty greatly increases the risk of adverse outcome of trauma in older people. Frailty detection tools appear to be unsuitable for use in traumatically injured older patients. We therefore aimed to develop a method for detecting frailty in older people sustaining trauma using routinely collected clinical data.
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The rate of nonunion in the MRI-detected occult scaphoid fracture. Bone Joint J. (IF 4.9) Pub Date : 2024-04-01 Benjamin J F Dean, Nicholas Riley, Christopher Little, Warren Sheehan, Sam Gidwani, Mark Brewster, Paula Dhiman, Matt L Costa
There is a lack of published evidence relating to the rate of nonunion seen in occult scaphoid fractures, diagnosed only after MRI. This study reports the rate of delayed union and nonunion in a cohort of patients with MRI-detected acute scaphoid fractures.
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Prognostic factors for clinical outcomes after arthroscopic treatment of traumatic central tears of the triangular fibrocartilage complex. Bone Joint J. (IF 4.9) Pub Date : 2024-04-01 Jae-Yong Cho, Sung-Woo Lee, Do-Hyun Kim, Won-Taek Oh, Il-Hyun Koh, Yong-Min Chun, Yun-Rak Choi
The study aimed to assess the clinical outcomes of arthroscopic debridement and partial excision in patients with traumatic central tears of the triangular fibrocartilage complex (TFCC), and to identify prognostic factors associated with unfavourable clinical outcomes.
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Unveiling the learning curve of periacetabular osteotomy. Bone Joint J. (IF 4.9) Pub Date : 2024-04-01 Marco Haertlé, Nils Becker, Henning Windhagen, Sufian S Ahmad
Periacetabular osteotomy (PAO) is widely recognized as a demanding surgical procedure for acetabular reorientation. Reports about the learning curve have primarily focused on complication rates during the initial learning phase. Therefore, our aim was to assess the PAO learning curve from an analytical perspective by determining the number of PAOs required for the duration of surgery to plateau and
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Two-stage revision for periprosthetic joint infection after hip and knee arthroplasty. Bone Joint J. (IF 4.9) Pub Date : 2024-04-01 Jennifer Straub, Kevin Staats, Klemens Vertesich, Lars Kowalscheck, Reinhard Windhager, Christoph Böhler
Histology is widely used for diagnosis of persistent infection during reimplantation in two-stage revision hip and knee arthroplasty, although data on its utility remain scarce. Therefore, this study aims to assess the predictive value of permanent sections at reimplantation in relation to reinfection risk, and to compare results of permanent and frozen sections.
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Acetabular Fractures in older patients Intervention Trial (AceFIT): a feasibility triple-arm randomized controlled study. Bone Joint J. (IF 4.9) Pub Date : 2024-04-01 Andrew Carrothers, Ronan O'Leary, Peter Hull, Daud Chou, Joseph Alsousou, Joseph Queally, Simon J Bond, Matthew L Costa
To assess the feasibility of a randomized controlled trial (RCT) that compares three treatments for acetabular fractures in older patients: surgical fixation, surgical fixation and hip arthroplasty (fix-and-replace), and non-surgical treatment.
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Cemented dual-mobility constructs in uncemented revision acetabular components. Bone Joint J. (IF 4.9) Pub Date : 2024-04-01 Jacob M Wilson, Robert T Trousdale, Nicholas A Bedard, David G Lewallen, Daniel J Berry, Matthew P Abdel
Dislocation remains a leading cause of failure following revision total hip arthroplasty (THA). While dual-mobility (DM) bearings have been shown to mitigate this risk, options are limited when retaining or implanting an uncemented shell without modular DM options. In these circumstances, a monoblock DM cup, designed for cementing, can be cemented into an uncemented acetabular shell. The goal of this
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A prospective randomized controlled trial comparing CT-based planning with conventional total hip arthroplasty versus robotic arm-assisted total hip arthroplasty. Bone Joint J. (IF 4.9) Pub Date : 2024-04-01 Andreas Fontalis, Babar Kayani, Ricci Plastow, Dia E Giebaly, Jenni Tahmassebi, Isabella C Haddad, Alastair Chambers, Fabio Mancino, Sujith Konan, Fares S Haddad
Achieving accurate implant positioning and restoring native hip biomechanics are key surgeon-controlled technical objectives in total hip arthroplasty (THA). The primary objective of this study was to compare the reproducibility of the planned preoperative centre of hip rotation (COR) in patients undergoing robotic arm-assisted THA versus conventional THA.
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Do breast cancer patients have increased risk of complications after primary total hip and total knee arthroplasty? Bone Joint J. (IF 4.9) Pub Date : 2024-04-01 Cameron K Ledford, Matthew B Shirley, Mark J Spangehl, Daniel J Berry, Matthew P Abdel
Breast cancer survivors have known risk factors that might influence the results of total hip arthroplasty (THA) or total knee arthroplasty (TKA). This study evaluated clinical outcomes of patients with breast cancer history after primary THA and TKA.
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Revision total hip arthroplasty using a modular fluted, tapered revision femoral component and interlocking screws in Vancouver B3 periprosthetic fractures with insufficient bone at the isthmus. Bone Joint J. (IF 4.9) Pub Date : 2024-04-01 Bernd Fink, Arman Ahmadian, Florian H Sax, Philipp Schuster
Revision total hip arthroplasty in patients with Vancouver type B3 fractures with Paprosky type IIIA, IIIB, and IV femoral defects are difficult to treat. One option for Paprovsky type IIIB and IV defects involves modular cementless, tapered, revision femoral components in conjunction with distal interlocking screws. The aim of this study was to analyze the rate of reoperations and complications and
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Bone support of a custom triflange acetabular component over time. Bone Joint J. (IF 4.9) Pub Date : 2024-04-01 Erim Özdemir, Bram de Lange, Constantinus F M Buckens, Wim H C Rijnen, Jetze Visser
To investigate the extent of bone development around the scaffold of custom triflange acetabular components (CTACs) over time.
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How modular porous metal augments have changed the management of acetabular bone loss at primary or revision total hip arthroplasty. Bone Joint J. (IF 4.9) Pub Date : 2024-04-01 Neil P Sheth, Stephen A Jones, Sahil A Sanghavi, Andrew Manktelow
The advent of modular porous metal augments has ushered in a new form of treatment for acetabular bone loss. The function of an augment can be seen as reducing the size of a defect or reconstituting the anterosuperior/posteroinferior columns and/or allowing supplementary fixation. Depending on the function of the augment, the surgeon can decide on the sequence of introduction of the hemispherical shell
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Patient-reported outcome measures in hip fracture patients. Bone Joint J. (IF 4.9) Pub Date : 2024-04-01 Cato Kjærvik, Jan-Erik Gjertsen, Eva Stensland, Eva H Dybvik, Odd Soereide
The aims of this study were to assess quality of life after hip fractures, to characterize respondents to patient-reported outcome measures (PROMs), and to describe the recovery trajectory of hip fracture patients.
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Structural validation of the Manchester-Oxford Foot Questionnaire for use in foot and ankle surgery. Bone Joint J. (IF 4.9) Pub Date : 2024-03-01 Richard Goodall, Kim Borsky, Conrad J Harrison, Matt Welck, Karan Malhotra, Jeremy N Rodrigues
The Manchester-Oxford Foot Questionnaire (MOxFQ) is an anatomically specific patient-reported outcome measure (PROM) currently used to assess a wide variety of foot and ankle pathology. It consists of 16 items across three subscales measuring distinct but related traits: walking/standing ability, pain, and social interaction. It is the most used foot and ankle PROM in the UK. Initial MOxFQ validation
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Future research priorities for soft-tissue knee injuries. Bone Joint J. (IF 4.9) Pub Date : 2024-03-01 Humza T Osmani, Nicolas Nicolaou, Sanjeev Anand, Jonathan Gower, , Andrew Metcalfe, Stephen McDonnell, Faraz Siddiqui, Hayley Carter, Jonathan Room, Helen Kirbyshire, Liz Hay, Sarah Iqbal, Sushilla Gerleman
To identify unanswered questions about the prevention, diagnosis, treatment, and rehabilitation and delivery of care of first-time soft-tissue knee injuries (ligament injuries, patella dislocations, meniscal injuries, and articular cartilage) in children (aged 12 years and older) and adults.
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Monobloc dual-mobility acetabular component versus a standard single-mobility acetabular component. Bone Joint J. (IF 4.9) Pub Date : 2024-03-01 Sébastien Lustig, Matthieu Cotte, Constant Foissey, Rhody D Asirvatham, Elvire Servien, Cecile Batailler
The benefit of a dual-mobility acetabular component (DMC) for primary total hip arthroplasties (THAs) is controversial. This study aimed to compare the dislocation and complication rates when using a DMC compared to single-mobility (SM) acetabular component in primary elective THA using data collected at a single centre, and compare the revision rates and survival outcomes in these two groups.
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Metal artifact reduction sequence-MRI abnormalities in asymptomatic patients with dual-mobility hip prostheses. Bone Joint J. (IF 4.9) Pub Date : 2024-03-01 Nathanael D Heckmann, Brian C Chung, Kevin C Liu, Xiao T Chen, Luke R Lovro, Natalie M Kistler, Eric White, Alexander B Christ, Donald B Longjohn, Daniel A Oakes, Jay R Lieberman
Modular dual-mobility (DM) articulations are increasingly used during total hip arthroplasty (THA). However, concerns remain regarding the metal liner modularity. This study aims to correlate metal artifact reduction sequence (MARS)-MRI abnormalities with serum metal ion levels in patients with DM articulations.
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Environmental and genetic risk factors associated with total knee arthroplasty following cruciate ligament surgery. Bone Joint J. (IF 4.9) Pub Date : 2024-03-01 Paul M Inclan, Robert H Brophy, Nancy L Saccone, Yinjiao Ma, Vy Pham, Elizabeth L Yanik
The purpose of this study is to determine an individual's age-specific prevalence of total knee arthroplasty (TKA) after cruciate ligament surgery, and to identify clinical and genetic risk factors associated with undergoing TKA.
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Threshold for anterior acetabular component overhang correlated with symptomatic iliopsoas impingement after total hip arthroplasty. Bone Joint J. (IF 4.9) Pub Date : 2024-03-01 Alexandre Baujard, Pierre Martinot, Xavier Demondion, Julien Dartus, Philippe A Faure, Julien Girard, Henri Migaud
Mechanical impingement of the iliopsoas (IP) tendon accounts for 2% to 6% of persistent postoperative pain after total hip arthroplasty (THA). The most common initiator is anterior acetabular component protrusion, where the anterior margin is not covered by anterior acetabular wall. A CT scan can be used to identify and measure this overhang; however, no threshold exists for determining symptomatic
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Cardiac function may be compromised in patients with elevated blood cobalt levels secondary to metal-on-metal hip implants. Bone Joint J. (IF 4.9) Pub Date : 2024-03-01 Mark R J Jenkinson, Dominic R M Meek, Rothwelle Tate, Adrian Brady, Sandy MacMillan, Helen Grant, Susan Currie
Elevated blood cobalt levels secondary to metal-on-metal (MoM) hip arthroplasties are a suggested risk factor for developing cardiovascular complications including cardiomyopathy. Clinical studies assessing patients with MoM hips using left ventricular ejection fraction (LVEF) have found conflicting evidence of cobalt-induced cardiomyopathy. Global longitudinal strain (GLS) is an echocardiography measurement
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Excessive posterior pelvic tilt from preoperative supine to postoperative standing after total hip arthroplasty. Bone Joint J. (IF 4.9) Pub Date : 2024-03-01 Nathanael D Heckmann, Christopher Plaskos, Edgar A Wakelin, Jim W Pierrepont, Jonathan V Baré, Andrew J Shimmin
Excessive posterior pelvic tilt (PT) may increase the risk of anterior instability after total hip arthroplasty (THA). The aim of this study was to investigate the changes in PT occurring from the preoperative supine to postoperative standing position following THA, and identify factors associated with significant changes in PT.
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Registry-based study of survivorship of cemented femoral components versus collared cementless femoral components in total hip arthroplasty in older patients with osteoarthritis. Bone Joint J. (IF 4.9) Pub Date : 2024-03-01 Aida Orce Rodríguez, Paul N Smith, Paul Johnson, Michael O'Sullivan, Carl Holder, Andrew Shimmin
In recent years, the use of a collared cementless femoral prosthesis has risen in popularity. The design intention of collared components is to transfer some load to the resected femoral calcar and prevent implant subsidence within the cancellous bone of the metaphysis. Conversely, the load transfer for a cemented femoral prosthesis depends on the cement-component and cement-bone interface interaction
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Influence of the type of stem and its fixation on revision and immediate postoperative mortality in elective total hip arthroplasty. Bone Joint J. (IF 4.9) Pub Date : 2024-03-01 Michael Morlock, Carsten Perka, Oliver Melsheimer, Stephanie M Kirschbaum
Despite higher rates of revision after total hip arthroplasty (THA) being reported for uncemented stems in patients aged > 75 years, they are frequently used in this age group. Increased mortality after cemented fixation is often used as a justification, but recent data do not confirm this association. The aim of this study was to investigate the influence of the design of the stem and the type of
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Factors associated with decreased length of stay following robotic arm-assisted and conventional total hip arthroplasty. Bone Joint J. (IF 4.9) Pub Date : 2024-03-01 Andreas Fontalis, Warran Wignadasan, Fabio Mancino, Crystallynn S The, Ahmed Magan, Ricci Plastow, Fares S Haddad
Postoperative length of stay (LOS) and discharge dispositions following arthroplasty can be used as surrogate measurements for improvements in patients' pathways and costs. With the increasing use of robotic technology in arthroplasty, it is important to assess its impact on LOS. The aim of this study was to identify factors associated with decreased LOS following robotic arm-assisted total hip arthroplasty
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The size of the femoral head does not influence metal ion levels after metal-on-polyethylene total hip arthroplasty: a five-year report from a randomized controlled trial. Bone Joint J. (IF 4.9) Pub Date : 2024-03-01 Kristine I Bunyoz, Georgios Tsikandylakis, Kristian Mortensen, Kirill Gromov, Maziar Mohaddes, Henrik Malchau, Anders Troelsen
In metal-on-polyethylene (MoP) total hip arthroplasty (THA), large metal femoral heads have been used to increase stability and reduce the risk of dislocation. The increased size of the femoral head can, however, lead to increased taper corrosion, with the release of metal ions and adverse reactions. The aim of this study was to investigate the relationship between the size of the femoral head and
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Clinical and radiological outcomes with an augmented baseplate for superior glenoid wear in reverse shoulder arthroplasty. Bone Joint J. (IF 4.9) Pub Date : 2024-03-01 Jong H Park, Jong H Lee, Dae Y Kim, Hyun G Kim, Jae S Kim, Sang M Lee, Su C Kim, Jae C Yoo
This study aimed to assess the impact of using the metal-augmented glenoid baseplate (AGB) on improving clinical and radiological outcomes, as well as reducing complications, in patients with superior glenoid wear undergoing reverse shoulder arthroplasty (RSA).
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Orthopaedic management of children with spinal dysraphism. Bone Joint J. (IF 4.9) Pub Date : 2024-03-01 Deepika Pinto, Sabba Hussain, Donato G Leo, Anna Bridgens, Deborah Eastwood, Yael Gelfer
Children with spinal dysraphism can develop various musculoskeletal deformities, necessitating a range of orthopaedic interventions, causing significant morbidity, and making considerable demands on resources. This systematic review aimed to identify what outcome measures have been reported in the literature for children with spinal dysraphism who undergo orthopaedic interventions involving the lower
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Changing practice to a new-generation triple-taper collared femoral component reduces periprosthetic fracture rates after primary total hip arthroplasty. Bone Joint J. (IF 4.9) Pub Date : 2024-03-01 Robert G Ricotti, Dimitrios A Flevas, Ruba Sokrab, Jonathan M Vigdorchik, David J Mayman, Seth A Jerabek, Thomas P Sculco, Peter K Sculco
Periprosthetic femoral fracture (PPF) is a major complication following total hip arthroplasty (THA). Uncemented femoral components are widely preferred in primary THA, but are associated with higher PPF risk than cemented components. Collared components have reduced PPF rates following uncemented primary THA compared to collarless components, while maintaining similar prosthetic designs. The purpose
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Arthroscopic suture in the management of palmar midcarpal instability. Bone Joint J. (IF 4.9) Pub Date : 2024-03-01 Jean-Baptiste de Villeneuve Bargemon, Romain Mari, Christophe Mathoulin, Clément Prenaud, Lorenzo Merlini
Patients with midcarpal instability are difficult to manage. It is a rare condition, and few studies have reported the outcomes of surgical treatment. No prospective or retrospective study has reported the results of arthroscopic palmar capsuloligamentous suturing. Our aim was to report the results of a prospective study of arthroscopic suture of this ligament complex in patients with midcarpal instability
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Should high-risk patients seek out care from high-volume surgeons? Bone Joint J. (IF 4.9) Pub Date : 2024-03-01 Jeremiah Thomas, Itay Ashkenazi, Kyle W Lawrence, Roy I Davidovitch, Joshua C Rozell, Ran Schwarzkopf
Patients with a high comorbidity burden (HCB) can achieve similar improvements in quality of life compared with low-risk patients, but greater morbidity may deter surgeons from operating on these patients. Whether surgeon volume influences total hip arthroplasty (THA) outcomes in HCB patients has not been investigated. This study aimed to compare complication rates and implant survivorship in HCB patients
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Metal levels and glomerular filtration rate after unilateral Birmingham Hip Resurfacing. Bone Joint J. (IF 4.9) Pub Date : 2024-03-01 Charles A Engh, Vinay Bhal, Robert H Hopper
The first aim of this study was to evaluate whether preoperative renal function is associated with postoperative changes in whole blood levels of metal ions in patients who have undergone a Birmingham Hip Resurfacing (BHR) arthroplasty with a metal-on-metal bearing. The second aim was to evaluate whether exposure to increased cobalt (Co) and chromium (Cr) levels for ten years adversely affected renal