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Is Prior Nonoperative or Operative Treatment of Dysplasia of the Hip Associated With Poorer Results of Periacetabular Osteotomy? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-06-25 Zhendong Zhang, Nannan Cheng, Haigang Jia, Hui Cheng, Yue Song, Ningtao Ren, Yong Li, Dianzhong Luo, Hong Zhang
Understanding the implications of either nonoperative or operative treatment of developmental dysplasia of the hip (DDH) performed before periacetabular osteotomy (PAO) is critical to counseling patients and their families. There are limited studies, however, on PAO for the treatment of residual DDH after surgical intervention during childhood, and even less information about PAO after prior nonoperative
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Does the Extent of Tear Influence Pseudoparesis in Patients With Isolated Subscapularis Tears? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-06-22 Ulunay Kanatlı, İnci Hazal Ayas, Mehmet Ali Tokgöz, Batuhan Bahadır
Surgeons tend to associate pseudoparesis with massive rotator cuff tears. However, little is known about the degree to which isolated subscapularis tears might be associated with pseudoparesis of the shoulder.
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A Small Number of Surgeons Perform the Large Majority of Uncommon Nerve Decompression Procedures. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-06-21 Niels Brinkman, Sina Ramtin, David Ring, Julie E Adams
Notable surgeon-to-surgeon variation in rates of uncommon surgery can reflect appropriate concentration of expertise with technically difficult or risky procedures that address problematic impairment due to objective pathophysiology. Examples include vascularized tissue transfer or transplantation to address complex tissue loss and release of bony elbow ankylosis. Perhaps more problematic is notable
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Can a Liquid Biopsy Detect Circulating Tumor DNA With Low-passage Whole-genome Sequencing in Patients With a Sarcoma? A Pilot Evaluation. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-06-21 Colin J Anderson, HsihTe Yang, Judy Parsons, Will A Ahrens, Megan H Jagosky, Johann H Hsu, Joshua C Patt, Jeffrey S Kneisl, Nury M Steuerwald
A liquid biopsy is a test that evaluates the status of a disease by analyzing a sample of bodily fluid, most commonly blood. In recent years, there has been progress in the development and clinical application of liquid biopsy methods to identify blood-based, tumor-specific biomarkers for many cancer types. However, the implementation of these technologies to aid in the treatment of patients who have
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Gunshot Trauma Patients Have Higher Risk of PTSD Compared With Blunt Trauma and Elective Populations: A Retrospective Comparative Study of Outpatient Orthopaedic Care. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-06-20 Jennifer Moriatis Wolf, Fatima Bouftas, David C Landy, Jason A Strelzow
Posttraumatic stress disorder (PTSD) has been extensively studied in patients who have experienced natural disasters or military conflict, but there remains a substantial gap in knowledge about the prevalence of PTSD after civilian orthopaedic trauma, especially as related to firearms. Gun violence is endemic in the United States, especially in urban centers, and the mental impact is often minimized
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A Brief Mind-body Intervention Is Feasible and May Prevent Persistent Pain After Acute Orthopaedic Traumas: A Randomized Controlled Trial. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-06-19 Ana-Maria Vranceanu, Kate N Jochimsen, Julie R Brewer, Ellie A Briskin, Robert A Parker, Eric A Macklin, David Ring, Cale Jacobs, Thuan Ly, Kristin R Archer, Caitlin E W Conley, Mitchel Harris, Paul Matuszewski, William T Obremskey, David Laverty, Jafar Bakhshaie
Approximately 20% to 50% of patients develop persistent pain after traumatic orthopaedic injuries. Psychosocial factors are an important predictor of persistent pain; however, there are no evidence-based, mind-body interventions to prevent persistent pain for this patient population.
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Acquired Acromion Compromise, Including Thinning and Fragmentation, Is Not Associated With Poor Outcomes After Reverse Shoulder Arthroplasty. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-06-06 Su Cheol Kim, Jong Hun Park, Hyun Gon Kim, Dae Yeung Kim, Sang Min Lee, Jae Chul Yoo
Acquired acromial compromise, including thinning (less than 30% of the normal acromion) or fragmentation resulting from acromiohumeral impingement or previous acromioplasty, is a concern in reverse shoulder arthroplasty (RSA). This condition may lead to shoulder pain and difficulties in arm elevation because of acromial insufficiency fracture.
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Osteotomy Site Venting Enhances Femoral Bone Consolidation With Magnetic Intramedullary Lengthening Nails. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-06-04 Roy Gigi, Yehuda Weil, Eyal Amar, Amit Sigal, Dror Ovadia, John E Herzenberg, Eitan Segev
Magnetic intramedullary lengthening nailing has demonstrated benefits over external fixation devices for femoral bone lengthening. These include avoiding uncomfortable external fixation and associated pin site infections, scarring, and inhibition of muscle or joint function. Despite this, little has changed in the field of biologically enhanced bone regeneration. Venting the femoral intramedullary
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Comparing Open and Arthroscopic Grafting for Scaphoid Nonunion: Is There Truly a Noticeable Difference? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-05-31 Ebubekir Eravsar, Ali Özdemir, Mehmet A Acar
Scaphoid nonunion remains a challenging injury with no clear consensus on treatment. Surgical options, such as bone grafting procedures, are available for the treatment of scaphoid nonunions. While open grafting provides direct visualization, it is theoretically believed to lead to several problems due to the complex ligamentous structure responsible for wrist stability and challenges in the vascular
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Can Patient-centered Education and Pain Management Delivered by Coaches Improve Pain Outcomes After Orthopaedic Trauma? A Randomized Trial. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-05-15 Nicholas A Giordano, Jesse Seilern Und Aspang, J'Lynn Baker, Carter Holder, Nicholas Cantu, Grace Checo, Cammie Wolf Rice, Bailey Barrell, Michelle Wallace, Alaina R Steck, Mara L Schenker
Pain after orthopaedic trauma is complex, and many patients who have experienced orthopaedic trauma are at increased risk for prolonged opioid utilization after the injury. Patient-centered interventions capable of delivering enhanced education and opioid-sparing pain management approaches must be implemented and evaluated in trauma care settings to improve pain outcomes and minimize opioid-related
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Does Freehand, Patient-specific Instrumentation or Surgical Navigation Perform Better for Allograft Reconstruction After Tumor Resection? A Preclinical Synthetic Bone Study. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-05-15 Harley H L Chan, Prakash Nayak, Ibrahim Alshaygy, Kenneth R Gundle, Kim Tsoi, Michael J Daly, Jonathan C Irish, Peter C Ferguson, Jay S Wunder
Joint-sparing resection of periarticular bone tumors can be challenging because of complex geometry. Successful reconstruction of periarticular bone defects after tumor resection is often performed with structural allografts to allow for joint preservation. However, achieving a size-matched allograft to fill the defect can be challenging because allograft sizes vary, they do not always match a patient's
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Is a Three-component Video-based Version of the Foot Posture Index Valid for Assessing Pediatric Patients With Orthopaedic and Neurologic Foot Conditions? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-05-09 Susan A Rethlefsen, Sylvia Ounpuu, Jennifer Rodriguez-MacClintic, Alison Hanson, Eva M Ciccodicola, Kristan A Pierz, Tishya A L Wren
The Foot Posture Index-6 (FPI6) is an assessment of foot position that can be useful for patients with orthopaedic complaints. The FPI6 rates six components of foot position from -2 to +2, resulting in a total score on a continuum between -12 (severe cavus or supination) to +12 (severe planus or pronation). The subscores are ratings made by the examiner and are subjective assessments of deformity severity
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What Is the Patient-reported Outcome and Complication Incidence After Operative Versus Nonoperative Treatment of Minimally Displaced Tibial Plateau Fractures? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-05-09 Nick Assink, Thijs P Vaartjes, Christiaan J S A Kramer, Eelke Bosma, Robert J Nijveldt, Joost G Ten Brinke, Reinier de Groot, Harm Hoekstra, Frank F A IJpma
Much controversy remains about whether minimally displaced tibial plateau fractures should be treated operatively or nonoperatively. It is generally accepted that gaps and stepoffs up to 2 mm can be tolerated, but this assumption is based on older studies using plain radiographs instead of CT to assess the degree of initial fracture displacement. Knowledge regarding the relationship between the degree
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Do Hounsfield Units From Intraoperative CT Scans Correlate With Preoperative Values? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-05-09 Brendan M Striano, Alexander M Crawford, Harry M Lightsey, Chierika Ukogu, Jose I Acosta Julbe, Daniel C Gabriel, Andrew J Schoenfeld, Andrew K Simpson
There is increasing interest in forecasting postoperative complications using bone density metrics. Vertebral Hounsfield unit measurements obtained from CT scans performed for surgical planning or other purposes, known as opportunistic CTs, have shown promise for their ease of measurement and the ability to target density measurement to a particular region of interest. Concomitant with the rising interest
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Arthroscopic Partial Meniscectomy for a Degenerative Meniscus Tear Is Not Cost Effective Compared With Placebo Surgery: An Economic Evaluation Based on the FIDELITY Trial Data. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-05-07 Roope Kalske, Ali Kiadaliri, Raine Sihvonen, Martin Englund, Aleksandra Turkiewicz, Mika Paavola, Antti Malmivaara, Ari Itälä, Antti Joukainen, Heikki Nurmi, Pirjo Toivonen, Simo Taimela, Teppo L N Järvinen
In patients with a degenerative tear of the medial meniscus, recent meta-analyses and systematic reviews have shown no treatment benefit of arthroscopic partial meniscectomy (APM) over conservative treatment or placebo surgery. Yet, advocates of APM still argue that APM is cost effective. Giving advocates of APM their due, we note that there is evidence from the treatment of other musculoskeletal complaints
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Does Early Conversion to Below-elbow Casting for Pediatric Diaphyseal Both-bone Forearm Fractures Adversely Affect Patient-reported Outcomes and ROM? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-05-07 Linde Musters, Kasper C Roth, Leon W Diederix, Pim P Edomskis, Joyce L Benner, Max Reijman, Denise Eygendaal, Joost W Colaris
For distal forearm fractures in children, it has been shown that a below-elbow cast is an adequate treatment that overcomes the discomfort of an above-elbow cast and unnecessary immobilization of the elbow. For reduced diaphyseal both-bone forearm fractures, our previous randomized controlled trial (RCT)-which compared an above-elbow cast with early conversion to a below-elbow cast-revealed no differences
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Composite Reconstruction With Irradiated Autograft Plus Total Hip Replacement After Type II Pelvic Resections for Tumors Is Feasible but Fraught With Complications. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-04-26 Arman Vahabi, Hüseyin Kaya, Hakan Koray Tosyalı, Burçin Keçeci, Dündar Sabah
Malignancies involving the pelvic ring present numerous challenges, especially in the periacetabular area. Extensive resection of the pelvic region without reconstruction can lead to severe functional impairment. Numerous reconstructive options exist, but all have drawbacks. Extracorporeally irradiated autografts are one option for reconstruction after periacetabular resections; they offer the potential
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Static Versus Articulating Spacer: Does Infectious Pathogen Type Affect Treatment Success? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-04-25 Caitlin Grant, Jerry Chang, Emily Poehlein, Cynthia L Green, Jessica Seidelman, William Jiranek
Treatment with a static or an articulating antibiotic-containing spacer is a common strategy for treating periprosthetic joint infection (PJI), yet many patients have persistent infections after spacer treatment. Although previous studies have compared the efficacy of a static and articulating spacer for treating PJI, few studies have assessed infection control from the time of spacer implantation
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Very Few ACGME-accredited Orthopaedic Surgery Residency Programs Have Web-accessible Leave Policies Dedicated to Parental Leave for Residents, Despite ACGME Requirements. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-04-25 Angela M Mercurio, Olivia L Lynch, Beth E Shubin Stein, Elizabeth G Matzkin, Jo A Hannafin, Dawn LaPorte, Brittany M Ammerman
The Accreditation Council for Graduate Medical Education (ACGME) requires that all graduate medical education (GME) programs provide at least 6 paid weeks off for medical, parental, and caregiver leave to residents. However, it is unclear whether all orthopaedic residency programs have adapted to making specific parental leave policies web-accessible since the ACGME's mandate in 2022. This gap in policy
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Chondrocyte Invasion May Be a Mechanism for Persistent Staphylococcus Aureus Infection In Vitro. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-04-23 Jerry Chang, David Kerr, Megan Zheng, Thorsten Seyler
Recurrent bone and joint infection with Staphylococcus aureus is common. S. aureus can invade and persist in osteoblasts and fibroblasts, but little is known about this mechanism in chondrocytes. If S. aureus were able to invade and persist within chondrocytes, this could be a difficult compartment to treat.
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Contralateral Neck-shaft Angle Lower Than 130° Is Associated With Clinical Failure in Nongeriatric Individuals: Analysis of the National Femoral Neck Fracture Database of 1066 Patients. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-04-19 Dajun Jiang, Hongyi Zhu, Jiaqing Cao, Qianying Cai, Feng Wu, Xiaolin Li, Kaifu Wang, Weitao Jia
Treatment of femoral neck fractures in patients who are nongeriatric (≤ 60 years) is challenging because of high failure rates. Anatomic parameters influence the biomechanical environment for fracture healing, but their associations with clinical prognosis remains unclear.
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Human Infrapatellar Fat Pad Mesenchymal Stem Cell-derived Extracellular Vesicles Purified by Anion Exchange Chromatography Suppress Osteoarthritis Progression in a Mouse Model. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-04-19 Qisong Liu, Jianqun Wu, Hua Wang, Zhaofeng Jia, Guangheng Li
Extracellular vesicles derived from mesenchymal stem cells (MSCs) show great promise in treating osteoarthritis (OA). However, studies from the perspective of clinical feasibility that consider an accessible cell source and a scalable preparation method for MSC-extracellular vesicles are lacking.
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Can the Cartilaginous Thickness Determine the Risk of Malignancy in Pelvic Cartilaginous Tumors, and How Accurate is the Preoperative Biopsy of These Tumors? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-04-09 Minna K Laitinen, Michael C Parry, Guy V Morris, Vineet Kurisunkal, Jonathan D Stevenson, Lee M Jeys
Peripheral osteochondral tumors are common, and the management of tumors presenting in the pelvis is challenging and a controversial topic. Some have suggested that cartilage cap thickness may indicate malignant potential, but this supposition is not well validated.
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How Did Black and Hispanic Orthopaedic Applicants and Residents Compare to General Surgery Between 2015 and 2022? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-04-04 Alisha J Williams, Julia I Malewicz, John M Pum, David Zurakowski, Charles S Day
Despite the heavy demand for and knowledge of the benefits of diversity, there is a persistent lack of racial, ethnic, and gender diversity in orthopaedic surgery. Since the implementation of diversity initiatives, data have shown that general surgery has been one of the top competitive surgical fields and has demonstrated growth in racial, ethnic, and gender diversity, making general surgery a good
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High Area Deprivation Index is Associated With Not Achieving the Patient-acceptable Symptom State After TKA. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-04-03 Matthew J Hadad, Ignacio Pasqualini, Alison K Klika, Yuxuan Jin, Matthew E Deren, Viktor E Krebs, Trevor G Murray, Nicolas S Piuzzi
The Area Deprivation Index (ADI) approximates a patient's relative socioeconomic deprivation. The ADI has been associated with increased healthcare use after TKA, but it is unknown whether there is an association with patient-reported outcome measures (PROMs). Given that a high proportion of patients are dissatisfied with their results after TKA, and the large number of these procedures performed,
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What is the Long-term Wear of a 5-Mrad Highly Crosslinked Polyethylene Liner? A 14-year RSA Study. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-03-28 Stuart A Callary, Deepti K Sharma, Taisha M D'Apollonio, Owain Critchley, Graham Mercer, Christopher Wilson, David G Campbell
Lower doses of irradiation (≤ 5 Mrad) during the manufacture of highly crosslinked polyethylene acetabular liners may result in less crosslinking and an increased wear rate. Radiostereometric analysis (RSA) studies have found that wear of more highly irradiated highly crosslinked polyethylene liners (7 to 10 Mrad) decreases at longer-term follow-up compared with earlier reports of the same cohorts
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Can DNA Methylation Profiling Classify Histologic Subtypes and Grades in Soft Tissue Sarcoma? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-03-22 Hyunho Kim, Min Wook Joo, Joohee Yoon, Hong Sik Park, June Hyuk Kim, Joo Hwan Lee, Sung Hwan Kim, Seul Ki Lee, Yang-Guk Chung, Yoon Joo Cho
A clear classification of the subtype and grade of soft tissue sarcoma is important for predicting prognosis and establishing treatment strategies. However, the rarity and heterogeneity of these tumors often make diagnosis difficult. In addition, it remains challenging to predict the response to chemotherapy and prognosis. Thus, we need a new method to help diagnose soft tissue sarcomas and determine
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Are Current Survival Prediction Tools Useful When Treating Subsequent Skeletal-related Events From Bone Metastases? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-03-20 Yu-Ting Pan, Yen-Po Lin, Hung-Kuan Yen, Hung-Ho Yen, Chi-Ching Huang, Hsiang-Chieh Hsieh, Stein Janssen, Ming-Hsiao Hu, Wei-Hsin Lin, Olivier Q Groot
Bone metastasis in advanced cancer is challenging because of pain, functional issues, and reduced life expectancy. Treatment planning is complex, with consideration of factors such as location, symptoms, and prognosis. Prognostic models help guide treatment choices, with Skeletal Oncology Research Group machine-learning algorithms (SORG-MLAs) showing promise in predicting survival for initial spinal
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Racial and Ethnic Minorities Underrepresented in Pain Management Guidelines for Total Joint Arthroplasty: A Meta-analysis. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-03-18 Katherine Merk, Nicholas C Arpey, Alba M Gonzalez, Katia E Valdez, Anna Cohen-Rosenblum, Adam I Edelstein, Linda I Suleiman
Total joint arthroplasty aims to improve quality of life and functional outcomes for all patients, primarily by reducing their pain. This goal requires clinical practice guidelines (CPGs) that equitably represent and enroll patients from all racial/ethnic groups. To our knowledge, there has been no formal evaluation of the racial/ethnic composition of the patient population in the studies that informed
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Machine Learning Did Not Outperform Conventional Competing Risk Modeling to Predict Revision Arthroplasty. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-03-12 Jacobien H F Oosterhoff, Anne A H de Hond, Rinne M Peters, Liza N van Steenbergen, Juliette C Sorel, Wierd P Zijlstra, Rudolf W Poolman, David Ring, Paul C Jutte, Gino M M J Kerkhoffs, Hein Putter, Ewout W Steyerberg, Job N Doornberg
Estimating the risk of revision after arthroplasty could inform patient and surgeon decision-making. However, there is a lack of well-performing prediction models assisting in this task, which may be due to current conventional modeling approaches such as traditional survivorship estimators (such as Kaplan-Meier) or competing risk estimators. Recent advances in machine learning survival analysis might
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Microwave Ablation of the Pig Growth Plate: Proof of Concept for Minimally Invasive Epiphysiodesis. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-03-12 Samuel O Noonan, Kyle J Miller, Stephanie Goldstein, Ellen Leiferman, James White, Chris Brace, Kenneth J Noonan
Different surgical methods for epiphysiodesis of limb length discrepancy (LLD) have been described. Although these methods are variably effective, they are associated with morbidity (pain and limp) and potential complications. Microwave ablation is a less-invasive opportunity to halt growth by selectively destroying the growth plate via thermal energy to treat LLD in children.
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How Does ChatGPT Use Source Information Compared With Google? A Text Network Analysis of Online Health Information. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-03-01 Oscar Y Shen, Jayanth S Pratap, Xiang Li, Neal C Chen, Abhiram R Bhashyam
The lay public is increasingly using ChatGPT (a large language model) as a source of medical information. Traditional search engines such as Google provide several distinct responses to each search query and indicate the source for each response, but ChatGPT provides responses in paragraph form in prose without providing the sources used, which makes it difficult or impossible to ascertain whether
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Can the Sterilization Protocol Be Improved to Enhance the Healing of Allograft Tendons? An In Vivo Study in Rabbit Tendons. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-03-01 Haoran Zhang, Mingyou Xu, Yiwei Zhao, Zhiyi Li, Bingtai Han, Shengru Wang, Jingyu Zhang, Jianguo Zhang, Yongcheng Hu
Peracetic acid and irradiation are common sterilization methods for allograft tendons; however, under some conditions, both methods adversely affect the fiber arrangement and ultimate load of the tendon. An in vitro study showed that low-dose peracetic acid combined with irradiation may be less detrimental to allograft tendon structure and properties, possibly because the breakdown of peracetic acid
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How Much Bullying and Discrimination Are Reported by Sexual and Gender Minorities in Orthopaedics? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-02-28 Yogesh Kumaran, Jaime Bellamy, Ryann Maciejewski, Kirsten Tulchin-Francis, Julie Balch Samora
Discriminatory practices against minority populations are prominent, especially in the workplace. In particular, lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ+) individuals experience several barriers and stressors more often than individuals who do not identify as LGBTQ+. Mistreatment is common among these individuals in their personal and professional lives. However, representation
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High Expectations Among Patients Who Have Undergone TKA Do Not Correlate With Satisfaction. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-02-28 Nicole Vogel, Raphael Kaelin, Thomas Rychen, Séverin Wendelspiess, Magdalena Müller-Gerbl, Markus P Arnold
One of five patients is dissatisfied with the outcome of TKA. With the increasing number of TKAs, this affects many patients. It has been suggested that high expectations may influence satisfaction, but the relationship between preoperative patient expectations and postoperative patient satisfaction remains poorly understood.
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Hip Arthroscopy Improves Sexual Function in Receptive Partners with Femoroacetabular Impingement Syndrome. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-02-27 Nicole D Rynecki, Matthew T Kingery, Brittany DeClouette, Michael Buldo-Licciardi, Taylor Jazrawi, Jordan Eskenazi, Rae Lan, Thomas Youm
Hip pain due to femoroacetabular impingement (FAI) is thought to adversely impact sexual satisfaction because of exacerbation of symptoms with hip ROM. However, the effect of FAI on sexual satisfaction and improvement after surgery to treat FAI is largely absent from published studies, despite patients' apparent interest in it as registered by the frequent appearance of these topics on online anonymous
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Do Women and Minority Orthopaedic Residents Report Experiencing Worse Well-being and More Mistreatment Than Their Peers? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-02-23 Katherine M Gerull, Sandra E Klein, Anna N Miller, Cara A Cipriano
Despite the increased risk of attrition for women and minority residents during orthopaedic residency, there is currently a paucity of research examining the training environment of these residents. To address this, we examined how well-being constructs may differ for women or minority residents compared with their peers, and whether these residents report experiencing more mistreatment during residency
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Psoriasis Is a Risk Factor for Surgical Site Infection After Primary TKA. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-02-20 Caleb Durst, Lily Rajaee, Kenny Chang, Anderson Lee, Sean Rajaee
The relationship between psoriasis and complications after primary TKA is not well defined. Current studies are limited to small, single-center studies evaluating fewer than 150 patients with psoriasis, with some studies reporting an increased risk of surgical site infection (SSI) and another reporting no associated risk. There is a need to reevaluate the risk of psoriasis and postoperative complications
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Femoral Component Design Is Associated With the Risk of Periprosthetic Femur Fracture After Cementless THA in Patients 65 Years or Older. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-02-06 Mackenzie Kelly, Antonia F Chen, Sean P Ryan, Zachary M Working, Ayushmita De, Kyle Mullen, Kimberly R Porter, Ryland Kagan
Periprosthetic femur fracture is a known complication after THA. The associated risk of cementless femoral component design for periprosthetic femur fracture in a registry population of patients older than 65 years has yet to be clearly identified.
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How Does Customized Cutting Guide Design Affect Accuracy and Ergonomics in Pelvic Tumor Resection? A Study in Cadavers. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-02-06 Henri Fragnaud, Vincent Biscaccianti, Jean-Yves Hascoët, Antoine Hamel, Mathieu Rostam, François Lataste, Yoann Varenne, Luciano Vidal, Vincent Crenn
Customized cutting guides are technical aids that make primary pelvic bone tumor resection safer and more reliable. Although the effectiveness of such devices appears to be widely accepted, their conception and design remain varied. Two main designs have been reported: the heavier block-type customized cutting guides and the lighter patch-type customized cutting guides. As recent tools, there must
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Does the Combination of Platelet-rich Plasma and Supervised Exercise Yield Better Pain Relief and Enhanced Function in Knee Osteoarthritis? A Randomized Controlled Trial. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-02-06 Sezen Karaborklu Argut, Derya Celik, Omer Naci Ergin, Onder Ismet Kilicoglu
Knee osteoarthritis is a leading cause of disability with substantial healthcare costs, and efficient nonsurgical treatment methods are still needed. Platelet-rich plasma (PRP) injections and exercise therapy are used frequently in clinical practice. Whether PRP or PRP combined with exercise is more effective than exercise alone is unclear.
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In Vitro Elution of Gentamicin from CERAMENT® G Has an Antimicrobial Effect on Bacteria With Various Levels of Gentamicin Resistance Found in Fracture-related Infection. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-01-30 Hans Bezstarosti, Esther M M Van Lieshout, Maartje J B Van den Hurk, Kirsten Kortram, Pim Oprel, Birgit C P Koch, Peter D Croughs, Michael H J Verhofstad
Fracture-related infection is a serious complication after trauma. CERAMENT® G combines dead-space management with local release of gentamicin in a single-stage procedure. Bacterial resistance against antibiotics is increasing. The local effect of CERAMENT® G on bacteria resistant to systemically administered gentamicin is unknown.
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Do Patients Treated With an Unplanned Resection for Small Superficial Soft Tissue Sarcomas Have Worse Long-term Survival Than Those Initially Treated With an Oncologic Resection? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-01-26 Jorge Gómez-Álvarez, José María Lamo-Espinosa, Mikel San-Julián
Histologic grade, size, and depth are well-known prognostic factors in soft tissue sarcomas (STS). Small (< 5 cm) and superficial STS generally have an excellent prognosis when treated with appropriate surgery. However, they are often misdiagnosed and mistreated. We reported that in midterm follow-up (5 to 7 years), patients with unplanned resections of tumors with positive margins who immediately
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What Is the Revision-free Survival of Resurfaced Allograft-prosthesis Composites for Proximal Humerus Reconstruction in Children With Bone Tumors? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-01-23 Costantino Errani, Hisaki Aiba, Ahmed Atherley, Marco Palmas, Hiroaki Kimura, Davide Maria Donati, Marco Manfrini
Reconstruction of the proximal humerus in children who undergo bone tumor resection is challenging because of patients' small bone size and possible limb length discrepancy at the end of skeletal growth due to loss of the physis. There are several options for proximal humerus reconstruction in children, such as clavicula pro humero, free vascularized fibula grafting, massive bone osteoarticular allografting
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Is Prophylactic Antibiotic Use Necessary Before Dental Procedures in Primary and Revision TKA? A Propensity Score-matched, Large-database Study. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-01-17 Hyung Jun Park, Kyeol Koh, Yoon Ji Choi, Dong Hun Suh, Darryl D'Lima, Jae Gyoon Kim
The question of whether dental procedures increase the risk of periprosthetic joint infection (PJI) in patients who have undergone total joint arthroplasty (TJA) remains controversial.
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What Is the Influence of Femoral Version on Size, Tear Location, and Tear Pattern of the Acetabular Labrum in Patients With FAI? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-01-16 Alexander F Heimann, Inga Almut Senta Todorski, Florian Schmaranzer, Martino Viganò, Till D Lerch, Joseph M Schwab, Simon D Steppacher, Moritz Tannast
Femoral version deformities have recently been identified as a major contributor to femoroacetabular impingement (FAI). An in-depth understanding of the specific labral damage patterns caused by femoral version deformities may help to understand the underlying pathomorphologies in symptomatic patients and select the appropriate surgical treatment.
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High Risk of Readmission After THA Regardless of Functional Status in Patients Discharged to Skilled Nursing Facility. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-01-16 Ignacio Pasqualini, Joshua L Tidd, Alison K Klika, Gabrielle Jones, Joshua K Johnson, Nicolas S Piuzzi
The postoperative period and subsequent discharge planning are critical in our continued efforts to decrease the risk of complications after THA. Patients discharged to skilled nursing facilities (SNFs) have consistently exhibited higher readmission rates compared with those discharged to home healthcare. This elevated risk has been attributed to several factors but whether readmission is associated
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A Shadow of Doubt: Is There Implicit Bias Among Orthopaedic Surgery Faculty and Residents Regarding Race and Gender? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-01-12 Shawn R Gilbert, Timothy Torrez, Achraf H Jardaly, Kimberly J Templeton, Gabriella E Ode, Kelsie Coe, Joshua C Patt, Mara L Schenker, Gerald McGwin, Brent A Ponce
Orthopaedic surgery continues to be one of the least diverse medical specialties. Recently, increasing emphasis has been placed on improving diversity in the medical field, which includes the need to better understand existing biases. Despite this, only about 6% of orthopaedic surgeons are women and 0.3% are Black. Addressing diversity, in part, requires a better understanding of existing biases. Most
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Are IDH1 R132 Mutations Associated With Poor Prognosis in Patients With Chondrosarcoma of the Bone? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-01-03 Giulia Trovarelli, Marta Sbaraglia, Andrea Angelini, Elena Bellan, Elisa Pala, Elisa Belluzzi, Assunta Pozzuoli, Chiara Borga, Angelo Paolo Dei Tos, Pietro Ruggieri
Because chondrosarcomas vary widely in their behavior, and because anticipating their behavior based on histology alone can be challenging, genetic markers represent an appealing area of inquiry that may help us refine our prognostic approaches. Isocitrate dehydrogenase (IDH) mutations are involved in the pathogenesis of a variety of neoplasms, and recently, IDH1/2 mutations have been found in the
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Mini-open Femoroacetabular Osteoplasty in Patients With Tönnis Grade 2 or Higher Osteoarthritis is Associated With a Higher Risk of Subsequent Conversion to THA. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2024-01-03 Mohammad S Abdelaal, Ryan M Sutton, Matthew B Sherman, Javad Parvizi
The severity of degenerative changes of the hip is known to adversely impact the outcomes of the treatment of femoroacetabular impingement (FAI). Although the operative indications for FAI have expanded to include patients with moderate degrees of hip osteoarthritis, the exact stage of hip osteoarthritis at which surgery for FAI can offer clinical benefits is still uncertain.
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What Are the Recurrence Rates, Complications, and Functional Outcomes After Multiportal Arthroscopic Synovectomy for Patients With Knee Diffuse-type Tenosynovial Giant-cell Tumors? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-12-28 Lei Yao, Yinghao Li, Tao Li, Weili Fu, Gang Chen, Qi Li, Xin Tang, Jian Li, Yan Xiong
Diffuse-type tenosynovial giant-cell tumor (D-TGCT), formerly known as pigmented villonodular synovitis, is a rare, locally aggressive, invasive soft tissue tumor that primarily occurs in the knee. Surgical excision is the main treatment option, but there is a high recurrence rate. Arthroscopic surgical techniques are emphasized because they are less traumatic and offer faster postoperative recovery
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Patients With Preexisting Anxiety and Mood Disorders Are More Likely to Develop Complex Regional Pain Syndrome After Fractures. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-12-22 Daniel E Pereira, David Momtaz, Rishi Gonuguntla, Mehul Mittal, Aaron Singh, Dhyan Dave, Pooya Hosseinzadeh
Complex regional pain syndrome (CRPS) is a multifactorial condition that may affect patients who sustain a fracture in the upper and lower extremities. Prior investigations have formed a foundation for exploring a possible association between psychiatric disorders and the development of CRPS; however, current studies are conflicted regarding the existence and temporality of a relationship between psychiatric
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Can a Psychologic Profile Predict Successful Return to Full Duty After a Musculoskeletal Injury? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-12-19 Tina A Greenlee, Garrett Bullock, Deydre S Teyhen, Daniel I Rhon
Psychologic variables have been shown to have a strong relationship with recovery from injury and return to work or sports. The extent to which psychologic variables predict successful return to work in military settings is unknown.
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No Difference in Revision Rates and High Survival Rates in Large-head Metal-on-metal THA Versus Metal-on-polyethylene THA: Long-term Results of a Randomized Controlled Trial. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-12-12 Willemijn Spierenburg, Astrid J de Vries, Martijn F Boomsma, S Siepelinga, Tom Wetzels, Jos J A M van Raaij
Pseudotumor formation is a well-known complication in metal-on-metal (MoM) THA. Pseudotumors combined with elevated serum ion levels and complaints from patients can lead to high revision rates. Long-term (> 10 years) results obtained from randomized trials comparing large-head MoM THA and conventional metal-on-polyethylene (MoP) THA are lacking regarding revision and survival rates, pseudotumor formation
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Medicaid Insurance is Associated With Decreased MRI Use for Ankle Sprains Compared With Private Insurance: A Retrospective Database Analysis. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-12-07 Thompson Zhuang, Nicholas Vandal, Bijan Dehghani, Aymen Alqazzaz, Casey Jo Humbyrd
Advanced imaging modalities are expensive, and access to advanced imaging services may vary by socioeconomic factors, creating the potential for unwarranted variations in care. Ankle sprains are a common injury for which variations in MRI use can occur, both via underuse of indicated MRIs (appropriate use) and overuse of nonindicated MRIs (inappropriate use). High-value, equitable healthcare would
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Is Ultrasound-guided or Landmark-guided Intra-articular Lidocaine Injection More Effective for Pain Control in Anterior Shoulder Dislocation Reduction? A Randomized Controlled Trial. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-12-06 Visit Rungsinaporn, Sirasit Innarkgool, Pinkawas Kongmalai
Effective pain control during reduction of shoulder dislocation is essential for patient comfort. However, there is a lack of comprehensive research comparing the efficacy of different pain management techniques, specifically landmark-guided and ultrasound-guided intra-articular analgesic injections.
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CORR Insights®: Is Operative Time Associated With Obesity-related Outcomes in TKA? Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-12-01 Wendy M Novicoff
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Does A Hinged Operating Table Facilitate Sagittal Correction in Transforaminal Lumbar Interbody Fusion With Smith-Peterson Osteotomy? A Radiographic Analysis. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-12-01 David W Polly, Kenneth J Holton, Jason J Haselhuhn, Paul Brian O Soriano, Kristen E Jones, Jonathan N Sembrano, Christopher T Martin
Osteotomies allow the restoration of appropriate sagittal alignment; however, closure of osteotomies can be challenging. Typical closure involves compressing pedicle screw heads across the rods, potentially causing screw loosening and failure. Motorized hinged operating tables are often used to assist with controlled closure of osteotomies without manual compression, but there is no published research
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Cochrane in CORR®: Non-pharmacological Interventions for Preventing Delirium in Hospitalized Non-ICU Patients. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-11-30 Maram Khaled,Kim Madden
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Editor's Spotlight/Take 5: Better Mobility Is Associated With Higher Incomes and Longer Working Years Among Older Adults. Clin. Orthop. Relat. Res. (IF 4.2) Pub Date : 2023-11-28 Paul A Manner