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What’s Important (Arts and Humanities): Life, Death, and Orthopaedic Oncology Through Poetry J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-02-13 Richard D. Lackman
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Dynamic Foot Pressure During Walking J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-02-12 Yoon Hyo Choi, Ji Hye Choi, Seungbum Koo, Hee Soo Han, Dong Yeon Lee, Kyoung Min Lee
Background: Physical skeletal loading can affect the bone mineral density (BMD). This study investigated the association between BMD and dynamic foot pressure during gait. Methods: A total of 104 patients (mean age, 62.6 ± 12.4 years; 23 male and 81 female) who underwent dual x-ray absorptiometry and pedobarography were included. BMD values of the lumbar spine, femoral neck, and total femur were assessed
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New CMS Policy on the Mandatory Collection of Patient-Reported Outcome Measures for Total Hip and Knee Arthroplasty by 2027 J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-02-09 Ignacio Pasqualini, Nicolas S. Piuzzi
Abstract The Centers for Medicare & Medicaid Services (CMS) has finalized a landmark national policy to standardize and expand the collection and reporting of patient-reported outcome measures (PROMs) following total hip arthroplasty (THA) and total knee arthroplasty (TKA). This policy will be rolled out through phased implementation, beginning with voluntary reporting starting in 2023 and transitioning
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Assessing the Accuracy and Reliability of AI-Generated Responses to Patient Questions Regarding Spine Surgery J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-02-09 Viknesh S. Kasthuri, Jacob Glueck, Han Pham, Mohammad Daher, Mariah Balmaceno-Criss, Christopher L. McDonald, Bassel G. Diebo, Alan H. Daniels
Background: In today’s digital age, patients increasingly rely on online search engines for medical information. The integration of large language models such as GPT-4 into search engines such as Bing raises concerns over the potential transmission of misinformation when patients search for information online regarding spine surgery. Methods: SearchResponse.io, a database that archives People Also
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Is 3D Quantitative MRI the Next Tool to Evaluate Rotator Cuff Musculature and Other Muscle Pathology? J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-02-07 Jason C. Ho, Kathleen Derwin
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Total Joint Arthroplasty Utilization in Persons Over 65 Years of Age J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-02-07 Jeffrey N. Katz, Daniel Betensky
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Is a “Less Is More” Approach to Pedicle Screws the Best Approach in the Long-Term? J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-02-07 John M. Flynn
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Robotics and Navigation Do Not Affect the Risk of Periprosthetic Joint Infection Following Primary Total Hip Arthroplasty J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-02-07 Scott M. LaValva, Yu-Fen Chiu, Mia J. Fowler, Stephen Lyman, Alberto V. Carli
Background: The use of computer navigation or robotic assistance during primary total hip arthroplasty (THA) has yielded numerous benefits due to more accurate component positioning. The utilization of these tools is generally associated with longer operative times and also necessitates additional surgical equipment and personnel in the operating room. Thus, the aim of this study was to evaluate the
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Does Teriparatide Improve Outcomes in Osteoporotic Patients Undergoing Adult Spinal Deformity Surgery? J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-02-07 Daniel G. Kang
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Lower Opioid Prescription Quantity Does Not Negatively Impact Pain Control or Patient Satisfaction After ACL Reconstruction J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-01-29 William L. Johns, Adeeb Jacob Hanna, Henson Destine, John Hayden Sonnier, Christopher Dodson, Bradford Tucker, Matthew Pepe, Kevin B. Freedman, Fotios Tjoumakaris
Background: The purpose of this study was to evaluate the effects of different quantities of prescribed opioid tablets on patient opioid utilization, postoperative pain and function, and satisfaction after anterior cruciate ligament reconstruction (ACLR). Methods: This was a prospective, randomized trial enrolling patients undergoing primary ACLR. Patients were assigned to 1 of 3 prescription groups:
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Congruent Concavity Restoration of the Reconstructed Glenoid After the Latarjet Procedure J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-01-25 Woo-Sung Do, Seung-Hwan Shin, Joon-Ryul Lim, Tae-Hwan Yoon, Yong-Min Chun
Background: Few clinical studies have addressed concavity restoration by natural remodeling after a Latarjet procedure. This study investigated the fibrous tissue and osseous remodeling of the reconstructed glenoid and concavity restoration after a Latarjet procedure using postoperative computed tomographic arthrography (CTA). Methods: This retrospective study included 31 patients who underwent immediate
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Rate and Risk Factors for Contralateral Slippage in Adolescents Treated for Slipped Capital Femoral Epiphysis J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-01-25 David Momtaz, Peyman Mirghaderi, Rishi Gonuguntla, Aaron Singh, Mehul Mittal, Andres Burbano, Pooya Hosseinzadeh
Background: After a unilateral slipped capital femoral epiphysis (SCFE), the contralateral hip is at risk for a subsequent SCFE. However, further information with regard to risk factors involved in the development of contralateral SCFE must be investigated. The purpose of this study was to report the rate and risk factors for subsequent contralateral SCFE in adolescents treated for unilateral SCFE
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Sagittal Alignment in the Degenerative Lumbar Spine J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-01-25 Bassel G. Diebo, Mariah Balmaceno-Criss, Renaud Lafage, Christopher L. McDonald, Daniel Alsoof, Sereen Halayqeh, Kevin J. DiSilvestro, Eren O. Kuris, Virginie Lafage, Alan H. Daniels
➤ Sagittal alignment of the spine has gained attention in the field of spinal deformity surgery for decades. However, emerging data support the importance of restoring segmental lumbar lordosis and lumbar spinal shape according to the pelvic morphology when surgically addressing degenerative lumbar pathologies such as degenerative disc disease and spondylolisthesis.➤ The distribution of caudal lordosis
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Strengthening Quality Measurement to Predict Success for Total Knee Arthroplasty J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-01-25 Hua Zheng, Arlene S. Ash, Wenyun Yang, Shao-Hsien Liu, Jeroan Allison, David C. Ayers
Background: When performed well on appropriate patients, total knee arthroplasty (TKA) can dramatically improve quality of life. Patient-reported outcome measures (PROMs) are increasingly used to measure outcome following TKA. Accurate prediction of improvement in PROMs after TKA potentially plays an important role in judging the surgical quality of the health-care institutions as well as informing
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AOA Critical Issues Symposium: The Dynamic Environment of Health Care J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-01-24 Douglas W. Lundy, David S. Jevsevar, Scott E. Porter, Thomas L. Miller
Abstract The dynamic health-care environment continues to undergo disruptive change. As the health-care system emerges from the pandemic, underlying issues have progressively become critical. Private equity acquisition is dramatically increasing, and consolidation in the entire health-care system limits choice and access. Challenges in the workforce and supply chain persist, adding pressure on already
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What’s Important: Private Equity Arrangements in Orthopaedic Surgery J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-01-23 Paul F. Lachiewicz
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Increasing Burden of Lower-Extremity Fractures in the Middle East and North Africa (MENA) J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-01-23 Amir Human Hoveidaei, Amin Nakhostin-Ansari, Nathanael D. Heckmann, Seyed Hossein Hosseini-Asl, Mohammad Saeid Khonji, Mohammad Razi, Behnaz Mahdaviani, Natalie M. Kistler, Amiethab A. Aiyer
Background: Lower-extremity fractures (LEFs) account for >30% of all skeletal injuries, contributing to the global health and economic burden. Fracture epidemiology in the Middle East and North Africa (MENA) region has been studied little. Health factors and disease epidemiology differ greatly among populations in MENA despite cultural, political, and economic similarities among the region’s countries
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Bilateral External Torque CT Reliably Detects Syndesmotic Lesions in an Experimental Cadaveric Study J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-01-23 Silvan Beeler, Esteban Ongini, Bettina Hochreiter, Reto Sutter, Arnd Viehöfer, Stephan Wirth, Anna-Katharina Calek
Background: If tibiofibular syndesmotic injury is undetected, chronic instability may lead to persistent pain and osteoarthritis. So far, no reliable diagnostic method has been available. The primary objectives of this study were to determine whether defined lesions of the syndesmosis can be correlated with specific tibiofibular joint displacements caused by external rotational torque and to compare
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Using the Proximal Femur Maturity Index at Brace Initiation for Adolescent Idiopathic Scoliosis Predicts Curve Progression Risk J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-01-23 Prudence Wing Hang Cheung, Janus Siu Him Wong, Keith Dip Kei Luk, Jason Pui Yin Cheung
Background: The Proximal Femur Maturity Index (PFMI) can be used to assess skeletal maturity on existing whole-spine radiographs without additional radiation. However, the relationship between the PFMI at the initiation of bracing for adolescent idiopathic scoliosis (AIS) and subsequent curve progression remains unknown. This study aimed to investigate the relationship between the PFMI and curve progression
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Establishing Orthopaedic Standards of Care for Incarcerated Patients J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-01-22 Emily Peairs, Alexandra Hunter Aitchison, Ajay Premkumar, Nell Shea, Mark Fleming, Toni M. McLaurin, Christian A. Pean
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AOA Critical Issues Symposium: So, You Want to Be a Department Leader J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-01-22 J.R. Lieberman, S.D. Boden, V.D. Pellegrini, T.D. Peabody
Abstract Most health systems are vertically integrated, and the leaders of orthopaedic surgery departments or service lines must have a comprehensive understanding of their role in the strategic plan of the health system. Orthopaedic surgery departments must be profitable while supporting the tripartite mission of excellence in clinical care, research, and education. This symposium had 4 specific objectives:
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Patient Selection in Randomized Controlled Trials of Total Knee Arthroplasty J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-01-22 Zodina A. Beiene, Kira K. Tanghe, Colin C. Neitzke, Chisa Hidaka, Stephen Lyman, Elizabeth B. Gausden, Alexander S. McLawhorn
Background: Patients undergo total knee arthroplasty (TKA) at widely disparate stages of osteoarthritis, raising the possibility of high heterogeneity among patients enrolled in TKA research studies. Obscuration of treatment effectiveness and other problems that may stem from cohort heterogeneity can be controlled in clinical studies by rigorously defining target patients. The purpose of this review
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What’s Important (Patient Perspective): Cultivating Agency for Patients and Parents J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-01-22 Michael S. Day
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From Bedside Manner to Surgical Excellence J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-01-22 Aisha Suhaiba, Apurva S. Choubey, Brett Drake, James Kerns, Mark H. Gonzalez
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What Is the Relevance of Post-Reduction MRI Today and Where Do We Go from Here? J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-01-17 Emmanouil Grigoriou, William J. Shaughnessy
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Why Does My Knee Still Hurt After My Knee Replacement? J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-01-17 Donald W. Roberts
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AOA Critical Issues: A Culture of Safety Across All Orthopaedic Professional Endeavors J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-01-09 David Ring, Julie Adams, Julie Samora, Robin Kamal
Abstract Medical professionals strive for a culture of safety in which error is anticipated, systems are designed to catch an error before it causes harm, and each event is an opportunity for specific clinicians and the system they work in to improve. A culture of safety is based on behavioral ethics, which recognizes that the automatic functions of the human mind can lead good people to misstep, and
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The Relative Efficacy of Available Proteasome Inhibitors in Preventing Muscle Contractures Following Neonatal Brachial Plexus Injury J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-01-09 Indranshu Das, Kritton Shay-Winkler, Marianne E. Emmert, Qingnian Goh, Roger Cornwall
Background: Contractures following neonatal brachial plexus injury (NBPI) are associated with growth deficits in denervated muscles. This impairment is mediated by an increase in muscle protein degradation, as contractures can be prevented in an NBPI mouse model with bortezomib (BTZ), a proteasome inhibitor (PI). However, BTZ treatment causes substantial toxicity (0% to 80% mortality). The current
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Marlex Mesh Reconstruction of the Extensor Mechanism J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-01-09 Matthew P. Abdel, Christopher N. Carender, Nicholas A. Bedard, Kevin I. Perry, Mark W. Pagnano, Arlen D. Hanssen
Marlex mesh reconstruction of the extensor mechanism following total knee arthroplasty (TKA) has demonstrated excellent early results. The purpose of the present study was to evaluate longer-term results of Marlex mesh reconstruction of the extensor mechanism in 93 TKAs. Seventy-seven reconstructions were aseptic, and 16 were performed as part of a 2-stage exchange for the treatment of infection. Mean
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Development of Murine Anterior Interbody and Posterolateral Spinal Fusion Techniques J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-01-09 Kyle W. Morse, Jun Sun, Lingling Hu, Seoyeon Bok, Shawon Debnath, Michelle Cung, Alisha R. Yallowitz, Kathleen N. Meyers, Sravisht Iyer, Matthew B. Greenblatt
Background: Multiple animal models have previously been utilized to investigate anterior fusion techniques, but a mouse model has yet to be developed. The purpose of this study was to develop murine anterior interbody and posterolateral fusion techniques. Methods: Mice underwent either anterior interbody or posterolateral spinal fusion. A protocol was developed for both procedures, including a description
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Gender Trends in Authorship in 6 Major Orthopaedic Journals J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-01-09 Caitlin Grant, Taylor P. Stauffer, Thorsten M. Seyler, Christine J. Wu, Zoe W. Hinton
Background: Historically, orthopaedic surgery has had low female representation, with <6% of practicing surgeons identifying as female. Although prior literature has illustrated gender disparities in first and last authorship as well as changes in gender representation over time, less attention has been paid to middle authorship. We hypothesized that trends in female authorship would reflect increasing
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Informed Consent in Orthopaedic Surgery: A Primer J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-01-08 Benjamin Hershfeld, Brandon Klein, Peter B. White, Michael A. Mont, Adam D. Bitterman
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The Orthopaedic Research Year: Faculty Mentors Must Hold up Their Part of the Deal J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-01-03 Marc F. Swiontkowski
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Toward Improved Surgical Treatment for Advanced Ankle Osteoarthritis in Younger Patients J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-01-03 Yuki Tochigi
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A Research Year for Medical Students J. Bone Joint. Surg. (IF 4.4) Pub Date : 2024-01-03 Joshua L. Tidd, Nicolas S. Piuzzi
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Surgery for Vertebral Osteomyelitis Lowers 1-Year Mortality and Failure Rates Compared with Nonsurgical Treatment J. Bone Joint. Surg. (IF 4.4) Pub Date : 2023-12-29 Nikolaus Kernich, Krishnan Sircar, Dorothee Jochimsen, Sebastian Gottfried Walter, Peer Eysel, Norma Jung, Ayla Yagdiran, Carolyn Weber
Background: The aim of this study was to determine differences between patients who underwent surgical treatment and those who underwent nonsurgical treatment of vertebral osteomyelitis (VO) and to identify potential factors influencing treatment failure (death and/or recurrence within 1 year). Methods: We performed a retrospective analysis of clinical data prospectively collected from patients treated
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What’s Important (Arts & Humanities): Our Uniformed J. Bone Joint. Surg. (IF 4.4) Pub Date : 2023-12-28 K. Aaron Shaw
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Radiocapitellar and Ulnotrochlear Pressures Increase in a Radial Head Fracture Model J. Bone Joint. Surg. (IF 4.4) Pub Date : 2023-12-26 Thomas France, Winthrop Lockwood, Songyuan Gu, Nick Tucker, Todd Baldini, Alexander Lauder, Louis W. Catalano
Background: Changes in intra-articular pressure have not been previously described in relation to the management of radial head fractures. We hypothesized that pressure within the radiocapitellar and ulnotrochlear joints would increase with progressive radial head resection, mimicking a displaced radial head fracture, in a cadaveric model. Methods: Ten cadaveric specimens were tested. Intra-articular
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US for Initial Diagnosis of a Suspected Distal Radial Fractures in Children Was Noninferior to Radiography for Arm Function at 28 Days J. Bone Joint. Surg. (IF 4.4) Pub Date : 2023-12-21 Kristen Combs, Mininder Kocher
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Long-Term Follow-up of Untreated Adult Patients with Spondylothoracic Dysostosis (Jarcho-Levin Syndrome) J. Bone Joint. Surg. (IF 4.4) Pub Date : 2023-12-21 Norman Ramírez, Carlos Monroig-Rivera, Wilfredo De Jesús-Rojas, Edwin Rosado, Norma J. Arciniegas Medina, Alberto Santiago Cornier, Frances Vélez-Bartolomei, Charles E. Johnston, Simón Carlo
Background: Spondylothoracic dysostosis (STD), also known as Jarcho-Levin syndrome (JLS), is a rare autosomal recessive disorder affecting the formation of the spine, characterized by a complete bilateral fusion of the ribs at the costovertebral junction, producing a “crablike” appearance of the thorax. Despite being declared a core indication for a V-osteotomy vertical expandable prosthetic titanium
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Surgery and the Aging Orthopaedic Surgeon J. Bone Joint. Surg. (IF 4.4) Pub Date : 2023-12-21 Joseph A. Bosco, Aidan Papalia, Joseph D. Zuckerman
➤ Aging is associated with well-documented neurocognitive and psychomotor changes.➤ These changes can be expected to impact the skill with which orthopaedic surgeons continue to perform surgical procedures.➤ Currently, there is no standardized approach for assessing the changes in surgical skills and clinical judgment that may occur with aging.➤ Oversight by the U.S. Equal Employment Opportunity Commission
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Higher Blood Glucose Levels on the Day of Surgery Are Associated with an Increased Risk of Periprosthetic Joint Infection After Total Hip Arthroplasty J. Bone Joint. Surg. (IF 4.4) Pub Date : 2023-12-21 Julian Wier, Kevin C. Liu, Mary K. Richardson, Brandon S. Gettleman, Natalie M. Kistler, Nathanael D. Heckmann, Jay R. Lieberman
Background: Hyperglycemia has been identified as a risk factor for periprosthetic joint infection (PJI) after total hip arthroplasty (THA). However, there is no consensus with regard to the preoperative blood glucose level (BGL) on the day of the surgical procedure associated with increased risk. We sought to identify preoperative BGL thresholds associated with an increased risk of PJI. Methods: The
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Tandem Reconstruction of the Femoral Diaphysis Using an Intercalary Prosthesis and a Fibular Free Flap J. Bone Joint. Surg. (IF 4.4) Pub Date : 2023-12-21 Farooq Shahzad, Alexander B. Christ, Leslie Kim, Adam S. Levy, Chad M. Teven, Nicola Fabbri, Jonas A. Nelson, John H. Healey
Background: Femoral diaphyseal reconstructions with metal prostheses have mediocre results because of high mechanical forces that result in eventual implant failure. Biological alternatives require prolonged restrictions on weight-bearing and have high rates of infection, nonunion, and fracture. A novel method of utilizing a vascularized fibula in combination with an intercalary prosthesis was developed
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What’s Important (Arts and Humanities): Shouldn’t Our GOAL! Be to Find a Better Way? J. Bone Joint. Surg. (IF 4.4) Pub Date : 2023-12-21 Nicolas D.J. Barker, Carlijn Tukkers, Rob G.H.H. Nelissen
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In Reverse Total Shoulder Arthroplasty, Lateralized Versus Nonlateralized and Distalized Glenospheres Did Not Differ in External Rotation at 2 Years J. Bone Joint. Surg. (IF 4.4) Pub Date : 2023-12-21 Jonathan L. Rees
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Platelet-Rich Plasma Injections Did Not Improve Pain and Function at 52 Weeks in Patients with Ankle Osteoarthritis J. Bone Joint. Surg. (IF 4.4) Pub Date : 2023-12-20 Alexis E. Dixon
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AOA Critical Issues: How Research Improves Clinical Care: The Case for Orthopaedic Surgeon Research Leadership and Collaboration J. Bone Joint. Surg. (IF 4.4) Pub Date : 2023-12-20 Constance R. Chu, Martha M. Murray, William J. Maloney, MaCalus V. Hogan
Abstract Improving the performance and impact of orthopaedic research is a critical leadership challenge. Musculoskeletal (MSK) conditions are a leading cause of disability worldwide, for which research investment and performance lags far behind the burden of disease. In the United States, MSK disorders account for the highest health care costs, have increased in incidence at the fastest rate, and
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A New Aid in Diagnosing Periprosthetic Joint Infection with a Tool Already in Use? J. Bone Joint. Surg. (IF 4.4) Pub Date : 2023-12-20 Martin C. Berli
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Dual Growing Rods and the Apical Control Technique for Treating Congenital Early-Onset Scoliosis J. Bone Joint. Surg. (IF 4.4) Pub Date : 2023-12-19 Shengru Wang, Yiwei Zhao, You Du, Yang Yang, Guanfeng Lin, Jianxiong Shen, Yu Zhao, Nan Wu, Qianyu Zhuang, Jianguo Zhang
Background: Congenital early-onset scoliosis (CEOS) is characterized by a spectrum of vertebral anomalies, including formation failures and segmentation failures at the apex segment, which makes CEOS different from other etiologies of early-onset scoliosis. To date, studies on patients who have graduated from CEOS treatment using traditional dual growing rods (TDGR) have been scarce, and the preliminary
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What’s New in Pediatric Orthopaedics J. Bone Joint. Surg. (IF 4.4) Pub Date : 2023-12-19 Christina K. Hardesty
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Longitudinal Changes in Overall 3D Supraspinatus Muscle Volume and Intramuscular Fatty Infiltration After Arthroscopic Rotator Cuff Repair J. Bone Joint. Surg. (IF 4.4) Pub Date : 2023-12-19 Junjie Xu, Beibei Liu, Yi Qiao, Zipeng Ye, Wei Su, Jinzhong Zhao
Background: There is considerable debate regarding the longitudinal changes in overall rotator cuff (RC) muscle atrophy and intramuscular fatty infiltration (FI) following RC repair. We analyzed the longitudinal changes in overall 3D supraspinatus muscle volume and intramuscular FI (3D FI) to determine the effect of tear size and repair integrity on 3D muscle volume and intramuscular FI. Methods: Forty-seven
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Evaluation of Proximal Femoral Bone Mineral Density in Cementless Total Hip Arthroplasty J. Bone Joint. Surg. (IF 4.4) Pub Date : 2023-12-19 Gary Hooper, Deirdre Thompson, Christopher Frampton, Nicholas Lash, Jonathan Sharr, David Fulker, Nigel Gilchrist
Background: Femoral stem design affects periprosthetic bone mineral density (BMD), which may impact long-term survival of cementless implants in total hip arthroplasty (THA). The aim of this study was to examine proximal femoral BMD in 3 morphologically different uncemented femoral stem designs to investigate whether any particular design resulted in better preservation of BMD. Methods: A total of
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Intermediate to Long-Term Results Following Traumatic Hip Dislocation J. Bone Joint. Surg. (IF 4.4) Pub Date : 2023-12-19 Vera Jaecker, Malin Zocholl, Jan Friederichs, Philipp Osten, Thomas Fuchs, Fabian M. Stuby, Stephan Regenbogen
Background: Traumatic hip dislocation is a rare yet severe injury. As the long-term morbidity, subsequent complications, and clinical outcomes are nearly unknown, we aimed to analyze traumatic hip dislocations and identify specific factors that may predict the clinical outcome. Methods: Data on injury-related characteristics and computed tomographic (CT) scans for all consecutive adult patients who
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Efficacy of Diosmin in Reducing Lower-Extremity Swelling and Pain After Total Knee Arthroplasty J. Bone Joint. Surg. (IF 4.4) Pub Date : 2023-12-18 Qiuru Wang, Qunhua Jin, Lijun Cai, Chengcheng Zhao, Pengfei Feng, Jie Jia, Weihua Xu, Qirong Qian, Zheru Ding, Jianzhong Xu, Chenxi Gu, Shoutao Zhang, Hui Shi, Hongbing Ma, Ye Deng, Tingjiu Zhang, Yuan Song, Qiang Wang, Yinchang Zhang, Xinshe Zhou, Lijia Pei, Yunkang Yang, Jie Liang, Tao Jiang, Hao Li, Huancai Liu, Lizhong Wu, Pengde Kang
Background: Many patients experience lower-extremity swelling following total knee arthroplasty (TKA), which impedes recovery. Diosmin is a semisynthetic flavonoid that is often utilized to treat swelling and pain caused by chronic venous insufficiency. We aimed to evaluate the efficacy and safety of diosmin in reducing lower-extremity swelling and pain as well as in improving functional outcomes following
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Outcome Following Intramedullary Nailing of Tibial Diaphyseal Fractures J. Bone Joint. Surg. (IF 4.4) Pub Date : 2023-12-15 Navnit S. Makaram, James Sheppard, Jun M. Leow, William M. Oliver, John F. Keating
Background: The primary aim of this study was to compare the radiographic parameters (nail insertion-point accuracy [NIPA] and fracture malalignment) of patients who had undergone tibial intramedullary nailing via the suprapatellar (SP) and infrapatellar (IP) approaches. The secondary aims were to compare clinical outcomes and patient-reported outcomes (PROs) between these approaches. Methods: All
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Development and Validation of a Deep-Learning Model to Predict Total Hip Replacement on Radiographs J. Bone Joint. Surg. (IF 4.4) Pub Date : 2023-12-13 Yi Xu, Hao Xiong, Weixuan Liu, Hang Liu, Jingyi Guo, Wei Wang, Hongjiang Ruan, Ziyang Sun, Cunyi Fan
Background: There are few methods for accurately assessing the risk of total hip arthroplasty (THA) in patients with osteoarthritis. A novel and reliable method that could play a substantial role in research and clinical routine should be investigated. The purpose of the present study was to develop a deep-learning model that can reliably predict the risk of THA with use of radiographic images and