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Observation Versus Debridement of Unstable Chondral Lesions During Partial Meniscectomy: Analysis of Patient Outcomes and Degenerative Joint Disease at 5 Years in the Chondral Lesions And Meniscus Procedures (ChAMP) Randomized Controlled Trial
Bisson, Leslie J. MD1,a; Kluczynski, Melissa A. MS1; Wind, William M. MD1; Fineberg, Marc S. MD1; Bernas, Geoffery A. MD1; Rauh, Michael A. MD1; Marzo, John M. MD1; Scrivens, Brian DO1; Connaughton, Alexander MD1; Zhou, Zehua MA2; Zhao, Jiwei PhD3
doi : 10.2106/JBJS.20.01582
September 1, 2021 - Volume 103 - Issue 17 - p 1569-1577
The purpose of this study was to examine the effect of debridement (CL-Deb) versus observation (CL-noDeb) of unstable chondral lesions on knee pain 5 years after arthroscopic partial meniscectomy (APM) in patients enrolled in the Chondral Lesions And Meniscus Procedures (ChAMP) Trial. Secondarily, other knee symptoms, function, general health, and the rate of additional surgery on the affected knee were examined.
Arthroscopic All-Inside Anterior Talofibular Ligament Repair with and without Inferior Extensor Retinacular Reinforcement: A Prospective Randomized Study
Jo, Joon MD1; Lee, Jin Woo MD, PhD2; Kim, Hak Jun MD, PhD3; Suh, Dong Hun MD, PhD4; Kim, Won Seok MD4; Choi, Gi Won MD, PhD4,a
doi : 10.2106/JBJS.20.01696
September 1, 2021 - Volume 103 - Issue 17 - p 1578-1587
The utility of inferior extensor retinacular (IER) reinforcement for arthroscopic repair of a lateral ankle injury is debatable. We hypothesized that the outcomes would not differ significantly between arthroscopic all-inside anterior talofibular ligament (ATFL) repair with and without IER reinforcement.
Outcomes Following Severe Distal Tibial, Ankle, and/or Mid/Hindfoot Trauma: Comparison of Limb Salvage and Transtibial Amputation (OUTLET)
Major Extremity Trauma Research Consortium (METRC)*
doi : 10.2106/JBJS.20.01320
September 1, 2021 - Volume 103 - Issue 17 - p 1588-1597
Selecting the best treatment for patients with severe terminal lower-limb injury remains a challenge. For some injuries, amputation may result in better outcomes than limb salvage. This study compared the outcomes of patients who underwent limb salvage with those that would have been achieved had they undergone amputation.
Press Ganey Surveys in Patients Undergoing Upper-Extremity Surgical Procedures: Response Rate and Evidence of Nonresponse Bias
Weir, Tristan B. MD1; Zhang, Tina MD1; Jauregui, Julio J. MD1; Aneizi, Ali MD1; Schneider, Matheus B. BS1; Sajak, Patrick M.J. MS1; Gilotra, Mohit N. MD1; Abzug, Joshua M. MD1; Akabudike, Ngozi M. MD1; Henn, R. Frank III MD1,a
doi : 10.2106/JBJS.20.01467
September 1, 2021 - Volume 103 - Issue 17 - p 1598-1603
Patient satisfaction surveys are important measures of the patient experience that provide data for quality improvement. The purpose of this study was to establish the response rate and the factors associated with the completion of the Press Ganey (PG) Ambulatory Surgery Survey (PGAS) in patients who underwent ambulatory upper-extremity surgical procedures.
Association Between Knee Alignment and Meniscal Tear in Pediatric Patients with Anterior Cruciate Ligament Injury
Kawashima, Itaru MD1,2,a; Kawai, Ryosuke MD2; Ishizuka, Shinya MD, PhD1; Hiraiwa, Hideki MD, PhD1; Tsukahara, Takashi MD, PhD2; Imagama, Shiro MD, PhD1
doi : 10.2106/JBJS.20.01219
September 1, 2021 - Volume 103 - Issue 17 - p 1604-1610
The present study aimed to evaluate the association between elapsed time from anterior cruciate ligament (ACL) injury to surgical treatment and the incidence of meniscal tears in a cohort of patients ?16 years old with varus-aligned and non-varus-aligned knees.
Prospective Follow-up Report on Anterior Vertebral Body Tethering for Idiopathic Scoliosis: Interim Results from an FDA IDE Study
Samdani, Amer F. MD1,a; Pahys, Joshua M. MD1; Ames, Robert J. MD2; Grewal, Harsh MD3; Pelletier, Glenn J. MD4; Hwang, Steven W. MD1; Betz, Randal R. MD5
doi : 10.2106/JBJS.20.01503
September 1, 2021 - Volume 103 - Issue 17 - p 1611-1619
Anterior vertebral body tethering (aVBT) has emerged as a novel treatment option for patients with idiopathic scoliosis. We present the results from the first U.S. Food and Drug Administration (FDA) Investigational Device Exemption (IDE) study on aVBT.
In Vivo Elongation Patterns of the Collateral Ligaments in Healthy Knees During Functional Activities
Hosseini Nasab, S.H. PhD1; Smith, C.R. PhD1; Postolka, B. MSc1; Schütz, P. PhD1; List, R. PhD1,2; Taylor, W.R. PhD1,a
doi : 10.2106/JBJS.20.01311
September 1, 2021 - Volume 103 - Issue 17 - p 1620-1627
Improved knowledge of in vivo function of the collateral ligaments is essential for enhancing rehabilitation and guiding surgical reconstruction as well as soft-tissue balancing in total knee arthroplasty. The aim of this study was to quantify in vivo elongation patterns of the collateral ligaments throughout complete cycles of functional activities.
Patient Age and Cell Concentration Influence Prevalence and Concentration of Progenitors in Bone Marrow Aspirates: An Analysis of 436 Patients
Mantripragada, Venkata P. PhD1,a,*; Boehm, Cynthia BS1,b,*; Bova, Wesley MS1,c; Briskin, Isaac MS1,d; Piuzzi, Nicolas S. MD1,e; Muschler, George F. MD1,f
doi : 10.2106/JBJS.20.02055
September 1, 2021 - Volume 103 - Issue 17 - p 1628-1636
Connective tissue progenitors (CTPs) resident in native tissues serve as biological building blocks in tissue repair and remodeling processes. Methods for analysis and reporting on CTP quantity and quality are essential for defining optimal cell sources and donor characteristics and the impact of cell processing methods for cell therapy applications. The present study examines the influence of donor characteristics and cell concentration (nucleated cells/mL) on CTP prevalence (CTPs/million nucleated cells) and CTP concentration (CTPs/mL) in bone marrow aspirates (BMAs).
Comparative Safety of the TFN-ADVANCED Proximal Femoral Nailing System: Findings from a U.S. Health-Care Database
Wallace, Anna PhD1; Amis, James MD2; Cafri, Guy PhD1,a; Coplan, Paul ScD1; Wood, Jennifer PhD1
doi : 10.2106/JBJS.20.02002
September 1, 2021 - Volume 103 - Issue 17 - p 1637-1645
Proximal femoral fractures are often treated with cephalomedullary nails. Although nail breakages following fracture repair are infrequent, a recent implant retrieval study suggested that the TFN-ADVANCED (TFNA) Proximal Femoral Nailing System (DePuy Synthes) was susceptible to post-implant breakage. It is unclear whether the risk of breakage among patients who receive the TFNA implant is higher than patients who receive other comparable cephalomedullary nails. The current study was designed to evaluate the comparative risk of breakage of the TFNA nail.
Methods for Reducing Intraoperative Breast Radiation Exposure of Orthopaedic Surgeons
Van Nortwick, Sara S. MD1,a; Leonard, Dana A. MD2; Finlay, Andrea K. PhD2; Chou, Loretta MD2; Valone, Lindsey C. MD3
doi : 10.2106/JBJS.20.02024
September 1, 2021 - Volume 103 - Issue 17 - p 1646-1651
Standard lead aprons and vests do not adequately shield the most common breast cancer site, the upper outer quadrant (UOQ), from intraoperative radiation. The purpose of the present study was to determine if lead sleeves, wings, and/or axillary supplements decreased intraoperative radiation exposure of the UOQ of the breast.
An Update on Multimodal Pain Management After Total Joint Arthroplasty
Karam, Joseph A. MD1; Schwenk, Eric S. MD2; Parvizi, Javad MD, FRCS3,a
doi : 10.2106/JBJS.19.01423
September 1, 2021 - Volume 103 - Issue 17 - p 1652-1662
Multimodal analgesia has become the standard of care for total joint arthroplasty as it provides superior analgesia with fewer side effects than opioid-only protocols.
What’s Important: Postoperative Care Planning. Recognizing the Central Role of Pets in Many Patients’ Lives
Whitebird, Robin R. PhD1,a; Solberg, Leif I. MD2,b
doi : 10.2106/JBJS.21.00099
September 1, 2021 - Volume 103 - Issue 17 - p 1663-1664
Standards for Noninferiority Trials in Orthopaedic Surgery Would Be Arbitrary: It’s Time We Had Some
Guyton, Gregory P. MD1,a
doi : 10.2106/JBJS.20.01949
September 1, 2021 - Volume 103 - Issue 17 - p e69
What Role for Chondroplasty in the Knee?: Commentary on an article by Leslie J. Bisson, MD, et al.: “Observation Versus Debridement of Unstable Chondral Lesions During Partial Meniscectomy. Analysis of Patient Outcomes and Degenerative Joint Disease at 5 Years in the Chondral Lesions And Meniscus Procedures (ChAMP) Randomized Controlled Trial”
Bugbee, William MD1,a
doi : 10.2106/JBJS.21.00652
September 1, 2021 - Volume 103 - Issue 17 - p e70
Ankle Stability: Commentary on an article by Joon Jo, MD, et al.: “Arthroscopic All-Inside Anterior Talofibular Ligament Repair with and without Inferior Extensor Retinacular Reinforcement. A Prospective Randomized Study”
Daniels, Timothy R. MD, FRCSC1,a
doi : 10.2106/JBJS.21.00726
September 1, 2021 - Volume 103 - Issue 17 - p e71
