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What’s New in Hip Replacement
Morgan, Patrick MD1,a
doi : 10.2106/JBJS.21.00612
September 15, 2021 - Volume 103 - Issue 18 - p 1667-1674
Elbow Overuse Injuries in Pediatric Female Gymnastic Athletes: Comparative Findings and Outcomes in Radial Head Stress Fractures and Capitellar Osteochondritis Dissecans
Wilson, Philip L. MD1,2,a; Wyatt, Charles W. MS, CPNP1,2; Searls, William C. BS1; Carpenter, Connor M. BBA1; Zynda, Aaron J. BS, CCRP1; Vite, Lorenzo PT1; Ellis, Henry B. MD1,2
doi : 10.2106/JBJS.20.01863
September 15, 2021 - Volume 103 - Issue 18 - p 1675-1684
Radial head stress fractures (RHSFs) and capitellar osteochondritis dissecans (COCD) are rare but may be seen in gymnasts. The purpose of this study was to compare the clinical and radiographic characteristics and the outcomes of RHSF and COCD in pediatric and adolescent gymnastic athletes.
Outcomes of Primary Total Knee Arthroplasty Following Septic Arthritis of the Native Knee: A Case-Control Study
Bettencourt, Jacob W. BS1; Wyles, Cody C. MD1; Fruth, Kristin M. BS2; Osmon, Douglas R. MD3; Hanssen, Arlen D. MD1; Berry, Daniel J. MD1; Abdel, Matthew P. MD1,a
doi : 10.2106/JBJS.20.01678
September 15, 2021 - Volume 103 - Issue 18 - p 1685-1693
Septic arthritis of the native knee often results in irreversible joint damage leading to the need for total knee arthroplasty (TKA). The purpose of the present study was to examine the intermediate-term risk of periprosthetic joint infection (PJI), aseptic revision, and reoperation following primary TKA in patients with a history of septic arthritis of the native knee as compared with primary TKA performed for the treatment of osteoarthritis.
Thermal Stability and in Vitro Elution Kinetics of Alternative Antibiotics in Polymethylmethacrylate (PMMA) Bone Cement
Levack, Ashley E. MD, MAS1,2,a; Turajane, Kathleen BS1; Yang, Xu MD1; Miller, Andy O. MD1; Carli, Alberto V. MD1; Bostrom, Mathias P. MD1; Wellman, David S. MD1,3
doi : 10.2106/JBJS.20.00011
September 15, 2021 - Volume 103 - Issue 18 - p 1694-1704
Amikacin, meropenem, minocycline, and fosfomycin have potential clinical utility for orthopaedic infections; however, their suitability for use in polymethylmethacrylate (PMMA) is poorly understood. The purpose of this study was (1) to quantify the thermal stability of these antibiotics at clinically relevant temperatures and (2) to determine the elution pharmacodynamics of these alternative antibiotics in vitro from PMMA beads of different sizes.
Sequencing of Circulating Microbial Cell-Free DNA Can Identify Pathogens in Periprosthetic Joint Infections
Echeverria, Adriana P. BS1,*; Cohn, Ian S. BA1,*; Danko, David C. BS2,*; Shanaj, Sara BA1; Blair, Lily PhD3; Hollemon, Desiree MSN, MPH3; Carli, Alberto V. MD4,5; Sculco, Peter K. MD4,5; Ho, Carine MD3; Meshulam-Simon, Galit PhD3; Mironenko, Christine ONP-C4; Ivashkiv, Lionel B. MD1,5; Goodman, Susan M. MD5,6; Grizas, Alexandra MPH7; Westrich, Geoffrey H. MD4,5; Padgett, Douglas E. MD4,5; Figgie, Mark P. MD4,5; Bostrom, Mathias P. MD4,5; Sculco, Thomas P. MD4,5; Hong, David K. MD3; Hepinstall, Matthew S. MD8,9; Bauer, Thomas W. MD, PhD5,7; Blauwkamp, Timothy A. PhD3; Brause, Barry D. MD5,10; Miller, Andy O. MD5,10; Henry, Michael W. MD5,10; Ahmed, Asim A. MD3,†; Cross, Michael B. MD4,5,†; Mason, Christopher E. PhD2,11,12,13,14,†; Donlin, Laura T. PhD1,5,11,a,†
doi : 10.2106/JBJS.20.02229
September 15, 2021 - Volume 103 - Issue 18 - p 1705-1712
Over 1 million Americans undergo joint replacement each year, and approximately 1 in 75 will incur a periprosthetic joint infection. Effective treatment necessitates pathogen identification, yet standard-of-care cultures fail to detect organisms in 10% to 20% of cases and require invasive sampling. We hypothesized that cell-free DNA (cfDNA) fragments from microorganisms in a periprosthetic joint infection can be found in the bloodstream and utilized to accurately identify pathogens via next-generation sequencing.
Lower-Extremity Segment-Length Prediction Accuracy of the Sanders Multiplier, Paley Multiplier, and White-Menelaus Formula
Birch, John G. MD, FRCS(C)1,a; Makarov, Marina R. MD1; Sanders, James O. MD2; Podeszwa, David A. MD1; Honcharuk, Erin M. MD1; Esparza, Melissa MD1; Tran, Elaine Y. MD1; Jo, Chan-Hee PhD1; Rodgers, Jennifer A. MA1
doi : 10.2106/JBJS.20.01923
September 15, 2021 - Volume 103 - Issue 18 - p 1713-1717
Several methods are available to estimate leg lengths at maturity to facilitate the determination of timing of epiphysiodesis. We compared the Paley multiplier, Sanders multiplier, and White-Menelaus methods in an epiphysiodesis-aged cohort. We assessed intra- and interrater reliability for Sanders skeletal stages and Greulich and Pyle atlas skeletal age.
Rate of Scoliosis Correction After Anterior Spinal Growth Tethering for Idiopathic Scoliosis
Takahashi, Yohei MD1; Saito, Wataru MD, PhD2; Yaszay, Burt MD3,4; Bartley, Carrie E. MA3; Bastrom, Tracey P. MA3; Newton, Peter O. MD3,4,a
doi : 10.2106/JBJS.20.02071
September 15, 2021 - Volume 103 - Issue 18 - p 1718-1723
The purpose of the present study was to evaluate associations between changes in segmental vertebral coronal angulation (screw angulation) and overall height after anterior spinal growth tethering for the treatment of idiopathic scoliosis and to compare the rates of coronal angulation change using the preoperative Sanders stage.
A Novel Minimally Invasive Spherical Periacetabular Osteotomy: Pelvic Ring Preservation and Patient-Specific Osteotomy by Preoperative 3-Dimensional Templating
Kaneuji, Ayumi MD, PhD1,a; Hara, Toshihiko MD2; Takahashi, Eiji MD, PhD1; Fukui, Kiyokazu MD, PhD1; Ichiseki, Toru MD, PhD1; Kawahara, Norio MD, PhD1
doi : 10.2106/JBJS.20.00940
September 15, 2021 - Volume 103 - Issue 18 - p 1724-1733
Spherical periacetabular osteotomy (SPO) is a novel osteotomy involving splitting the teardrop, using patient-specific preoperative planning, and requiring only a 7-cm skin incision. We report preoperative planning methods and short-term results of SPO.
Limited Evidence for Biological Adjuvants in Hindfoot Arthrodesis: A Systematic Review and Meta-Analysis of Clinical Comparative Studies
Seow, Dexter MBBCh1; Yasui, Youichi MD, PhD2; Dankert, John F. MD, PhD1; Miyamoto, Wataru MD2; Calder, James D.F. MD, PhD, FFSEM(UK), FRCS(Tr&Orth)3,4; Kennedy, John G. MD, MCh, MMSc, FFSEM, FRCS(Orth)1,a
doi : 10.2106/JBJS.20.01475
September 15, 2021 - Volume 103 - Issue 18 - p 1734-1743
The purpose of the present study was to evaluate the efficacy of biological adjuvants in patients managed with hindfoot arthrodesis.
The Impact of Psychological Factors and Their Treatment on the Results of Total Knee Arthroplasty
Kazarian, Gregory S. MD1,2; Anthony, Christopher A. MD2,3; Lawrie, Charles M. MD2; Barrack, Robert L. MD2,a
doi : 10.2106/JBJS.20.01479
September 15, 2021 - Volume 103 - Issue 18 - p 1744-1756
There is a growing body of evidence implicating psychosocial factors, including anxiety, depression, kinesiophobia, central sensitization, and pain catastrophizing, as negative prognostic factors following total knee arthroplasty (TKA).
What’s Important: The Other Side of the Scalpel in Orthopaedic Care: Patient Perspective
Farrell, Anna. L. BS1,a; Khan, Irfan A. LAT, ATC2; Quatman, Carmen E. MD, PhD1
doi : 10.2106/JBJS.21.00480
September 15, 2021 - Volume 103 - Issue 18 - p 1757-1758
A Culture Change in Geriatric Traumatology: Holistic and Patient-Tailored Care for Frail Patients with Fractures
Schuijt, Henk Jan MD1,a; Lehmann, Lisa Soleymani MD, PhD2; Javedan, Houman MD3,4; von Keudell, Arvind G. MD1,5; Weaver, Michael John MD1
doi : 10.2106/JBJS.20.02149
September 15, 2021 - Volume 103 - Issue 18 - p e72
Medical decision-making for frail geriatric trauma patients is complex, especially toward the end of life. The goal of this paper is to review aspects of end-of-life decision-making, such as frailty, cognitive impairment, quality of life, goals of care, and palliative care. Additionally, we make recommendations for composing a patient-tailored treatment plan. In doing so, we seek to initiate the much-needed discussion regarding end-of-life care for frail geriatric patients.
Kenneth E. DeHaven, MD 1939-2021
doi : 10.2106/JBJS.21.00932
September 15, 2021 - Volume 103 - Issue 18 - p 1760-1761
Something Old and Something New: Young Gymnastic Athletes with Capitellar Osteochondritis Dissecans Compared with Isolated Radial Head Stress Fractures: Commentary on the article by Philip L. Wilson, MD, et al: “Elbow Overuse Injuries in Pediatric Female Gymnastic Athletes. Comparative Findings and Outcomes in Radial Head Stress Fractures and Capitellar Osteochondritis Dissecans”
Busch, Michael T. MD1,a
doi : 10.2106/JBJS.21.00620
September 15, 2021 - Volume 103 - Issue 18 - p e79
A Novel Molecular Technique for Diagnosing Periprosthetic Joint Infection: Commentary on an article by Adriana P. Echeverria, BS, et al.: “Sequencing of Circulating Microbial Cell-Free DNA Can Identify Pathogens in Periprosthetic Joint Infections”
Arnold, William V. MD, PhD1,a
doi : 10.2106/JBJS.21.00668
September 15, 2021 - Volume 103 - Issue 18 - p e74
Erratum: Video-Assisted Thoracoscopic En Bloc Vertebrectomy for Spine Tumors
doi : 10.2106/JBJS.ER.20.01417
September 15, 2021 - Volume 103 - Issue 18 - p e75
