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JBJS Arts & Humanities
Schenck, Robert “Bob” Jr. MD; Swiontkowski, Marc MD
doi : 10.2106/JBJS.21.01103
January 5, 2022 - Volume 104 - Issue 1 - p 1-3
Functional Outcomes of Arthroscopic Acetabular Labral Repair with and without Bone Marrow Aspirate Concentrate
Martin, Scott D. MD1; Kucharik, Michael P. BS1,a; Abraham, Paul F. BS2; Nazal, Mark R. MD3; Meek, Wendy M. BBA1; Varady, Nathan H. SB4
doi : 10.2106/JBJS.20.01740
January 5, 2022 - Volume 104 - Issue 1 - p 4-14
Osteoarthritis (OA) of the hip is a debilitating condition associated with inferior outcomes in patients undergoing hip arthroscopy. To provide symptom relief and improve outcomes in these patients, bone marrow aspirate concentrate (BMAC) has been applied as an adjuvant therapy with the hope of halting progression of cartilage damage. The current study examined the clinical efficacy of BMAC application in patients undergoing arthroscopic acetabular labral repair by comparing patient-reported outcome measures (PROMs) between groups with and without BMAC application.
Longitudinal Changes in Serum Markers of Bone Metabolism and Bone Material Strength in Premenopausal Women with Distal Radial Fracture
Rozental, Tamara D. MD1; Merchan, Nelson MD1; Johannesdottir, Fjola PhD2; Lechtig, Aron MD3; Earp, Brandon E. MD4; Harper, Carl M. MD1; Bouxsein, Mary L. PhD2
doi : 10.2106/JBJS.21.00540
January 5, 2022 - Volume 104 - Issue 1 - p 15-23
Markers of bone metabolism (MBM) play an important role in fracture evaluation, and changes have been associated with increased fracture risk. The purpose of the present study was to describe changes in MBM in premenopausal women with distal radial fractures.
The Effect of Surgical Approach and Femoral Prosthesis Type on Revision Rates Following Total Hip Arthroplasty
Hoskins, Wayne MBBS(Hons), FRACS, PhD1,2,a; Rainbird, Sophia PhD3; Peng, Yi Med(Epi&Stats)3; Graves, Stephen E. MBBS, DPhil(Oxon), FRACS(Orth), FAOrthA3; Bingham, Roger MBBS, FRACS2
doi : 10.2106/JBJS.21.00487
January 5, 2022 - Volume 104 - Issue 1 - p 24-32
Compared with other total hip arthroplasty (THA) approaches, the anterior approach has an increased rate of revision for femoral-sided complications, and certain stems may increase this risk. The present study aimed to assess the outcome of THA by surgical approach, according to the femoral stem utilized in the procedure.
A Mini-Open Approach to Medial Pinning in Pediatric Supracondylar Humeral Fractures May Be Safer Than Previously Thought
Rees, Andrew B. MD1; Schultz, Jacob D. MD1; Wollenman, Lucas C. MD1; Moore-Lotridge, Stephanie N. PhD2,3,4; Martus, Jeffrey E. MD2,3; Schoenecker, Jonathan G. MD, PhD2,3,4,5,6,7; Mencio, Gregory A. MD2,3,a
doi : 10.2106/JBJS.21.00301
January 5, 2022 - Volume 104 - Issue 1 - p 33-40
Displaced pediatric supracondylar humeral fractures (SCHFs) are stabilized after reduction by smooth pins. Although some SCHFs are biomechanically stable after lateral-only entry pinning (lateral pinning), an additional medial entry pin (cross-pinning) confers superior stabilization in some SCHFs. There is a recognized risk of iatrogenic ulnar nerve injury with medial entry pinning. The best existing evidence has estimated an iatrogenic ulnar nerve injury rate of approximately 3.4% in cross-pinning. In similar studies, the rate of iatrogenic nerve injury (all nerves) in lateral pinning is estimated at 1.9%. This study aimed to use a large, single-center, single-technique (mini-open) retrospective case series to determine the rate of iatrogenic ulnar nerve injury in cross-pinning.
Matched Comparison of Magnetically Controlled Growing Rods with Traditional Growing Rods in Severe Early-Onset Scoliosis of ?90°
Saarinen, Antti J. MD1,2; Sponseller, Paul D. MD3; Andras, Lindsay M. MD4; Skaggs, David L. MD4; Emans, John B. MD5; Thompson, George H. MD6; Helenius, Ilkka J. MD, PhD2,a; the Pediatric Spine Study Group
doi : 10.2106/JBJS.20.02108
January 5, 2022 - Volume 104 - Issue 1 - p 41-48
Severe early-onset scoliosis (EOS) is managed surgically but represents a challenge due to limited implant fixation points, large curve size, and fragile patients with comorbidities. Magnetically controlled growing rods (MCGRs) have the advantage of avoiding surgical intervention for routine lengthening, but their ability to address severe EOS has not been studied, to our knowledge.
Moxifloxacin Concentrations in the Knee Joint, Tibial Bone, and Soft Tissue When Combined with Rifampicin
Slater, Josefine MD1,2,3,a; Stilling, Maiken MD, PhD1,2,3; Hanberg, Pelle MD, PhD1,2,3,4; Fichtner Bendtsen, Mathias Alrø BSc1,2,3; Jørgensen, Andrea René MD1,2,3; Søballe, Kjeld MD, DMSc1,2,3; Jørgensen, Nis Pedersen MD, PhD5; Bue, Mats MD, PhD1,2,3
doi : 10.2106/JBJS.21.00549
January 5, 2022 - Volume 104 - Issue 1 - p 49-54
Peri and postoperative antibiotics are key adjuvant treatment tools in the management of periprosthetic joint infection (PJI). The aim of this study was to evaluate the effect of rifampicin on the area under the moxifloxacin concentration-time curve from 0 to 24 hours (AUC0-24) in the synovial fluid of the knee joint, tibial bone, and adjacent subcutaneous tissue under steady-state conditions using microdialysis in a porcine model.
Lymphedema Is a Significant Risk Factor for Failure After Primary Total Hip Arthroplasty
Rainer, William G. DO1; Kolz, Joshua M. MD1; Wyles, Cody C. MD1; Houdek, Matthew T. MD1,a; Perry, Kevin I. MD1; Lewallen, David G. MD1
doi : 10.2106/JBJS.20.01970
January 5, 2022 - Volume 104 - Issue 1 - p 55-61
Lymphedema is a chronic disease characterized by fluid buildup and swelling that can lead to skin and soft-tissue fibrosis and recurring soft-tissue infections. Literature with regard to the increased risk of complications following a surgical procedure in patients with lymphedema is emerging, but the impact of lymphedema in the setting of primary total hip arthroplasty (THA) remains unknown. The purpose of this study was to review outcomes following primary THA performed in patients with lymphedema compared with a matched cohort without lymphedema.
Shared Decision-Making Is Associated with Better Outcomes in Patients with Knee But Not Hip Osteoarthritis
Sepucha, Karen R. PhD1,2,a; Vo, Ha MPH1; Chang, Yuchiao PhD1,2; Dorrwachter, Janet M. CNP, DNP1; Dwyer, Maureen PhD, ATC3; Freiberg, Andrew A. MD2,3; Talmo, Carl T. MD4; Bedair, Hany MD1,2
doi : 10.2106/JBJS.21.00064
January 5, 2022 - Volume 104 - Issue 1 - p 62-69
Current guidelines recommend shared surgical decision-making, yet it is unclear whether shared decision-making improves health outcomes in patients who are considering knee and hip replacement. The purpose of the present study was to examine whether patients who made high-quality, informed, patient-centered (IPC) decisions had better health outcomes, higher satisfaction, and less decision regret compared with those who made lower-quality decisions.
Development of a Knee Arthroplasty Episode-Based Cost Measure for Evaluating Cost in the Merit-Based Incentive Payment System
Choradia, Nirmal MD1,a; Lam, Joyce MPP1; Luo, Binglie1; Bounds, Sam1; Yates, Adolph J. Jr. MD2; Quintana, Juan DNP, MHS, CRNA3; Do, Rose MD1,4; Feinberg, Laurie MD1; Sandhu, Alex MD, MS1,5; Vail, Daniel MD1; MaCurdy, Tom PhD1,6,7; Nagavarapu, Sriniketh PhD1; Bhattacharya, Jay MD, PhD1,8,* , and the Knee Arthroplasty Workgroup
doi : 10.2106/JBJS.20.02221
January 5, 2022 - Volume 104 - Issue 1 - p 70-77
Under the Merit-based Incentive Payment System (MIPS), the U.S. Centers for Medicare and Medicaid Services (CMS) evaluate clinicians who manage Medicare patients on the basis of cost and quality outcomes. CMS contractor Acumen, LLC, convened an expert panel to develop a knee arthroplasty episode-based cost measure (EBCM) for use in the MIPS.
American Orthopaedic Association’s (AOA) Council of Orthopaedic Residency Directors (CORD) 2020 Summer Conference: Top Abstracts*
Weistroffer, Joseph K. MD, FAOA1,a; Patt, Joshua C. MD, MPH, FAOA2,b;
doi : 10.2106/JBJS.21.00768
January 5, 2022 - Volume 104 - Issue 1 - p e1
In a continuing collaboration between the American Orthopaedic Association’s (AOA) Council of Orthopaedic Residency Directors (CORD) and JBJS, the following 10 abstracts highlight the scientific research presented at AOA’s virtual annual national meeting held this past June 2020. These abstracts embody CORD’s purpose and mission:
Contemporary Issues in the Acquisition of Orthopaedic Surgical Skills During Residency
Myers, Thomas G. MD, MPT1,a; Marsh, J. Lawrence MD2; Nicandri, Gregg MD1; Gorczyca, John MD1; Pellegrini, Vincent D. Jr. MD3
doi : 10.2106/JBJS.20.01553
January 5, 2022 - Volume 104 - Issue 1 - p 79-91
Orthopaedic education should produce surgeons who are competent to function independently and can obtain and maintain board certification.
What’s Important: A Look in the Mirror
Bhandari, Mohit MD, PhD, FRCSC1,a
doi : 10.2106/JBJS.21.01336
January 5, 2022 - Volume 104 - Issue 1 - p 92-93
The Northern Nevada Orthopaedic Trauma System
Bray, Timothy J. MD1,a; O’Mara, Timothy J. MD, MBA1; Walker, Justin A. MD, MS1; Swanson, David C. MD1
doi : 10.2106/JBJS.20.01462
January 5, 2022 - Volume 104 - Issue 1 - p e2
Are Bone Metabolism and Bone Material Strength Evaluations Worthwhile?: Commentary on an article by Tamara D. Rozental, MD, et al.: “Longitudinal Changes in Serum Markers of Bone Metabolism and Bone Material Strength in Premenopausal Women with Distal Radial Fracture”
Kellam, James F. BSc, MD, FRCS(C), FRCSI(Hon)1,a
doi : 10.2106/JBJS.21.01058
January 5, 2022 - Volume 104 - Issue 1 - p e3
There Is No “Free Lunch” with Total Hip Arthroplasty Incisions: It Is the Pathways and the Procedure, Not the Surgical Approach!: Commentary on the article by Wayne Hoskins, MBBS(Hons), FRACS, PhD, et al.: “The Effect of Surgical Approach and Femoral Prosthesis Type on Revision Rates Following Total Hip Arthroplasty. An Analysis of the Most Commonly Utilized Cementless Stems”
Duwelius, Paul J. MD, FAAOS1,a
doi : 10.2106/JBJS.21.01047
January 5, 2022 - Volume 104 - Issue 1 - p e4
