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What’s New in Pediatric Orthopaedics
Andras, Lindsay M.; Abousamra, Oussama
doi : 10.2106/JBJS.20.01953
The Journal of Bone and Joint Surgery. 103(4):287-294, February 17, 2021.
“True” Cumulative Incidence of and Risk Factors for Hip Dislocation within 2 Years After Primary Total Hip Arthroplasty Due to Osteoarthritis: A Nationwide Population-Based Study from the Danish Hip Arthroplasty Register
Hermansen, Lars L.; Viberg, Bjarke; Hansen, Lars; Overgaard, Soeren
doi : 10.2106/JBJS.19.01352
The Journal of Bone and Joint Surgery. 103(4):295-302, February 17, 2021.
Hip dislocation is one of the leading indications for revision of total hip arthroplasty (THA) implants, and the extent of this complication is often measured by the number of revisions. The exact incidence of dislocation can be difficult to establish as closed reductions may not be captured in available registers. The purpose of this study was to identify the “true” cumulative incidence of hip dislocation (revisions and closed reductions) after primary THA, and the secondary aim was to identify risk factors for dislocation.
Bilateral Simultaneous Total Knee Arthroplasty May Not Be Safe Even in the Healthiest Patients
Warren, Jared A.; Siddiqi, Ahmed; Krebs, Viktor E.; Molloy, Robert; Higuera, Carlos A.; Piuzzi, Nicolas S
doi : 10.2106/JBJS.20.01046
The Journal of Bone and Joint Surgery. 103(4):303-311, February 17, 2021.
Bilateral total knee arthroplasty (TKA) has been shown to increase both mortality and complications, but has potential benefits including decreased length of stay, rehabilitation time, and costs. The purpose of this study was to use data from a nationally representative database to identify if there is a population of patients undergoing TKA in whom bilateral TKA can be safely performed, by comparing 30-day mortality and complication rates with those of patients undergoing unilateral TKA.
Direct Inpatient Medical Costs of Operative Treatment of Periprosthetic Hip and Knee Infections Are Twofold Higher Than Those of Aseptic Revisions
Yao, Jie J.; Hevesi, Mario; Visscher, Sue L.; Ransom, Jeanine E.; Lewallen, David G.; Berry, Daniel J.; Maradit Kremers, Hilal
doi : 10.2106/JBJS.20.00550
The Journal of Bone and Joint Surgery. 103(4):312-318, February 17, 2021.
Periprosthetic joint infections (PJIs) following total hip arthroplasty (THA) and total knee arthroplasty (TKA) are associated with substantial morbidity. A better understanding of the costs of PJI treatment can inform prevention, treatment, and reimbursement strategies. The purpose of the present study was to describe direct inpatient medical costs associated with the treatment of hip and knee PJI.
Comparison of Intravenous and Periarticular Administration of Corticosteroids in Total Knee Arthroplasty: A Prospective, Randomized Controlled Study
Hatayama, Kazuhisa; Terauchi, Masanori; Oshima, Atsufumi; Kakiage, Hibiki; Ikeda, Keiko; Higuchi, Hiroshi
doi : 10.2106/JBJS.20.01153
The Journal of Bone and Joint Surgery. 103(4):319-325, February 17, 2021.
Corticosteroids are widely used in total knee arthroplasty (TKA) to relieve postoperative pain and prevent postoperative nausea. The aim of this prospective, randomized controlled study was to compare the effects of intravenous and periarticular administration of corticosteroids on pain control, prevention of postoperative nausea, and inflammation and thromboembolism markers following TKA.
Improving Management of Adult Ankle Fractures in Malawi: An Assessment of Providers’ Knowledge and Treatment Strategies
Agarwal-Harding, Kiran J.; Kapadia, Ami; Banza, Leonard Ngoie; Chawinga, Mabvuto; Mkandawire, Nyengo; Kwon, John Y
doi : 10.2106/JBJS.20.00660
The Journal of Bone and Joint Surgery. 103(4):326-334, February 17, 2021.
The burden of musculoskeletal trauma is increasing worldwide, especially in low-income countries such as Malawi. Ankle fractures are common in Malawi and may receive suboptimal treatment due to inadequate surgical capacity and limited provider knowledge of evidence-based treatment guidelines.
Height and Extremity-Length Prediction for Healthy Children Using Age-Based Versus Peak Height Velocity Timing-Based Multipliers
Sanders, James O.; Karbach, Lauren E.; Cai, Xueya; Gao, Shan; Liu, Raymond W.; Cooperman, Daniel R.
doi : 10.2106/JBJS.20.00040
The Journal of Bone and Joint Surgery. 103(4):335-342, February 17, 2021.
The age-based multiplier method described by Paley et al. markedly simplifies height and limb length predictions but may not adequately accommodate children’s maturational differences. Multipliers can be derived relative to any maturity measure. This study compares Paley age-based multipliers with those based on peak height velocity (PHV) timing.
Cost-Effectiveness of Open Versus Endoscopic Carpal Tunnel Release
Barnes, James I.; Paci, Gabrielle; Zhuang, Thompson; Baker, Laurence C.; Asch, Steven M.; Kamal, Robin N.
doi : 10.2106/JBJS.19.01354
The Journal of Bone and Joint Surgery. 103(4):343-355, February 17, 2021.
Carpal tunnel syndrome is the most common upper-extremity nerve compression syndrome. Over 500,000 carpal tunnel release (CTR) procedures are performed in the U.S. yearly. We estimated the cost-effectiveness of endoscopic CTR (ECTR) versus open CTR (OCTR) using data from published meta-analyses comparing outcomes for ECTR and OCTR.
In Closed Humeral Shaft Fractures, Internal Fixation Surgery Did Not Improve Functional Outcomes at 12 Months Compared with Nonoperative Functional Bracing
Obremskey, William
doi : 10.2106/JBJS.20.02087
The Journal of Bone and Joint Surgery. 103(4):356, February 17, 2021.
In Adults with Lesions of the Long Head of the Biceps Tendon, Tenodesis and Tenotomy Did Not Differ for Pain and Function at 2 Years
Verma, Nikhil
doi : 10.2106/JBJS.20.02086
The Journal of Bone and Joint Surgery. 103(4):357, February 17, 2021.
In Complete ACL Tears, Bridge-Enhanced ACL Repair Was Noninferior to ACL Reconstruction for Symptoms and Functioning and Knee Laxity at 2 Years
Hammoud, Sommer
doi : 10.2106/JBJS.20.02088
The Journal of Bone and Joint Surgery. 103(4):358, February 17, 2021.
Nuclear Medicine Scans in Total Joint Replacement
Pinski, John M.; Chen, Antonia F.; Estok, Daniel M.; Kavolus, Joseph J
doi : 10.2106/JBJS.20.00301
The Journal of Bone and Joint Surgery. 103(4):359-372, February 17, 2021.
A 3-phase bone scan is a potential first-line nuclear medicine study for pain after total joint arthroplasty (TJA) when there is concern for periprosthetic joint infection or aseptic loosening.
What’s Important: Age-Related Bias in Orthopaedic Care
Soughers, Tara K.
doi : 10.2106/JBJS.20.01348
The Journal of Bone and Joint Surgery. 103(4):373-374, February 17, 2021.
Original and Modified Lapidus Procedures: Proposals for a New Terminology
Symeonidis, Panagiotis D.; Anderson, John G.
doi : 10.2106/JBJS.20.01010
The Journal of Bone and Joint Surgery. 103(4):e15, February 17, 2021.
Bilateral Total Knee Arthroplasty Should Remain the Exception and Not the Rule: Commentary on an article by Jared A. Warren, DO, ATC, CSCS, et al.: “Bilateral Simultaneous Total Knee Arthroplasty May Not Be Safe Even in the Healthiest Patients”
Yates, Adolph J. Jr.
doi : 10.2106/JBJS.20.02092
The Journal of Bone and Joint Surgery. 103(4):e16, February 17, 2021.
