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What’s Important: COVID-19 Vaccination at Last
Schultz, Robert A.; Lachiewicz, Paul F.
doi : 10.2106/JBJS.20.02215
The Journal of Bone and Joint Surgery. 103(6):461-462, March 17, 2021.
What’s New in Hand and Wrist Surgery
Dy, Christopher J.
doi : 10.2106/JBJS.20.01984
The Journal of Bone and Joint Surgery. 103(6):463-468, March 17, 2021.
The Fallacy of Follow-up: When Orthopaedic Trauma Patients Actually Return to Clinic
Agel, Julie; Robertson, Aaron J.; Novak, Avrey A.; Hebert-Davies, Jonah; Kleweno, Conor P
doi : 10.2106/JBJS.20.00348
The Journal of Bone and Joint Surgery. 103(6):469-476, March 17, 2021.
Clinical follow-up in orthopaedic trauma is challenging, yet expectations exist that a 1-year follow-up is the minimum requirement for clinical trials and research publications. The primary purpose of our study was to evaluate the rate of follow-up after operative orthopaedic trauma care and the relationship to clinical care. Our secondary aim was to identify any independent risk factors regarding follow-up completion.
Functional Outcomes of Total Ankle Arthroplasty at a Mean Follow-up of 7.6 Years: A Prospective, 3-Dimensional Gait Analysis
Brodsky, James W.; Scott, Daniel J.; Ford, Samuel; Coleman, Scott; Daoud, Yahya
doi : 10.2106/JBJS.20.00659
The Journal of Bone and Joint Surgery. 103(6):477-482, March 17, 2021.
In vivo gait analysis provides objective measurement of patient function and can quantify that function before and after ankle reconstruction. Previous gait studies have shown functional improvement for up to 4 years following total ankle arthroplasty (TAA), but to date, there are no published studies assessing function at ?5 years following TAA. We hypothesized that patients who underwent TAA would show significant improvements in walking function at a minimum follow-up of 5 years, compared with their preoperative function, as measured by changes in temporospatial, kinematic, and kinetic gait parameters.
Satisfaction with Alignment After Reduction of a Displaced Distal Radial Fracture
Boersma, Emily Z.; Nijhuis-van der Sanden, Maria W.G.; Edwards, Michael J.R.; Ring, David; Teunis, Teun
doi : 10.2106/JBJS.20.00482
The Journal of Bone and Joint Surgery. 103(6):483-488, March 17, 2021.
Alignment adequate to offer nonoperative treatment after reduction of a distal radial fracture is a matter of opinion. This study addressed factors associated with interobserver reliability of satisfaction with alignment after the reduction of a distal radial fracture.
Quantifying the Effects of Hip Surgery on the Sphericity of the Femoral Head in Patients with Mucopolysaccharidosis Type I
van der Veer, Eline L.; Gielis, Willem Paul; Weinans, Harry; Beek, Erik J.; van Hasselt, Peter M.; Sakkers, Ralph J.B
doi : 10.2106/JBJS.20.00515
The Journal of Bone and Joint Surgery. 103(6):489-496, March 17, 2021.
The introduction of stem cell transplantation has improved life expectancy and cognitive outcome in patients with mucopolysaccharidosis I, but this condition remains associated with substantial residual disease in several parts of the body. Many patients have hip dysplasia with progressive medial flattening of the femoral head. Quantitative evidence on the effect of surgery on remodeling to sphericity of flattened femoral heads is lacking. In the present study, we used statistical shape modeling to quantify the effect of hip surgery on the sphericity of the femoral head in patients with mucopolysaccharidosis I.
Opioid Use Following Inpatient Versus Outpatient Total Joint Arthroplasty
Varady, Nathan H.; Smith, Eric L.; Clarkson, Samuel J.; Niu, Ruijia; Freccero, David M.; Chen, Antonia F
doi : 10.2106/JBJS.20.01401
The Journal of Bone and Joint Surgery. 103(6):497-505, March 17, 2021.
Although the risks of continued opioid use following inpatient total joint arthroplasty (TJA) have been well-studied, these risks in the outpatient setting are not well known. The purpose of the present study was to characterize opioid use following outpatient compared with inpatient TJA.
Patient-Reported and Radiographic Outcomes of Joint-Preserving Surgery for Rheumatoid Forefoot Deformities: A Retrospective Case Series with Mean Follow-up of 6 Years
Yano, Koichiro; Ikari, Katsunori; Tobimatsu, Haruki; Okazaki, Ken
doi : 10.2106/JBJS.20.01144
The Journal of Bone and Joint Surgery. 103(6):506-516, March 17, 2021.
Rheumatoid arthritis (RA) is an autoimmune disorder and a chronic inflammatory disease that can damage joints throughout the body. As dramatic improvements in medical treatment have contributed to reduced progression of joint destruction, surgical methods for the treatment of RA-related forefoot deformities have gradually changed from joint-sacrificing to joint-preserving. The aim of this study was to assess the long-term outcomes, including patient-reported outcomes, of joint-preserving surgery for forefoot deformities associated with RA.
Increased Utilization of Total Joint Arthroplasty After Medicaid Expansion
Dy, Christopher J.; Salter, Amber; Barker, Abigail; Brown, Derek; Keller, Matthew; Olsen, Margaret A
doi : 10.2106/JBJS.20.00303
The Journal of Bone and Joint Surgery. 103(6):524-531, March 17, 2021.
The expansion of state Medicaid programs under the U.S. Affordable Care Act has led to a dramatic increase in the number of Americans with health insurance coverage. Prior analyses of a limited number of states have suggested that greater utilization of total hip arthroplasty (THA) and total knee arthroplasty (TKA) should be expected after Medicaid expansion. The purpose of our study was to examine whether increased utilization of THA and TKA occurred across a broader range of states after Medicaid expansion.
A Machine Learning Algorithm to Identify Patients with Tibial Shaft Fractures at Risk for Infection After Operative Treatment
Machine Learning Consortium, on behalf of the SPRINT and FLOW Investigators
doi : 10.2106/JBJS.20.00903
The Journal of Bone and Joint Surgery. 103(6):532-540, March 17, 2021.
Risk stratification of individual patients who are prone to infection would allow surgeons to monitor high-risk patients more closely and intervene early when needed. This could reduce infection-related consequences such as increased health-care costs. The purpose of this study was to develop a machine learning (ML)-derived risk-stratification tool using the SPRINT (Study to Prospectively Evaluate Reamed Intramedullary Nails in Patients with Tibial Fractures) and FLOW (Fluid Lavage of Open Wounds) trial databases to estimate the probability of infection in patients with operatively treated tibial shaft fractures (TSFs).
Risk Factors for Aseptic Loosening After Total Knee Arthroplasty with a Rotating-Hinge Implant: A Case-Control Study
Levent, Ali; Suero, Eduardo M.; Gehrke, Thorsten; Citak, Mustafa
doi : 10.2106/JBJS.20.00788
The Journal of Bone and Joint Surgery. 103(6):517-523, March 17, 2021.
Successful results have been reported in association with the use of a rotating-hinge prosthesis for primary total knee arthroplasty (TKA). The objective of the present study was to identify risk factors for aseptic loosening in patients who underwent primary TKA with rotating-hinge knee prostheses.
Clinical and Health-Care Cost Analysis of Negative Pressure Dressing in Primary and Revision Total Knee Arthroplasty: A Systematic Review and Meta-Analysis
Yaghmour, Khaled M.; Hossain, Fahad Siddique; Konan, Sujith
doi : 10.2106/JBJS.20.01254
The Journal of Bone and Joint Surgery. 103(6):541-548, March 17, 2021.
Negative pressure wound therapy (NPWT) has been used because of its perceived advantages in reducing surgical site infections, wound complications, and the need for further surgery. The purpose of this study was to assess the infection rates, wound complications, length of stay, and financial burden associated with NPWT use in primary and revision total knee arthroplasty (TKA).
Resilience in the Orthopaedic Patient
Otlans, Peters T.; Szukics, Patrick F.; Bryan, Sean T.; Tjoumakaris, Fotios P.; Freedman, Kevin B.
doi : 10.2106/JBJS.20.00676
The Journal of Bone and Joint Surgery. 103(6):549-559, March 17, 2021.
Resilience is a dynamic psychological construct that refers to the ability to adapt and improve when facing adversity or other stressors.
What’s Important: What I Learned as My Spouse’s “Recovery Partner” Following Rotator Cuff Surgery
Bray, Timothy J.
doi : 10.2106/JBJS.20.00797
The Journal of Bone and Joint Surgery. 103(6):560-561, March 17, 2021.
Infection: The Final Frontier of Arthroplasty Management: A Proposal for a Global Periprosthetic Joint Infection Registry from a Multinational Collaborative Group, the GAIA (Global Arthroplasty Infection Association)
Atrey, Amit; Khoshbin, Amir; Rolfson, Ola; Campbell, David; Wood, Gavin; Bohm, Eric; Jones, Christopher; Kandel, Christopher; Davis, Joshua; Atri, Nipun; Abdelbary, Hesham; Moojen, Dirk Jan; Dunbar, Michael; Manning, Laurens; Paxton, Elizabeth W.; Yates, Piers; Waddell, James P.; Ravi, Bheeshma; Reed, Mike
doi : 10.2106/JBJS.20.01517
The Journal of Bone and Joint Surgery. 103(6):e22, March 17, 2021.
The Seductive Poppy: Are Orthopaedists Able to Prevent a Second Wave of the Opium Pandemic with Outpatient Surgery?: Commentary on an article by Nathan H. Varady, SB, et al.: “Opioid Use Following Inpatient Versus Outpatient Total Joint Arthroplasty”
Hernigou, Philippe
doi : 10.2106/JBJS.20.02106
The Journal of Bone and Joint Surgery. 103(6):e23, March 17, 2021.
Medicaid Expansion and Pent-up Demand for Total Joint Replacement: Commentary on an article by Christopher J. Dy, MD, MPH, FACS, et al.: “Increased Utilization of Total Joint Arthroplasty After Medicaid Expansion”
SooHoo, Nelson F.
doi : 10.2106/JBJS.20.02103
The Journal of Bone and Joint Surgery. 103(6):e24, March 17, 2021.
Erratum: A Reevaluation of the Risk of Infection Based on Time to Debridement in Open Fractures
doi : 10.2106/JBJS.ER.20.01103
The Journal of Bone and Joint Surgery. 103(6):e25, March 17, 2021.
