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What’s Important: Widespread Vaccination: Reflections on the Pandemic, Contracting COVID-19, and the Opportunity Before Us
Crawford, Alexander M.
doi : 10.2106/JBJS.21.00056
The Journal of Bone and Joint Surgery. 103(7):565-566, April 7, 2021.
A Randomized Controlled Trial of Psychological Intervention to Improve Satisfaction for Patients with Depression Undergoing TKA: A 2-Year Follow-up
Geng, Xiao; Wang, Xinguang; Zhou, Ge; Li, Feng; Li, Yang; Zhao, Minwei; Chu, Hongling; Li, Jitao; Si, Tianmei; Liu, Zhongjun; Tian, Hua
doi : 10.2106/JBJS.20.00169
The Journal of Bone and Joint Surgery. 103(7):567-574, April 7, 2021.
The overall satisfaction of patients after total knee arthroplasty (TKA) is approximately 80%, and current studies have demonstrated that patients with depression may have lower patient satisfaction. The purpose of this study was to determine whether perioperative psychological intervention in patients with depression improves the clinical outcomes and patient satisfaction in patients undergoing TKA.
The Natural History of Benign Bone Tumors of the Extremities in Asymptomatic Children: A Longitudinal Radiographic Study
Collier, Christopher D.; Nelson, Grant B.; Conry, Keegan T.; Kosmas, Christos; Getty, Patrick J.; Liu, Raymond W
doi : 10.2106/JBJS.20.00999
The Journal of Bone and Joint Surgery. 103(7):575-580, April 7, 2021.
Benign bone tumors are common incidental findings in the pediatric population during radiographic evaluation. Counseling these patients requires reassurance and raises questions about the natural history of these tumors over time. The purpose of this study was to estimate the prevalence and observe the behavior of benign childhood bone tumors in an asymptomatic population.
Reverse Total Shoulder Arthroplasty without Bone-Grafting for Severe Glenoid Bone Loss in Patients with Osteoarthritis and Intact Rotator Cuff: A Concise 5-Year Follow-up of a Previous Report*
McFarland, Edward G.; Meshram, Prashant; Rojas, Jorge; Joseph, Jacob; Srikumaran, Uma
doi : 10.2106/JBJS.20.01042
The Journal of Bone and Joint Surgery. 103(7):581-585, April 7, 2021.
We previously reported on 40 patients (42 shoulders) with glenoid bone loss who underwent reverse total shoulder arthroplasty with glenoid reaming and without bone-grafting. The purpose of this study was to report the updated results in 29 patients (31 shoulders) from the original cohort who were available after a minimum 5-year follow-up. Since the last report, 1 additional patient had a baseplate failure. The cumulative incidence of baseplate failure requiring revision, accounting for the competing risk of death, was 2.4% (95% confidence interval [CI], 0.2% to 12%) at 2 years and 5.2% (95% CI, 0.9% to 16%) at 5 and 10 years. Patients who did not have an implant failure had a statistically significant and clinically relevant improvement compared with their preoperative scores on a visual analog scale (VAS) for pain, American Shoulder and Elbow Surgeons (ASES) score, Simple Shoulder Test, and Short Form-36 (SF-36). Scapular notching occurred in 6 shoulders (19%). For the studied indication, reaming the glenoid flat produced excellent prosthetic survival with clinical results maintained at a minimum 5-year follow-up.
Development of a Multivariable Model Based on Individual Risk Factors for Recurrent Lateral Patellar Dislocation
Ling, Daphne I.; Brady, Jacqueline M.; Arendt, Elizabeth; Tompkins, Marc; Agel, Julie; Askenberger, Marie; Balcarek, Peter; Parikh, Shital; Shubin Stein, Beth E
doi : 10.2106/JBJS.20.00020
The Journal of Bone and Joint Surgery. 103(7):586-592, April 7, 2021.
Nonoperative treatment after first-time patellar dislocation is the standard of care. There is evidence that certain patients may be at high risk for recurrent instability. The aim of this study was to develop a multivariable model to guide management of patients based on their individual risk of recurrent dislocation.
Contemporary Outpatient Arthroplasty Is Safe Compared with Inpatient Surgery: A Propensity Score-Matched Analysis of 574,375 Procedures
Lan, Roy H.; Samuel, Linsen T.; Grits, Daniel; Kamath, Atul F
doi : 10.2106/JBJS.20.01307
The Journal of Bone and Joint Surgery. 103(7):593-600, April 7, 2021.
Outpatient joint arthroplasty is a potential modality for increased case throughput and is rising in demand. However, we are aware of no study that has compared outcomes between risk-matched outpatient and inpatient procedures within the last 7 years. The aims of this study were to compare matched patient cohorts who underwent outpatient or inpatient joint arthroplasty in terms of 30-day adverse events and readmission rates.
Metformin Use Is Associated with Fewer Complications in Patients with Type-2 Diabetes Undergoing Total Knee Arthroplasty: A Propensity Score-Matched Analysis
Wilson, Jacob M.; Farley, Kevin X.; Broida, Samuel E.; Bradbury, Thomas L.; Guild, George N
doi : 10.2106/JBJS.20.01535
The Journal of Bone and Joint Surgery. 103(7):601-608, April 7, 2021.
Diabetes is a well-established risk factor for complications following total knee arthroplasty (TKA), and the incidence of type-2 diabetes is increasing. Metformin is considered first-line therapy for type-2 diabetes and has been shown to reduce all-cause mortality and to possess anti-inflammatory properties. The impact of metformin use as it relates to outcomes following TKA is unknown. The purpose of this study was to investigate this relationship.
Low Adherence to Recommended Guidelines for Open Fracture Antibiotic Prophylaxis
Lin, Carol A.; O'Hara, Nathan N.; Sprague, Sheila; O'Toole, Robert V.; Joshi, Manjari; Harris, Anthony D.; Warner, Stephen J.; Johal, Herman; Natoli, Roman M.; Hagen, Jennifer E.; Jeray, Kyle J.; Fowler, Justin T.; Phelps, Kevin D.; Pilson, Holly T.; Gitajn, I. Leah; Bhandari, Mohit; Slobogean, Gerard P.; the PREP-IT Investigators
doi : 10.2106/JBJS.20.01229
The Journal of Bone and Joint Surgery. 103(7):609-617, April 7, 2021.
Prompt administration of antibiotics is a critical component of open fracture treatment. Traditional antibiotic recommendations have been a first-generation cephalosporin for Gustilo Type-I and Type-II open fractures, with the addition of an aminoglycoside for Type-III fractures and penicillin for soil contamination. However, concerns over changing bacterial patterns and the side effects of aminoglycosides have led to interest in other regimens. The purpose of the present study was to describe the adherence to current prophylactic antibiotic guidelines.
Revision Total Elbow Arthroplasty with the Semiconstrained Coonrad/Morrey Prosthesis: Follow-up to 21 Years
Barret, Hugo; Laumonerie, Pierre; Delclaux, Stéphanie; Arboucalot, Marine; Bonnevialle, Nicolas; Mansat, Pierre
doi : 10.2106/JBJS.20.00889
The Journal of Bone and Joint Surgery. 103(7):618-628, April 7, 2021.
Revision total elbow arthroplasty (TEA) has increased, especially in young patients with high functional expectations. The objective of this study was to evaluate the long-term results of revision TEA with a single semiconstrained prosthesis.
Chondral Lesions of the Knee: An Evidence-Based Approach
Dekker, Travis J.; Aman, Zachary S.; DePhillipo, Nicholas N.; Dickens, Jonathan F.; Anz, Adam W.; LaPrade, Robert F
doi : 10.2106/JBJS.20.01161
The Journal of Bone and Joint Surgery. 103(7):629-645, April 7, 2021.
Management of chondral lesions of the knee is challenging and requires assessment of several factors including the size and location of the lesion, limb alignment and rotation, and the physical and mental health of the individual patient.
What’s Important: Disruption in Research
Gerber, Christian
doi : 10.2106/JBJS.21.00025
The Journal of Bone and Joint Surgery. 103(7):646-647, April 7, 2021.
Pediatric Orthopaedic Observerships in North America for International Surgeons: The Visitor’s Perspective
Carrillo, Laura A.; Sabharwal, Sanjeev
doi : 10.2106/JBJS.20.01464
The Journal of Bone and Joint Surgery. 103(7):e26, April 7, 2021.
There is substantial disparity in access to surgical care worldwide that largely impacts children in resource-limited environments. Although it has been suggested that surgeons in high-income countries work alongside their overseas peers to bridge this gap, there is limited information regarding the impact of pediatric orthopaedic observerships that are available to international surgeons. This study aimed to assess the perceived impact of such visitations on overseas surgeons, including their professional development and clinical practice.
Physician Ratings: Determinants, Accuracy, and Impact
Khanna, Krishn; Diab, Mohammad
doi : 10.2106/JBJS.20.01048
The Journal of Bone and Joint Surgery. 103(7):e27, April 7, 2021.
Lawrence D. Dorr, MD 1941-2020
doi : 10.2106/JBJS.21.00127
The Journal of Bone and Joint Surgery. 103(7):650-651, April 7, 2021.
Healthy Body and Healthy Mind Equal a Happy Life: Commentary on an article by Xiao Geng, MD et al.: “A Randomized Controlled Trial of Psychological Intervention to Improve Satisfaction for Patients with Depression Undergoing TKA. A 2-Year Follow-up”
Casta?eda, Pablo
doi : 10.2106/JBJS.20.02260
The Journal of Bone and Joint Surgery. 103(7):e28, April 7, 2021.
Helpful Information When Evaluating a Child with a Benign Bone Lesion of the Extremities: Commentary on an article by Christopher D. Collier, MD, et al.: “The Natural History of Benign Bone Tumors of the Extremities in Asymptomatic Children. A Longitudinal Radiographic Study”
Thomson, Jeffrey D.
doi : 10.2106/JBJS.20.02232
The Journal of Bone and Joint Surgery. 103(7):e29, April 7, 2021.
Long-Term Value May Determine if RTSA for Cuff-Intact Osteoarthritis with Glenoid Defects Does Not Require Bone Grafts or Augments: Commentary on an article by Edward G. McFarland, MD, et al.: “Reverse Total Shoulder Arthroplasty without Bone-Grafting for Severe Glenoid Bone Loss in Patients with Osteoarthritis and Intact Rotator Cuff. A Concise 5-Year Follow-up of a Previous Report”
Navarro, Ronald A.
doi : 10.2106/JBJS.21.00078
The Journal of Bone and Joint Surgery. 103(7):e30, April 7, 2021.
