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What's New in Orthopaedic Rehabilitation.
Kasitinon, Donald MD 1,a; Williams, Reed MD, MBS, RMSK 1; Gharib, Mahmood MD 2; Flowers, Ryan DO, MAS 1; Raiser, Sara MD 3; Jain, Nitin B. MD, MSPH 1
doi : 10.2106/JBJS.22.00732
Volume 104(22) pgs. 1961-2040,e96-e99 November 16, 2022
The Effect of Social Deprivation on Fracture-Healing and Patient-Reported Outcomes Following Intramedullary Nailing of Tibial Shaft Fractures.
Hong, Zachery MPHS 1; Clever, David C. MD, PhD 2; Tatman, Lauren M. MD 2; Miller, Anna N. MD 2,a
doi : 10.2106/JBJS.22.00251
Social deprivation is a state marked by limited access to resources due to poverty, discrimination, or other marginalizing factors. We investigated the links between social deprivation and orthopaedic trauma, including patient-reported outcomes, radiographic healing, and complication rates following intramedullary nailing of tibial shaft fractures.
Age-Stratified Outcomes of Mehta Casting in Idiopathic Early-Onset Scoliosis: A Multicenter Review.
Fedorak, Graham T. MD 1,a; MacWilliams, Bruce A. PhD 2; Stasikelis, Peter MD 3; Szczodry, Michal MD 4; Lerman, Joel MD 5; Pahys, Joshua M. MD 6; D'Astous, Jacques MD 2
doi : 10.2106/JBJS.22.00344
This study provides age-stratified outcomes of cast treatment for idiopathic early-onset scoliosis. Methods: This is a multicenter, retrospective review of patients with idiopathic early-onset scoliosis treated with Mehta casting at 4 tertiary children's hospitals between 2001 and 2016.
High Rates of Imminent Subsequent Fracture After Femoral Neck Fracture in the Elderly.
Bogoch, Earl MD, FRCSC 1,2,a; Marcano-Fernandez, Francesc A. MD, PhD 3; Schemitsch, Emil H. MD, FRCSC 4; Zhou, Qi PhD 5; Bzovsky, Sofia MSc 6; Bhandari, Mohit MD, PhD, FRCSC 5,6; Schneider, Prism S. MD, FRCSC, PhD 7; Swiontkowski, Marc MD 8; Sprague, Sheila PhD 5,6; the FAITH Investigators; the HEALTH Investigators
doi : 10.2106/JBJS.22.00088
Fragility fractures of the hip are known to be followed frequently by subsequent fragility fractures, including second hip fractures. Data on subsequent fractures are available for aggregated index femoral neck and intertrochanteric femoral fractures, grouped generically as hip fractures, but not specifically for femoral neck fractures. There is increasing recognition that a subsequent fracture often occurs early after a hip fracture in the elderly, creating an emphasis on the concept of "imminent fracture risk." Since 2000, there have been many reports on the care gap in interventions after a fragility fracture, with concern regarding the slow uptake of appropriate systemic treatments designed to prevent a subsequent fracture in high-risk patients. Methods: As planned a priori, we performed an analysis of subsequent fractures after an index femoral neck fracture in 2 prospective clinical trials involving 2,520 patients from 90 sites on 5 continents.
The Systematic Isolation of Key Parameters for Estimating Skeletal Maturity on Lateral Elbow Radiographs.
Sinkler, Margaret A. MD 1; Furdock, Ryan J. MD 1; Chen, Daniel B. BA 2; Sattar, Abdus PhD 2; Liu, Raymond W. MD 1,3,a
doi : 10.2106/JBJS.22.00312
Skeletal maturity estimation is central in the management of scoliosis and lower-limb deformity. Utilizing demographic characteristics and modern computing, we sought to create a reliable, rapid, and accurate method for measuring skeletal maturity on an elbow radiograph. Methods: Utilizing the Bolton-Brush Collection, 4 parameters from the modified Sauvegrain method and 7 novel parameters were screened.
The Effects of the TSOL Knot on the Repair Strength and Gliding Resistance Following Flexor Tendon Repair.
Berry, Charlotte E. 1; Mazzucchelli, Lorenzo MD 1; Reisdorf, Ramona L. 1; Moran, Steven L. MD 1; Zhao, Chunfeng MD 1,a
doi : 10.2106/JBJS.21.01538
The stability of a suture knot construct has been realized as an important parameter that affects the strength of flexor tendon repairs. A novel 2-strand-overhand-locking (TSOL) knot, which is not commonly used in the clinical setting, recently was reported to increase repair strength and to decrease tendon gliding resistance in a 2-strand repair technique.
Shoulder Internal Rotation Contracture Formation in Surgically Managed C5, C6 Brachial Plexus Birth Injuries: Neurotmetic Lesions Fare Worse Than Avulsions.
Ulmann, Eva T.E. BSc 1; Malessy, Martijn J.A. MD, PhD 1; Nagels, Jochem MD 2; Pondaag, Willem MD, PhD 1,a
doi : 10.2106/JBJS.22.00373
A typical feature in infants with severe C5-C6 brachial plexus birth injury (BPBI) requiring nerve repair is the formation of shoulder internal rotation contracture (IRC). The underlying pathophysiological mechanism is unknown, and the sequelae can be difficult to treat.
The Impact of Surgeon Variability on Patient-Reported Outcome Measures, Length of Stay, Discharge Disposition, and 90-Day Readmission in TKA.
Sinclair, SaTia T. DO, MPH; Klika, Alison K. MS 1; Jin, Yuxuan MS 2; Higuera, Carlos A. MD 3; Piuzzi, Nicolas S. MD 1,4,a
doi : 10.2106/JBJS.21.01339
Studies involving total knee arthroplasty (TKA) have focused on patient-related factors as drivers of outcomes. Although some studies have investigated surgeon and/or surgery-level factors (i.e., approach, volume), the measure of variance in postoperative outcomes across surgeons following TKA has not been determined.
Cost-Effectiveness of Cement Augmentation Versus No Augmentation for the Fixation of Unstable Trochanteric Fractures.
Joeris, Alexander MD, MSc 1; Kabiri, Mina MSc, PhD 2; Galvain, Thibaut MSc, PharmD 2; Vanderkarr, Mollie MSc 3; Holy, Chantal E. MSc, PhD 4; Plaza, Javier Quintana MD, PhD 5; Tien, Stephanie MSc 2; Schneller, Julia DrMed 6; Kammerlander, Christian MD 6,7,8,a
doi : 10.2106/JBJS.21.01516
A previous randomized controlled trial (RCT) demonstrated a trend toward a reduced risk of implant-related revision surgery following fixation with use of a Proximal Femoral Nail Antirotation (PFNA) with TRAUMACEM V+ Injectable Bone Cement augmentation versus no augmentation in patients with unstable trochanteric fractures.
In Adults with Acute Achilles Tendon Rupture, Nonoperative Treatment, Open Repair, and Minimally Invasive Surgery Did Not Differ for Health Status at 12 Months.
Maffulli, Nicola MD, MS, PhD, FRCP, FRCS(Orth) 1
doi : 10.2106/JBJS.22.00965
In Femoroacetabular Impingement Syndrome, Hip Arthroscopy Was Not Cost-Effective Compared with Personalized Hip Therapy at 1 Year.
Nwachukwu, Benedict U. MD, MBA 1
doi : 10.2106/JBJS.22.00964
In Symptomatic Irreparable Rotator Cuff Tears, Adding a Subacromial Balloon Spacer to Debridement Resulted in Worse Shoulder Pain and Function at 12 Months.
Frankle, Mark A. MD 1
doi : 10.2106/JBJS.22.00966
What's Important: Landscapes of North Carolina: Arts & Humanities.
Shields, John S. MD, FAAOS 1,a
doi : 10.2106/JBJS.22.00215
Organizing Orthopaedic Societies in New York City in the 1880s: The New York Orthopaedic Society, the New York Academy of Medicine Section of Orthopaedic Surgery, and the American Orthopaedic Association.
Ticker, Jonathan B. MD 1,a
doi : 10.2106/JBJS.22.00230
Early-Career Sports Medicine Surgeons Perform a Large Volume of Non-Sports Medicine Procedures: American Board of Orthopaedic Surgery (ABOS) Part-II Data Regarding Orthopaedic Surgeons Specializing in Sports Medicine.
Inclan, Paul M. MD 1; Wright, Rick W. MD 2; Smith, Matthew V. MD, MSc 1; Brophy, Robert H. MD 1,a
doi : 10.2106/JBJS.21.01129
The purpose of this study was to utilize the American Board of Orthopaedic Surgery (ABOS) Part-II Case List database to (1) define the practice patterns of sports medicine-trained ABOS Part- II Oral Examination Candidates and (2) describe the frequency and practice patterns of individuals who are dual fellowship-trained sports medicine candidates.
If Socioeconomic Stress Is a Relevant Factor in Fracture-Healing Outcomes, Should It Also Merit Intervention?: Commentary on an article by Zachery Hong, MPHS, et al.: "The Effect of Social Deprivation on Fracture-Healing and Patient-Reported Outcomes Following Intramedullary Nailing of Tibial Shaft Fractures".
Rodriguez, Edward K. MD, PhD 1,a
doi : 10.2106/JBJS.22.01001
Mehta Casting for Early-Onset Scoliosis: Early and Often Work Best, but May Sometimes Be Overtreatment: Commentary on an article by Graham T. Fedorak, MD, et al.: "Age-Stratified Outcomes of Mehta Casting in Idiopathic Early-Onset Scoliosis. A Multicenter Review".
Flynn, John M. MD 1,2,a
doi : 10.2106/JBJS.22.01010
