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JBJS Open Access: 5-Year Update
Lee, Eng H. MD, FRCSC; Co-Editor, JBJS Open Access; Richards, Robin R. MD, FRCSC; Co-Editor, JBJS Open Access; Swiontkowski, Marc F. MD; Editor-in-Chief
doi : 10.2106/JBJS.21.00554
July 7, 2021 - Volume 103 - Issue 13 - p 1157-1158
What’s New in Orthopaedic Trauma
Nguyen, Mai P. MD1; Vallier, Heather A. MD2,a
doi : 10.2106/JBJS.21.00292
July 7, 2021 - Volume 103 - Issue 13 - p 1159-1165
Changes in 24-Hour Physical Activity Patterns and Walking Gait Biomechanics After Primary Total Hip Arthroplasty
Bahl, Jasvir S. BAppSc, PhD1,2,a; Millar, Stuart C. BAppSc, PhD1,2; Fraysse, François BEng(Mech), PhD2; Arnold, John B. BPod, PhD2; Taylor, Mark BEng(Hons), PhD3; Callary, Stuart BAppSc, PhD1,4; Solomon, Lucian B. MD, PhD, FRACS1,4,*; Thewlis, Dominic BSc, PhD1,*
doi : 10.2106/JBJS.20.01679
July 7, 2021 - Volume 103 - Issue 13 - p 1166-1174
Despite marked improvements in self-reported pain, perceived functional ability, and gait function following primary total hip arthroplasty (THA), it remains unclear whether these improvements translate into improved physical activity and sleep behaviors. The aim of this study was to determine the change in 24-hour activity profile (waking activities and sleep) and laboratory-based gait function from preoperatively to 2 years following the THA.
Cost-Utility Analysis of the Ontario Fracture Screening and Prevention Program
Saunders, Hailey MSc1,a; Sujic, Rebeka MSc2; Bogoch, Earl R. MD, MSc, FRCSC3,4; Jain, Ravi CHE, MHSc, MA5; Jinah, Ashna MSc1; Elliot-Gibson, Victoria MSc4; Mendlowitz, Andrew B. MBiotech6,7; Linton, Denise BSc(Hons)2; Inrig, Taucha MDiv2; Isaranuwatchai, Wanrudee PhD1,6; Sale, Joanna E.M. PhD2,6
doi : 10.2106/JBJS.20.00795
July 7, 2021 - Volume 103 - Issue 13 - p 1175-1183
The Fracture Screening and Prevention Program (FSPP), a fracture liaison service (FLS), was implemented in the province of Ontario, Canada, in 2007 to prevent recurrent fragility fractures and to improve post-fracture care. The objective of this analysis was to determine the cost-effectiveness of the current model of the FSPP compared with usual care (no program) from the perspective of the universal public health-care payer (Ontario Ministry of Health and Long-Term Care [MOHLTC]), over the lifetime of older adults who presented with a fragility fracture of the proximal part of the femur, the proximal part of the humerus, or the distal part of the radius and were not taking medications to prevent or slow bone loss and reduce the risk of fracture (bone active medications).
Minimally Invasive Stabilization with or without Ablation for Metastatic Periacetabular Tumors
English, D. Ian MD, MA1,a; Lea, William B. MD2,b; King, David M. MD2,c; Tutton, Sean M. MD, FSIR2,d; Neilson, John C. MD2,e
doi : 10.2106/JBJS.20.00546
July 7, 2021 - Volume 103 - Issue 13 - p 1184-1192
Metastatic bone disease in the periacetabular region represents a potentially devastating problem for patients. Surgical treatment can offer pain relief and restore function. We describe a series of patients treated with minimally invasive osteoplasty and screw fixation with or without ablation.
Minimally Invasive Necrotic Bone Washing Improves Bone Healing After Femoral Head Ischemic Osteonecrosis
Kim, Harry K.W. MD1,2,a; Park, Min Sung PhD1; Alves do Monte, Felipe MD, PhD1; Gokani, Vishal BS1; Aruwajoye, Olumide O. PhD1; Ren, Yinshi PhD1,2
doi : 10.2106/JBJS.20.00578
July 7, 2021 - Volume 103 - Issue 13 - p 1193-1202
Ischemic osteonecrosis of the femoral head produces necrotic cell debris and inflammatory molecules in the marrow space, which elicit a chronic inflammatory repair response. The purpose of this study was to determine the effects of flushing out the necrotic cell debris and inflammatory proteins on bone repair in a piglet model of ischemic osteonecrosis.
Third-Generation Minimally Invasive Chevron and Akin Osteotomies (MICA) in Hallux Valgus Surgery
Lewis, Thomas L. MBChB(Hons), BSc(Hons), MRCS1; Ray, Robbie MBChB, ChM(T&O), FRCSEd(T&O), FEBOT1; Miller, George BSc, MBBS2; Gordon, David J. MBChB, MRCS, MD, FRCS(T&O)3,a
doi : 10.2106/JBJS.20.01178
July 7, 2021 - Volume 103 - Issue 13 - p 1203-1211
There is interest in hallux valgus deformity correction using internal fixation with the minimally invasive chevron and Akin osteotomies (MICA) technique. The objective of this study was to assess the correction measured on postoperative radiographs and clinical outcomes, using validated outcome measures, at 2 years following third-generation MICA.
Inflation-Adjusted Medicare Reimbursement for Revision Hip Arthroplasty
Acu?a, Alexander J. BS1; Jella, Tarun K. MPH1; Samuel, Linsen T. MD, MBA1; Schwarzkopf, Ran MD, MSc2; Fehring, Thomas K. MD3; Kamath, Atul F. MD1,a
doi : 10.2106/JBJS.20.01643
July 7, 2021 - Volume 103 - Issue 13 - p 1212-1219
Investigations into reimbursement trends for primary and revision arthroplasty procedures have demonstrated a steady decline over the past several years. Revision total hip arthroplasty (rTHA) due to infection (rTHA-I) has been associated with higher resource utilization and complexity, but long-term inflation-adjusted data have yet to be compared between rTHA-I and rTHA due to aseptic complications (rTHA-A). The present study was performed to analyze temporal reimbursement trends regarding rTHA-I procedures compared with those for rTHA-A procedures.
Biconvex Patellar Components
Hines, Jeremy T. MD1; Lewallen, David G. MD1; Perry, Kevin I. MD1; Taunton, Michael J. MD1; Pagnano, Mark W. MD1; Abdel, Matthew P. MD1,a
doi : 10.2106/JBJS.20.01064
July 7, 2021 - Volume 103 - Issue 13 - p 1220-1228
The optimal strategy to address osseous deficiencies of the patella during revision total knee arthroplasty (TKA) remains controversial. One possible solution is a cemented biconvex patellar component used such that the non-articular convexity both improves fixation and makes up for bone loss. The aim of this study was to determine the outcomes of the use of biconvex patellar components in a large series of revision TKAs.
Children with Primary Septic Arthritis Have a Markedly Lower Risk of Adverse Outcomes Than Those with Contiguous Osteomyelitis
Hamilton, Elizabeth C. PA(C)1; Villani, Mary C. MD1; Klosterman, Mary M. BS1; Jo, Chanhee PhD2; Liu, Jie PhD2; Copley, Lawson A.B. MD, MBA, FAAOS1,2,3,a
doi : 10.2106/JBJS.20.01685
July 7, 2021 - Volume 103 - Issue 13 - p 1229-1237
It is widely believed that septic arthritis poses a risk of joint destruction and long-term adverse outcomes for children if not treated emergently. In the present study, children who had primary confirmed septic arthritis were compared with those who had septic arthritis and adjacent osteomyelitis to evaluate differences that affect the relative risk of adverse outcomes.
Fracture Risk Assessment
Cozadd, Andrew J. PA-C1; Schroder, Lisa K. BSME, MBA2,3; Switzer, Julie A. MD2,3,a
doi : 10.2106/JBJS.20.01071
July 7, 2021 - Volume 103 - Issue 13 - p 1238-1246
Our ability to accurately identify high fracture risk in individuals has improved as the volume of clinical data has expanded and fracture risk assessment tools have been developed.
What’s Important: Diversity Mentoring and Advocacy in Orthopaedics
Gunther, Stephen B. MD1,a; Bervell, Joel A. MS2
doi : 10.2106/JBJS.20.01748
July 7, 2021 - Volume 103 - Issue 13 - p 1247-1248
Patient and Public Involvement Within Orthopaedic Research
Owyang, Dean BSc, MBBCh, BAO1,*; Bakhsh, Ali BMBS, BSc, PGDip1,*; Brewer, David BA, MA1; Boughton, Oliver R. MBBS, MRCS, PhD1,a; Cobb, Justin P. MBChB, MCh1
doi : 10.2106/JBJS.20.01573
July 7, 2021 - Volume 103 - Issue 13 - p e51
We performed a systematic review of patient and public involvement in randomized controlled trials (RCTs) in the field of orthopaedic surgery. We assessed the prevalence, extent, and quality of patient and public involvement (PPI) in current academic orthopaedic practice.
Another “Tool in the Toolbox” to Treat Metastatic Bone Disease of the Acetabulum and Pelvis
Ghert, Michelle MD, FRCSC1,a
doi : 10.2106/JBJS.21.00226
July 7, 2021 - Volume 103 - Issue 13 - p e52
Commentary on an article by Elizabeth C. Hamilton, PA(C), et al.: “Children with Primary Septic Arthritis Have a Markedly Lower Risk of Adverse Outcomes Than Those with Contiguous Osteomyelitis”
Lovejoy, John F. III MD, FAAOS1
doi : 10.2106/JBJS.21.00294
July 7, 2021 - Volume 103 - Issue 13 - p e53
