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What’s New in Musculoskeletal Infection
Fehring, Thomas K. MD1,2,a; Fehring, Keith A. MD1; Hewlett, Angela MD, MS3; Higuera, Carlos A. MD4; Otero, Jesse E. MD, PhD1,2; Tande, Aaron J. MD5
doi : 10.2106/JBJS.21.00311
July 21, 2021 - Volume 103 - Issue 14 - p 1251-1258
Identification of a Novel Genetic Marker for Risk of Degenerative Rotator Cuff Disease Surgery in the UK Biobank
Yanik, Elizabeth L. PhD, ScM1,a; Keener, Jay D. MD1; Lin, Shiow J. MS1; Colditz, Graham A. DrPH, MD1; Wright, Rick W. MD1; Evanoff, Bradley A. MD, MPH1; Jain, Nitin B. MD, MSPH2; Saccone, Nancy L. PhD1
doi : 10.2106/JBJS.20.01474
July 21, 2021 - Volume 103 - Issue 14 - p 1259-1267
While evidence indicates that familial predisposition influences the risk of developing degenerative rotator cuff disease (RCD), knowledge of specific genetic markers is limited. We conducted a genome-wide association study of RCD surgery using the UK Biobank, a prospective cohort of 500,000 people (40 to 69 years of age at enrollment) with genotype data.
Surgical Reconstruction of Isolated Upper Trunk Brachial Plexus Birth Injuries in the Presence of an Avulsed C5 or C6 Nerve Root
Davidge, Kristen M. MD, MSc1; Ho, Emily S. MEd, PhD1; Curtis, Christine G. MSc2; Clarke, Howard M. MD, PhD1,a
doi : 10.2106/JBJS.20.01379
July 21, 2021 - Volume 103 - Issue 14 - p 1268-1275
Avulsion of either the C5 or C6 root with intact middle and lower trunks in brachial plexus birth injury is rare. In these cases, only 1 proximal root is available for intraplexal reconstruction. The purpose of the present study was to determine the outcomes of these patients when single-root reconstruction was balanced across the anterior and posterior elements of the upper trunk.
Surgical Treatment of Solitary Periarticular Osteochondromas About the Knee in Pediatric and Adolescent Patients
Wu, Mark MD1; Zheng, Evan T. BA2; Anderson, Megan E. MD2,3; Miller, Patricia E. MS3; Spencer, Samantha A. MD2,3; Heyworth, Benton E. MD2,3,4,a
doi : 10.2106/JBJS.20.00998
July 21, 2021 - Volume 103 - Issue 14 - p 1276-1283
Solitary osteochondromas, or osteocartilaginous exostoses (OCEs), represent the most common benign bone tumor. Despite frequently causing symptoms about the knee in younger populations, there is minimal previous literature investigating surgical treatment.
Diagnosing Systemic Amyloidosis Presenting as Carpal Tunnel Syndrome
Sood, Ravi F. MD, MS1,a; Kamenko, Srdjan MD2; McCreary, Eleanor BS3; Sather, Bergen K. BS3; Schmitt, Michael MD2; Peterson, Steven L. MD4; Lipira, Angelo B. MD, MA2,4
doi : 10.2106/JBJS.20.02093
July 21, 2021 - Volume 103 - Issue 14 - p 1284-1294
As carpal tunnel syndrome often precedes other signs of systemic amyloidosis, tenosynovial biopsy at the time of carpal tunnel release may facilitate early diagnosis and treatment. However, evidence-based guidelines for amyloidosis screening during carpal tunnel release have not been established. We sought to develop a predictive model for amyloidosis after carpal tunnel release to inform screening efforts.
Shockwave Therapy Plus Eccentric Exercises Versus Isolated Eccentric Exercises for Achilles Insertional Tendinopathy
Mansur, Nacime Salom?o Barbachan MD, PhD1,a; Matsunaga, Fabio Teruo MD, PhD1; Carrazzone, Oreste Lemos MD, PhD1; Schiefer dos Santos, Bruno MD1; Nunes, Carlos Gilberto1; Aoyama, Bruno Takeshi1; Dias dos Santos, Paulo Roberto MD, PhD1; Faloppa, Fl?vio MD, PhD1; Tamaoki, Marcel Jun Sugawara MD, PhD1
doi : 10.2106/JBJS.20.01826
July 21, 2021 - Volume 103 - Issue 14 - p 1295-1302
There remains a lack of consensus regarding the treatment of Achilles insertional tendinopathy. The condition is typically treated with eccentric exercises despite the absence of satisfactory and sustained results. Shockwave therapy was presented as an alternative, but there is a paucity of literature, with good outcomes, supporting its use. The purpose of the present single-center, double-blinded, placebo-controlled, randomized trial was to determine if the use of shockwave therapy in combination with eccentric exercises improves pain and function in patients with Achilles insertional tendinopathy.
Results of the First U.S. FDA-Approved Hip Resurfacing Device at 10-Year Follow-up
Su, Edwin P. MD1; Ho, Henry MS2; Bhal, Vinay PhD3; Housman, Lawrence R. MD4; Masonis, John L. MD5; Noble, John W. Jr. MD6; Hopper, Robert H. Jr. PhD2,a; Engh, C. Anderson Jr. MD7
doi : 10.2106/JBJS.20.01886
July 21, 2021 - Volume 103 - Issue 14 - p 1303-1311
The BIRMINGHAM HIP Resurfacing (BHR) system is a metal-on-metal hip implant system approved by the U.S. Food and Drug Administration in 2006. The approval required a multicenter, prospective, post-market-approval study. Our purpose is to report the current results at 10 years of follow-up.
Periprosthetic Joint Infection Is Associated with an Increased Risk of Venous Thromboembolism Following Revision Total Knee Replacement
Bass, Anne R. MD1,2,a; Zhang, Yi MS1; Mehta, Bella MBBS, MS1,2; Do, Huong T. MA1; Russell, Linda A. MD1,2; Sculco, Peter K. MD1,2; Goodman, Susan M. MD1,2
doi : 10.2106/JBJS.20.01486
July 21, 2021 - Volume 103 - Issue 14 - p 1312-1318
Little is known about the relationship between infection and the risk of risk of venous thromboembolism (VTE) following orthopaedic surgery. We assessed the 90-day risk of VTE following revision total knee replacement to measure the association between periprosthetic joint infection and the risk of postoperative VTE.
Body Mass Index Differentially Moderates Heritability of Total Joint Replacement Due to Hip and Knee Osteoarthritis
Hailer, Nils P. MD1; Kuja-Halkola, Ralf PhD2; Brüggemann, Anders MD, PhD1,a; Pedersen, Nancy L. PhD2; Michaëlsson, Karl MD, PhD1
doi : 10.2106/JBJS.20.00946
July 21, 2021 - Volume 103 - Issue 14 - p 1319-1327
Osteoarthritis and obesity are diseases with high prevalence, and they share common etiologies. We investigated the sex-specific genetic susceptibility to hip and knee osteoarthritis necessitating total joint replacement (TJR), and how body mass index (BMI) moderated the heritability of these osteoarthritis phenotypes.
Heterotopic Ossification Following Arthroplasty for Femoral Neck Fracture
Comeau-Gauthier, Marianne MD, MSc1; Zura, Robert D. MD2,a; Bzovsky, Sofia MSc1; Schemitsch, Emil H. MD, FRCSC3; Axelrod, Daniel MD1; Avram, Victoria MD, FRCSC1; Manjoo, Ajay MD1; Poolman, Rudolf W. MD, PhD4; Frihagen, Frede MD, PhD, FRCSC5,6; Heels-Ansdell, Diane MSc7; Bhandari, Mohit MD, PhD, FRCSC1,7; Sprague, Sheila PhD1,7; the HEALTH Investigators
doi : 10.2106/JBJS.20.01586
July 21, 2021 - Volume 103 - Issue 14 - p 1328-1334
Heterotopic ossification (HO) is a frequent complication following hip surgery. Using data from the Hip Fracture Evaluation with Alternatives of Total Hip Arthroplasty versus Hemiarthroplasty (HEALTH) trial, we aimed to (1) determine the prevalence of HO following total hip arthroplasty (THA) for femoral neck fracture in patients ?50 years of age, (2) identify whether HO is associated with an increased risk of revision surgery within 24 months after the fracture, and (3) determine the impact of HO on functional outcomes.
Temporal Trends in Revision Total Hip and Knee Arthroplasty from 2008 to 2018
Siddiqi, Ahmed DO, MBA1,2,a; Warren, Jared A. DO, ATC, CSCS3,b; Manrique-Succar, Jorge MD4,c; Molloy, Robert M. MD3,d; Barsoum, Wael K. MD4,e; Piuzzi, Nicolas S. MD3,f
doi : 10.2106/JBJS.20.01184
July 21, 2021 - Volume 103 - Issue 14 - p 1335-1354
An overall assessment of how patient demographic characteristics and comorbidities are improving or worsening can allow better understanding of the value of revision total joint arthroplasty (TJA). Therefore, the purpose of this study was to identify patient demographic characteristics and comorbidities trends and episode-of-care outcome trends from 2008 to 2018 in patients undergoing revision TJA.
Total Hip Replacements in Patients with Rare Pathologic Conditions Affecting Bone
Total Hip Replacements in Patients with Rare Pathologic Conditions Affecting Bone
doi : 10.2106/JBJS.20.01398
July 21, 2021 - Volume 103 - Issue 14 - p 1355-1362
As a result of the advances in surgical technique and implant design, total hip arthroplasty (THA) is increasingly offered for the management of osteoarthritis of the hip in patients with fragile or pathologic bone.
What’s Important: A Resilience Found in Running
Atadja, Louise A. BA1,a
doi : 10.2106/JBJS.20.02179
July 21, 2021 - Volume 103 - Issue 14 - p 1363-1364
Why Orthopaedic Residents Must Be Exposed to and Taught Value-Based Care
Murrey, Daniel B. MD, MPP1,a; Bosco, Joseph A. III MD2,b; Jevsevar, David S. MD, MBA3,c; Koenig, Karl MD, MS4,d
doi : 10.2106/JBJS.20.01982
July 21, 2021 - Volume 103 - Issue 14 - p e54
The shift to value-based care is changing the practice of medicine. In order to prepare our orthopaedic trainees to survive in a value-based health-care environment, we must expose them to and educate them about value-based programs. This creates both challenges and opportunities for training programs. Academic medical centers (AMCs) will need to carefully consider how to adopt value-based programs and agreements, and assess whether they need alternative facilities, partnerships, or processes in order to be successful. Process improvement principles to adapt physician behavior, the introduction of outcome metrics into the surgical decision-making process, and the development of team-based care can greatly enhance the likelihood of success. AMCs should embrace these challenges to ensure that their residents are well-prepared for the future.
Toward a Genetic Crystal Ball for Patients with Rotator Cuff Disease
van Wijnen, Andre J. PhD1,a; Abdel, Matthew P. MD1,b
doi : 10.2106/JBJS.21.00434
July 21, 2021 - Volume 103 - Issue 14 - p e55
Considering the Use of Metal-on-Metal Hip Resurfacing in Young Male Patients
Brown, Timothy S. MD1,a
doi : 10.2106/JBJS.21.00515
July 21, 2021 - Volume 103 - Issue 14 - p e56
