2,109 results match your criteria Acta Orthopaedica [Journal]


Challenges and adaptations in training during pandemic COVID-19: observations by an orthopedic resident in Singapore.

Acta Orthop 2020 Jul 3:1-5. Epub 2020 Jul 3.

Department of Orthopaedic Surgery, Changi General Hospital, Singapore.

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http://dx.doi.org/10.1080/17453674.2020.1786641DOI Listing

Does cup position differ between trabecular metal and titanium cups? A radiographic propensity score matched study of 300 hips.

Acta Orthop 2020 Jul 3:1-5. Epub 2020 Jul 3.

Swedish Hip Arthroplasty Register, Department of Orthopaedics, Institute of Surgical Sciences, Sahlgrenska University Hospital, Gothenburg, Sweden.

Background and purpose - The use of trabecular metal cups in primary total hip arthroplasty (THA) is increasing, despite the survival of Continuum cups being slightly inferior compared with other uncemented cups in registries. This difference is mainly explained by a higher rate of dislocation revisions. Cup malpositioning is a risk factor for dislocation and, being made of a highly porous material, Continuum cups might be more difficult to position. Read More

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http://dx.doi.org/10.1080/17453674.2020.1788290DOI Listing

New 3-dimensional implant application as an alternative to allograft in limb salvage surgery: a technical note on 10 cases.

Acta Orthop 2020 Jul 3:1-3. Epub 2020 Jul 3.

Orthopaedic Oncology Clinic, National Cancer Center, Korea.

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http://dx.doi.org/10.1080/17453674.2020.1788698DOI Listing

The personal and professional impact of COVID-19 on orthopedic surgery trainees: reflections from an incoming intern, current intern, and chief resident.

Acta Orthop 2020 Jul 3:1-4. Epub 2020 Jul 3.

Harvard Combined Orthopaedic Residency Program, Massachusetts General Hospital, Boston, USA.

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http://dx.doi.org/10.1080/17453674.2020.1789310DOI Listing

Pulmonary function in patients with spinal deformity: have we been ignorant?

Acta Orthop 2020 Jul 3:1-3. Epub 2020 Jul 3.

Department of Orthopedics, Radboud University Medical Center, Nijmegen, The Netherlands.

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http://dx.doi.org/10.1080/17453674.2020.1786267DOI Listing

Electromagnetic navigation system for acetabular component placement in total hip arthroplasty is more precise and accurate than the freehand technique: a randomized, controlled trial with 84 patients.

Acta Orthop 2020 Jul 1:1-7. Epub 2020 Jul 1.

Valdoltra Orthopaedic Hospital, Ankaran.

Background and purpose - The accuracy of conventional navigation systems depends on precise registration of bony landmarks. We investigated the clinical use of electromagnetic navigation (EMN), with a unique device for precise determination of the anterior pelvic plane.Patients and methods - We randomly allocated patients scheduled for total hip arthroplasty into 2 groups of 42 patients each. Read More

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http://dx.doi.org/10.1080/17453674.2020.1783073DOI Listing

Time trends in pediatric fractures in a Swedish city from 1950 to 2016.

Acta Orthop 2020 Jun 26:1-10. Epub 2020 Jun 26.

Clinical and Molecular Osteoporosis Research Unit, Department of Clinical Sciences and Orthopedics, Lund University, Skåne University Hospital, Malmö, Sweden.

Background and purpose - As previous studies indicate time trends in pediatric fracture incidence, we followed the incidence in a Swedish city between 1950 and 2016.Patients and methods - Malmö city, Sweden had 322,574 inhabitants in 2015. We used diagnosis registry, charts, and radiographs of the only city hospital to classify fractures in individuals < 16 years in 2014-2016, and compared these with data from 1950-2006. Read More

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http://dx.doi.org/10.1080/17453674.2020.1783484DOI Listing

Impact of the COVID-19 pandemic on orthopedic trauma workload in a London level 1 trauma center: the "golden month".

Acta Orthop 2020 Jun 23:1-6. Epub 2020 Jun 23.

Imperial College Healthcare NHS Trust & North West London Major Trauma Centre, London, UK.

Background and purpose - The COVID-19 pandemic has been recognized as an unprecedented global health crisis. This is the first observational study to evaluate its impact on the orthopedic workload in a London level 1 trauma center (i.e. Read More

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http://dx.doi.org/10.1080/17453674.2020.1783621DOI Listing

Simulation-based skills training in non-performing orthopedic surgeons: skills acquisition, motivation, and flow during the COVID-19 pandemic.

Acta Orthop 2020 Jun 23:1-5. Epub 2020 Jun 23.

Department of Clinical Science, Intervention and Technology (CLINTEC), Division of Orthopedics and Biotechnology, Karolinska Institutet, Stockholm, Sweden, and Center for Advanced Medical Simulation and Training (CAMST), Karolinska University Hospital, Stockholm.

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http://dx.doi.org/10.1080/17453674.2020.1781413DOI Listing

Physical child abuse demands increased awareness during health and socioeconomic crises like COVID-19.

Acta Orthop 2020 Jun 23:1-7. Epub 2020 Jun 23.

Department of Orthopaedics, Aarhus University Hospital.

Background and purpose - Physical abuse of children, i.e., nonaccidental injury (NAI) including abusive head trauma (AHT) is experienced by up to 20% of children; however, only 0. Read More

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http://dx.doi.org/10.1080/17453674.2020.1782012DOI Listing

Does a surgical helmet provide protection against aerosol transmitted disease?

Acta Orthop 2020 Jun 23:1-5. Epub 2020 Jun 23.

Department of Orthopaedics, Institute of Clinical Sciences Sahlgrenska Academy, University of Gothenburg, Sweden.

Background and purpose - The COVID-19 pandemic caused by infection with SARS-CoV-2 has led to a global shortage of personal protective equipment (PPE). Various alternatives to ordinary PPE have been suggested to reduce transmission, which is primarily through droplets and aerosols. For many years orthopedic surgeons have been using surgical helmets as personal protection against blood-borne pathogens during arthroplasty surgery. Read More

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http://dx.doi.org/10.1080/17453674.2020.1771525DOI Listing

Study protocol: The DUALITY trial-a register-based, randomized controlled trial to investigate dual mobility cups in hip fracture patients.

Acta Orthop 2020 Jun 22:1-8. Epub 2020 Jun 22.

Department of Surgical Sciences, Orthopaedics, Uppsala University.

Background and purpose - Physically and mentally fit patients with a displaced femoral neck fracture (FNF) are mostly treated with total hip arthroplasty (THA). Dislocation is a severe and frequent complication in this group, and dual mobility cups (DMC) were developed to reduce the risk of dislocation after THA. The DUALITY trial investigates whether the use of DMC in FNF patients treated with a THA reduces the risk of dislocation. Read More

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http://dx.doi.org/10.1080/17453674.2020.1780059DOI Listing

Predicting the mechanical hip-knee-ankle angle accurately from standard knee radiographs: a cross-validation experiment in 100 patients.

Acta Orthop 2020 Jun 22:1-6. Epub 2020 Jun 22.

Department of Orthopedic Surgery, UMC Utrecht, Utrecht, The Netherlands.

Background and purpose - Being able to predict the hip-knee-ankle angle (HKAA) from standard knee radiographs allows studies on malalignment in cohorts lacking full-limb radiography. We aimed to develop an automated image analysis pipeline to measure the femoro-tibial angle (FTA) from standard knee radiographs and test various FTA definitions to predict the HKAA.Patients and methods - We included 110 pairs of standard knee and full-limb radiographs. Read More

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http://dx.doi.org/10.1080/17453674.2020.1779516DOI Listing

HipSim - hip fracture surgery simulation utilizing the Learning Curve-Cumulative Summation test (LC-CUSUM).

Acta Orthop 2020 Jun 15:1-6. Epub 2020 Jun 15.

Corporate HR, MidtSim, Central Denmark Region.

Background and purpose - Virtual reality simulation of hip fracture surgery is available for orthopedic residents nationwide in Denmark. Summative assessment of learning applying the learning curve cumulative summation test (LC-CUSUM) has not been utilized in orthopedic simulation training. The strength of the LC-CUSUM is that it assumes incompetency and signals competency based on solid statistics. Read More

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http://dx.doi.org/10.1080/17453674.2020.1777511DOI Listing

Orthopedic surgery residents' perception of online education in their programs during the COVID-19 pandemic: should it be maintained after the crisis?

Acta Orthop 2020 Jun 15:1-4. Epub 2020 Jun 15.

Universidad de Chile, Santiago, Chile.

Background and purpose - During the COVID-19 pandemic, most of the teaching centers in Chile have shifted to online resources. We decided to do a survey on orthopedic residents regarding this type of education to assess for strengths and weaknesses of digital education in orthopedic programs.Methods - A survey was performed targeting 110 orthopedic residents belonging to different training programs around the country. Read More

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http://dx.doi.org/10.1080/17453674.2020.1776461DOI Listing

Combined massive allograft and intramedullary vascularized fibula transfer: the Capanna technique for treatment of congenital pseudarthrosis of the tibia.

Acta Orthop 2020 Jun 8:1-6. Epub 2020 Jun 8.

University Medical Center Utrecht, The Netherlands.

Background and purpose - Congenital pseudarthrosis of the tibia (CPT) is caused by local periosteal disease that can lead to bowing, fracturing, and pseudarthrosis. Current most successful treatment methods are segmental bone transport and vascularized and non-vascularized bone grafting. These methods are commonly hampered by discomfort, reoperations, and long-term complications. Read More

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http://dx.doi.org/10.1080/17453674.2020.1773670DOI Listing

A small number of surgeons outside the control-limit: an observational study based on 9,482 cases and 208 surgeons performing primary total hip arthroplasties in western Sweden.

Acta Orthop 2020 Jun 8:1-6. Epub 2020 Jun 8.

Department of Orthopaedics, Institute of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg.

Background and purpose - Feedback programs relating to surgeon levels have been introduced in some orthopedic quality registers around the globe. The aim of an established surgeon feedback program is to help surgeons understand their practice and enable an analysis of their own results. There is no surgeon feedback program in Sweden in the orthopedic quality registers and there is a fear that a feedback system might pinpoint surgeons as poor performers, partly due to patient case mix. Read More

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http://dx.doi.org/10.1080/17453674.2020.1772584DOI Listing

The COVID-19 pandemic in Singapore: what does it mean for arthroplasty?

Acta Orthop 2020 Jun 8:1-5. Epub 2020 Jun 8.

Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore.

Background and purpose - The ongoing Coronavirus Disease-19 (COVID-19) pandemic has taken a toll on healthcare systems around the world. This has led to guidelines advising against elective procedures, which includes elective arthroplasty. Despite arthroplasty being an elective procedure, some arthroplasties are arguably essential, as pain or functional impairment maybe devastating for patients, especially during this difficult period. Read More

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http://dx.doi.org/10.1080/17453674.2020.1774138DOI Listing

Cognitive training for the prevention of skill decay in temporarily non-performing orthopedic surgeons.

Acta Orthop 2020 Jun 5:1-4. Epub 2020 Jun 5.

Department of Psychiatry, University Medical Center Maribor, Slovenia.

Surgical tasks are prone to skill decay. During unprecedented circumstances, such as an epidemic, personal illness, or injury, orthopedic surgeons may not be performing surgical procedures for an uncertain period of time. While not being able to execute regular surgical tasks or use surgical simulators, skill decay can be prevented with regular mental practice, using a scientifically proven skill acquisition and retaining tool. Read More

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http://dx.doi.org/10.1080/17453674.2020.1771520DOI Listing

The incidence of pelvic fractures and related surgery in the Finnish adult population: a nationwide study of 33,469 patients between 1997 and 2014.

Acta Orthop 2020 Jun 5:1-6. Epub 2020 Jun 5.

School of Medicine, Tampere University, Tampere, Finland.

Background and purpose - Information on the epidemiological trends of pelvic fractures and fracture surgery in the general population is limited. We therefore determined the incidence of pelvic fractures in the Finnish adult population between 1997 and 2014 and assessed the incidence and trends of fracture surgery.Patients and methods - We used data from the Finnish National Discharge Register (NHDR) to calculate the incidence of pelvic fractures and fracture surgery. Read More

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http://dx.doi.org/10.1080/17453674.2020.1771827DOI Listing

Development of the annual incidence rate of fracture in children 1980-2018: a population-based study of 32,375 fractures.

Acta Orthop 2020 Jun 5:1-5. Epub 2020 Jun 5.

Accident Analysis Group, Department of Orthopaedics and Traumatology, Odense University Hospital, Odense.

Background and purpose - Pediatric fractures are a common cause of morbidity. So far, no larger Danish study has described the development in the incidence rates. Therefore, we describe the development in the incidence rates of pediatric fractures in the time period 1980-2018 and the frequency of the most common type of fractures. Read More

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http://dx.doi.org/10.1080/17453674.2020.1772555DOI Listing

Surgical intervention in patients with proximal femoral fractures confirmed positive for COVID-19-a report of 2 cases.

Acta Orthop 2020 Jun 5:1-4. Epub 2020 Jun 5.

Daegu Catholic University Medical Center, Daegu, South Korea.

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http://dx.doi.org/10.1080/17453674.2020.1770420DOI Listing

Patients with hip resurfacing arthroplasty are not physically more active than those with a stemmed total hip.

Acta Orthop 2020 Jun 4:1-5. Epub 2020 Jun 4.

Luxembourg Institute of Health, Human Motion, Orthopedics, Sports Medicine, Digital Methods (HOSD), Luxembourg, Luxembourg.

Background and purpose - Hip resurfacing arthroplasty (HRA) was designed for the highly active patient because of the various theoretical advantages compared with stemmed total hip arthroplasty (THA), but has shown high failure rates. Physical activity (PA) after arthroplasty is frequently determined with the use of questionnaires, which are known for their subjective nature, recall bias, and ceiling effect. These disadvantages are not applicable to physical activity monitoring (AM) using sensors. Read More

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http://dx.doi.org/10.1080/17453674.2020.1771652DOI Listing

A new standard radiographic reference for proximal fibular height in children.

Acta Orthop 2020 May 26:1-6. Epub 2020 May 26.

Children's Orthopedics, Deformity Reconstruction and Foot Surgery, University Hospital of Muenster.

Background and purpose - To date there is a lack of studies defining the anatomical position of the proximal fibula. This is especially relevant when planning surgical interventions affecting the knee joint such as permanent or temporary epiphysiodesis to correct leg length discrepancies or angular deformities in growing patients. The goal of this study is to establish a standardized measurement technique and radiological reference values for the position of the proximal fibula in children. Read More

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http://dx.doi.org/10.1080/17453674.2020.1769378DOI Listing

Implant migration and bone mineral density measured simultaneously by low-dose CT scans: a 2-year study on 17 acetabular revisions with impaction bone grafting.

Acta Orthop 2020 May 26:1-5. Epub 2020 May 26.

Department of Orthopedics Gävle Hospital, Center for Research & Development, Uppsala University/County Council of Gävleborg, Sweden.

Background and purpose - Early postoperative implant migration predicts failure of joint replacements. Bone mineral density reflects bone quality and bone-graft incorporation. Implant migration and bone densitometry analysis usually require special equipment. Read More

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http://dx.doi.org/10.1080/17453674.2020.1769295DOI Listing

Effective radiation dose in radiostereometric analysis of the hip.

Acta Orthop 2020 May 26:1-9. Epub 2020 May 26.

Department of Orthopaedic Surgery, Reinier de Graaf Groep, Delft, The Netherlands.

Background and purpose - Radiostereometric analysis (RSA) is the gold standard to study micromotion of joint replacements. RSA requires the acquisition of additional radiographs increasing the radiation dose of patients included in RSA studies. It is important to keep this dose as low as possible. Read More

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http://dx.doi.org/10.1080/17453674.2020.1767443DOI Listing

Can MRI differentiate between atypical cartilaginous tumors and high-grade chondrosarcoma? A systematic review.

Acta Orthop 2020 May 20:1-8. Epub 2020 May 20.

Department of Orthopedics, Radboud University Medical Center; Nijmegen.

Background and purpose - Adequate staging of chondroid tumors at diagnosis is important as it determines both treatment and outcome. This systematic review provides an overview of MRI criteria used to differentiate between atypical cartilaginous tumors (ACT) and high-grade chondrosarcoma (HGCS).Patients and methods - For this systematic review PubMed and Embase were searched, from inception of the databases to July 12, 2018. Read More

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http://dx.doi.org/10.1080/17453674.2020.1763717DOI Listing

A matched comparison of revision rates of cemented Oxford Unicompartmental Knee Replacements with Single and Twin Peg femoral components, based on data from the National Joint Registry for England, Wales, Northern Ireland and the Isle of Man.

Acta Orthop 2020 Apr 16:1-6. Epub 2020 Apr 16.

Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences University of Oxford, Nuffield Orthopaedic Centre, Oxford, UK;

Background and purpose - Registries report high revision rates after unicompartmental knee replacement (UKR) due, in part, to aseptic loosing. In an attempt to improve Oxford UKR femoral component fixation a new design was introduced with a Twin rather than a Single peg. We used the National Joint Registry (NJR) to compare the 5-year outcomes of the Single and Twin Peg cemented Oxford UKRs. Read More

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http://dx.doi.org/10.1080/17453674.2020.1748288DOI Listing

Virus transmission during orthopedic surgery on patients with COVID-19 - a brief narrative review.

Acta Orthop 2020 May 14:1-4. Epub 2020 May 14.

Department of Orthopedics, St Olavs University Hospital.

Background and purpose - COVID-19 is among the most impactful pandemics that the society has experienced. Orthopedic surgery involves procedures generating droplets and aerosols and there is concern amongst surgeons that otherwise rational precautionary principles are being set aside due to lack of scientific evidence and a shortage of personal protective equipment (PPE). This narrative review attempts to translate relevant knowledge into practical recommendations for healthcare workers involved in orthopedic surgery on patients with known or suspected COVID-19. Read More

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http://dx.doi.org/10.1080/17453674.2020.1764234DOI Listing

Effectiveness of hallux valgus surgery on patient quality of life: a systematic review and meta-analysis.

Acta Orthop 2020 May 14:1-7. Epub 2020 May 14.

Health and Social Research Center, Universidad de Castilla La Mancha, Cuenca, Spain.

Background and purpose - The quality of life (QoL) of patients with hallux valgus (HV) usually improves postoperatively. Evidence regarding the effect of HV surgery on different domains of patient QoL remains inconclusive. This systematic review and meta-analysis estimates the effect of HV surgery on patient QoL through distinguishing effects on physical domains (comprising physical function and body pain domains) using the EuroQol-5D, short form (SF) health survey-12, and SF-36 QoL scales and a visual analogue scale (VAS) score and mental and social domains using QoL scales. Read More

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http://dx.doi.org/10.1080/17453674.2020.1764193DOI Listing

Enhanced Recovery after arthroplasty surgery.

Acta Orthop 2020 Jun 14;91(3):226-227. Epub 2020 May 14.

Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, the Netherlands.

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http://dx.doi.org/10.1080/17453674.2020.1763565DOI Listing

A blueprint for global registries from Norway.

Acta Orthop 2020 Jun 14;91(3):238-239. Epub 2020 May 14.

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http://dx.doi.org/10.1080/17453674.2020.1763604DOI Listing

LIA in arthroplasty - the history of a single-center observational study leading to implementation in general clinical practice.

Authors:
Henrik Kehlet

Acta Orthop 2020 Jun 14;91(3):224-225. Epub 2020 May 14.

Rigshospitalet, Section of Surgical Pathophysiology, Copenhagen, Denmark.

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http://dx.doi.org/10.1080/17453674.2020.1763563DOI Listing

Uncemented science at its best!

Authors:
Anne Lübbeke

Acta Orthop 2020 Jun 14;91(3):228-229. Epub 2020 May 14.

Division of Orthopaedic Surgery and Traumatology, Geneva University Hospitals, Switzerland.

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http://dx.doi.org/10.1080/17453674.2020.1763566DOI Listing

Acta Orthopaedica 90-year anniversary.

Authors:
Anders Rydholm

Acta Orthop 2020 Jun 14;91(3):222-223. Epub 2020 May 14.

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http://dx.doi.org/10.1080/17453674.2020.1763561DOI Listing

Patient satisfaction after total knee replacement-still a challenge.

Authors:
Jan Verhaar

Acta Orthop 2020 Jun 13;91(3):241-242. Epub 2020 May 13.

Department of Orthopaedics and Sports Medicine, Erasmus University Medical Center Rotterdam, the Netherlands.

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http://dx.doi.org/10.1080/17453674.2020.1763581DOI Listing

How registry data can improve outcomes from joint replacement - a seminal paper.

Authors:
Keith Tucker

Acta Orthop 2020 Jun 12;91(3):230-231. Epub 2020 May 12.

Norwich England, Chairman of ODEP and the Beyond Compliance Advisory Group, United Kingdom.

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http://dx.doi.org/10.1080/17453674.2020.1763567DOI Listing

Hip, knee and revision hip replacement - are they as clinically and cost effective as we think?

Authors:
Ashley Blom

Acta Orthop 2020 Jun 12;91(3):240. Epub 2020 May 12.

Head of Bristol Medical School, University of Bristol, UK.

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http://dx.doi.org/10.1080/17453674.2020.1763579DOI Listing

New 3-dimensional implant application as an alternative to allograft in limb salvage surgery: a technical note on 10 cases.

Acta Orthop 2020 May 12:1-8. Epub 2020 May 12.

Department of Orthopaedic Surgery, Seoul National University Hospital, Seoul, Korea.

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http://dx.doi.org/10.1080/17453674.2020.1755543DOI Listing

RSA of the Symax hip stem.

Acta Orthop 2020 May 12:1-3. Epub 2020 May 12.

Department of Orthopaedics, Leiden University Medical Center, Leiden, The Netherlands.

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http://dx.doi.org/10.1080/17453674.2020.1763042DOI Listing
May 2020
2.452 Impact Factor

Reflections on the RSA guidelines.

Authors:
Bart G Pijls

Acta Orthop 2020 Jun 12;91(3):232-233. Epub 2020 May 12.

Department of Orthopaedics, Leiden University Medical Center, Leiden, The Netherlands.

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http://dx.doi.org/10.1080/17453674.2020.1763568DOI Listing

Should length of stay in hospital be the endpoint in arthroplasty?

Authors:
Lars Nordsletten

Acta Orthop 2020 Jun 12;91(3):234-235. Epub 2020 May 12.

Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway.

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http://dx.doi.org/10.1080/17453674.2020.1763570DOI Listing

Understanding fracture populations by epidemiology.

Authors:
Antti P Launonen

Acta Orthop 2020 Jun 12;91(3):236-237. Epub 2020 May 12.

Department of Orthopaedics and Traumatology, Tampere University Hospital, Teiskontie, Tampere, Finland.

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http://dx.doi.org/10.1080/17453674.2020.1763571DOI Listing

No association between waiting time to surgery and mortality for healthier patients with hip fracture: a nationwide Swedish cohort of 59,675 patients.

Acta Orthop 2020 Apr 24:1-6. Epub 2020 Apr 24.

Institution of Clinical Sciences, Intervention and Technology (CLINTEC) Karolinska Institutet, Stockholm.

Background and purpose - Waiting time to surgery for patients with hip fractures and its potential association with mortality has been frequently studied with the hypothesis that longer waiting time is associated with adverse outcomes. However, despite numerous studies, there is no consensus regarding which time frames are appropriate, and whether some patients are more vulnerable to waiting than others. We explored the association between waiting time to surgery and short-term mortality and whether sex, age, surgical method, and comorbidity (ASA) modified this association. Read More

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http://dx.doi.org/10.1080/17453674.2020.1754645DOI Listing

Assessing variability and uncertainty in orthopedic randomized controlled trials.

Acta Orthop 2020 Apr 22:1-6. Epub 2020 Apr 22.

Department of Orthopaedics and Traumatology, Tampere University Hospital, Tampere, Finland.

Background and purpose - Low statistical power remains endemic in clinical medicine including orthopedics and manifests as high uncertainty and wide confidence intervals (CI). We evaluated the reporting and correspondence between power calculation and observed data on key parameters of variability and uncertainty in orthopedic randomized controlled trials (RCTs).Material and methods - RCTs with 1:1 allocation published in 8 major orthopedic journals between 2016 and 2017 with one continuous primary outcome were included in the review. Read More

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http://dx.doi.org/10.1080/17453674.2020.1755932DOI Listing

SwedeAmp-the Swedish Amputation and Prosthetics Registry: 8-year data on 5762 patients with lower limb amputation show sex differences in amputation level and in patient-reported outcome.

Acta Orthop 2020 Apr 22:1-7. Epub 2020 Apr 22.

Centre for Advanced Reconstruction of Extremities and Department for Prosthetics and Orthotics, Sahlgrenska University Hospital, Gothenburg, and Institute of Clinical Sciences, Department of Orthopedics, Sahlgrenska Academy, Gothenburg, Sweden.

Background and purpose - For want of national guidelines for lower limb amputation (LLA) the quality registry SwedeAmp was started in 2011 to increase knowledge around LLA and prosthetic rehabilitation. We now present data from the first 8 years of registration.Patients and methods - We present descriptive data from the first 8 years (2011-2018) of registration. Read More

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http://dx.doi.org/10.1080/17453674.2020.1756101DOI Listing

Patient-acceptable symptom state for the Oxford Hip Score and Forgotten Joint Score at 3 months, 1 year, and 2 years following total hip arthroplasty: a registry-based study of 597 cases.

Acta Orthop 2020 Apr 22:1-6. Epub 2020 Apr 22.

Department of Orthopedic Surgery, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark.

Background and purpose - Patient-acceptable symptom states (PASS) represent the level on a patient-reported outcome measure (PROM) at which patients are satisfied with postoperative outcomes. We defined the PASS for the Oxford Hip Score (OHS) and Forgotten Joint Score (FJS-12) at 3-month, 1-year, and 2-year intervals after primary total hip arthroplasty (THA).Patients and methods - Between July 2018 and April 2019, primary THA patients in an academic medical center's registry completed the OHS, FJS-12, and a satisfaction anchor question at 3-month (n = 230), 1-year (n = 180), or 2-year (n = 187) postoperative intervals. Read More

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http://dx.doi.org/10.1080/17453674.2020.1750877DOI Listing

Increases in the rates of primary and revision knee replacement are reducing: a 15-year registry study across 3 continents.

Acta Orthop 2020 Apr 14:1-6. Epub 2020 Apr 14.

Swedish Knee Arthroplasty Register, Lund, Sweden.

Background and purpose - Rates of knee replacement (KR) are increasing worldwide. Based on population and practice changes, there are forecasts of a further exponential increase in primary knee replacement through to 2030, and a corresponding increase in revision knee replacement. We used registry data to document changes in KR over the past 15 years, comparing practice changes across Sweden, Australia, and the United States. Read More

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http://dx.doi.org/10.1080/17453674.2020.1749380DOI Listing

Fate of patients with slipped capital femoral epiphysis (SCFE) in later life: risk of obesity, hypothyroidism, and death in 2,564 patients with SCFE compared with 25,638 controls.

Authors:
Yasmin D Hailer

Acta Orthop 2020 Apr 14:1-7. Epub 2020 Apr 14.

Section of Orthopedics, Department of Surgical Sciences, Uppsala University, Sweden.

Background and purpose - Associations between obesity and slipped capital femoral epiphysis (SCFE) during adolescence are described; however, few studies report on the lifetime risk of obesity in patients with SCFE. In addition, with the obesity epidemic in children and adolescents, an increasing incidence of SCFE might be expected. An association of SCFE with hypothyroidism seems ambiguous, and the association between SCFE and depression and all-cause mortality has not yet been evaluated. Read More

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http://dx.doi.org/10.1080/17453674.2020.1749810DOI Listing

Complications and re-revisions after revisions of 528 metal-on-metal hips because of adverse reaction to metal debris.

Acta Orthop 2020 Apr 14:1-7. Epub 2020 Apr 14.

Coxa Hospital for Joint Replacement and Faculty of Medicine and Health Technologies, Tampere University, Tampere, Finland.

Background and purpose - There is limited amount of evidence about optimal revision indications, technique, and implants when performing revision surgery for metal-on-metal (MoM) hip replacements due to adverse reaction to metal debris (ARMD). We assessed which factors are related to re-revisions and complications after a revision of MoM hip arthroplasty because of ARMD. We also aimed to provide information on optimal implants for these revisions. Read More

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http://dx.doi.org/10.1080/17453674.2020.1748351DOI Listing