384 results match your criteria Bulletin of the Hospital for Joint Disease 2013[Journal]


Wrist Arthroscopy Scope for the Best and Plan for the Worst.

Bull Hosp Jt Dis (2013) 2020 ;78(1):81-87

Wrist arthroscopy is a useful surgical technique that has been steadily gaining popularity since the 1980s. In addition to being a valuable diagnostic tool, wrist arthroscopy can be used for an expanding array of therapeutic interventions and is an attractive, minimally invasive treatment modality for patients. However, wrist arthroscopy is not without its complications, and a detailed understanding of the relevant anatomy, instrumentation, and methodology is critical for success. Read More

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January 2020

Expanding Indications for Meniscal Repair.

Bull Hosp Jt Dis (2013) 2020 ;78(1):74-80

Meniscus surgery has dramatically changed over the last 20 years. This article reviews the advances and current evidence in meniscus repair. Read More

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January 2020

The Role of the Hindfoot in Total Knee Arthroplasty Alignment.

Bull Hosp Jt Dis (2013) 2020 ;78(1):65-73

Limb alignment is a critically important factor to consider in the management of the patient with knee arthritis. Abnormal alignment is associated with the accelerated progression of osteoarthritis and, if not addressed at the time of surgery, may contribute to early failure of knee replacement implants. The contribution of the hindfoot to overall limb alignment has received limited attention in the context of deformity correction in total knee arthroplasty (TKA). Read More

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January 2020

Bone Tunnel Management in Modern Revision Anterior Cruciate Ligament Reconstruction.

Bull Hosp Jt Dis (2013) 2020 ;78(1):53-64

Bone tunnel-related issues are frequently encountered during revision anterior cruciate ligament reconstruction. Tunnel malposition, widening, and interference pose unique challenges that may complicate surgery and compromise outcomes. Preoperative planning is critical to identify and characterize bone tunnel pathology. Read More

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January 2020

Anterior Cruciate Ligament Ruptures in the Skeletally Immature Current State of the Art.

Bull Hosp Jt Dis (2013) 2020 ;78(1):46-52

Anterior cruciate ligament (ACL) injuries in children and adolescents are increasing every year. This patient population has unique risk factors and treatment considerations depending on specific patient factors and the level of bone maturity. This review summarizes the current data regarding pertinent features of the history and physical exam, indications for nonoperative management, assessment of skeletal maturity, and the surgical management of patients based on their unique physeal considerations. Read More

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January 2020

The Military Medical System and Wartime Injuries to the Spine.

Bull Hosp Jt Dis (2013) 2020 ;78(1):42-45

War has historically been a major catalyst for advancement in military medical care and medicine in general. In our current conflicts, advances in battlefield medicine, evacuation techniques, and personal protective equipment have improved survival rates among members of the armed services. With increased survival, there has been increased prevalence of serious but nonfatal injuries, particularly from blunt and penetrating trauma. Read More

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January 2020

Review of Craniocervical Sagittal Alignment.

Bull Hosp Jt Dis (2013) 2020 ;78(1):33-41

Cervical alignment plays a critical role in the diagnosis and treatment of spinal pathology. There has been a proliferation of novel radiographic parameters to quantify cranial and cervical alignment. These parameters have been placed in clinical context by their correlation with health-related quality of life (HRQOL) scores. Read More

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January 2020

Applying Systems Engineering to Increase Operating Room Efficiency.

Bull Hosp Jt Dis (2013) 2020 ;78(1):26-32

Systems engineering is an interdisciplinary approach to creating, evaluating, and managing a complex process in order to increase reliability, cost-effectiveness, and quality. The operating room is a complex environment that requires human-human interaction, human-device interaction, planning, and coordination of scarce resources for the purpose of providing surgery to patients in a safe and efficient manner. The operating room is an important revenue generator, but it can also be responsible for unsustainable costs if not managed effectively. Read More

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January 2020

Robotic Spine Surgery Where Did We Come From, And Where Are We Headed?

Bull Hosp Jt Dis (2013) 2020 ;78(1):17-25

Robotic spine surgery has a number of potential advantages, including more precise preoperative planning, a high degree of accuracy in pedicle screw placement, and significantly reduced radiation exposure to the surgical team. Despite the potential advantages, many surgeons feel that it is still too early for the widespread adoption of this technology, citing increased cost, increased operating room time, and lack of necessity. Most spine surgeons will agree, however, that robotic technology is still in its infancy and that there will be a significant role for this technology in the future. Read More

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January 2020

The Hip-Spine Relationship Simplified.

Bull Hosp Jt Dis (2013) 2020 ;78(1):12-16

Much attention has recently been focused on the relationship between the hip and spine and its contribution to postoperative instability following total hip arthroplasty. However, the terminology can be confusing. Through an understanding of spinopelvic parameters, spinopelvic motion, and the interplay between the spine and pelvis, the surgeon can plan for and decrease the risk of instability after total hip arthroplasty. Read More

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January 2020

Posterolateral Corner Injury Evolution of Diagnosis and Treatment.

Bull Hosp Jt Dis (2013) 2020 ;78(1):6-11

Injuries to the posterolateral corner of the knee are rare but significant injuries that occur most commonly in the context of a multiligamentous knee injury. The structures of the posterolateral corner serve as a primary restraint to varus and external rotation and as a secondary restraint to posterior translation. Contemporary reconstructive techniques focus on anatomic restoration of function of the posterolateral corner and excellent long-term results have been demonstrated. Read More

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January 2020

A Specialized Orthosis for Suppressing Bony Destruction from Multiple Myeloma and to Enhance Healing of a Pathologic Fracture in an Appendicular Lesion.

Bull Hosp Jt Dis (2013) 2019 Dec;77(4):279-284

Appendicular metastasis from multiple myeloma (MM) frequently presents with a pathologic fracture. In this case report, a patient with a long history of MM and an associated pathologic fracture was treated using a specialized brace. This orthosis uses a deforming element to asymmetrically increase the soft tissue pressure around the pathologic fracture. Read More

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December 2019

Non-Hodgkin Lymphoma with Synovial Involvement of the Knee.

Bull Hosp Jt Dis (2013) 2019 Dec;77(4):275-278

Musculoskeletal involvement occurs in approximately 25% of patients diagnosed with non-Hodgkin lymphoma (NHL). Skeletal involvement is typically secondary, with primary lymphoma of the bone being much rarer. We describe a case in which a 52-year-old man initially presented features suggestive of Lyme arthritis in his left knee. Read More

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December 2019

A Novel Method to Prevent Terminal Appositional Overgrowth Following Pediatric Below Knee Amputations A Case Series and Review of the Literature.

Bull Hosp Jt Dis (2013) 2019 Dec;77(4):269-274

The terminal overgrowth of the tibia following pediatric transtibial amputation is a common problem leading to pain, disability, and repeat surgical procedures. We present three patients who underwent transtibial amputation due to sarcoma of the lower extremity followed by compress osseointegration prosthesis fixation. The minimum follow-up was 1 year. Read More

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December 2019

Improved HCAHPS Scores with a Same Day Discharge Program for Total Hip Arthroplasty.

Bull Hosp Jt Dis (2013) 2019 Dec;77(4):263-268

Background: Total hip arthroplasty is increasingly being performed as a same day procedure. Additionally, greater emphasis is being placed on patient satisfaction surveys such as the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)® Survey. This study aims to assess if patients who undergo THA through a same day discharge program respond with higher HCAHPS scores. Read More

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December 2019

Short-Term Clinical Outcomes of High Tibial Osteotomy with the iBalance HTO System.

Bull Hosp Jt Dis (2013) 2019 Dec;77(4):256-262

Purpose: High tibial osteotomy (HTO) is an invaluable tool in the treatment of a variety of conditions in active patients with varus malalignment of the knee. The polyetheretherketone (PEEK) iBalance HTO system has been designed to make the osteotomy safer, more reproducible, and avoid metal hardware related complications. The purpose of this study was to evaluate short-term outcomes in patients who underwent an open wedge high tibial osteotomy with the iBalance HTO system. Read More

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December 2019

Accuracy of Closed Reduction of Pediatric Supracondylar Humerus Fractures Is Training in Pediatric Orthopedic Surgery Necessary?

Bull Hosp Jt Dis (2013) 2019 12;77(4):250-255

Background: Supracondylar humerus fractures account for two thirds of all hospitalizations for elbow injuries in children. A prevailing assumption exists regarding whether treatment quality varies by surgeon training background. This study compares radiographic outcomes of pediatric supracondylar humerus fractures treated by fellowship trained pediatric orthopedists (PO) and non-pediatric orthopedists (adult traumatologists, AT) with regard specifically to ability to obtain and maintain an operative closed reduction. Read More

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December 2019

Poor Access to Opioid Addiction Care for Total Joint Arthroplasty Patients.

Bull Hosp Jt Dis (2013) 2019 Dec;77(4):244-249

Introduction: The United States is experiencing an opioid epidemic, and orthopedists prescribe a large proportion of these drugs. Patients often become dependent on painkillers and face barriers to treatment. Given that many joint arthroplasty patients are enrolled in Medicare, we aimed to examine the ease of orthopedic patients with various insurance types to access addiction and pain specialists. Read More

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December 2019

Clinical Outcomes of Open Subpectoral Biceps Tenodesis with Cortical Button Fixation.

Bull Hosp Jt Dis (2013) 2019 Dec;77(4):238-243

Background: Open subpectoral biceps tenodesis (OSBT) with cortical button fixation can deliver acceptable results for long head of the biceps (LHB) pathology with the benefit of smaller bone tunnel diameter and a potential reduced risk of postoperative humeral shaft fracture. However, functional outcomes and complications of a button-only technique with a small diameter tunnel in the subpectoral region have not been studied sufficiently.

Purpose: We sought to determine whether OSBT with cortical button fixation results in significant functional improvements from preoperative to final follow-up. Read More

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December 2019

Total Hip Arthroplasty for Secondary Causes of Arthritis An Increase in Time and Money.

Bull Hosp Jt Dis (2013) 2019 Dec;77(4):233-237

Background: Total hip arthroplasty (THA) is a frequently performed, highly successful orthopedic procedure. Although primary osteoarthritis (PA) is the most common reason for (THA), there are several secondary conditions that lead to degenerative hip disease that are successfully treated with THA. The purpose of this study was to examine the incidence of these secondary causes of arthritis (SA) leading to THA and to compare the relative surgical costs, operating times, and hospital length of stay (LOS) for THA done for PA versus SA. Read More

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December 2019

Open Surgical Management of Chronic Exertional Compartment Syndrome of the Leg.

Bull Hosp Jt Dis (2013) 2019 Dec;77(4):230-232

Purpose: The purpose of this study is to present one institution's experience managing chronic exertional compartment syndrome (CECS) and to identify patient and surgical characteristics associated with better outcomes following open surgical management of CECS with specific emphasis on return to sports.

Methods: Fifteen patients (10 male, 5 female) who underwent open fasciotomy for CECS with a minimum of 1-year follow-up were included. Chart review was performed to obtain patient demographics, medical and surgical history, presenting symptomatology, and surgical details of fasciotomy. Read More

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December 2019

Effect of Shoulder Stabilization on Career Length and Performance in National Basketball Association Athletes.

Bull Hosp Jt Dis (2013) 2019 Dec;77(4):223-229

Purpose: Untreated episodes of shoulder instability can have major consequences on athletic careers. Operative shoulder stabilization reduces the rate of recurrent instability and allows for high rates of return to sport (RTS). Basketball players who experience an episode of instability have high rates of recurrence, though little is known about postoperative player performance. Read More

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December 2019

Socioeconomic Status Negatively Affects HCAHPS Scores in Orthopedic Patients The Results of 15,789 Patients at a Single Institution.

Bull Hosp Jt Dis (2013) 2018 Sep;76(3):216-220

Background: The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a nationally reported survey of patients' perspectives of hospital care that is used for hospital comparison and reimbursement. Although the survey attempts to correct for many factors that may affect scoring, socioeconomic factors are not considered in score weighting. The purpose of this study was to analyze the effect of socioeconomic status on HCAHPS scores. Read More

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September 2018

Preliminary Analysis of Factors Associated with Blood Loss in Neuromuscular Scoliosis Surgery.

Bull Hosp Jt Dis (2013) 2018 Sep;76(3):207-215

Study Design: A retrospective review was conducted of 57 consecutive patients (26 female; mean age: 16.6 years) who underwent posterior or combined anterior-posterior spinal fusion for neuromuscular scoliosis (NMS) from 2006 and 2007.

Objectives: We aimed to assess which patient and surgical factors are predictive of increased blood loss and transfusion requirements during spinal fusion for NMS. Read More

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September 2018

Perfusion is Not Measurably Decreased in Idiopathic Clubfoot.

Bull Hosp Jt Dis (2013) 2018 Sep;76(3):203-206

Background: Vascular aberration has been accepted as a potential etiology of clubfoot, and abnormal vasculature has been observed in as high as 85% of children with severe clubfoot. The perfusion index (PI) corresponds to the ratio of pulsatile to nonpulsatile blood flow at a monitoring site and can be used to quantify perfusion of the extremities. The purpose of this study was to use PI to compare the perfusion of clubfeet to controls in order to further assess the role of abnormal vasculature in clubfoot. Read More

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September 2018
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A Prospective Study on the Effect of Corticosteroid Injection Dosage for Hand Disorders in Non-Insulin Dependent Diabetics.

Bull Hosp Jt Dis (2013) 2018 Sep;76(3):198-202

Local administration of corticosteroids is an effective yet potentially dangerous intervention in the treatment of hand disorders in diabetics. Prolonged exposure to hyperglycemia contributes to non-enzymatic glycosylation of various organ systems, which may cause detrimental health effects such as blindness, renal failure, and peripheral neuropathy, contributing to the high cost of health care. The purpose of this study is to determine the effects of corticosteroid dosage on serum glucose levels when used to treat common hand disorders in diabetic patients. Read More

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September 2018
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Musculoskeletal Injuries in Yoga.

Bull Hosp Jt Dis (2013) 2018 Sep;76(3):192-197

While yoga has been widely studied for its benefits to many health conditions, little research has been performed on the nature of musculoskeletal injuries occurring during yoga practice. Yoga is considered to be generally safe, however, injury can occur in nearly any part of the body-especially the neck, shoulders, lumbar spine, hamstrings, and knees. As broad interest in yoga grows, so will the number of patients presenting with yoga-related injuries. Read More

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September 2018

Radiation Exposure Safety Patterns with the Use of Intraoperative Fluoroscopy.

Bull Hosp Jt Dis (2013) 2018 Sep;76(3):183-191

Purpose: To examine current practice patterns in occupational radiation safety by members of the American Society for Surgery of the Hand (ASSH) and to assess if these vary by surgeon demographics and experience.

Methods: An online survey was sent to members of the ASSH and included 18 questions on fluoroscopy practice patterns as well as demographic information, including gender, years of experience, specialty, and geographic region. Multivariate logistic and multinomial regressions were used to determine predictors for fluoroscopy practice patterns while adjusting for these demographic factors. Read More

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September 2018

Biomechanics of the Injured Fibula Following Plate Fixation of a Concomitant Tibia Fracture To Fix or Not to Fix?

Bull Hosp Jt Dis (2013) 2018 Sep;76(3):176-182

Background: The mechanical role of supplemental fibula fixation in both bone lower leg fractures is not well defined. The benefit of fibula plate fixation in this context is controversial. The purpose of this study was to ascertain the mechanical contributions of the fibula under three conditions (intact, fractured, or plated fibula) following standard tibia locked plating. Read More

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September 2018
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Magnetic Resonance Imaging Findings Following Ceramic-on-Ceramic Total Hip Arthroplasty Using Modular Neck Femoral Components.

Bull Hosp Jt Dis (2013) 2018 Sep;76(3):171-175

Background: Adverse reactions to metal debris after total hip arthroplasty are an increasing concern. Metal debris is released from the metal-on-metal articulation itself as well as from the head-neck taper. There is also a risk of corrosion at the neck-stem junction. Read More

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September 2018

Antifibrinolytic Therapy in Surgery for Adolescent Idiopathic Scoliosis Does the Level 1 Evidence Translate to Practice?

Bull Hosp Jt Dis (2013) 2018 Sep;76(3):165-170

Introduction: Previous randomized controlled trials have demonstrated the efficacy of antifibrinolytic agents in the reduction of intraoperative blood loss in adolescent idiopathic scoliosis (AIS) surgery. Tranexamic acid (TXA) was found to be more effective at reducing total blood loss compared with epsilon-aminocaproic acid (AM) than placebo. We set out to study whether or not the level 1 evidence can be corroborated in a large multicenter, multisurgeon cohort. Read More

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September 2018
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Identifying Predictive Factors of Pediatric Septic Arthritis of the Knee in a Lyme Endemic Area.

Bull Hosp Jt Dis (2013) 2018 Sep;76(3):161-164

Background: Septic arthritis of the knee in the pediatric patient is a diagnosis that requires prompt identification and treatment. The purpose of this study was to identify clinical and laboratory parameters that allow differential diagnosis of septic arthritis from non-septic arthritis in children.

Methods: Fifty-four pediatric patients with atraumatic isolated knee pain were retrospectively identified at three institutions and diagnosed with septic arthritis (SA, N = 28), Lyme arthritis (LA, N = 11), or transient synovitis (TS, N = 15). Read More

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September 2018
2 Reads

Transthoracic Ultrasound in the Detection of Interstitial Pulmonary Fibrosis in Patients with Rheumatic Connective Tissue Diseases.

Bull Hosp Jt Dis (2013) 2018 Sep;76(3):156-160

Introduction: Rheumatic connective tissue diseases are commonly complicated with interstitial lung disease that is responsive to anti-inflammatory therapy and generally carries a better prognosis if diagnosed early.

Purpose: The aim of our study was to determine the diagnostic value of lung ultrasound in the detection of interstitial pulmonary fibrosis in patients with rheumatic connective tissue diseases.

Methods: Sixty two subjects with rheumatic connective tissue diseases diagnosed according to the American College of Rheumatology criteria for each disease were enrolled (4 males, 58 females; mean age: 47. Read More

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September 2018

A 2018 Approach to Combating Methotrexate Toxicity Folic Acid and Beyond.

Bull Hosp Jt Dis (2013) 2018 Sep;76(3):151-155

Methotrexate (MTX) is the cornerstone to management across a variety of rheumatic diseases. Effective use and adherence to MTX treatment is dependent on toxicity prevention and management. The major deterrents to patient tolerability and adherence can include GI upset, hepatic transaminase elevation, stomatitis, hair loss, and CNS toxicity. Read More

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September 2018
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Fracture of a Titanium Non-Modular Femoral Stem After Revision Total Hip Arthroplasty A Case Report and Review of the Literature.

Bull Hosp Jt Dis (2013) 2018 Dec;76(4):278-284

Background: Femoral stem fracture is a rare and morbid complication after total hip arthroplasty (THA). There currently exists a paucity of reports regarding cementless non-modular, titanium, femoral stem fractures.

Methods: A case report and review of the literature for modular and non-modular stem fractures was conducted. Read More

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December 2018
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Assessing Resident Perceptions of Electronic Medical Record Utilization What Affects the Quality of Clinical Notes?

Bull Hosp Jt Dis (2013) 2018 Dec;76(4):273-277

Background: Objective review of orthopedic resident medical records revealed significant variation in quality of clinical notes suggesting that the implementation of the electronic medical record (EMR) had altered resident perceptions of the purpose of clinical documentation.

Objective: The purpose of this study was to assess resident perceptions of the purpose and use of the EMR.

Methods: An 84-item survey was developed based on previously validated surveys. Read More

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December 2018

When Can I Trust The Robot? An Algorithm for CT-Based Robotic-Assisted Total Hip Arthroplasty.

Bull Hosp Jt Dis (2013) 2018 Dec;76(4):269-272

Introduction: Robotic-assisted total hip arthroplasty (THA) has been shown to demonstrate a variety of clinical benefits for patients, including reductions in dislocation rates, decreased impingement, and improved implant longevity. However, variability in surgeon experience with robotic systems can lead to inconsistent results. Mastery of the initial acetabular registration step is critical to performing a predictable and accurate robotic-assisted total hip replacement. Read More

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December 2018
3 Reads

Does a Learning Curve Exist for the Surgical Treatment of Proximal Humerus Fractures?

Bull Hosp Jt Dis (2013) 2018 Dec;76(4):265-268

Background: The complication rate of locked plating for proximal humerus fractures remains stubbornly high. The purpose of this study was to determine if a learning curve exists with the operative treatment of proximal humerus fractures.

Methods: We prospectively followed 161 consecutive patients with proximal humerus fractures treated by a single surgeon with locked plates from 2005 to 2016. Read More

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December 2018

Variations in Hip Fracture Baseline Patient Demographics and Comorbidities Repercussions on Bundled Payment Reimbursement Models.

Bull Hosp Jt Dis (2013) 2018 Dec;76(4):259-264

Background: We sought to investigate how patient demographics and baseline comorbidities varied between hip fracture and total joint arthroplasty patients across New York State and to determine implications of differences within the contexts of the bundled payment system.

Methods: All Medicare hip and knee arthroplasty and hip fracture cases in the New York State SPARCS database between 2004 and 2014 were identified. Hospitals were categorized geographically into Metropolitan Statistical Areas (MSAs) to determine case distribution. Read More

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December 2018
3 Reads

Is Patient Satisfaction Associated with Objective Measures of Geriatric Hip Fracture Care?

Bull Hosp Jt Dis (2013) 2018 Dec;76(4):252-258

Background: Patient satisfaction is publicly reported and used as a subjective measure of quality of care in alternative payment reimbursement models. In this study, we evaluated the association between patient satisfaction scores and objective measures of geriatric hip fracture care. Therefore, according to patient satisfaction score, we investigated the differences for geriatric hip fracture admissions in regard to 1. Read More

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December 2018
6 Reads

National Trends in the Prevalence, Treatment, and Associated Spinal Diagnoses Among Pediatric Spondylolysis Patients.

Bull Hosp Jt Dis (2013) 2018 Dec;76(4):246-251

Introduction: Spondylolysis is an increasingly common diagnoses for young individuals and presents with a wide range of pathological and clinical findings. Most patients are treated conservatively, and surgery is reserved for severe cases. This is a populations study defining the incidence of spondylolysis in the Kids' Inpatient Database (KID) and assess trends in diagnoses, causes, and treatments. Read More

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December 2018
3 Reads

Guidelines for Instrumentation for Total Knee Replacement Based on Frontal Plane Radiographs.

Bull Hosp Jt Dis (2013) 2018 Dec;76(4):238-245

Objective: The objective of this study was to measure the dimensions and the angulations of the femur and tibia for arthritic knees that were scheduled for total knee surgery. The purpose was to provide information for the design of surgical instruments such as cutting guides. Instruments made using three-dimensional printing were a particular consideration because of the variations in sizing that are possible. Read More

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December 2018
1 Read

The Role of Mesenchymal Stem Cells in Augmenting Rotator Cuff Repairs.

Bull Hosp Jt Dis (2013) 2018 Dec;76(4):232-237

Background: The prevalence of rotator cuff tears increases as patients age due to an attenuated biologic healing capacity. As mechanical advancements in rotator cuff arthroscopic repairs begin to slow, researchers have looked toward using mesenchymal stem cells (MSC) to optimize the shoulder's biologic environment as an alternative route for improvement.

Objectives: This article aims to review the levels of evidence in clinical studies using an injection of MSC in the shoulder joint or obtaining MSC from sources in the shoulder joint to determine if they show promise in augmenting rotator cuff repairs (RCR). Read More

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December 2018
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Orthobiologics A Comprehensive Review of the Current Evidence and Use in Orthopedic Subspecialties.

Bull Hosp Jt Dis (2013) 2018 Dec;76(4):223-231

Orthobiologics are organic and synthetic materials that are used in and outside of the operating room to augment both bone and soft tissue healing. The orthobiologics portfolio has vastly expanded over the years, and it has become imperative for orthopedic surgeons to understand the role and function of this new class of biologic adjuvants. This review will highlight key components and product groups that may be relevant for the practicing orthopedic surgeon in any subspecialty. Read More

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December 2018

Heterotopic Ossification Requiring Revision Surgery for Elbow Contracture After Tension Band Wiring for an Isolated Olecranon Fracture A Case Report.

Bull Hosp Jt Dis (2013) 2019 Sep;77(3):217-220

Olecranon fractures are common trauma presentations, and generally good or excellent functional outcomes are expected after surgical treatment. The development of heterotopic ossification (HO) is a well-known complication, leading to restricted motion, subsequent joint contractures, and marked functional limitation of the upper extremity. Whereas most olecranon fractures complicated by HO have less extensive ossification and limited clinical implications, we report a rare case of HO that required revision surgery for elbow contracture after tension band wiring for an isolated olecranon fracture. Read More

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September 2019
3 Reads

Outcomes in the Treatment of Femur Fractures in Patients with Pre-Existing Spinal Cord Injury.

Bull Hosp Jt Dis (2013) 2019 Sep;77(3):211-215

Introduction: Spinal cord injured patients have an estimated 25% to 34% lifetime incidence of sustaining an extremity fracture. The objective of this study is to describe the outcomes of femur fractures treated in patients with pre-existing spinal cord injury (SCI) and lower extremity paraplegia.

Materials And Methods: An IRB approved retrospective review of patients 18 years of age and older who sustained a femur fracture a minimum of 2 years following spinal cord injury and received treatment at a regional academic level 1 trauma center over a 10-year period was performed. Read More

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September 2019
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The Cost Effectiveness of Birth-Cohort Hepatitis C Screening During Pre-Admission Testing for Elective Procedures at a Single Specialty Orthopedic Hospital.

Bull Hosp Jt Dis (2013) 2019 Sep;77(3):206-210

In 2012, the Centers for Disease Control and Prevention issued a recommendation for hepatitis C screening of adults born between 1945-1965. Our institution incorporated birthcohort screening into its pre-admission testing program for elective orthopedic procedures on February 3, 2015. The goal of this study was to report the results and costs of pre-admission birth-cohort hepatitis C screening at our institution from February 3, 2015, to January 27, 2017. Read More

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September 2019

Tibial Shaft Fractures in Workers Compensation and No-Fault Insurance Is There a Difference in Resource Utilization?

Bull Hosp Jt Dis (2013) 2019 Sep;77(3):200-205

Background: Workers Compensation claims have been previously associated with inferior clinical outcomes. However, variation in inpatient stays for orthopedic trauma injuries according to insurance type has not been previously examined.

Methods: We investigated the differences according to insurance for tibial shaft fractures in regard to length of stay and disposition. Read More

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September 2019

A Review of Orthopedic Resident Outpatient Notes Are Perceptions of the EMR Reflected in Current Documentation Practices?

Bull Hosp Jt Dis (2013) 2019 Sep;77(3):194-199

Introduction: Systems-based Practice 3 (SBP 3) in the orthopedic residency developmental milestones evaluates residents' knowledge, understanding, and utilization of the electronic medical record (EMR). In order to better assess SBP 3, we conducted a review of residents' clinical notes in order to quantify the current state of orthopedic residents' documentation in the EMR. The purpose of this study was to objectively evaluate orthopedic resident documentation in the EMR. Read More

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September 2019
3 Reads

Changes in Synovial Fluid Biomarker Concentration Before and After ACL Reconstruction.

Bull Hosp Jt Dis (2013) 2019 Sep;77(3):189-193

Background: Synovial fluid biomarkers can highlight the molecular milieu associated with knee pathology and have been shown to be significantly different in patients with anterior cruciate ligament (ACL) injuries compared to uninjured controls. The purpose of the current study was to establish how synovial fluid biomarker concentrations change in patients undergoing ACL reconstruction between the immediate preoperative period to the acute postoperative period.

Methods: Patients were prospectively enrolled at the time of surgery from September 2016 to March 2017. Read More

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September 2019