23,341 results match your criteria Clinical orthopaedics and related research[Journal]


Erratum to: What Factors Are Associated With Disability After Upper Extremity Injuries? A Systematic Review.

Clin Orthop Relat Res 2019 May;477(5):1256

P. Jayakumar, S. Lamb, S. Gwilym, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Medicine, University of Oxford, Nuffield Orthopaedic Centre, Oxford, UK C. L. Overbeek, Department of Orthopedic Surgery, Leiden University Medical Center, Leiden, The Netherlands M. Williams, Department of Sport and Health Sciences, Oxford Brookes University, Oxford, UK C. J. Funes, Department of Psychiatry (Behavioral Medicine Service), Boston, MA, USA D. Ring, The University of Texas at Austin, Department of Surgery and Perioperative Care, Dell Medical School, Austin, TX, USA A.-M. Vranceanu, Massachusetts General Hospital and Harvard Medical School, Behavioral Medicine Program, Department of Psychiatry, Boston, MA, USA.

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http://dx.doi.org/10.1097/CORR.0000000000000730DOI Listing

Cannulated Screw Prominence in Tension Band Wiring of Patella Fractures Increases Fracture Gapping: A Cadaver Study.

Clin Orthop Relat Res 2019 May;477(5):1249-1255

M. C. Avery, Department of Orthopaedics, Memorial Regional Healthcare System, Hollywood, FL, USA S. Jo, A. Chang, C. McAndrew, A. N. Miller, S. Tang, Department of Orthopaedics, Washington University in School of Medicine, Saint Louis, MO, USA W. M. Ricci, Department of Orthopaedics, Hospital for Special Surgery, New York, NY, USA.

Background: Transverse patella fractures are often treated with cannulated screws and a figure-of-eight anterior tension band. A common teaching regarding this construct is to recess the screws so that their distal ends do not protrude beyond the patella because doing so may improve biomechanical performance. However, there is a lack of biomechanical or clinical data to support this recommendation. Read More

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http://dx.doi.org/10.1097/CORR.0000000000000683DOI Listing
May 2019
1 Read

CORR Insights®: Patient Age and Hip Morphology Alter Joint Mechanics in Computational Models of Patients with Hip Dysplasia.

Clin Orthop Relat Res 2019 May;477(5):1246-1248

A. E. Anderson, University of Utah Orthopaedics, Salt Lake City, UT, USA.

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http://dx.doi.org/10.1097/CORR.0000000000000715DOI Listing

CORR Insights®: What is the Association Between Hospital Volume and Complications After Revision Total Joint Arthroplasty: A Large-database Study.

Authors:
Olga D Savvidou

Clin Orthop Relat Res 2019 May;477(5):1232-1234

O. D. Savvidou, Associate Professor of Orthopaedics, National and Kapodistrian University of Athens, Medical School, First Department of Orthopaedics, ATTIKON University Hospital, Greece.

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http://dx.doi.org/10.1097/CORR.0000000000000743DOI Listing

What Is the Association Between Hospital Volume and Complications After Revision Total Joint Arthroplasty: A Large-database Study.

Clin Orthop Relat Res 2019 May;477(5):1221-1231

B. F. Ricciardi, A. Y. Liu, B. Qiu, T. G. Myers, C. P. Thirukumaran, Department of Orthopedic Surgery, University of Rochester School of Medicine, Rochester, NY, USA B. F. Ricciardi, C. P. Thirukumaran, Center for Musculoskeletal Research, Department of Orthopedic Surgery, University of Rochester School of Medicine, Rochester, NY, USA.

Background: Studies of primary total joint arthroplasty (TJA) show a correlation between hospital volume and outcomes; however, the relationship of volume to outcomes in revision TJA is not well studied.

Questions/purposes: We therefore asked: (1) Are 90-day readmissions more likely at low-volume hospitals relative to high-volume hospitals after revision THA and TKA? (2) Are in-hospital and 90-day complications more likely at low-volume hospitals relative to high-volume hospitals after revision THA and TKA? (3) Are 30-day mortality rates higher at low-volume hospitals relative to high-volume hospitals after revision THA and TKA?

Methods: Using 29,948 inpatient stays undergoing revision TJA from 2008 to 2014 in the Statewide Planning and Research Cooperative System (SPARCS) database for New York State, we examined the relationship of hospital revision volume by quartile and outcomes. The top 5 percentile of hospitals was included as a separate cohort. Read More

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http://dx.doi.org/10.1097/CORR.0000000000000684DOI Listing

What Is the Association Between Articular Cartilage Damage and Subsequent THA 20 Years After Hip Arthroscopy for Labral Tears?

Clin Orthop Relat Res 2019 May;477(5):1211-1220

M. K. Dwyer, C. Tumpowsky, J. Lee, J. C. McCarthy, Kaplan Joint Center, Newton Wellesley Hospital, Newton, MA, USA M. K. Dwyer, J. C. McCarthy, Department of Orthopaedics, Massachusetts General Hospital, Boston, MA, USA A. Boone, Tufts University School of Medicine, Boston, MA, USA.

Background: Few studies have examined long-term outcomes for patients after arthroscopic treatment for intraarticular hip conditions, and none have done so beyond 10 years postarthroscopy. Examining outcomes beyond 10 years is necessary to determine factors that contribute to conversion to THA in patients undergoing hip arthroscopy for labrochondral damage.

Questions/purposes: (1) What is hip survivorship free from THA in patients who underwent arthroscopic labral débridement, with or without chondroplasty at least 15 years before? (2) What factors are associated with conversion to THA after arthroscopic labral débridement, with or without chondroplasty? (3) Can these data be used to estimate the risk of conversion to THA based on patient- and hip-related factors?

Methods: Between 1989 and 2000, one surgeon performed 552 arthroscopic hip procedures for symptomatic labral tears, with or without associated articular cartilage damage. Read More

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http://dx.doi.org/10.1097/CORR.0000000000000717DOI Listing

CORR Insights®: Is There a Force Target That Predicts Early Patient-reported Outcomes After Kinematically Aligned TKA?

Authors:
Robert A Siston

Clin Orthop Relat Res 2019 May;477(5):1208-1210

R. A. Siston, Department of Mechanical and Aerospace Engineering; Department of Orthopaedics; School of Health and Rehabilitation Sciences; The Ohio State University, Columbus, OH, USA.

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http://dx.doi.org/10.1097/CORR.0000000000000751DOI Listing

CORR Insights®: What Is the Impact of a Previous Femoral Osteotomy on a THA? A Systematic Review.

Authors:
Sumon Nandi

Clin Orthop Relat Res 2019 May;477(5):1188-1189

S. Nandi, The University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.

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http://dx.doi.org/10.1097/CORR.0000000000000703DOI Listing

What Is the Impact of a Previous Femoral Osteotomy on THA? A Systematic Review.

Clin Orthop Relat Res 2019 May;477(5):1176-1187

E. Gallazzi, L. Zagra, IRCCS Istituto Ortopedico Galeazzi, Hip Department, vi R. Galeazzi, Milan, Italy I. Morelli, G. Peretti, Department of Biomedical Sciences for Health, University of Milan, Milan, Italy IRCCS Istituto Ortopedico Galeazzi, via R. Galeazzi Milan, Italy.

Background: Femoral osteotomies have been widely used to treat a wide range of developmental and degenerative hip diseases. For this purpose, different types of proximal femur osteotomies were developed: at the neck as well as at the trochanteric, intertrochanteric, or subtrochanteric levels. Few studies have evaluated the impact of a previous femoral osteotomy on a THA; thus, whether and how a previous femoral osteotomy affects the outcome of THA remains controversial. Read More

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http://dx.doi.org/10.1097/CORR.0000000000000659DOI Listing
May 2019
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Does Compensatory Anterior Pelvic Tilt Decrease After Bilateral Periacetabular Osteotomy?

Clin Orthop Relat Res 2019 May;477(5):1168-1175

E. Daley, I. Zaltz, Department of Orthopedic Surgery, Beaumont Health, Royal Oak, MI, USA N. Nahm, Department of Orthopedic Surgery, Henry Ford Hospital, Detroit, MI, USA D. Koueiter, Orthopedic Research Laboratories, Beaumont Health, Royal Oak, MI, USA.

Background: The kinetic link among the lumbar spine, pelvic tilt, and the hip has been hypothesized, but this relationship requires further study in acetabular dysplasia. Anecdotal reports suggest that patients may compensate for acetabular dysplasia with an involuntary increase in anterior pelvic tilt; it is not known if this relationship is affected by acetabular reorientation.

Questions/purposes: (1) Does compensatory pelvic tilt decrease on preoperatively obtained standing AP pelvis radiographs compared with those obtained at a minimum of 6 months after bilateral periacetabular osteotomy (PAO)? (2) Does a modified surrogate measurement of pelvic tilt, the pubic symphysis to sacroiliac (PS-SI) index, correlate with a physical synthetic bones model in which pelvic tilt can be directly measured? (3) Can the PS-SI index demonstrate high interrater reliability?

Methods: We assessed the surgical records of one surgeon, who participates in the longitudinally maintained Academic Network of Conservational Hip Outcomes Research (ANCHOR) registry, for patients who had undergone the second side of a staged bilateral PAO between 2007 and 2016; there were 113 such patients. Read More

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http://dx.doi.org/10.1097/CORR.0000000000000560DOI Listing

CORR Insights®: Periacetabular Osteotomy Improves Pain and Function in Patients With Lateral Center-edge Angle Between 18° and 25°, but Are These Hips Really Borderline Dysplastic?

Clin Orthop Relat Res 2019 May;477(5):1154-1156

V. V. Upasani, Rady Children's Hospital, San Diego, Department of Orthopedic Surgery, San Diego, CA, USA.

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http://dx.doi.org/10.1097/CORR.0000000000000562DOI Listing
May 2019
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CORR Insights®: Differences in Femoral Torsion Among Various Measurement Methods Increase in Hips With Excessive Femoral Torsion.

Clin Orthop Relat Res 2019 May;477(5):1084-1085

J. H. Rylander, Assistant Professor, Department of Mechanical Engineering, Baylor University, Waco, TX, USA.

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http://dx.doi.org/10.1097/CORR.0000000000000682DOI Listing

Automatic MRI-based Three-dimensional Models of Hip Cartilage Provide Improved Morphologic and Biochemical Analysis.

Clin Orthop Relat Res 2019 May;477(5):1036-1052

F. Schmaranzer, R. Helfenstein, T. D. Lerch, K. A. Siebenrock, M. Tannast, Department of Orthopaedic Surgery, Inselspital Bern, University of Bern, Switzerland, Bern, Switzerland G. Zeng, G. Zheng, Institute for Surgical Technology and Biomechanics, University of Bern, Switzerland, Bern, Switzerland F. Schmaranzer, E. N. Novais, J. D. Wylie, Y-J. Kim, Department of Orthopaedic Surgery, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.

Background: The time-consuming and user-dependent postprocessing of biochemical cartilage MRI has limited the use of delayed gadolinium-enhanced MRI of cartilage (dGEMRIC). An automated analysis of biochemical three-dimensional (3-D) images could deliver a more time-efficient and objective evaluation of cartilage composition, and provide comprehensive information about cartilage thickness, surface area, and volume compared with manual two-dimensional (2-D) analysis.

Questions/purposes: (1) How does the 3-D analysis of cartilage thickness and dGEMRIC index using both a manual and a new automated method compare with the manual 2-D analysis (gold standard)? (2) How does the manual 3-D analysis of regional patterns of dGEMRIC index, cartilage thickness, surface area and volume compare with a new automatic method? (3) What is the interobserver reliability and intraobserver reproducibility of software-assisted manual 3-D and automated 3-D analysis of dGEMRIC indices, thickness, surface, and volume for two readers on two time points?

Methods: In this IRB-approved, retrospective, diagnostic study, we identified the first 25 symptomatic hips (23 patients) who underwent a contrast-enhanced MRI at 3T including a 3-D dGEMRIC sequence for intraarticular pathology assessment due to structural hip deformities. Read More

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http://dx.doi.org/10.1097/CORR.0000000000000755DOI Listing
May 2019
1 Read

CORR Insights®: The Pattern of Acetabular Cartilage Wear Is Hip Morphology-dependent and Patient Demographic-dependent.

Clin Orthop Relat Res 2019 May;477(5):1034-1035

M. J. Nieuwenhuijse, Leiden University Medical Center, Department of Orthopaedic Surgery, Leiden, Netherlands.

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http://dx.doi.org/10.1097/CORR.0000000000000723DOI Listing
May 2019
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The Pattern of Acetabular Cartilage Wear Is Hip Morphology-dependent and Patient Demographic-dependent.

Clin Orthop Relat Res 2019 May;477(5):1021-1033

C. Pascual-Garrido, E. L. Yanik, J. C. Clohisy, Department of Orthopaedic Surgery, Washington University School of Medicine, St Louis, MO, USA D. J. Li, University of Miami Miller School of Medicine, Miami, FL, USA G. Grammatopoulos, Nuffield Orthopaedic Care, University of Oxford, Oxford, UK ANCHOR Group, Washington University, St Louis, MO 63110, USA.

Background: Acetabular cartilage damage has been described in patients with femoroacetabular impingement (FAI). However, most reports of articular cartilage damage in hip FAI have been focused on the acetabular cartilage and derived from single-center, retrospective studies of relatively small patient cohorts. Identifying patterns of articular cartilage wear is important in patient selection, treatment prognosis, and determining whether patterns of intraarticular cartilage wear are secondary to abnormal hip morphology. Read More

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http://dx.doi.org/10.1097/CORR.0000000000000649DOI Listing

Bilateral Femoroacetabular Impingement: What is the Fate of the Asymptomatic Hip?

Clin Orthop Relat Res 2019 May;477(5):983-989

I. Azboy , Department of Orthopaedics and Traumatology, Istanbul Medipol University School of Medicine, Istanbul, Turkey I. Azboy, H. H. Ceylan, H. Groff, H. Vahedi, J. Parvizi, The Rothman Institute at Thomas Jefferson University, Philadelphia, PA, USA.

Background: Bilateral symptomatic femoroacetabular impingement (FAI) is common. However, the fate of asymptomatic hip in patients with the radiographic diagnosis of bilateral FAI and unilateral symptoms remains unknown.

Questions/purposes: (1) What is the likelihood of the asymptomatic hip becoming painful in patients with unilateral symptoms but with radiographic evidence of bilateral femoroacetabular impingement? (2) What radiological and clinical factors are associated with the development of symptoms in an asymptomatic hip diagnosed with FAI?

Methods: A longitudinally maintained institutional FAI database was queried to collect relevant data for this retrospective study. Read More

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http://Insights.ovid.com/crossref?an=00003086-201905000-0001
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http://dx.doi.org/10.1097/CORR.0000000000000699DOI Listing
May 2019
1 Read

CORR Insights®: Does Cartilage Degenerate in Asymptomatic Hips With Cam Morphology?

Authors:
Alissa J Burge

Clin Orthop Relat Res 2019 May;477(5):972-973

A. J. Burge Hospital for Special Surgery, Department of Radiology, New York City, NY, USA.

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http://dx.doi.org/10.1097/CORR.0000000000000707DOI Listing

Editorial Comment: The Bernese Hip Symposium and CORR®-Sharing the Latest and Best in Hip Surgery Research.

Authors:
Seth S Leopold

Clin Orthop Relat Res 2019 May;477(5):960-961

S. S. Leopold, Editor-In-Chief, Clinical Orthopaedics and Related Research®, Philadelphia, PA, USA.

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http://dx.doi.org/10.1097/CORR.0000000000000759DOI Listing

Pearls: Getting the Most Out of Your Fellowship Year.

Authors:
James D Wylie

Clin Orthop Relat Res 2019 May;477(5):958-959

J. D. Wylie, Director of Orthopedic Research, Intermountain Healthcare, The Orthopedic Specialty Hospital, Murray, UT USA.

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http://dx.doi.org/10.1097/CORR.0000000000000680DOI Listing

A Day at the Office: Private Practice and Private Equity.

Authors:
Douglas W Lundy

Clin Orthop Relat Res 2019 May;477(5):955-957

D. W. Lundy, Resurgens Orthopaedics, Atlanta, GA, USA.

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http://Insights.ovid.com/crossref?an=00003086-201905000-0000
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http://dx.doi.org/10.1097/CORR.0000000000000758DOI Listing
May 2019
1 Read

Virtue Ethics in a Value-driven World: When Empathy Clouds Clinical Judgment.

Authors:
Casey Jo Humbyrd

Clin Orthop Relat Res 2019 May;477(5):952-954

C. J. Humbyrd, Assistant Professor of Orthopaedic Surgery and Chief, Foot and Ankle Division, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

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http://dx.doi.org/10.1097/CORR.0000000000000752DOI Listing

Equity360: Gender, Race, and Ethnicity-The Business Case for Diversity.

Authors:
Mary I O'Connor

Clin Orthop Relat Res 2019 May;477(5):948-951

M. I. O'Connor, Director, Center for Musculoskeletal Care, Yale School of Medicine and Yale-New Haven Health, New Haven, CT, USA.

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http://dx.doi.org/10.1097/CORR.0000000000000747DOI Listing
May 2019
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Value-based Health Care: Moving Beyond "Minimum Clinically Important Difference" to a Tiered System of Evaluating Successful Clinical Outcomes.

Clin Orthop Relat Res 2019 May;477(5):945-947

D. N. Bernstein, University of Rochester Medical Center, Rochester, NY, USA B. U. Nwachukwu, Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA K. Bozic, Chair, Department of Surgery and Perioperative Care, Dell Medical School at The University of Texas at Austin, Austin, TX, USA.

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http://dx.doi.org/10.1097/CORR.0000000000000741DOI Listing
May 2019
1 Read

Cochrane in CORR®: Preventing Occupational Stress in Healthcare Workers.

Clin Orthop Relat Res 2019 May;477(5):938-944

C. McCarthy MDCM, MSc, Orthopaedic Surgery Resident, McMaster University, Hamilton, Ontario, Canada M. Bhandari MD, PhD, FRCSC, Professor and Academic Head of the Division of Orthopaedic Surgery, McMaster University.

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http://Insights.ovid.com/crossref?an=00003086-201905000-0000
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http://dx.doi.org/10.1097/CORR.0000000000000735DOI Listing
May 2019
1 Read

Editor's Spotlight/Take 5: Is the Risk of Infection Lower with Sutures than with Staples for Skin Closure After Orthopaedic Surgery? A Meta-analysis of Randomized Trials.

Authors:
Seth S Leopold

Clin Orthop Relat Res 2019 May;477(5):917-921

S. S. Leopold, Editor-In-Chief, Clinical Orthopaedics and Related Research®, Philadelphia, PA, USA.

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http://dx.doi.org/10.1097/CORR.0000000000000740DOI Listing

What Is the Diagnostic Accuracy of Alpha-Defensin and Leukocyte Esterase Test in Periprosthetic Shoulder Infection?

Clin Orthop Relat Res 2019 Apr 3. Epub 2019 Apr 3.

N. U. Ecker, A. Koniker, T. Gehrke, A. Zahar, M. Citak, Helios ENDO-Klinik Hamburg, Department of Orthopaedic Surgery, Hamburg, Germany A. Koniker, J. Salber, Ruhr-University Bochum, Department of General Surgery, Bochum, Germany M. Hentschke, MVZ Labor Dr. Fenner und Kollegen, Hamburg, Germany.

Background: The diagnosis of periprosthetic joint infection (PJI) after total shoulder arthroplasty (TSA) is challenging, especially in patients with Cutibacterium (formerly Propionibacterium) acnes infection. Despite the increasing number of patients with PJI of the shoulder, there are still no robust data regarding diagnostic tests in detecting shoulder PJI.

Questions/purposes: (1) What are the sensitivity, specificity, and negative- and positive-predictive values for the alpha-defensin enzyme-linked immunosorbent assay test in detecting PJI after TSA? (2) What are the diagnostic accuracies in detecting shoulder PJI for synovial alpha-defensin, leukocyte esterase Test, and serum C-reactive protein (CRP)?

Methods: All patients with painful TSA, who underwent joint aspiration to validate or exclude a PJI, between July 2015 and February 2018 were enrolled in this single-center study. Read More

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http://Insights.ovid.com/crossref?an=00003086-900000000-9820
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http://dx.doi.org/10.1097/CORR.0000000000000762DOI Listing
April 2019
2 Reads

Temporary External Fixation Can Stabilize Hip Transposition Arthroplasty After Resection of Malignant Periacetabular Bone Tumors.

Clin Orthop Relat Res 2019 Apr 9. Epub 2019 Apr 9.

T. Kunisada, T. Fujiwara, J. Hasei, E. Nakata, T. Ozaki, Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan M. Senda, Department of Rehabilitation, Okayama University Hospital, Okayama, Japan.

Background: The choice of reconstructive procedure to restore limb function is challenging after internal hemipelvectomy. Hip transposition arthroplasty, also known as resection arthroplasty, removes a malignant or aggressive tumor of the pelvis and acetabulum after which the remaining femoral head is moved proximally to the lateral surface side of the sacrum or the underside of the resected ilium after internal hemipelvectomy. It may provide reasonable functional results and have some advantages such as lowering the risk of an infected implant compared with other reconstructions because no foreign implants are used. Read More

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http://dx.doi.org/10.1097/CORR.0000000000000764DOI Listing

Drain Use is Associated with Increased Odds of Blood Transfusion in Total Shoulder Arthroplasty: A Population-Based Study.

Clin Orthop Relat Res 2019 Apr 9. Epub 2019 Apr 9.

J. J. Chan, C. M. Cirino, B. O. Parsons, S. G. Anthony, L. M. Galatz, P. J. Cagle, Leni and Peter W. May Department of Orthopaedics, Icahn School of Medicine at Mount Sinai, New York, NY, USA H.-H. Huang, J. Poeran, Leni and Peter W. May Department of Orthopaedics / Institute for Healthcare Delivery Science, Department of Population Health Science & Policy, Icahn School of Medicine at Mount Sinai, New York, NY, USA M. Mazumdar, Institute for Healthcare Delivery Science, Department of Population Health Science & Policy, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Background: In the absence of evidence supporting its benefit, the American Academy of Orthopaedic Surgeons (AAOS) strongly recommends against closed wound drainage in TKA; however, drain usage remains common in other joints, including the shoulder. While an extensive body of research exists for drain use in lower extremity joint arthroplasty, large-scale data on drain use and its association with benefits and complications in shoulder arthroplasties is lacking. Such data may be particularly valuable given the rapidly increasing demand for shoulder arthroplasties. Read More

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http://dx.doi.org/10.1097/CORR.0000000000000728DOI Listing

CORR Insights®: Are Hooded, Crosslinked Polyethylene Liners Associated with a Reduced Risk of Revision After THA?

Authors:
Ola Rolfson

Clin Orthop Relat Res 2019 Apr 9. Epub 2019 Apr 9.

O. Rolfson MD, PhD, Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

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http://dx.doi.org/10.1097/CORR.0000000000000768DOI Listing

Polytrauma and High-energy Injury Mechanisms Are Associated with Worse Patient-reported Outcomes After Distal Radius Fractures.

Clin Orthop Relat Res 2019 Apr 9. Epub 2019 Apr 9.

Q. M. J. van der Vliet, A. A. R. Sweet, A. R. Bhashyam, R. M. Houwert, L. P. H. Leenen, F. Hietbrink, University Medical Center Utrecht, Department of Traumatology, Utrecht, The Netherlands S. Ferree, M. van Heijl, Diakonessenhuis Utrecht, Department of Surgery, Utrecht, The Netherlands.

Background: Patient-reported outcomes (PROs) are increasingly relevant when evaluating the treatment of orthopaedic injuries. Little is known about how PROs may vary in the setting of polytrauma or secondary to high-energy injury mechanisms, even for common injuries such as distal radius fractures.

Questions/purposes: (1) Are polytrauma and high-energy injury mechanisms associated with poorer long-term PROs (EuroQol Five Dimension Three Levels [EQ-5D-3L] and QuickDASH scores) after distal radius fractures? (2) What are the median EQ-5D-3L, EQ-VAS [EuroQol VAS], and QuickDASH scores for distal radius fractures in patients with polytrauma, high-energy monotrauma and low-energy monotrauma METHODS: This was a retrospective study with followup by questionnaire. Read More

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http://dx.doi.org/10.1097/CORR.0000000000000757DOI Listing
April 2019
3 Reads

CORR Insights®: Are Complications After the Bernese Periacetabular Osteotomy Associated With Subsequent Outcomes Scores?

Authors:
John N O'Hara

Clin Orthop Relat Res 2019 May;477(5):1164-1167

J. N. O'Hara Orthopaedic Surgeon, The Hip Clinic, Department of Orthopaedic Surgery, Priory, BMI Hospital, Birmingham, UK.

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http://dx.doi.org/10.1097/CORR.0000000000000704DOI Listing

Is the Risk of Infection Lower with Sutures than with Staples for Skin Closure After Orthopaedic Surgery? A Meta-analysis of Randomized Trials.

Clin Orthop Relat Res 2019 May;477(5):922-937

R. J. Krishnan, I. Syed, P. Kim, J. Martin, Department of Epidemiology and Biostatistics, University of Western Ontario, London, Ontario, Canada R. J. Krishnan, J. Martin, Centre for Medical Evidence, Decision Integrity & Clinical Impact, University of Western Ontario, London, Ontario, Canada J. Martin, Department of Anesthesia & Perioperative Medicine, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ontario, Canada E. J. Crawford, Y. R. Rampersaud, Division of Orthopedic Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada E. J. Crawford, Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, Ontario, Canada Y. R. Rampersaud, Division of Orthopedic Surgery, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada.

Background: Two previous meta-analyses comparing staples versus sutures have led to conflicting relative risks for surgical site infection between skin closure methods after orthopaedic surgery. Consequently, the choice of sutures or staples for skin closure continues to be a subject of conversation. Recently, additional randomized trials have been published, and an updated meta-analysis is needed to inform this debate. Read More

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http://dx.doi.org/10.1097/CORR.0000000000000690DOI Listing
May 2019
1 Read

Patients with a History of Treated Septic Arthritis are at High Risk of Periprosthetic Joint Infection after Total Joint Arthroplasty.

Clin Orthop Relat Res 2019 Mar 14. Epub 2019 Mar 14.

A. A. Sultan, B. Mahmood, L. T. Samuel, J. George, M. Faour, A. K. Klika, Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio, USA C. E. Pelt, M. B. Anderson, Department of Orthopaedic Surgery, Utah University Medical Center, Salt Lake City, UT, USA C. A. Higuera, Department of Orthopaedic Surgery, Cleveland Clinic, Weston, FL, USA.

Background: In patients undergoing total joint arthroplasty (TJA), increasing attention has been directed recently toward identifying specific patient-related risk factors that may predispose patients to periprosthetic joint infection (PJI). Currently, it is unclear whether having a history of a treated native septic arthritis is a risk factor for PJI after TJA in the same joint. Previous studies have reported contradictory evidence and results varied between a substantially higher rates of PJIs to very low or no reported PJIs. Read More

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http://dx.doi.org/10.1097/CORR.0000000000000688DOI Listing
March 2019
1 Read
2.765 Impact Factor

Art in Science: William and John Hunter-Gifts of the Enlightenment.

Clin Orthop Relat Res 2019 Mar 8. Epub 2019 Mar 8.

G. E. Friedlaender MD, Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, New Haven, CT, USA L. K. Friedlaender BA, MS, Senior Curator of Education, Yale Center for British Art, New Haven, CT, USA.

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http://dx.doi.org/10.1097/CORR.0000000000000701DOI Listing

Letter to the Editor: No Clinically Important Difference in Pain Scores After THA Between Periarticular Analgesic Injection and Placebo.

Clin Orthop Relat Res 2019 Mar 8. Epub 2019 Mar 8.

M. Bates, G. Chan, S. Bellringer, S. Hook, L. Dodd, Department of Surgery, Western Sussex Hospitals NHS Trust, Chichester, West Sussex, UK.

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http://dx.doi.org/10.1097/CORR.0000000000000681DOI Listing

Biocomposite Suture Anchors Remain Visible Two Years After Rotator Cuff Repair.

Clin Orthop Relat Res 2019 Mar 14. Epub 2019 Mar 14.

M. Sgroi, T. Friesz, M. Schocke, H. Reichel, T. Kappe, Department for Orthopaedic Surgery, University of Ulm, RKU, Ulm, Germany.

Background: Biocomposite suture anchors containing osteoconductive materials have gained popularity in rotator cuff repairs. However, little is known about the influence of the addition of osteoconductive materials on implant resorption, bone reaction, tendon healing, and clinical outcomes scores.

Questions/purposes: (1) What percentage of suture anchors were not completely resorbed 2 years after implantation? (2) What are the diameters of the bone bed in relation to the implant? (3) Is tendon integrity correlated with bone tunnel diameter? (4) Is there an association between tunnel widening, periimplant fluid film grade, biodegradation grade, and retear with clinical outcomes scores, such as the Western Ontario Rotator Cuff Index (WORC) and the Oxford Shoulder Score (OSS)?

Methods: Thirty-six patients were enrolled from August 2012 to January 2014. Read More

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http://dx.doi.org/10.1097/CORR.0000000000000665DOI Listing
March 2019
2 Reads

Is Bone Loss or Devascularization Associated With Recurrence of Osteomyelitis in Wartime Open Tibia Fractures?

Clin Orthop Relat Res 2019 Apr;477(4):789-801

J. L. Petfield, C. K. Murray, D. J. Stinner, San Antonio Military Medical Center, JBSA Fort Sam Houston, TX, USA J. L. Petfield, Landstuhl Regional Medical Center, Landstuhl, Germany D. R. Tribble, A. C. Weintrob, Infectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, MD, USA B. K. Potter, L R. Lewandowski, Department of Surgery, Uniformed Services University of the Health Sciences-Walter Reed National Military Medical Center, Bethesda, MD, USA A. C. Weintrob, The Henry M. Jackson Foundation for the Advancement of Military Medicine Inc, Bethesda, MD, USA; and Walter Reed National Military Medical Center, Bethesda, MD, USA M. Krauss, Westat, Rockville, MD, USA.

Background: During recent wars, 26% of combat casualties experienced open fractures and these injuries frequently are complicated by infections, including osteomyelitis. Risk factors for the development of osteomyelitis with combat-related open tibia fractures have been examined, but less information is known about recurrence of this infection, which may result in additional hospitalizations and surgical procedures.

Questions/purposes: (1) What is the risk of osteomyelitis recurrence after wartime open tibia fractures and how does the microbiology compare with initial infections? (2) What factors are associated with osteomyelitis recurrence among patients with open tibia fractures? (3) What clinical characteristics and management approaches are associated with definite/probable osteomyelitis as opposed to possible osteomyelitis and what was the microbiology of these infections?

Methods: A survey of US military personnel injured during deployment between March 2003 and December 2009 identified 215 patients with open tibia fractures, of whom 130 patients developed osteomyelitis and were examined in a retrospective analysis. Read More

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http://dx.doi.org/10.1097/CORR.0000000000000411DOI Listing
April 2019
11 Reads

Letter to the Editor: No Clinically Important Difference in Pain Scores After THA Between Periarticular Analgesic Injection and Placebo.

Clin Orthop Relat Res 2019 Apr;477(4):911-912

M. Bates, G. Chan, S. Bellringer, S. Hook, L. Dodd, Department of Surgery, Western Sussex Hospitals NHS Trust, Chichester, West Sussex, UK.

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http://dx.doi.org/10.1097/CORR.0000000000000681DOI Listing

Art in Science: William and John Hunter-Gifts of the Enlightenment.

Clin Orthop Relat Res 2019 Apr;477(4):700-704

G. E. Friedlaender MD, Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, New Haven, CT, USA L. K. Friedlaender BA, MS, Senior Curator of Education, Yale Center for British Art, New Haven, CT, USA.

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http://dx.doi.org/10.1097/CORR.0000000000000701DOI Listing

On Patient Safety: Differential Standards for Medical Evidence Risks Patient Safety.

Authors:
James Rickert

Clin Orthop Relat Res 2019 Apr;477(4):698-699

J. Rickert, President, The Society for Patient Centered Orthopedics, Bloomington, IN, USA.

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http://dx.doi.org/10.1097/CORR.0000000000000692DOI Listing
April 2019
2 Reads

Not the Last Word: Pre-arthritis Syndrome.

Authors:
Joseph Bernstein

Clin Orthop Relat Res 2019 Apr;477(4):687-691

J. Bernstein, Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA, USA.

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http://dx.doi.org/10.1097/CORR.0000000000000691DOI Listing
April 2019
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Editor's Spotlight/Take 5: How Common Is Back Pain and What Biopsychosocial Factors Are Associated With Back Pain in Patients With Adolescent Idiopathic Scoliosis?

Authors:
Seth S Leopold

Clin Orthop Relat Res 2019 Apr;477(4):672-675

S. S. Leopold, Editor-In-Chief, Clinical Orthopaedics and Related Research®, Philadelphia, PA, USA.

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http://dx.doi.org/10.1097/CORR.0000000000000689DOI Listing
April 2019
3 Reads

CORR Insights®: Lower Urinary Tract Symptoms and Urinary Bother Are Common in Patients Undergoing Elective Cervical Spine Surgery.

Authors:
Todd J Albert

Clin Orthop Relat Res 2019 Apr;477(4):879-880

T. J. Albert, Surgeon-in-Chief and Medical Director, Hospital for Special Surgery, New York, NY, USA.

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http://dx.doi.org/10.1097/CORR.0000000000000686DOI Listing
April 2019
7 Reads

CORR Insights®: Can Patients Forecast Their Postoperative Disability and Pain?

Clin Orthop Relat Res 2019 Apr;477(4):905-907

A-M Vranceanu, Associate Professor, Harvard Medical School, Director, Integrated Brain Health Clinical and Research Program, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.

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http://dx.doi.org/10.1097/CORR.0000000000000700DOI Listing

CORR Insights®: Causes and Frequencies of Reoperations After Endoprosthetic Reconstructions for Extremity Tumor Surgery: A Systematic Review.

Authors:
Stein J Janssen

Clin Orthop Relat Res 2019 Apr;477(4):903-904

S. J. Janssen, Resident in Orthopaedic Surgery, Department of Orthopaedic Surgery, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.

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http://dx.doi.org/10.1097/CORR.0000000000000685DOI Listing
April 2019
1 Read

From Bench to Bedside: Robotics and Navigation in Orthopaedics-Rise of the Machines or Just Rising Costs?

Clin Orthop Relat Res 2019 Apr;477(4):692-694

B. K. Potter, Directorate for Surgical Services, Walter Reed National Military Medical Center & the Uniformed Services University-Walter Reed Department of Surgery, Bethesda, MD USA.

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http://dx.doi.org/10.1097/CORR.0000000000000668DOI Listing
April 2019
1 Read

CORR Insights®: What Associations Exist Between Comorbidity Indices and Postoperative Adverse Events After Total Shoulder Arthroplasty?

Authors:
Uma Srikumaran

Clin Orthop Relat Res 2019 Apr;477(4):891-893

U. Srikumaran, Johns Hopkins School of Medicine, Division of Shoulder Surgery, Department of Orthopaedic Surgery, Columbia, MD, USA.

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http://dx.doi.org/10.1097/CORR.0000000000000675DOI Listing
April 2019
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CORR Insights®: What Factors Are Associated With Outcomes Scores After Surgical Treatment of Ankle Fractures With a Posterior Malleolar Fragment.

Clin Orthop Relat Res 2019 Apr;477(4):870-871

C. Hirose, Private Practice of Orthopaedic Foot and Ankle Surgery St. Alphonsus Regional Medical Center Coughlin Clinic, Clinical Instructor University of Washington Medical School, Seattle, WA, USA.

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http://dx.doi.org/10.1097/CORR.0000000000000671DOI Listing
April 2019
2 Reads

Lower Urinary Tract Symptoms and Urinary Bother Are Common in Patients Undergoing Elective Cervical Spine Surgery.

Clin Orthop Relat Res 2019 Apr;477(4):872-878

E. G. Lieberman, S. Radoslovich, L. M. Marshall, J. U. Yoo, Department of Orthopaedics and Rehabilitation, Oregon Health & Science University, Portland, OR, USA.

Background: Lower urinary tract symptoms (LUTS) and urinary bother have been reported in adults undergoing surgery and have been associated with urinary tract infections, longer hospital stays, increased surgical costs, and decreased patient satisfaction. Previous reports indicate that up to one in two patients with lumbar spine pathology have moderate-to-severe LUTS, but little is known about LUTS in patients with cervical spine conditions.

Questions/purposes: (1) What is the prevalence of moderate-to-severe LUTS and clinically relevant urinary bother among patients undergoing elective cervical spine surgery? (2) Does the presence of myelopathy affect frequency of moderate-to-severe LUTS or clinically relevant urinary bother among patients undergoing elective cervical spine surgery? (3) Do MRI findings of spinal cord injury or compression correlate with presence and severity of LUTS?

Methods: We performed a cross-sectional study using clinical data collected from adult patients undergoing elective cervical spine surgery. Read More

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http://dx.doi.org/10.1097/CORR.0000000000000666DOI Listing
April 2019
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Does Accelerometer-based Navigation Have Any Clinical Benefit Compared with Conventional TKA? A Systematic Review.

Clin Orthop Relat Res 2019 Feb 27. Epub 2019 Feb 27.

N. C. Budhiparama, I. Lumban-Gaol, N. N. Ifran, Nicolaas Institute of Constructive Orthopaedic Research & Education Foundation for Arthroplasty & Sports Medicine at Medistra Hospital, Jakarta, Indonesia S. Parratte, Institute for Locomotion, Sainte Marguerite Hospital, Aix-Marseille University, Marseille, France R. Nelissen, Leiden University Medical Center, Leiden, The Netherlands.

Background: Accelerometer-based navigation is a handheld navigation tool that was introduced to offer a simpler technique compared with more-cumbersome computer-assisted surgery (CAS). Considering the increasing number of adopters, it seems important to evaluate the potential clinical benefits of this technology compared with conventional TKA.

Questions/purposes: In this systematic review, we asked: (1) Is accelerometer-based navigation more accurate than conventional TKA? (2) Does accelerometer-based navigation provide better functional outcome than conventional TKA? (3) Does accelerometer-based navigation increase surgical time or decrease the risk of complications or reoperations compared with conventional TKA?

Methods: This systematic review included all comparative prospective and retrospective studies published in the MEDLINE/PubMed and Cochrane libraries over the last 10 years. Read More

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http://dx.doi.org/10.1097/CORR.0000000000000660DOI Listing
February 2019
4 Reads