journal
https://read.qxmd.com/read/38690850/total-humeral-endoprosthetic-reconstruction-a-systematic-review
#1
REVIEW
Neil Jain, Dominic Campano, Caleb Gottlich, Austin Yu, George Brindley, Alexandra Callan, Alan Blank
BACKGROUND: Total humeral endoprosthetic reconstruction (THER) is a rare reconstruction option for limb salvage surgery for large humeral neoplasms or bone destruction. MATERIALS AND METHODS: Because of the limited data and need for this procedure, we reviewed the literature surrounding THER and assessed functionality, complications, and revisions using the PubMed, Embase, Ovid, and Scopus databases. RESULTS: Among 29 articles and 175 patients, the most common indication was neoplasm (n=25, 86%), mean follow-up was 61...
May 1, 2024: Orthopedics
https://read.qxmd.com/read/38690849/geographic-access-to-pediatric-orthopedic-surgeons-in-the-united-states-an-analysis-of-sociodemographic-factors
#2
JOURNAL ARTICLE
Daniel Farivar, Nicholas J Peterman, Paal K Nilssen, Kenneth D Illingworth, Teryl K Nuckols, David L Skaggs
BACKGROUND: It is unclear how pediatric orthopedic surgeons are geographically distributed relative to their patients. The purpose of this study was to evaluate the geographic distribution of pediatric orthopedic surgeons in the United States. MATERIALS AND METHODS: County-level data of actively practicing pediatric orthopedic surgeons were identified by matching several registries and membership logs. Data were used to calculate the distance between counties and nearest surgeon...
May 1, 2024: Orthopedics
https://read.qxmd.com/read/38690848/multiligament-knee-reconstruction-with-suture-tape-augmentation-patient-reported-outcomes-at-minimum-2-year-follow-up
#3
JOURNAL ARTICLE
Brian Panish, Jonathan J Lawson, Seleem Elkadi, Eliana Schaefer, Gregory Perraut, Evan H Argintar
BACKGROUND: Multiligament knee injury (MLKI) is a severe subclass of orthopedic injury and can result in significant functional impairment. Novel MLKI graft constructs such as suture augmentation aim to enhance graft strength and optimize knee stability. The purpose of this study was to present patient-reported outcome measurements of a cohort at a minimum follow-up of 2 years after multiligament knee reconstruction (MLKR) with suture augmentation. MATERIALS AND METHODS: A retrospective chart review was performed to identify patients who underwent MLKR with suture augmentation...
May 1, 2024: Orthopedics
https://read.qxmd.com/read/38690847/establishment-of-a-rabbit-model-of-adjacent-intervertebral-disk-degeneration-after-lumbar-fusion-and-fixation-and-evaluation-of-autophagy-factor-expression-in-nucleus-pulposus-cells
#4
JOURNAL ARTICLE
Jiawen Sun, Fuyu Chen, Xiaodong Wei, Yufu Ou
BACKGROUND: The objectives of this research were to establish an animal model of adjacent segment degeneration (ASD) bordering lumbar fusion and to investigate the expression of autophagy factors in nucleus pulposus cells of adjacent intervertebral disks. MATERIALS AND METHODS: Twenty-four adult New Zealand white rabbits were enrolled and divided into two groups: group A (n=12) and group B (n=12). Posterolateral fusion and fixation were performed after intervertebral disk degeneration occurred in group A, and the rabbits were monitored for 6 months...
May 1, 2024: Orthopedics
https://read.qxmd.com/read/38568003/efficacy-of-liposomal-bupivacaine-in-reducing-opioid-use-after-posterior-lumbar-spinal-decompression-and-fusion
#5
JOURNAL ARTICLE
Amber McClure, Olivia C Silveri, Megan Foddrell, Karen Duteil, Laura E Madarász, Christopher P Silveri
BACKGROUND: Despite improvements in drug therapy and treatment of lumbar spinal disorders, dependence on opioid medication for postoperative pain control remains a concern nationwide. This study assessed the ability to diminish the reliance on opioid medication postoperatively with the Food and Drug Administration-approved local anesthetic liposomal bupivacaine in open posterior lumbar decompression and fusion procedures. In addition, the possible effects of this modality on other parameters were studied regarding patients and their recovery...
April 4, 2024: Orthopedics
https://read.qxmd.com/read/38568002/clinical-outcome-of-chemotherapy-and-radiation-therapy-versus-chemotherapy-radiation-therapy-and-multilevel-vertebroplasty-or-kyphoplasty-for-multiple-myeloma
#6
JOURNAL ARTICLE
Mohammad Alkhatatba, Ala'a Alma' Aiteh, Ziad Audat, Suhaib Bani Essa, Ahmad Radaideh, Ziyad Mohaidat, Hamzeh Ziad Audat, Tarek Manasreh
BACKGROUND: Vertebral augmentation including vertebroplasty and kyphoplasty may restore function without interfering with the therapeutic regimen of patients with multiple myeloma. We sought to evaluate the effects of adding multilevel vertebral augmentation to conventional therapy protocols for patients with multiple myeloma. MATERIALS AND METHODS: Forty-four patients recently diagnosed with multiple myeloma were randomly assigned to two groups. One group received multilevel vertebral augmentation (kyphoplasty or vertebroplasty) in addition to conventional therapy (MVA), and the other group received conventional therapy alone (CTA)...
April 4, 2024: Orthopedics
https://read.qxmd.com/read/38568001/psychiatric-diagnosis-does-not-influence-management-or-resolution-of-confirmed-fracture-related-infection
#7
JOURNAL ARTICLE
Nina D Fisher, Lauren A Merrell, Sara J Solasz, Abhishek Ganta, Sanjit R Konda, Kenneth A Egol
BACKGROUND: The purpose of this study was to determine if the presence of a standing Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, psychiatric diagnosis is associated with worse outcomes for patients who develop a confirmed fracture-related infection (FRI). MATERIALS AND METHODS: Included patients had open or closed fractures managed with internal fixation and had confirmed FRIs. Baseline demographics, injury information, and outcomes were collected via chart review...
April 4, 2024: Orthopedics
https://read.qxmd.com/read/38568000/factors-associated-with-episode-of-care-adverse-events-after-humerus-nonunion-repair
#8
JOURNAL ARTICLE
Dafang Zhang, Jesse B Jupiter, Philip Blazar, Brandon E Earp, George S M Dyer
BACKGROUND: Humeral nonunions have devastating negative effects on patients' upper extremity function and health-related quality of life. The objective of this study was to identify factors independently associated with 30-day complication, hospital readmission, and reoperation after surgical treatment of humeral nonunions. MATERIALS AND METHODS: A retrospective case-control study was performed using the American College of Surgeons National Surgical Quality Improvement Program database by querying the Current Procedural Terminology codes for patients who underwent humeral nonunion repair from 2011 to 2020...
April 4, 2024: Orthopedics
https://read.qxmd.com/read/38567999/enhanced-total-hip-arthroplasty-education-using-augmented-reality-a-survey-from-a-tertiary-center
#9
JOURNAL ARTICLE
Sean P Ryan, Niall Cochrane, Michael P Bolognesi, Samuel S Wellman
BACKGROUND: For total hip arthroplasty (THA), a new technology in the evolution of computer-assisted surgery has emerged in the form of augmented reality (AR). We sought to determine the impact of AR on resident and fellow education after implementation at an academic teaching center. MATERIALS AND METHODS: The senior author's intraoperative technique allows for the orthopedic trainee to use AR to correct the acetabular component's position after an attempt is made with standard instrumentation...
April 4, 2024: Orthopedics
https://read.qxmd.com/read/38567998/shoulder-hemiarthroplasty-is-associated-with-higher-30-day-complication-rates-compared-with-total-shoulder-arthroplasty-for-glenohumeral-osteoarthritis-a-propensity-score-matched-analysis
#10
JOURNAL ARTICLE
Phillip B Wyatt, Charles R Reiter, James R Satalich, Conor N O'Neill, Alexander R Vap
BACKGROUND: Anatomical total shoulder arthroplasty (TSA) and shoulder hemiarthroplasty (HA) have both been shown to have good outcomes in patients with osteoarthritis of the glenohumeral joint. However, evidence comparing perioperative complications between these procedures in this population is heterogeneous. MATERIALS AND METHODS: The American College of Surgeons National Surgical Quality Improvement Program database was queried between the years 2012 and 2021 (10 years in total) for records of patients who underwent either TSA or HA for osteoarthritis of the glenohumeral joint...
April 4, 2024: Orthopedics
https://read.qxmd.com/read/38567997/-off-hour-surgical-start-times-do-not-influence-surgical-precision-and-outcomes-in-middle-aged-patients-and-patients-65-years-and-older-with-hip-fractures
#11
JOURNAL ARTICLE
Lauren A Merrell, Kester Gibbons, Abhishek Ganta, Sanjit R Konda, Kenneth A Egol
BACKGROUND: Previous studies show the "off-hour" effect impacts outcomes after surgery in non-orthopedic settings. This study assessed if the off-hour effect impacts surgical precision and outcomes in middle-aged patients and patients 65 years and older with hip fractures. MATERIALS AND METHODS: All operative patients in an academic medical center's institutional review board-approved hip fracture registry were reviewed for demographics, hospital quality measures, operative details, radiographic parameters, and outcomes...
April 4, 2024: Orthopedics
https://read.qxmd.com/read/38567996/fluoroscopy-assisted-computer-navigation-accurately-determines-cup-position-and-leg-length-for-anterior-hip-arthroplasty
#12
JOURNAL ARTICLE
Raymond L Kitziger, Annie L Dugan, Bradford S Waddell, Kurt J Kitziger, Paul C Peters, Brian P Gladnick
BACKGROUND: Recently, fluoroscopy-assisted computer navigation has been developed to assess intraoperative cup inclination/anteversion and leg-length discrepancy (LLD) in the operating room. However, there is a relative dearth of studies investigating the accuracy of this software compared with postoperative radiographs. MATERIALS AND METHODS: We prospectively enrolled 211 navigated anterior total hip arthroplasties using fluoroscopy-assisted computer navigation software...
April 4, 2024: Orthopedics
https://read.qxmd.com/read/38466828/site-of-service-disparities-exist-for-total-joint-arthroplasty
#13
JOURNAL ARTICLE
Nicole M Truong, Chelsea V Leversedge, Thompson Zhuang, Lauren M Shapiro, Matthew Whittaker, Robin N Kamal
BACKGROUND: The rate of outpatient total joint arthroplasty procedures, including those performed at ambulatory surgical centers (ASCs) and hospital outpatient departments, is increasing. The purpose of this study was to analyze if type of insurance is associated with site of service (inpatient vs outpatient) for total joint arthroplasty and adverse outcomes. MATERIALS AND METHODS: We identified patients undergoing unicompartmental knee arthroplasty (UKA), total knee arthroplasty (TKA), or total hip arthroplasty (THA) using Current Procedural Terminology codes in a national administrative claims database...
March 12, 2024: Orthopedics
https://read.qxmd.com/read/38466827/performance-of-two-artificial-intelligence-generative-language-models-on-the-orthopaedic-in-training-examination
#14
JOURNAL ARTICLE
Marc Lubitz, Luke Latario
BACKGROUND: Artificial intelligence (AI) generative large language models are powerful and increasingly accessible tools with potential applications in health care education and training. The annual Orthopaedic In-Training Examination (OITE) is widely used to assess resident academic progress and preparation for the American Board of Orthopaedic Surgery Part 1 Examination. MATERIALS AND METHODS: Open AI's ChatGPT and Google's Bard generative language models were administered the 2022 OITE...
March 12, 2024: Orthopedics
https://read.qxmd.com/read/38466826/a-cost-analysis-of-surgical-approach-in-total-hip-arthroplasty
#15
JOURNAL ARTICLE
Niall H Cochrane, Colleen Wixted, Billy Kim, Patrick J Kelly, Michael P Bolognesi, David Holst, Samuel Wellman, Sean P Ryan
BACKGROUND: With pressures to decrease the financial burden of total hip arthroplasty (THA), it is imperative to understand the cost drivers of this procedure. This study evaluated operative and total encounter costs for two surgical approaches to THA-posterior (P) and direct anterior (DA). MATERIALS AND METHODS: A total of 233 THAs (134 P and 99 DA) performed by two fellowship-trained arthroplasty surgeons from 2017 to 2022 were reviewed. Demographics, comorbidities, mobility status, operative time, length of stay, implants used, discharge location, and complications until final follow-up were recorded...
March 12, 2024: Orthopedics
https://read.qxmd.com/read/38466825/evaluation-of-the-safety-of-uninterrupted-warfarin-anticoagulation-with-tranexamic-acid-in-total-joint-arthroplasty
#16
JOURNAL ARTICLE
Michael G Johnston, Matthew A Porter, Kade E Eppich, Celeste G Gray, David F Scott
BACKGROUND: The continuation of long-term warfarin therapy is gaining acceptance in minor surgeries but maintaining therapeutic international normalized ratio (INR) values among patients during major orthopedic procedures raises concern. While bridging therapy with low-molecular-weight heparin is currently recommended for patients receiving anticoagulation, few studies have evaluated the safety of continuing warfarin during total joint arthroplasty. This study evaluated the safety and efficacy of continuous warfarin anticoagulation through total joint arthroplasty with and without prophylactic tranexamic acid (TXA)...
March 12, 2024: Orthopedics
https://read.qxmd.com/read/38285555/an-inclusive-analysis-of-racial-and-ethnic-disparities-in-orthopedic-surgery-outcomes
#17
JOURNAL ARTICLE
Maveric K I L Abella, Tyler Thorne, Jeffrey Hayashi, Andrea K Finlay, Steven Frick, Derek F Amanatullah
BACKGROUND: Despite increasing attention, disparities in outcomes for Black and Hispanic patients undergoing orthopedic surgery are widening. In other racial-ethnic minority groups, outcomes often go unreported. We sought to quantify disparities in surgical outcomes among Asian, American Indian or Alaskan Native, and Native Hawaiian or Pacific Islander patients across multiple orthopedic subspecialties. MATERIALS AND METHODS: The National Surgical Quality Improvement Program was queried to identify all surgical procedures performed by an orthopedic surgeon from 2014 to 2020...
January 25, 2024: Orthopedics
https://read.qxmd.com/read/38285554/four-year-outcomes-of-cementless-versus-cemented-fixation-of-a-newly-introduced-total-knee-arthroplasty-design
#18
JOURNAL ARTICLE
Timothy G Costales, David F Dalury
BACKGROUND: Aseptic loosening continues to be a major cause of failure of total knee arthroplasty (TKA). Although cemented fixation remains the gold standard, there is renewed interest in cementless fixation as a means of decreasing this risk via biologic fixation. The purpose of this study was to evaluate the clinical outcomes of cemented and cementless versions of a newly introduced TKA design at an average of 4 years postoperatively. MATERIALS AND METHODS: This was a retrospective case-control study of 100 primary TKAs comparing cementless vs cemented TKAs using the same cruciate-retaining implant design (ATTUNE Knee System; DePuy Synthes)...
January 25, 2024: Orthopedics
https://read.qxmd.com/read/38285553/sagittal-pelvic-tilt-directly-influences-the-ischiofemoral-space-a-cadaveric-study
#19
JOURNAL ARTICLE
Luke Spencer-Gardner, Brandon Nunley, Juan Gómez-Hoyos, Joel Wells, Anthony N Khoury
BACKGROUND: Ischiofemoral impingement (IFI) is understood to be a pain generator in the deep gluteal space. Femoral position is known to influence the ischiofemoral space (IFS), but there has been no study examining the effect of sagittal pelvic tilt on the IFS. The purpose of this study was to determine whether changes in pelvic tilt in the sagittal plane lead to changes in the dimensions of the IFS. MATERIALS AND METHODS: Five fresh frozen cadavers (10 hips) were used for this anatomic study...
January 25, 2024: Orthopedics
https://read.qxmd.com/read/38285552/os-trigonum-syndrome-a-cause-of-posterior-ankle-pain
#20
REVIEW
Gary L Ulrich, Amy L Meyers, Matthew J Marquart
BACKGROUND: Os trigonum syndrome represents a cause of posterior ankle pain that is predominantly seen in athletes. The os trigonum ossicle forms from a secondary ossification center of the talus and is located at its posterior aspect in an interval between the posterior lip of the tibial plafond and calcaneus. The os trigonum ossicle is often an incidental finding and asymptomatic. However, repetitive plantarflexion and push-off maneuvers can cause symptoms and lead a patient to pursue orthopedic care...
January 25, 2024: Orthopedics
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