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Journals Journal of Surgical Orthopaedi...

Journal of Surgical Orthopaedic Advances

https://read.qxmd.com/read/38995071/effect-of-cures-legislation-on-narcotic-prescriptions-after-soft-tissue-hand-surgery
#1
JOURNAL ARTICLE
Conor Spady, Damien Cannon, Montri Daniel Wongworawat, David E Ruckle, Rusheel Nayak, Brittany McPhee
California's Controlled Substance Utilization Review and Evaluation System (CURES) was mandated in 2018 to monitor and limit opiate prescriptions. This study evaluated the effects of this legislation on postoperative opioid prescriptions of patients undergoing soft tissue hand surgery. Patients receiving carpal tunnel release, trigger finger release, and ganglion excisions 18 months prior to and 18 months after CURES were selected. The primary outcome was milligram morphine equivalent (MME) prescribed at the surgical encounter and at first postoperative visit...
2024: Journal of Surgical Orthopaedic Advances
https://read.qxmd.com/read/38995070/preoperative-opioid-use-disorder-is-associated-with-longer-length-of-stay-infection-rate-and-healthcare-expenditure-following-primary-shoulder-arthroplasty
#2
JOURNAL ARTICLE
Kevin Moattari, Nicolás Valentino, Adam M Gordon, Bhavya Sheth, Charles Conway, Afshin E Razi, Jack Choueka
Recent research efforts have focused on the complications and outcomes associated with opioid use disorder (OUD). However, there is a lack of evidence on the associated risks respective to each primary shoulder arthroplasty procedure. After separating patients by total shoulder arthroplasty (TSA) and reverse shoulder arthroplasty (RSA) and matching to controls, our study demonstrated significant association with longer LOS in both groups, higher risk of SSI and PJI in the TSA group, PJI in the RSA group, and higher costs regardless of procedure...
2024: Journal of Surgical Orthopaedic Advances
https://read.qxmd.com/read/38995069/robotic-arm-assisted-total-hip-arthroplasty-reduces-postoperative-trochanteric-bursitis-and-changes-in-hip-offset
#3
JOURNAL ARTICLE
Connor A King, Ye Joon Kim, Alexander T Bradley, Kenneth S Chakour, John M Martell, Hue H Luu
We investigated the effect of robotic assistance in a postoperative change in hip offset and the incidence of trochanteric bursitis among total hip arthroplasty (THA) patients. As part of a retrospective study of a consecutive series of patients over a 3-year period, 211 patients (102 traditional; 109 robotic) between 2013 and 2016 who underwent posterior-lateral THA were reviewed. Hip offset was measured on preoperative and postoperative anterior-posterior (AP) pelvis radiographs. The absolute change in total hip offset was higher in patients undergoing non-robotic THA than in patients undergoing robotic THA (5...
2024: Journal of Surgical Orthopaedic Advances
https://read.qxmd.com/read/38995068/efficacy-and-accuracy-of-diagnosing-septic-arthritis-how-effective-are-current-methods-for-timely-diagnosis-of-septic-arthritis
#4
JOURNAL ARTICLE
John G Weeks, Thomas J Revak
The diagnosis of septic arthritis requires a reliance on ancillary tests, including synovial fluid white blood cell count (jWBC), percentage of polymorphonuclear leukocytes (%PMN), erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP). This study evaluated these tests to determine their diagnostic utility in suspected septic arthritis. A retrospective chart review was performed on patients admitted to an urban hospital who underwent arthrocentesis. The authors evaluated the jWBC, %PMN, ESR, and CRP with receiver operating characteristic (ROC) curve analyses...
2024: Journal of Surgical Orthopaedic Advances
https://read.qxmd.com/read/38995067/smoking-is-independently-associated-with-increased-pain-severity-and-interference-in-patients-with-traumatic-spinal-cord-injury
#5
JOURNAL ARTICLE
Collin W Blackburn, Tyler J Moon, Nicholas U Ahn
Previous studies have shown a relationship between cigarette use and pain but never in the setting of traumatic spinal cord injury (TSCI). Therefore, the objectives of this study were to (1) determine whether smokers with TSCI experience increased pain compared with nonsmokers with TSCI and (2) determine whether smokers with TSCI experience worse functional outcomes than nonsmokers with TSCI. A retrospective analysis of the National Spinal Cord Injury Statistical Center database was performed. Pain severity, interference, and functional outcomes were compared between 514 nonsmokers and 124 smokers with American Spinal Injury Association (ASIA) C/D TSCI...
2024: Journal of Surgical Orthopaedic Advances
https://read.qxmd.com/read/38995066/reuse-of-surgical-masks-during-the-covid-19-shortage-association-with-the-incidence-of-surgical-site-infections
#6
JOURNAL ARTICLE
Zsombor T Gal, Ashley Y Albano, David C Landy, Arun Aneja, Arjun Srinath
The association between the reuse of surgical masks (SMs) for multiple procedures and rates of surgical site infections (SSIs) is unclear. Hence, the purpose of this study was to determine whether a policy mandating the reuse of SMs was associated with increased SSI incidence. It was hypothesized the rate of SSIs would be significantly greater during the postimplementation period compared with the preimplementation period. Retrospective chart review of patients who underwent orthopaedic and general surgery during the 60 days before and after policy implementation was performed...
2024: Journal of Surgical Orthopaedic Advances
https://read.qxmd.com/read/38995065/angina-pectoris-is-associated-with-cervical-disc-disease-a-cross-sectional-population-based-study-using-the-medicare-expenditure-panel-survey-meps
#7
JOURNAL ARTICLE
Peter Ahorukomeye, Jerry Du, Amit K Bhandutia, Charles C Yu, Douglas S Weinberg, Nicholas U Ahn
Atherosclerotic disease in the vessels that supply the cervical spine may lead to degenerative disease. In angina pectoris (AP), atherosclerotic disease leads to coronary vessel occlusion and resulting symptoms. This study aims to determine the relationship between AP and neck pain. Analysis was focused on respondents who had a history of cervical pain disorders, adjusting for demographic, education, and mental health confounders. A total of 30,461 participated in the survey. Of 1,049 respondents, 21% reported neck pain...
2024: Journal of Surgical Orthopaedic Advances
https://read.qxmd.com/read/38995064/isolated-lateral-plating-for-bicondylar-tibial-plateau-fractures-factors-influencing-decision-making
#8
JOURNAL ARTICLE
Mandip Singh, Mikel Headford, Krishna Vangipuram Suresh, Thomas Revak
Lateral plating alone has been postulated as an alternative for fixation of bicondylar tibial plateau fractures in attempts to limit morbidity associated with dual plating. Characterization of fracture patterns that may facilitate lateral plating alone for bicondylar tibial plateau fractures is not well established. The authors analyzed radiographic and clinical outcomes of isolated lateral plating in patients with at least 6 months of follow-up. Of 56 patients identified, 37 (66%) had 41 AO Foundation (AO)/Orthopaedic Trauma Association (OTA) C1/C2 fractures with 19 (34%) presenting with 41 C3 fractures...
2024: Journal of Surgical Orthopaedic Advances
https://read.qxmd.com/read/38995063/assessment-of-prophylactic-antibiotic-coverage-in-culture-positive-traumatic-open-fractures
#9
JOURNAL ARTICLE
Rachel LaBianca Toler, Susan E Hamblin, Lauren E Mangan, J Myles Keck, Austin Ing, Matthew Felbinger, Cory Collinge, Bradley M Dennis
Guidelines provide varying recommendations for the prophylactic antimicrobial treatment of open fractures. This single-center, retrospective cohort study was conducted to determine how well an institutional prophylactic antibiotic protocol covered pathogens associated with open fractures. The authors included adult trauma patients with one or more open fractures and a positive culture from the site of the open fracture, and compared outcomes between patients who were covered by prophylactic antibiotics with patients not covered by prophylactic antibiotics...
2024: Journal of Surgical Orthopaedic Advances
https://read.qxmd.com/read/38995062/superficial-branch-of-the-radial-nerve-versus-sural-nerve-grafting-after-traumatic-adult-brachial-plexus-injury
#10
COMPARATIVE STUDY
Andres A Maldonado, Eric R Wagner, Morad Askari, Robert J Spinner, Allen T Bishop, Alexander Y Shin
The purpose of this study was to compare two sources of nerve graft for brachial plexus reconstruction: the denervated superficial branch of the radial nerve (SBRN) and the sural nerve. Ninety-seven patients who underwent brachial plexus reconstruction with denervated SBRN nerve (24 patients with 24 grafts) or with sural nerve grafting (73 patients with 83 nerve grafts) were included. The two groups were compared with respect to postoperative muscle reinnervation, disabilities of the arm, shoulder, and hand (DASH) scores...
2024: Journal of Surgical Orthopaedic Advances
https://read.qxmd.com/read/38995061/recent-trends-in-concomitant-distal-clavicle-excision-during-rotator-cuff-repair
#11
JOURNAL ARTICLE
Matthew J Partan, John M Tarazi, Peter B White, Cesar Iturriaga, Randy M Cohn
The purpose of this study is to evaluate trends in distal clavicle excision (DCE) in association with arthroscopic rotator cuff repair (RCR) from 2010 to 2019. The National Surgical Quality Improvement Program database was queried to identify all patients who underwent arthroscopic RCR from January 1, 2010 to December 31, 2019, and was further subdivided into procedure type: (1) isolated RCR; and (2) RCR with arthroscopic or open DCE. The proportion of each surgery type, by year and within groups, was calculated...
2024: Journal of Surgical Orthopaedic Advances
https://read.qxmd.com/read/38995060/posttraumatic-arthritis-is-more-common-in-patients-undergoing-total-knee-arthroplasty-before-age-50
#12
JOURNAL ARTICLE
Lcdr Aaron A Olsen, Lt Jonathan K Kallevang, Cdr George C Balazs, Lcdr Ashton H Goldman
Primary total knee arthroplasty (TKA) in patients under 50 is becoming more common. The goal of this study was to identify the diagnoses and predisposing factors for TKA prior to age 50. The Military Data Repository was queried for patients undergoing TKA prior to age 50. The cohort was matched to older patients. A total of 1,504 patients underwent manual record review for demographics, prior knee surgery, and indication for TKA. Primary osteoarthritis was the most common indication in both cohorts. Posttraumatic osteoarthritis was more common in patients who underwent TKA before age 50 (28%) compared with patients 50 and older (7%; p < 0...
2024: Journal of Surgical Orthopaedic Advances
https://read.qxmd.com/read/38995059/victor-mckusick-father-of-medical-genetics-and-his-impact-on-orthopaedics
#13
JOURNAL ARTICLE
Majd Marrache, Paul D Sponseller
Victor McKusick, an iconic figure in medicine and considered the founding father of medical genetics, lived an exemplary life bound to inspire others. As a geneticist, McKusick was heavily involved in the Human Genome Project and the development of the widely used Online Mendelian Inheritance in Man. As a researcher and prolific writer, he published more than 700 research articles, reviews, and books. McKusick educated and inspired thousands of students, doctors, and scientists while performing landmark studies in hereditary disorders and skeletal dysplasias...
2024: Journal of Surgical Orthopaedic Advances
https://read.qxmd.com/read/38995058/primary-total-knee-and-total-hip-arthroplasty-in-the-rural-patient
#14
COMPARATIVE STUDY
David A Forgas, Sowmyanarayanan Thuppal, Steven L Scaife, Anthony Sleiman, Youssef El Bitar
Rural patients have poorer health indicators, including higher risk of developing osteoarthritis. The objective of this study is to compare rural patients undergoing primary total joint arthroplasty (TJA) at rural hospitals with those undergoing primary TJA at urban hospitals with regards to demographics, comorbidities, and complications and to determine the preferred location of care for rural patients. Data from the Healthcare Cost and Utilization Project National Inpatient Sample between 2016 and 2018 were analyzed...
2024: Journal of Surgical Orthopaedic Advances
https://read.qxmd.com/read/38815080/high-resolution-mri-confirms-torsional-injury-as-mechanism-for-combined-ankle-and-common-fibular-peroneal-nerve-injuries
#15
JOURNAL ARTICLE
Rohin Singh, Kimberly K Amrami, Robert J Spinner
Common fibular nerve (CFN) injury due to ankle fracture is an underreported complication. The authors have proposed that torsional injury to the ankle can be translated along the interosseous membrane (IOM), producing tension on the CFN at the fibular neck. A 23-year-old woman presented to our clinic for left foot drop. Three months prior, the patient sustained a fall with left ankle inversion injury while running. She was diagnosed with a minor ankle fracture and placed in an orthopaedic boot. Unfortunately, her swelling worsened and one week later the patient was diagnosed with foot drop, which was further corroborated with EMG studies showing severe CFN injury localizing to the fibular neck...
2024: Journal of Surgical Orthopaedic Advances
https://read.qxmd.com/read/38815079/proximal-femur-guided-growth-a-systematic-review
#16
JOURNAL ARTICLE
Joshua C Tadlock, Michael D Eckhoff, Hunter R Graver, Tyler H Doty, Tyler C Nicholson, EStephan J Garcia
Children with cerebral palsy (CP) and those with avascular necosis (AVN) after treatment of developmental hip dysplasia (DDH) are at risk of developing coxa valga. Proximal femur guided growth is a minimally invasive option to correct this deformity. A systematic review of articles that described treatment of coxa valga with proximal femur guided growth (PFGG) and reporting on primary radiographic outcomes, demographic variables, surgical variables and complications. One hundred and seventy-nine hips underwent PFGG (117 with CP and 62 with lateral overgrowth)...
2024: Journal of Surgical Orthopaedic Advances
https://read.qxmd.com/read/38815078/the-perceived-value-of-same-sex-or-same-race-mentors-and-role-models-in-academic-medicine
#17
JOURNAL ARTICLE
Kryls Ong Sitco Domalaon, Lydia Jeannette Henderson, Soo Kyoung Kim, Holly Leshikar, Sandra L Taylor, Yueju Li, Robert M Szabo
This study aims to describe the perception of need for same-sex and same-race mentorship and role models at evolving stages of a medical career and to explore whether these differences affect career choices within the field of medicine. A total of 326 medical students, 309 resident physicians, and 200 faculty attending physicians at the University of California, Davis School of Medicine completed an online survey focused on their perceived value of same-sex and same-race mentorship throughout their stages of medical training and practice...
2024: Journal of Surgical Orthopaedic Advances
https://read.qxmd.com/read/38815077/indirect-coronal-reduction-technique-using-a-volar-locking-plate-in-distal-radius-fractures-a-case-series
#18
JOURNAL ARTICLE
Nicholas Andring, T David Luo, Suman Medda, Kelly Stumpff, Eben Carroll
This is a retrospective case series of patients with distal radius fractures treated with an indirect coronal reduction technique previously described by the senior author using volar locking plates. Seventeen distal radius fractures underwent treatment at a Level I Trauma Center and were retrospectively reviewed for anatomic alignment, surgical complications, and wrist range of motion in the global period. Near-anatomic restoration was achieved with the average radial inclination, radial height, and volar tilt measured as 23...
2024: Journal of Surgical Orthopaedic Advances
https://read.qxmd.com/read/38815076/who-benefits-from-manipulation-under-anesthesia-following-total-knee-arthroplasty
#19
JOURNAL ARTICLE
Matthew L Brown, Kenneth M Vaz, Julie C McCauley, Laura May, Clifford W Colwell
Arthrofibrosis is a multifactorial process that results in decreased knee range of motion (ROM). Manipulation under anesthesia (MUA) is commonly regarded as the preferred initial treatment of arthrofibrosis following total knee arthroplasty (TKA). There have been no well-controlled studies demonstrating that MUA effectively increases ROM in patients who develop arthrofibrosis after TKA when compared with routine care. The purpose of this study was to determine whether MUA had any advantage over routine care in the treatment of patients who developed arthrofibrosis following TKA...
2024: Journal of Surgical Orthopaedic Advances
https://read.qxmd.com/read/38815075/adolescent-idiopathic-scoliosis-increased-body-mass-associated-with-decreased-bracing-outcomes
#20
JOURNAL ARTICLE
Adam Margalit, Krishna V Suresh, Daniel Badin, R Jay Lee, Paul D Sponseller
Bracing reduces the need for surgical intervention in patients with adolescent idiopathic scoliosis (AIS). However, bracing outcomes with variable body mass index (BMI) are understudied. The authors sought to determine the association of BMI with bracing outcomes. The authors performed a retrospective cohort study of 104 patients presenting with AIS. Initial Risser score, hours of bracing per day, BMI percentile, and curve magnitude pre- and postbracing were collected. There was no detectable difference between years of brace wear or primary curve magnitude at time of presentation between both groups...
2024: Journal of Surgical Orthopaedic Advances
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