journal
https://read.qxmd.com/read/38619394/the-role-of-perioperative-nutritional-status-and-supplementation-in-orthopaedic-surgery-a-review-of-postoperative-outcomes
#1
JOURNAL ARTICLE
Amanda Tedesco, Abhinav K Sharma, Nischal Acharya, George Rublev, Sohaib Hashmi, Hao-Hua Wu, Yu-Po Lee, John Scolaro, Nitin Bhatia
» Identification of malnourished and at-risk patients should be a standardized part of the preoperative evaluation process for every patient.» Malnourishment is defined as a disorder of energy, protein, and nutrients based on the presence of insufficient energy intake, weight loss, muscle atrophy, loss of subcutaneous fat, localized or generalized fluid accumulation, or diminished functional status.» Malnutrition has been associated with worse outcomes postoperatively across a variety of orthopaedic procedures because malnourished patients do not have a robust metabolic reserve available for recovery after surgery...
April 1, 2024: JBJS Reviews
https://read.qxmd.com/read/38619382/management-of-bone-loss-in-posterior-glenohumeral-shoulder-instability-current-concepts
#2
JOURNAL ARTICLE
Edward J Testa, Jelle P van der List, Brian R Waterman, Paul E Caldwell, Stephen A Parada, Brett D Owens
» Posterior glenohumeral instability is relatively uncommon compared with anterior instability, but is becoming an increasingly recognized and surgically managed shoulder pathology.» Soft-tissue stabilization alone may not be sufficient in patients who present with substantial bone loss to the posterior glenoid and/or the anterior humeral head.» For posterior glenoid defects, posterior glenoid osteoarticular augmentation can be used, and posterior glenoid opening wedge osteotomy can be considered in cases of posterior instability with pathologic retroversion...
April 1, 2024: JBJS Reviews
https://read.qxmd.com/read/38574186/vitamin-d-deficiency-leads-to-poorer-health-outcomes-and-greater-length-of-stay-after-total-knee-arthroplasty-and-supplementation-improves-outcomes-a-systematic-review-and-meta-analysis
#3
JOURNAL ARTICLE
Kavyesh Vivek, Rayan Kamal, Edward Perera, Chinmay M Gupte
BACKGROUND: Vitamin D deficiency is increasingly identified as a predictor of poorer outcomes in musculoskeletal disease affecting as many as 1 in 4 people. This study aimed to evaluate the effect of vitamin D supplementation on outcomes after primary total knee arthroplasty (TKA). METHODS: A targeted search of terms related to vitamin D and TKA outcomes was performed in PubMed, Cochrane Central Register of Controlled Trials, ClinicalTrials.gov, American Academy of Orthopaedic Surgeons, and British Orthopaedic Association databases...
April 1, 2024: JBJS Reviews
https://read.qxmd.com/read/38574183/the-influence-of-component-design-and-positioning-on-soft-tissue-tensioning-and-complications-in-reverse-total-shoulder-arthroplasty-a-review
#4
REVIEW
Lucas Haase, Jason Ina, Ethan Harlow, Raymond Chen, Robert Gillespie, Jacob Calcei
» Reverse total shoulder arthroplasty was designed to function in the rotator cuff deficient shoulder by adjusting the glenohumeral center of rotation (COR) to maximize deltoid function.» Adjustments in the COR ultimately lead to changes in resting tension of the deltoid and remaining rotator cuff, which can affect implant stability and risk of stress fracture.» Soft-tissue balance and complication profiles can be affected by humeral component (version, neck shaft angle, and inlay vs. onlay) and glenoid component (sagittal placement, version, inclination, and lateralization) design and application...
April 1, 2024: JBJS Reviews
https://read.qxmd.com/read/38574182/comparison-of-graft-type-and-fixation-method-in-anterior-cruciate-ligament-reconstruction-a-systematic-review-and-meta-analysis-based-on-randomized-control-studies
#5
JOURNAL ARTICLE
Julia Beyer, Ryan Jones, Isabell Igo, Angelina Rose Furyes, Jiayong Liu, David H Sohn
BACKGROUND: The anterior cruciate ligament (ACL) is the most commonly injured ligament in the knee. ACL reconstruction (ACLR) proves the standard for treating this injury. However, graft choice and method of fixation remain a heavily debated topic. This study investigates the following: bone-patellar tendon-bone (BPTB) vs. hamstring tendon (HT) autograft, single-bundle vs. double-bundle hamstring graft, and metal vs. bioabsorbable screws in ACLR. METHODS: A systematic review was performed on PubMed and Google Scholar according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines...
April 1, 2024: JBJS Reviews
https://read.qxmd.com/read/38507516/shoulder-arthroplasty-after-previous-nonarthroplasty-surgery-a-systematic-review-and-meta-analysis-of-clinical-outcomes-and-complications
#6
JOURNAL ARTICLE
Peyman Mirghaderi, Alireza Azarboo, Amirhossein Ghaseminejad-Raeini, Nasim Eshraghi, Hamed Vahedi, Surena Namdari
BACKGROUND: Many patients who undergo shoulder arthroplasty (SA) have had at least 1 nonarthroplasty shoulder surgery before the surgery. There is conflicting evidence regarding the effects of previous shoulder surgery on the outcome of SA. A systematic review was conducted to compare functional outcomes and complications between SA patients with and without prior non-SA surgery on the ipsilateral shoulder. METHODS: We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and searched MEDLINE/PubMed, Embase, Scopus, and Web of Science comprehensively from inception to January 2023...
March 1, 2024: JBJS Reviews
https://read.qxmd.com/read/38489398/the-direct-superior-approach-in-total-hip-arthroplasty-a-systematic-review
#7
JOURNAL ARTICLE
Bart van Dooren, Rinne M Peters, Alies M van der Wal-Oost, Martin Stevens, Paul C Jutte, Wierd P Zijlstra
BACKGROUND: Evolution of the surgical approach for total hip arthroplasty (THA) has led to the development of the minimally invasive direct superior approach (DSA). It is hypothesized that the DSA reduces postoperative pain and hospital length of stay (LOS). We aimed to provide an overview of current evidence on clinical, functional, and radiological outcomes with respect to risk of revision, complications, pain scores, physical function, operative time, LOS, blood loss, radiological outcomes, and learning curve...
March 1, 2024: JBJS Reviews
https://read.qxmd.com/read/38489397/how-comprehensive-and-efficient-are-patient-reported-outcome-measures-for-individuals-with-lower-extremity-amputation-undergoing-implantation-of-osseointegrated-bone-anchored-limbs
#8
JOURNAL ARTICLE
Mohamed E Awad, Danielle Melton, Kylie G Shaw, Guy Lev, Brecca M M Gaffney, Cory L Christiansen, Jason W Stoneback
» Patient-reported outcome measures (PROMs) are essential for measuring quality and functional outcomes after implantation of osseointegrated bone anchored limbs for patients with lower extremity amputation.» Using a novel assessment criterion with 8 domains, this study assessed all commonly used PROMs for their efficiency and comprehensiveness.» Comprehensiveness was scored according to the presence or absence of PROM questions related to these 8 domains (maximum score = 60): mobility (15 items), prosthesis (14 items), pain (10 items), psychosocial status (10 items), independence/self-care (4 items), quality of life/satisfaction (4 items), osseoperception (1 item), general information (1 item), and vitality (1 item)...
March 1, 2024: JBJS Reviews
https://read.qxmd.com/read/38489396/effect-of-postoperative-kinesio-taping-on-knee-edema-pain-and-range-of-motion-after-total-knee-arthroplasty-and-anterior-cruciate-ligament-reconstruction-a-systematic-review-and-meta-analysis-of-randomized-clinical-trials
#9
JOURNAL ARTICLE
Amirali Azimi, Shayan Roshdi Dizaji, Fatemeh-Sadat Tabatabaei, Saeed Safari, Morteza Nakhaei Amroodi, Amir Farbod Azimi
BACKGROUND: Kinesio taping (KT) has been shown to be clinically effective in a wide range of musculoskeletal disorders. Despite evidence supporting KT, there still needs to be more certainty regarding its clinical worthiness in managing postoperative conditions. This study aims to assess the effect of postoperative KT on knee edema, pain, and range of motion (ROM) when added to routine physiotherapy after knee surgery. METHODS: In this systematic review and meta-analysis, MEDLINE, Embase, Scopus, Web of Science, and CENTRAL databases were searched from their inception to July 2023...
March 1, 2024: JBJS Reviews
https://read.qxmd.com/read/38466803/the-cost-of-reducing-waste-in-orthopaedic-surgery-commentary-on-an-article-by-e-l-tsay-et-al-reuse-of-orthopaedic-equipment-barriers-and-opportunities
#10
JOURNAL ARTICLE
Edward Ebramzadeh, Frances E Sharpe, Sophia N Sangiorgio
No abstract text is available yet for this article.
March 1, 2024: JBJS Reviews
https://read.qxmd.com/read/38466802/venous-thromboembolism-chemical-prophylaxis-in-patients-undergoing-shoulder-arthroscopy
#11
JOURNAL ARTICLE
Jacob S Budin, Tolulope Ramos, Kalli Segel, Mia V Rumps, Mary K Mulcahey
» Venous thromboembolism (VTE) after shoulder arthroscopy is rare (0.01%-0.38%) but impacts a significant number of patients because of the high procedure volume.» Studies found no significant benefit in reducing VTE risk with aspirin or low-molecular-weight heparins.» Current guidelines for thromboprophylaxis in shoulder arthroscopy lack consensus and need patient-specific considerations.» Further research is required to develop evidence-based thromboprophylaxis guidelines for shoulder arthroscopy...
March 1, 2024: JBJS Reviews
https://read.qxmd.com/read/38466801/proximal-humerus-reconstruction-for-bone-sarcomas-a-critical-analysis
#12
JOURNAL ARTICLE
Matthew T Houdek, Mikaela H Sullivan, Samuel E Broida, Jonathan D Barlow, Mark E Morrey, Steven L Moran, Joaquin Sanchez-Sotelo
» The proximal humerus is a common location for primary bone tumors, and the goal of surgical care is to obtain a negative margin resection and subsequent reconstruction of the proximal humerus to allow for shoulder function.» The current evidence supports the use of reverse total shoulder arthroplasty over hemiarthroplasty when reconstructing the proximal humerus after resection of a bone sarcoma if the axillary nerve can be preserved.» There is a lack of high-quality data comparing allograft prosthetic composite (APC) with endoprosthetic reconstruction of the proximal humerus...
March 1, 2024: JBJS Reviews
https://read.qxmd.com/read/38466800/reuse-of-orthopaedic-equipment-barriers-and-opportunities
#13
JOURNAL ARTICLE
Ellen L Tsay, Sanjeev Sabharwal
» Reuse of orthopaedic equipment is one of many potential ways to minimize the negative impact of used equipment on the environment, rising healthcare costs and disparities in access to surgical care.» Barriers to widespread adoption of reuse include concerns for patient safety, exposure to unknown liability risks, negative public perceptions, and logistical barriers such as limited availability of infrastructure and quality control metrics.» Some low- and middle-income countries have existing models of equipment reuse that can be adapted through reverse innovation to high-income countries such as the United States...
March 1, 2024: JBJS Reviews
https://read.qxmd.com/read/38466797/enabling-personalized-medicine-in-orthopaedic-surgery-through-artificial-intelligence-a-critical-analysis-review
#14
JOURNAL ARTICLE
Nickelas Huffman, Ignacio Pasqualini, Shujaa T Khan, Alison K Klika, Matthew E Deren, Yuxuan Jin, Kyle N Kunze, Nicolas S Piuzzi
» The application of artificial intelligence (AI) in the field of orthopaedic surgery holds potential for revolutionizing health care delivery across 3 crucial domains: (I) personalized prediction of clinical outcomes and adverse events, which may optimize patient selection, surgical planning, and enhance patient safety and outcomes; (II) diagnostic automated and semiautomated imaging analyses, which may reduce time burden and facilitate precise and timely diagnoses; and (III) forecasting of resource utilization, which may reduce health care costs and increase value for patients and institutions...
March 1, 2024: JBJS Reviews
https://read.qxmd.com/read/38446913/team-approach-diagnosis-management-and-prevention-of-sudden-cardiac-arrest-in-the-athlete
#15
JOURNAL ARTICLE
Antonio Cusano, Paul M Inclan, Tyler Jackson, Leigh J Weiss, Ronnie P Barnes, James J Kinderknecht, Samuel A Taylor, Scott A Rodeo
» Sudden cardiac events during sports competition are rare but tragic occurrences that require a timely, comprehensive response by well-prepared athletic trainers and medical providers. This sequence should prioritize prompt emergency medical system activation, immediate initiation of cardiopulmonary resuscitation (CPR), automated early defibrillation (AED), and comprehensive advanced life support efforts.» Exercise-induced cardiac remodeling, referred to as the "athlete's heart," refers to a host of adaptive changes that increase cardiac chamber size and wall thickness to allow for greater pressures and volumes during exercise...
March 1, 2024: JBJS Reviews
https://read.qxmd.com/read/38446912/radiographic-union-assessment-in-surgically-treated-distal-femur-fractures-a-systematic-review
#16
JOURNAL ARTICLE
Alice Wei Ting Wang, David J Stockton, Andreas Flury, Taylor G Kim, Darren M Roffey, Kelly A Lefaivre
BACKGROUND: Distal femur fractures are known to have challenging nonunion rates. Despite various available treatment methods aimed to improve union, optimal interventions are yet to be determined. Importantly, there remains no standard agreement on what defines radiographic union. Although various proposed criteria of defining radiographic union exist in the literature, there is no clear consensus on which criteria provide the most precise measurement. The use of inconsistent measures of fracture healing between studies can be problematic and limits their generalizability...
March 1, 2024: JBJS Reviews
https://read.qxmd.com/read/38446910/surgical-margins-in-musculoskeletal-sarcoma
#17
JOURNAL ARTICLE
Julia C Quirion, Samuel R Johnson, Brooke L Kowalski, Jennifer L Halpern, Herbert S Schwartz, Ginger E Holt, Carlos Prieto-Granada, Reena Singh, Justin M M Cates, Brian P Rubin, Nathan W Mesko, Lukas M Nystrom, Joshua M Lawrenz
» Negative margin resection of musculoskeletal sarcomas is associated with reduced risk of local recurrence.» There is limited evidence to support an absolute margin width of soft tissue or bone that correlates with reduced risk of local recurrence.» Factors intrinsic to the tumor, including histologic subtype, grade, growth pattern and neurovascular involvement impact margin status and local recurrence, and should be considered when evaluating a patient's individual risk after positive margins...
March 1, 2024: JBJS Reviews
https://read.qxmd.com/read/38394327/mobile-application-use-and-patient-engagement-in-total-hip-and-knee-arthroplasty
#18
JOURNAL ARTICLE
Jhase Sniderman, Ruben Monarrez, Jacob Drew, Ayesha Abdeen
» Mobile applications (MAs) are widely available for use during the perioperative period and are associated with increased adherence to rehabilitation plans, increased satisfaction with care, and considerable cost savings when used appropriately.» MAs offer surgeons and health care stakeholders the ability to collect clinical data and quality metrics that are important to value-based reimbursement models and clinical research.» Patients are willing to use wearable technology to assist with data collection as part of MAs but prefer it to be comfortable, easy to apply, and discreet...
February 1, 2024: JBJS Reviews
https://read.qxmd.com/read/38359149/what-is-the-most-effective-treatment-for-periprosthetic-joint-infection-after-total-joint-arthroplasty-in-patients-with-rheumatoid-arthritis-a-systematic-review
#19
JOURNAL ARTICLE
Vineet Desai, Alexander R Farid, Adriana P Liimakka, Jaime Lora-Tamayo, Marjan Wouthuyzen-Bakker, Jesse W P Kuiper, Nemandra Sandiford, Antonia F Chen
BACKGROUND: Rheumatoid arthritis (RA) is a risk factor for periprosthetic joint infection (PJI) after total joint arthroplasty (TJA). The purpose of this study was to perform a systematic review comparing the failure rates of debridement, antibiotics, and implant retention (DAIR), one-stage exchange arthroplasty/revision (OSR), and 2-stage exchange arthroplasty/revision (TSR) for RA patients with PJI and identify risk factors in the RA population associated with increased treatment failure rate...
February 1, 2024: JBJS Reviews
https://read.qxmd.com/read/38315777/the-sacroiliac-joint-a-current-state-of-the-art-review
#20
REVIEW
David W Polly
» The sacroiliac joint (SIJ) is a common cause of low back pain and should be included in the differential diagnosis.» Nonoperative treatment of sacroiliac pain is always the first line of therapy; however, when it is unsuccessful and becomes chronic, then recurrent nonoperative treatment becomes expensive.» Surgical treatment is cost-effective in appropriately selected patients. High-quality clinical trials have demonstrated statistically and clinically significant improvement compared with nonsurgical management in appropriately selected patients...
February 1, 2024: JBJS Reviews
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