Journal of the American Academy of Orthopaedic Surgeons (AAOS)




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An Orthopaedic Surgeon's Guide to Billing and Coding.

Rozell, Joshua C. MD; Lin, Charles C. MD, MS; Skeehan, Christopher D. MD

doi : 10.5435/JAAOS-D-22-00417

AB Understanding the nuances of musculoskeletal documentation, coding, and billing is an integral part of any orthopaedic practice, but these nuances are not actively taught in most orthopaedic residency programs.

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Total Hip and Knee Arthroplasty in Solid Organ Transplant Patients: Perioperative Optimization and Outcomes.

Ledford, Cameron K. MD; Barry, Kelly S. MD; Prendergast, Mary B. MB, BCh, MD; Sherman, Courtney E. MD

doi : 10.5435/JAAOS-D-22-00370

AB The success of renal, liver, cardiac, pulmonary, and other solid organ transplantation (SOT) has resulted in increasing volume of transplant procedures and recipient survivorship.

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Intertrochanteric Osteotomies in Children and Adolescents: Principles of Proximal Femoral Deformity Correction.

Miller, Katherine E. MD; Mosca, Vincent S. MD; Blumberg, Todd J. MD

doi : 10.5435/JAAOS-D-22-00073

AB Intertrochanteric osteotomies are used to correct a variety of congenital and acquired deformities of the proximal femur in children and adolescents. Varus, valgus, flexion, extension, or rotational osteotomies at the intertrochanteric level can be used to restore normal alignment of the proximal femur, increase congruency and stability of the hip joint, facilitate healing or remodeling of the femoral head and neck, redirect the articular surface, and improve functional limb position in the case of soft-tissue contractures.

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Mechanical Complications After Intramedullary Fixation of Extracapsular Hip Fractures.

Klima, Matthew L. DO, FACS, FAOAO

doi : 10.5435/JAAOS-D-22-00213

AB Extracapsular hip fractures occur frequently in the elderly as a result of low-energy trauma. Achieving stable fixation in osteoporotic bone to allow early weight bearing is a key objective in the treatment of these injuries. Many of the intraoperative decisions facing surgeons are directed by first determining fracture stability.

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Obesity Treatment in Orthopaedic Surgery.

Carreira, Dominic MD; Robison, J. Weston MD; Robison, Susannah RDN, LD; Fitch, Angela MD, FACP, FOMA

doi : 10.5435/JAAOS-D-21-01083

AB According to the World Health Organization, obesity is a global health epidemic, which has nearly tripled in prevalence since 1975. Worldwide in 2016, 13% of adults 18 years and older had obesity (body mass index >= 30 kg/m2) and 39% were overweight (body mass index 25.0 to 29.9 kg/m2).

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A Review of Evidence for Infection Reduction With Vancomycin-treated Anterior Cruciate Ligament Grafts.

LeClere, Lance E. MD, CDR, MC, USNR; Cox, Charles L. MD, MPH; Wright, Rick W. MD

doi : 10.5435/JAAOS-D-22-00463

AB Septic arthritis after anterior cruciate ligament (ACL) reconstruction is a rare but devastating complication. Several risk factors and known sources of infection have been identified in the literature.

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Evaluating Databases With Orthopaedic Surgery Residency Program Information.

Bernstein, Sophie L. BA; Wei, Chapman MD; Gu, Alex MD; Fufa, Duretti MD; Levine, William N. MD

doi : 10.5435/JAAOS-D-22-00164

Orthopaedic surgery residency applicants submit more applications than ever before. While this issue is multifactorial, increased information and transparency regarding residency programs are important.

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Analysis of Factors Influencing Postoperative Femoral Head Collapse in Patients With Ficat I, II, and III Stages of Aseptic Necrosis of the Femoral Head.

Su, Jingyang MM; Zhang, Yaojie MM; Cao, Bin BM; Li, Xiao BM

doi : 10.5435/JAAOS-D-22-00198

To investigate the factors influencing postoperative femoral head collapse (FHC) in patients with Ficat I, II, and III stages of aseptic necrosis of the femoral head (ANFH).

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Activity Measure for Post-acute Care Mobility Scoring System: Comparison of Nursing and Physical Therapy Evaluation for Primary Hip and Knee Arthroplasty Patients.

Sutton, Ryan MD; Goh, Graham MD; D'Amore, Taylor MD; Clark, Sean BS; Meghpara, Michael MD; Purtill, James MD

doi : 10.5435/JAAOS-D-22-00299

Optimizing resource utilization after total joint arthroplasty (TJA) has become increasingly vital. The Activity Measure for Post-acute Care (AM-PAC) "6-clicks" scoring system is a validated, physical therapist (PT)-administered metric of patient basic mobility and predicts discharge disposition

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Oral Ketorolac as an Adjuvant Agent for Postoperative Pain Control After Arthroscopic Anterior Cruciate Ligament Reconstruction: A Prospective, Randomized Controlled Study.

Mengers, Sunita R. MD; Strony, John T. MD; Sivasundaram, Lakshmanan MD; Yu, Jiao MA; Goodfellow, Donald MD; Salata, Michael J. MD; Voos, James E. MD; Karns, Michael R. MD

doi : 10.5435/JAAOS-D-21-00721

Successful outpatient anterior cruciate ligament (ACL) reconstruction hinges on effective analgesia. Routinely, oral narcotic agents have been the preferred analgesic postoperatively in orthopaedic surgery.

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The Influence of Femoral Fixation on Mortality and Revision After Hip Arthroplasty in Femoral Neck Fractures in Patients Older Than 65 Years. A Matched Cohort Analysis From the American Joint Replacement Registry .

Springer, Bryan D. MD; Odum, Susan M. PhD; De, Ayushmita PhD; Stambough, Jeffrey B. MD; Huddleston, James I. III MD; Illgen, Richard L. II MD; Della Valle, Alejandro Gonzalez MD

doi : 10.5435/JAAOS-D-22-0000

In the United States, most hip arthroplasties for femoral neck fractures are done with a noncemented stem despite worldwide registry data suggesting that cemented fixation has improved long-term survivorship in patients older than 65 years.

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The Effect of COVID-19 on Elective Total Knee Arthroplasty Utilization, Patient Comorbidity Burden, and Complications in the United States: A Nationwide Analysis.

Gordon, Adam M. MD; Magruder, Matthew L. MD; Conway, Charles A. MD; Sheth, Bhavya K. MD; Erez, Orry MD

doi : 10.5435/JAAOS-D-22-00193

Total knee arthroplasty (TKA) is one of the highest volume elective procedures done nationwide. Elective surgery was suspended because of the COVID-19 pandemic.

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