Journal of the American Academy of Orthopaedic Surgeons (AAOS)




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Preference-Signaling During the Orthopaedic Surgery Residency Application Process.

Feroe, Aliya G. MD, MPH; Smartt, Anne A. MD; Pulos, Nicholas MD; Aiyer, Amiethab A. MD; Levine, William N. MD; Barlow, Jonathan D. MD, MS

doi : 10.5435/JAAOS-D-22-00688

AB The orthopaedic surgery residency selection process has grown more competitive over recent years, with programs receiving an unprecedented number of applications. As an effort to target applications to programs of interest, the American Orthopaedic Association has announced the introduction of a formal preference-signaling program into the 2022 to 2023 orthopaedic surgery residency selection cycle.

Buy The Package and View The Article Online


Thumb Metacarpophalangeal Joint Ulnar Collateral Ligament Injuries: Management and Biomechanical Evaluation.

Chang, Andy L. MD; Merkow, David B. MD; Bookman, Jared S. MD; Glickel, Steven Z. MD

doi : 10.5435/JAAOS-D-22-00112

AB First described in 1955 as "gamekeeper's thumb," injuries to the ulnar collateral ligament (UCL) of the thumb metacarpophalangeal joint are common and can cause pain and instability, especially during key pinch and grasp.

Buy The Package and View The Article Online


AAOS Clinical Practice Guideline Summary: Prevention of Surgical Site Infection After Major Extremity Trauma.

Goldman, Ashton H. MD; Tetsworth, Kevin MD, FRACS, FAOrthA

doi : 10.5435/JAAOS-D-22-00792

AB Prevention of Surgical Site Infections After Major Extremity Trauma Evidence-Based Clinical Practice Guideline is based on a systematic review of current scientific and clinical research. This clinical practice guideline (CPG) is designed to assist qualified physicians and clinicians when making treatment decisions for adults (18 years or older) who have sustained major extremity trauma.

Buy The Package and View The Article Online


AAOS Technology Overview Summary: Concentrated Bone Marrow Aspirate for Knee Osteoarthritis.

Aneja, Arun MD, PhD, FAAOS; Adams, Samuel B. MD, FAAOS; Foster, Jeffrey A. MD; Pezold, Ryan MA

doi : 10.5435/JAAOS-D-22-00228

AB The Concentrated Bone Marrow Aspirate (CBMA) for Knee Osteoarthritis Technology Overview is based on a systematic review of current scientific and clinical research. Through analysis of the current best evidence, this technology overview seeks to evaluate the efficacy of CBMA for patients with knee osteoarthritis.

Buy The Package and View The Article Online


Risk of Revision Shoulder Arthroplasty After Anatomic and Reverse Total Shoulder Arthroplasty.

Cutler, Holt S. MD; DeClercq, Josh MS; Ayers, Gregory D. MS; Serbin, Philip MD; Jain, Nitin MD; Khazzam, Michael MD

doi : 10.5435/JAAOS-D-21-01090

The objective of this study was to determine the survivorship of anatomic total shoulder arthroplasty (aTSA) and reverse TSA (rTSA) over a medium-term follow-up in a large population-based sample and to identify potential risk factors for revision surgery.

Buy The Package and View The Article Online


Scoliosis Surgery: A Social Media Analysis of Content, Tone, and Perspective.

Yeramosu, Teja BS; Dominy, Calista L. BS; Arvind, Varun PhD; Isleem, Ula N. MD; Cho, Samuel K. MD

doi : 10.5435/JAAOS-D-22-00312

The purpose of this study was to analyze posts shared on social media sites, Twitter and Instagram, referencing scoliosis surgery for tone, content, and perspective of the posts.

Buy The Package and View The Article Online


Outcomes After Abductor Reattachment to Proximal Femur Endoprosthesis After Tumor Resection.

Rizkallah, Maroun MD, MSc; Araneta, Karla Teresa MD; Aoude, Ahmed MD, MEng; Turcotte, Robert MD

doi : 10.5435/JAAOS-D-22-00369

Resection of the proximal femur raises several challenges including restoration of the abductor mechanism. Few evaluated the outcomes of different techniques of abductor fixation to the proximal femur endoprosthesis.

Buy The Package and View The Article Online


Conversion of External Fixator to Intramedullary Nail in Tibial fractures.

Bunzel, Eli W. MD; Wilkinson, Brady MD; Rothberg, David MD; Higgins, Thomas MD; Marchand, Lucas MD; Haller, Justin MD

doi : 10.5435/JAAOS-D-21-00857

Conversion of provisional external fixation to intramedullary nail (IMN) in femur fractures has been reported to be safe within 14 days of initial surgery. However, there is no current literature guiding this practice in tibial fractures.

Buy The Package and View The Article Online


Isolated Gastrocnemius Recession for Progressive Collapsing Foot Deformity.

Smith, Jeremy T. MD; Michalski, Max P. MSc, MD; Greene, Brady D. BS; Parker, Emily B. BS; Broughton, Kimberly K. MD; Bluman, Eric M. MD, PhD; Chiodo, Christopher P. MD

doi : 10.5435/JAAOS-D-22-00343

Progressive collapsing foot deformity (PCFD) is frequently associated with a gastrocnemius contracture. Surgical treatment of PCFD often includes a gastrocnemius recession in addition to other corrective procedures, which typically requires a period of restricted weight bearing postoperatively.

Buy The Package and View The Article Online


Effect of Insurance Status on Mortality in Adults With Sarcoma of the Extremities and Pelvis: A SEER-Medicare Study.

Jang, Eugene S. MD, MS; Hammoor, Bradley MS; Enneking, F. Kayser MD; Chan, Chung Ming MD, MBBS; Spiguel, Andre R. MD; Gibbs, C. Parker MD; Scarborough, Mark T. MD; Tyler, Wakenda K. MD, MPH

doi : 10.5435/JAAOS-D-21-01071

Previous studies have highlighted the association between insurance status and poor outcomes after surgical treatment of sarcomas in the United States. 1 - 3 It is unclear how much of this disparity is mediated by confounding factors such as medical comorbidities and socioeconomic status and how much can be explained by barriers to care caused by insurance status.

Buy The Package and View The Article Online


Extensor Mechanism Reconstruction After Total Knee Arthroplasty with Allograft Versus Synthetic Mesh: A Multicenter Retrospective Cohort.

Gencarelli, Pasquale Jr BS; Yawman, Jonathan P. MD; Tang, Alex MD; Salandra, Jonathan DO; North, Decorian D. MS; Menken, Luke G. DO; Green, Cody C. MD; Haidukewych, George J. MD; Liporace, Frank A. MD; Yoon, Richard S. MD

doi : 10.5435/JAAOS-D-22-00401

Patellar and quadriceps tendon ruptures after total knee arthroplasty (TKA) have historically poor outcomes. To date, there is no consensus for optimal treatment. The purpose of this study is to directly compare clinical outcomes and survivorship between allograft versus synthetic mesh for reconstruction of native extensor mechanism (EM) rupture after TKA.

Buy The Package and View The Article Online


Predictors of Hospice Discharge After Surgical Fixation of Hip Fractures.

Mekkawy, Kevin L. DO; Chaudhry, Yash P. DO; Rao, Sandesh S. MD; Barry, Kawsu MD; Puvanesarajah, Varun MD; Amin, Raj M. MD; Khanuja, Harpal S. MD

doi : 10.5435/JAAOS-D-21-01015

Each year, over 300,000 people older than 65 years are hospitalized for hip fractures. Given the notable morbidity and mortality faced by elderly patients in the postinjury period, recommendations have been put forth for integrating palliative and, when needed, hospice care to improve patients' quality of life.

Buy The Package and View The Article Online


The Impact of Osteoporosis on 2-Year Outcomes in Patients Undergoing Long Cervical Fusion.

Diebo, Bassel G. MD; Scheer, Ryan MD; Rompala, Alexander BA; Veenema, Ryne J. MD; Shah, Neil V. MD, MS; Beyer, George A. MD, MS; Celiker, Pelin BS; Eldib, Hassan BS; Passfall, Lara MD; Krol, Oscar BA; Dubner, Michael G. BS; Lafage, Renaud MSc; Challier, Vincent MD; Passias, Peter G. MD; Schwab, Frank J. MD; Lafage, Virginie PhD; Daniels, Alan H. MD; Paulino, Carl B. MD

doi : 10.5435/JAAOS-D-22-00361

Osteoporosis affects nearly 200 million individuals worldwide. Given this notable disease burden, there have been increased efforts to investigate complications in patients with osteoporosis undergoing cervical fusion (CF). However, there are limited data regarding long-term outcomes in osteoporotic patients in the setting of >=4-level cervical fusion.

Buy The Package and View The Article Online


Preference-Signaling During the Orthopaedic Surgery Residency Application Process.

Feroe, Aliya G. MD, MPH; Smartt, Anne A. MD; Pulos, Nicholas MD; Aiyer, Amiethab A. MD; Levine, William N. MD; Barlow, Jonathan D. MD, MS

doi : 10.5435/JAAOS-D-22-00688

AB The orthopaedic surgery residency selection process has grown more competitive over recent years, with programs receiving an unprecedented number of applications. As an effort to target applications to programs of interest, the American Orthopaedic Association has announced the introduction of a formal preference-signaling program into the 2022 to 2023 orthopaedic surgery residency selection cycle.

Buy The Package and View The Article Online


Thumb Metacarpophalangeal Joint Ulnar Collateral Ligament Injuries: Management and Biomechanical Evaluation.

Chang, Andy L. MD; Merkow, David B. MD; Bookman, Jared S. MD; Glickel, Steven Z. MD

doi : 10.5435/JAAOS-D-22-00112

AB First described in 1955 as "gamekeeper's thumb," injuries to the ulnar collateral ligament (UCL) of the thumb metacarpophalangeal joint are common and can cause pain and instability, especially during key pinch and grasp.

Buy The Package and View The Article Online


AAOS Clinical Practice Guideline Summary: Prevention of Surgical Site Infection After Major Extremity Trauma.

Goldman, Ashton H. MD; Tetsworth, Kevin MD, FRACS, FAOrthA

doi : 10.5435/JAAOS-D-22-00792

AB Prevention of Surgical Site Infections After Major Extremity Trauma Evidence-Based Clinical Practice Guideline is based on a systematic review of current scientific and clinical research. This clinical practice guideline (CPG) is designed to assist qualified physicians and clinicians when making treatment decisions for adults (18 years or older) who have sustained major extremity trauma.

Buy The Package and View The Article Online


AAOS Technology Overview Summary: Concentrated Bone Marrow Aspirate for Knee Osteoarthritis.

Aneja, Arun MD, PhD, FAAOS; Adams, Samuel B. MD, FAAOS; Foster, Jeffrey A. MD; Pezold, Ryan MA

doi : 10.5435/JAAOS-D-22-00228

AB The Concentrated Bone Marrow Aspirate (CBMA) for Knee Osteoarthritis Technology Overview is based on a systematic review of current scientific and clinical research. Through analysis of the current best evidence, this technology overview seeks to evaluate the efficacy of CBMA for patients with knee osteoarthritis.

Buy The Package and View The Article Online


Risk of Revision Shoulder Arthroplasty After Anatomic and Reverse Total Shoulder Arthroplasty.

Cutler, Holt S. MD; DeClercq, Josh MS; Ayers, Gregory D. MS; Serbin, Philip MD; Jain, Nitin MD; Khazzam, Michael MD

doi : 10.5435/JAAOS-D-21-01090

The objective of this study was to determine the survivorship of anatomic total shoulder arthroplasty (aTSA) and reverse TSA (rTSA) over a medium-term follow-up in a large population-based sample and to identify potential risk factors for revision surgery.

Buy The Package and View The Article Online


Scoliosis Surgery: A Social Media Analysis of Content, Tone, and Perspective.

Yeramosu, Teja BS; Dominy, Calista L. BS; Arvind, Varun PhD; Isleem, Ula N. MD; Cho, Samuel K. MD

doi : 10.5435/JAAOS-D-22-00312

The purpose of this study was to analyze posts shared on social media sites, Twitter and Instagram, referencing scoliosis surgery for tone, content, and perspective of the posts.

Buy The Package and View The Article Online


Outcomes After Abductor Reattachment to Proximal Femur Endoprosthesis After Tumor Resection.

Rizkallah, Maroun MD, MSc; Araneta, Karla Teresa MD; Aoude, Ahmed MD, MEng; Turcotte, Robert MD

doi : 10.5435/JAAOS-D-22-00369

Resection of the proximal femur raises several challenges including restoration of the abductor mechanism. Few evaluated the outcomes of different techniques of abductor fixation to the proximal femur endoprosthesis.

Buy The Package and View The Article Online


Conversion of External Fixator to Intramedullary Nail in Tibial fractures.

Bunzel, Eli W. MD; Wilkinson, Brady MD; Rothberg, David MD; Higgins, Thomas MD; Marchand, Lucas MD; Haller, Justin MD

doi : 10.5435/JAAOS-D-21-00857

Conversion of provisional external fixation to intramedullary nail (IMN) in femur fractures has been reported to be safe within 14 days of initial surgery. However, there is no current literature guiding this practice in tibial fractures.

Buy The Package and View The Article Online


Isolated Gastrocnemius Recession for Progressive Collapsing Foot Deformity.

Smith, Jeremy T. MD; Michalski, Max P. MSc, MD; Greene, Brady D. BS; Parker, Emily B. BS; Broughton, Kimberly K. MD; Bluman, Eric M. MD, PhD; Chiodo, Christopher P. MD

doi : 10.5435/JAAOS-D-22-00343

Progressive collapsing foot deformity (PCFD) is frequently associated with a gastrocnemius contracture. Surgical treatment of PCFD often includes a gastrocnemius recession in addition to other corrective procedures, which typically requires a period of restricted weight bearing postoperatively.

Buy The Package and View The Article Online


Effect of Insurance Status on Mortality in Adults With Sarcoma of the Extremities and Pelvis: A SEER-Medicare Study.

Jang, Eugene S. MD, MS; Hammoor, Bradley MS; Enneking, F. Kayser MD; Chan, Chung Ming MD, MBBS; Spiguel, Andre R. MD; Gibbs, C. Parker MD; Scarborough, Mark T. MD; Tyler, Wakenda K. MD, MPH

doi : 10.5435/JAAOS-D-21-01071

Previous studies have highlighted the association between insurance status and poor outcomes after surgical treatment of sarcomas in the United States. 1 - 3 It is unclear how much of this disparity is mediated by confounding factors such as medical comorbidities and socioeconomic status and how much can be explained by barriers to care caused by insurance status.

Buy The Package and View The Article Online


Extensor Mechanism Reconstruction After Total Knee Arthroplasty with Allograft Versus Synthetic Mesh: A Multicenter Retrospective Cohort.

Gencarelli, Pasquale Jr BS; Yawman, Jonathan P. MD; Tang, Alex MD; Salandra, Jonathan DO; North, Decorian D. MS; Menken, Luke G. DO; Green, Cody C. MD; Haidukewych, George J. MD; Liporace, Frank A. MD; Yoon, Richard S. MD

doi : 10.5435/JAAOS-D-22-00401

Patellar and quadriceps tendon ruptures after total knee arthroplasty (TKA) have historically poor outcomes. To date, there is no consensus for optimal treatment. The purpose of this study is to directly compare clinical outcomes and survivorship between allograft versus synthetic mesh for reconstruction of native extensor mechanism (EM) rupture after TKA.

Buy The Package and View The Article Online


Predictors of Hospice Discharge After Surgical Fixation of Hip Fractures.

Mekkawy, Kevin L. DO; Chaudhry, Yash P. DO; Rao, Sandesh S. MD; Barry, Kawsu MD; Puvanesarajah, Varun MD; Amin, Raj M. MD; Khanuja, Harpal S. MD

doi : 10.5435/JAAOS-D-21-01015

Each year, over 300,000 people older than 65 years are hospitalized for hip fractures. Given the notable morbidity and mortality faced by elderly patients in the postinjury period, recommendations have been put forth for integrating palliative and, when needed, hospice care to improve patients' quality of life.

Buy The Package and View The Article Online


The Impact of Osteoporosis on 2-Year Outcomes in Patients Undergoing Long Cervical Fusion.

Diebo, Bassel G. MD; Scheer, Ryan MD; Rompala, Alexander BA; Veenema, Ryne J. MD; Shah, Neil V. MD, MS; Beyer, George A. MD, MS; Celiker, Pelin BS; Eldib, Hassan BS; Passfall, Lara MD; Krol, Oscar BA; Dubner, Michael G. BS; Lafage, Renaud MSc; Challier, Vincent MD; Passias, Peter G. MD; Schwab, Frank J. MD; Lafage, Virginie PhD; Daniels, Alan H. MD; Paulino, Carl B. MD

doi : 10.5435/JAAOS-D-22-00361

Osteoporosis affects nearly 200 million individuals worldwide. Given this notable disease burden, there have been increased efforts to investigate complications in patients with osteoporosis undergoing cervical fusion (CF). However, there are limited data regarding long-term outcomes in osteoporotic patients in the setting of >=4-level cervical fusion.

Buy The Package and View The Article Online


Ninety-Day Emergency Department Visits After Ankle Fracture Surgery.

Kammien, Alexander J. BS; Ratnasamy, Philip P. BS; Joo, Peter Y. MPH; Grauer, Jonathan N. MD

doi : 10.5435/JAAOS-D-22-00484

Emergency department (ED) visits after orthopaedic procedures such as ankle fracture open reduction and internal fixation (ORIF) have received less attention than other outcomes

Buy The Package and View The Article Online


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