Journal of Bone and Joint Surgery - Series A




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What's New in Adult Reconstructive Knee Surgery.

Villa, Jesus M. MD 1; Singh, Vivek MD, MPH 1; Higuera-Rueda, Carlos A. MD 1,a

doi : 10.2106/JBJS.22.01030

Volume 105(2) pgs. 89-178,e5-e8 January 18, 2023

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Nonoperative Versus Operative Treatment for Displaced Finger Metacarpal Shaft Fractures: A Prospective, Noninferiority, Randomized Controlled Trial.

Peyronson, Fredrik MD 1; Ostwald, Cecilia Stalberg MD 1,2,3; Hailer, Nils P. MD 1; Giddins, Grey FRCS(Orth) 4; Vedung, Torbjorn MD, PhD 1,5; Muder, Daniel MD, PhD 1,2,a

doi : 10.2106/JBJS.22.00573

This article was updated on January 18, 2023, because of a previous error, which was discovered after the preliminary version of the article was posted online. On page 103, in the first column of Table III, the continuous outcomes, which had been given as "Median" and "(range)", are now given as "Mean" and "(95% CI)", respectively.

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Time to Positivity of Cultures Obtained for Periprosthetic Joint Infection.

Tarabichi, Saad MD 1; Goh, Graham S. MD 1; Zanna, Luigi MD 2,3; Qadiri, Qudratullah S. BS 1; Baker, Colin M. BS 1; Gehrke, Thorsten MD 3; Citak, Mustafa MD, PhD 3; Parvizi, Javad MD, FRCS 1,a

doi : 10.2106/JBJS.22.00766

Despite its well-established limitations, culture remains the gold standard for microbial identification in periprosthetic joint infection (PJI). However, there are no benchmarks for the time to positivity (TTP) on culture for specific microorganisms.

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Mechanical Failures in Magnetic Intramedullary Lengthening Nails.

Hlukha, Larysa P. MBBS, MS 1,a; Alrabai, Hamza M. MD 2; Sax, Oliver C. DO, MS 1; Hammouda, Ahmed I. MD 3; McClure, Philip K. MD 1; Herzenberg, John E. MD, FRCSC 1

doi : 10.2106/JBJS.22.00283

Magnetic intramedullary lengthening nails (MILNs) have gained popularity in recent years for the treatment of limb-lengthening discrepancies. We sought to catalog mechanical failures and their prevention and management in a large, single-institution series.

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Fracture in Patients with Normal Bone Mineral Density: An Evaluation of the American Orthopaedic Association's Own the Bone Registry.

Kadri, Aamir MD 1; Binkley, Neil MD 2; Daffner, Scott D. MD 3; Anderson, Paul A. MD 1,a

doi : 10.2106/JBJS.22.00012

Fractures often occur in patients with normal dual x-ray absorptiometry (DXA)-measured bone mineral density (BMD). DXA does not consider clinical fracture risk factors or bone quality.

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Outcomes of Periacetabular Osteotomy for Borderline Acetabular Dysplasia.

Nepple, Jeffrey J. MD 1; Parilla, Frank W. MD 1; Pashos, Gail E. BS, MT 1; Clohisy, John C. MD 1,a

doi : 10.2106/JBJS.22.00491

The optimal surgical treatment (hip arthroscopy compared with periacetabular osteotomy [PAO]) for borderline acetabular dysplasia (lateral center-edge angle [LCEA], 18[degrees] to 25[degrees]) remains a topic of debate.

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Does Choice of Patellar Implant in Total Knee Arthroplasty Matter?: A Randomized Comparative Trial of 3 Commonly Used Designs.

Gharaibeh, Monther A. MBBS, FJMA 1; Tarassoli, Payam MBChB, BSc, FRCS, DipSEM, MD 2; Chen, Darren B. MBBS, FRACS, FAOrthA 2,3; Wood, Jil A. MSN, BA 2; Beuzeville, Scott BMed, FRACP 4; Quinn, Richard MBBS, FRACP, DDU 4; Harris, Ian A. MBBS, FRACS, FAOrthA, MMed, MSc, PhD 5; MacDessi, Samuel J. MBBS, FRACS, FAOrthA, PhD 2,3,6,a

doi : 10.2106/JBJS.22.00655

There is currently a lack of evidence to identify the optimal patellar implant design in total knee arthroplasty (TKA). The aim of this study was to assess clinical, intraoperative, radiographic, and scintigraphic differences between inlay (IN), onlay round (OR), and onlay oval (OO) patellar implants.

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The Reverse Fragility Index: Interpreting the Current Literature on Long-Term Survivorship of Computer-Navigated Versus Conventional TKA: A Systematic Review and Cross-Sectional Study of Randomized Controlled Trials.

Shi, Jeffrey L. BS 1; Mojica, Edward S. BS 1; Moverman, Michael A. MD 2,a; Pagani, Nicholas R. MD 2; Puzzitiello, Richard N. MD 2; Menendez, Mariano E. MD 3; Salzler, Matthew J. MD 2; Gordon, Matthew MD 2; Bono, James V. MD 4

doi : 10.2106/JBJS.22.00311

Despite the most recent American Academy of Orthopaedic Surgeons clinical practice guideline making a "strong" recommendation against the use of intraoperative navigation in total knee arthroplasty (TKA), its use is increasing.

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What's Important: Tackling the Challenges of Orthopaedic Care in Chad.

Martin, Vidmi Taolam MD, PhD 1,a; Yu, Bo MD, PhD 1,a

doi : 10.2106/JBJS.22.00849

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Cobalt Mining in the Democratic Republic of the Congo for Orthopaedic Implants: A Complex Ethical Issue with No Simple Solutions.

Secrist, Eric S. MD 1,a; Fehring, Thomas K. MD 1,2,3

doi : 10.2106/JBJS.21.01277

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AOA Critical Issues Symposium: Deficit Recovery for the Orthopaedic Service Line.

Day, Charles S. MD, MBA 1,2,a; Goldfarb, Charles A. MD 3; Lattanza, Lisa L. MD 4; Yoshida, Maxwell T. BS 1,2; Levin, L. Scott MD 5

doi : 10.2106/JBJS.21.01409

AB The COVID-19 pandemic and the mandated cessation of surgical procedures for a substantial portion of the 2020 year placed tremendous strain, both clinically and financially, on the health-care system in the United States.

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Know Your Microbial Enemy: Commentary on an article by Saad Tarabichi, MD, et al.: "Time to Positivity of Cultures Obtained for Periprosthetic Joint Infection".

Ghert, Michelle MD, FRCSC 1,a

doi : 10.2106/JBJS.22.01220

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Managing Borderline Dysplasia: It Can Take More Than Just a Periacetabular Osteotomy: Commentary on an article by Jeffrey J. Nepple, MD, et al.: "Outcomes of Periacetabular Osteotomy for Borderline Acetabular Dysplasia".

Olson, Steven A. MD 1,a

doi : 10.2106/JBJS.22.01162

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Inlay, Onlay, Oval, or Round, Patellar Implant Choice Outcomes Do Not Confound: Commentary on an article by Monther A. Gharaibeh, MBBS, FJMA, et al.: "Does Choice of Patellar Implant in Total Knee Arthroplasty Matter? A Randomized Comparative Trial of 3 Commonly Used Designs".

Jevsevar, David S. MD, MBA 1,a

doi : 10.2106/JBJS.22.01169

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How Fragile Are the Results of Randomized Controlled Trials: Is It Time to Rethink How We Analyze Data?: Commentary on an article by Jeffrey L. Shi, BS, et al.: "The Reverse Fragility Index: Interpreting the Current Literature on Long-Term Survivorship of Computer-Navigated Versus Conventional TKA. A Systematic Review and Cross-Sectional Study of Randomized Controlled Trials".

Parker, David A. MBBS, BMedSci, FRACS; , FAOrthA 1,a

doi : 10.2106/JBJS.22.01118

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