Journal of the American Academy of Orthopaedic Surgeons (AAOS)




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The State of Your Journal.

Rose, Peter S. MD, FAAOS; Editor-in-Chief

doi : 10.5435/JAAOS-D-23-00008

Volume 31(5) pgs. 219-264,e235-e286 March 1, 2023

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Current Concepts in Elbow Extension Reconstruction for the Tetraplegic Patient.

Zlotolow, Dan A. MD; Kripke, Lee A. MD; Kozin, Scott H. MD

doi : 10.5435/JAAOS-D-22-00348

AB Individuals with C5 or C6 spinal cord injury (SCI) have paralysis of the triceps brachii, and the subsequent loss of elbow extension makes it impossible to reliably use their hands above shoulder level because of the inability to hold the elbow extended against gravity.

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Identifying and Addressing Burnout in the Orthopaedic Surgeon.

Pearl, Adam MD; Saleh, Khaled MD, MSC, FRCSC, MHCM; Quick, James Campbell PhD, FAPA, FSIOP, FSCP, FSAScot

doi : 10.5435/JAAOS-D-22-00722

AB Throughout the career of a physician, they are subjected to long working hours, high stress, life and death situations, risk of malpractice, significant financial debt, and an increasing bureaucratic load.

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Coronal Plane Articular Shear Fractures of the Distal Humerus.

Hasan, S. Ashfaq MD; Fisher, Kalin MD; Henn, R. Frank MD; Gilotra, Mohit MD

doi : 10.5435/JAAOS-D-21-00291

AB Coronal plane articular shear fractures of the distal humerus are a rare injury, comprising 6% of distal humerus fractures. The fracture can be easily missed on initial radiographs; therefore, a high index of suspicion is warranted.

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Liposomal Bupivacaine Decreases Intravenous Opioid Use in Patients with Hip Fracture: A Modification to a Novel Pain Protocol.

Stevenson, Kimberly L. MD; Stein, Matthew K. MD; Fryhofer, George W. MD, MTR; Looby, Sean MHA; Donegan, Derek MD, MBA; Mehta, Samir MD

doi : 10.5435/JAAOS-D-22-00493

The aim of this study was to determine whether the administration of liposomal bupivacaine decreased opioid use and delirium in patients sustaining a hip fracture.

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External Fixator Usage and Delayed MRI Scans: A National Survey Study.

Van Rysselberghe, Noelle L. MD; Fithian, Andrew T. MD; Kim, Ho Bin BA; Sung, Jeffrey C. MD; Chou, Benjamin B. MD; Bishop, Julius A. MD; Gardner, Michael J. MD; Lucas, Justin F. MD; Hecht, Garin G. MD

doi : 10.5435/JAAOS-D-21-01023

To report the current state of institutional protocols regarding the use of MRI in patients with external fixation devices (EFDs) in the United States. Design: National Survey Study.

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Timing of Adverse Events Within 90 Days of Hip Fracture Surgery: A Database Study.

Kammien, Alexander J. BS; Ratnasamy, Philip P. BS; Caruana, Dennis L. BS; Grauer, Jonathan N. MD

doi : 10.5435/JAAOS-D-22-00368

Hip fracture surgery is associated with notable morbidity. Understanding the timing of adverse events can inform strategies for prevention and management. Owing to database limitations, many studies have limited postoperative follow-up to 30 days.

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Type III Open Tibia Fractures Treated With Single-Stage Immediate Medullary Nailing and Attempted Primary Closure Yield Low Rates of Flap Coverage.

DeBaun, Malcolm R. MD; Goodnough, L. Henry MD, PhD; Hidden, Krystin A. MD; Nork, Sean E. MD; Kleweno, Conor P. MD; Hebert-Davies, Jonah MD

doi : 10.5435/JAAOS-D-22-00469

The purpose of this study was to determine whether type III open high-energy tibia fractures treated with immediate intramedullary nailing (IMN) and primary closure yield low rates of flap coverage.

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Impact of State Opioid Regulation on Postoperative Opioid Prescribing Patterns for Total Knee Arthroplasty: A Retrospective Analysis.

Kraekel, Sean M. MD; Cabarcas, Brandon C. MD; Salomon, Kevin I. BS; Gill, Meera MD; Teytelbaum, David BS; Miranda, Michael A. DO; Bernasek, Thomas L. MD

doi : 10.5435/JAAOS-D-22-00651

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Changes in Neuraxial Anesthesia Protocols and Improved Efficiency of Same-Day Discharge Total Knee Arthroplasty in an Ambulatory Surgery Center: A Retrospective Cohort Study.

Calkins, Tyler E. MD; Wing, Clayton C. MD; Diltz, Zachary R. MD; Mihalko, William M. MD, PhD; Toy, Patrick C. MD

doi : 10.5435/JAAOS-D-22-00754

This study evaluated the effect of bupivacaine versus mepivacaine spinal anesthesia and preoperative adductor canal block (ACB) on recovery, length of stay, pain, and complications of same-day discharge total knee arthroplasty (TKA) at a free-standing ambulatory surgery center.

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Comorbidity, Racial, and Socioeconomic Disparities in Total Knee and Hip Arthroplasty at High Versus Low-Volume Centers.

Zalikha, Abdul K. MD; Almsaddi, Tarek BS; Nham, Fong MD; Hussein, Inaya Hajj PhD; El-Othmani, Mouhanad M. MD

doi : 10.5435/JAAOS-D-22-00665

The purpose of this study was to compare the epidemiologic and demographic profiles and inpatient postoperative complication and economic outcomes of patients undergoing total joint arthroplasty of the hip and knee (TJA) at high-volume centers (HVCs) versus low-volume centers (LVCs) using a large national registry.

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Dislocation Rates of Primary Total Hip Arthroplasty in Patients With Prior Lumbar Spine Fusion and Lumbar Degenerative Disk Disease With and Without Utilization of Dual Mobility Cups: An American Joint Replacement Registry Study.

Nessler, Joseph M. MD; Malkani, Arthur L. MD; Yep, Patrick J. MS, MPH, MSP; Mullen, Kyle J. MPH; Illgen, Richard L. II MD

doi : 10.5435/JAAOS-D-22-00767

Patients undergoing primary total hip arthroplasty (THA) with a previous history of lumbar spine fusion (LSF) are at increased risk of dislocation. The purpose of this study was to compare the 90-day and 1-year dislocation rates of patients with LSF or lumbar degenerative disk disease who underwent primary THA with and without dual mobility (DM) constructs.

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Outcomes of Recurrent Mobile Spine Chordomas.

Kolz, Joshua M. MD, MS; Wellings, Elizabeth P. MD, ME; Houdek, Matthew T. MD; Clarke, Michelle J. MD; Yaszemski, Michael J. MD, PhD; Rose, Peter S. MD

doi : 10.5435/JAAOS-D-22-00621

Chordomas of the mobile spine are rare malignant tumors. The purpose of this study was to review the outcomes of treatment for patients with recurrent mobile spine chordomas.

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