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Evaluation and Management of Pediatric Humeral Shaft Fractures.
Annabell, Lucas MBBS; Shore, Benjamin J. MD, MPH; Hedequist, Daniel J. MD; Hogue, Grant D. MD
doi : 10.5435/JAAOS-D-22-00443
Volume 31(6) pgs. 265-318,e287-e346 March 15, 2023
AB Diaphyseal humerus fractures in the pediatric population have dynamic treatment strategies that depend on injury pattern, mechanism, patient skeletal maturity, and size. Treatment strategies include closed reduction with various immobilization techniques, flexible nails, uniplanar or multiplanar external fixation, or plate osteosynthesis.
Orthopaedic Diagnoses in the Black Pediatric Population.
Bridges, Carla M. MD; Agarwal, Rashmi MD; Raney, Ellen M. MD
doi : 10.5435/JAAOS-D-22-00535
AB The Black pediatric population is one that has been historically underserved and continues to have unmet needs. Factors including lack of diversity in orthopaedic studies and in historical standards, such as bone age, may inadvertently lead to inferior care.
Surgical Hip Dislocation in Pediatric and Adolescent Patients.
Smith, Craig MD; DiBartola, Alex C. MD MPH; Fisher, Michael DO; Klingele, Kevin E. MD
doi : 10.5435/JAAOS-D-21-01099
AB Treatment of common orthopaedic pathologies about the hip necessitates a thorough understanding of complex anatomy, pathology, surgical technique, and appropriate indications.
Updated Criteria for Fusion Level Selection in Adolescent Idiopathic Scoliosis Including Use of Three-Dimensional Analysis.
Shah, Suken A. MD; Henstenburg, Jeffrey M. MD; Newton, Peter O. MD; Parent, Stefan MD, PhD
doi : 10.5435/JAAOS-D-21-01175
AB The development of new technologies and an enhanced understanding of the three-dimensional deformity in adolescent idiopathic scoliosis has led to advances in surgical management of adolescent idiopathic scoliosis.
Letter to the Editor: Melatonin Does Not Improve Sleep Quality in a Randomized Placebo-controlled Trial After Primary Total Joint Arthroplasty.
Wang, Xing MM; Huang, Qiang MD; Pei, Fuxing MD
doi : 10.5435/JAAOS-D-21-01134
Letter to the Editor: Assessment and Interventions for Vascular Injuries Associated With Fractures.
Sridhar, Michael S. MD
doi : 10.5435/JAAOS-D-22-00565
Representation of Female Speakers at the American Academy of Orthopaedic Surgeons Annual Meetings Over Time.
Nwosu, Chinemerem BA; Wittstein, Jocelyn R. MD; Erickson, Melissa M. MD; Schroeder, Nicole MD; Santiesteban, Lauren MD; Klifto, Christopher MD; Jiang, Yue PhD; Shapiro, Lauren MD, MS
doi : 10.5435/JAAOS-D-22-00615
In the United States, women comprise 16% of orthopaedic surgery residents, 4% of fellows, and 6% of practicing orthopaedic surgeons. The underrepresentation of women in surgical subspecialties may be because of lack of early exposure to female mentors. Conference speaker roles are important for visibility.
Frailty Among Total Hip and Knee Arthroplasty Recipients: Epidemiology and Propensity Score-weighted Analysis of Effect on In-hospital Postoperative Outcomes.
Zalikha, Abdul K. MD; Pham, Luu Bsc; Keeley, Jacob MSc; Hussein, Inaya Hajj PhD; El-Othmani, Mouhanad M. MD
doi : 10.5435/JAAOS-D-22-00642
Total joint arthroplasty (TJA) is one of the most successful and frequently performed procedures in the United States. The number of these procedures is projected to continue growing rapidly in the coming years, and with it comes the demand for more sophisticated perioperative risk and complication assessment.
Arthrotomy Dehiscence After Total Knee Arthroplasty With a Barbed Suture.
Hood, Mark MD; Rowe, Taylor M. BA; Valenzeula, Michael M. BS; McBride, Bobby BS; Odum, Susan PhD; Fehring, Thomas K. MD
doi : 10.5435/JAAOS-D-22-00539
Meticulous arthrotomy closure during total knee arthroplasty (TKA) is essential to preserve quadriceps strength and maintain proper patellar tracking. We recently encountered a subset of patients referred with anterior knee pain, a palpable retinaculum defect, and quadriceps weakness.
Administration of Prophylactic Enoxaparin on the Morning of Surgery Does Not Increase Risk of Blood Transfusion or Wound Drainage Following Internal Fixation of Geriatric Femur Fractures.
Moloney, Gele Brown MD; Boakye, Lorraine Akua Takyiwaa MD; Cluts, Landon Myers BS; Palmeri, Christine PA-C
doi : 10.5435/JAAOS-D-22-00233
Despite standard use of chemoprophylaxis, 30-day incidence of venous thromboembolism after geriatric, those older than 60 years, femur fracture surgery is reported to be up to 10%. Missing one dose of enoxaparin has been proven to increase the risk of developing venous thromboembolism.
A Retrospective Cohort Study on Chronic Opioid Use After Geriatric Hip Fracture Surgery-Risk Factors, Trends, and Outcomes.
Stone, Julia M. BS; Pujari, Amit BS; Garlich, John MD; Lin, Carol MD
doi : 10.5435/JAAOS-D-22-00458
The purpose of this study is to identify the risk factors for prolonged opioid use after surgery in geriatric hip fracture patients and the effects of prolonged use on mortality and readmission rates.
Topical Antibiotic Powder and Nonunion Risk in Surgically Treated Tibial Plateau and Pilon Fractures.
Miles, Daniel T. MD; Colon, Luis Felipe MD; Wilson, Andrew W. MS; Scheinberg, Mila MS; Yee, Michael A. MD; Cunningham, Bryce A. MD; Doty, Jesse F. MD; Gardner, Warren E. MD; Kiner, Dirk W. MD; Nowotarski, Peter J. MD
doi : 10.5435/JAAOS-D-22-00261
High-energy periarticular tibia fractures are challenging injuries with a significant risk of complications. Postoperative infection rates, although improved, remain unacceptable.
Analysis of Questions in Sections of the Orthopaedic In-Training Examination: A Scoping Review.
Constantinescu, David S. MD; Pavlis, William BA; Lizardi, Juan J. MS; Weinerman, Jonathan MS; Best, Thomas M. MD; Hornicek, Francis J. MD; Dodds, Seth D. MD
doi : 10.5435/JAAOS-D-22-00874
The purpose of this review was to assess all available studies that analyzed the types of questions in individual sections of the Orthopaedic In-Training Examination, which may be used as a reference for residents studying for their examination.
Real-World Management of Patients With Osteoporosis at Very High Risk of Fracture.
Diffenderfer, Benjamin W. MS-PA-C; Wang, Yamei PhD; Pearman, Leny PhD; Pyrih, Nick BS; Williams, Setareh A. PhD
doi : 10.5435/JAAOS-D-22-00476
Lack of consideration for risk-based assessments that inform osteoporosis treatment decisions may contribute to disease burden. In this study, we examined the prevalence of patients at very high risk of fracture and evaluated real-world treatment practices for these patients.
Borderline Dysplastic Hips Undergoing Hip Arthroscopy Achieve Equivalent Patient Reported Outcomes When Compared With Hips With Normal Acetabular Coverage: A Systematic Review and Meta-Analysis.
Krivicich, Laura M. MD; Rice, Morgan BS; Sivasundaram, Lakshmanan MD; Nho, Shane J. MD, MS
doi : 10.5435/JAAOS-D-22-00302
To systematically review and meta-analyze studies reporting lateral center edge angle as it relates to patient-reported outcome (PRO) measures and clinically notable outcome assessments for patients undergoing hip arthroscopy for femoroacetabular impingement syndrome or labral pathology with borderline dysplastic hips (BDH).
