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Meta-Analyses and Systematic Reviews: JBJS Policy Revisited
Swiontkowski, Marc
doi : 10.2106/JBJS.21.00233
The Journal of Bone and Joint Surgery. 103(10):849, May 19, 2021.
What’s New in Foot and Ankle Surgery
Halai, Mansur M.; Richards, Megan; Daniels, Timothy R.
doi : 10.2106/JBJS.21.00146
The Journal of Bone and Joint Surgery. 103(10):850-859, May 19, 2021.
Effect of Tourniquet Use During Surgical Treatment of Open Fractures
Gitajn, Ida Leah; Werth, Paul M.; Sprague, Sheila; Bzovsky, Sofia; Petrisor, Brad A.; Jeray, Kyle J.; O’Hara, Nathan N.; Bhandari, Mohit; Slobogean, Gerard; the FLOW Investigators
doi : 10.2106/JBJS.20.01458
The Journal of Bone and Joint Surgery. 103(10):860-868, May 19, 2021.
We sought to evaluate whether tourniquet use, with the resultant ischemia and reperfusion, during surgical treatment of an open lower-extremity fracture was associated with an increased risk of complications.
Comparing 4-Year Changes in Patient-Reported Outcomes Following Ankle Arthroplasty and Arthrodesis
Sangeorzan, Bruce J.; Ledoux, William R.; Shofer, Jane B.; Davitt, James; Anderson, John G.; Bohay, Donald; Coetzee, J. Chris; Maskill, John; Brage, Michael; Norvell, Daniel C
doi : 10.2106/JBJS.20.01357
The Journal of Bone and Joint Surgery. 103(10):869-878, May 19, 2021.
The rate of total ankle arthroplasty (TAA) is increasing relative to ankle arthrodesis (AA) for patients seeking surgical treatment for end-stage ankle arthritis. Patients and providers would benefit from a more complete understanding of the rate of improvement, the average length of time to achieve maximal function and minimal pain, and whether there is a greater decline in function or an increase in pain over time following TAA compared with AA. The objectives of this study were to compare treatment changes in overall physical and mental function and ankle-specific function, as well as pain intensity at 48 months after TAA or AA in order to determine if the improvements are sustained.
Revision Reverse Shoulder Arthroplasty for Anatomical Glenoid Component Loosening Was Not Universally Successful: A Detailed Analysis of 127 Consecutive Shoulders
Bartels, Douglas W.; Marigi, Erick; Sperling, John W.; Sanchez-Sotelo, Joaquin
doi : 10.2106/JBJS.20.00555
The Journal of Bone and Joint Surgery. 103(10):879-886, May 19, 2021.
Glenoid component loosening is a primary cause of failure of anatomical total shoulder arthroplasty (TSA) and is commonly associated with glenoid bone loss. The purpose of the present study was to evaluate the outcome and survival following revision to a reverse total shoulder arthroplasty (RSA) for the treatment of loosening of a polyethylene cemented glenoid component in the setting of failed TSA.
Large Lytic Defects Produce Kinematic Instability and Loss of Compressive Strength in Human Spines: An in Vitro Study
Alkalay, Ron N.; Adamson, Robert; Miropolsky, Alexander; Davis, Roger B.; Groff, Mike L.; Hackney, David B
doi : 10.2106/JBJS.19.00419
The Journal of Bone and Joint Surgery. 103(10):887-899, May 19, 2021.
In patients with spinal metastases, kinematic instability is postulated to be a predictor of pathologic vertebral fractures. However, the relationship between this kinematic instability and the loss of spinal strength remains unknown.
Tranexamic Acid Is Safe in Patients with a History of Coronary Artery Disease Undergoing Total Joint Arthroplasty
Zak, Stephen G.; Tang, Alex; Sharan, Mohamad; Waren, Daniel; Rozell, Joshua C.; Schwarzkopf, Ran
doi : 10.2106/JBJS.20.01226
The Journal of Bone and Joint Surgery. 103(10):900-904, May 19, 2021.
Tranexamic acid (TXA) is increasingly used to minimize blood loss during total joint arthroplasty (TJA). Although TXA has been shown to be highly effective in reducing operative blood loss, many surgeons believe that it places patients with coronary artery disease (CAD) or a history of coronary stents at an increased risk for myocardial infarction. The purpose of this study was to determine if TXA is safe to use in patients with a history of CAD or coronary stents.
Anatomical Study of the Interosseous Ligament of the Tibiofibular Syndesmosis: An Analysis of Osseous Morphology and Attaching Interposing Structures
Tano, Atsuhiro; Nimura, Akimoto; Tsutsumi, Masahiro; Yamaguchi, Reiko; Okawa, Atsushi; Akita, Keiichi
doi : 10.2106/JBJS.20.01545
The Journal of Bone and Joint Surgery. 103(10):905-912, May 19, 2021.
The morphological features of the interosseous tibiofibular area in relation to the tensile stress of the interosseous ligament (IOL) have rarely been discussed. The purpose of the present study was to investigate the IOL on the basis of osseous surface morphology and macroscopic and histological anatomy. We hypothesized that the osseous surface of the interosseous tibiofibular area has a specific feature corresponding to the fibrous structure in the IOL.
Value Analysis of Anatomic and Reverse Shoulder Arthroplasty for Glenohumeral Osteoarthritis with an Intact Rotator Cuff
Polisetty, Teja S.; Colley, Ryan; Levy, Jonathan C.
doi : 10.2106/JBJS.19.01398
The Journal of Bone and Joint Surgery. 103(10):913-920, May 19, 2021.
While anatomic total shoulder arthroplasty (TSA) has historically been considered the ideal treatment for end-stage glenohumeral osteoarthritis, reverse shoulder arthroplasty (RSA) has recently gained popularity. With substantial differences in implant design and cost between TSA and RSA, further investigation of outcomes and value is needed to support recent trends. The purpose of this study was to use the average and incremental cost-effectiveness ratio (ACER and ICER) and the procedure value index (PVI) to examine differences in outcomes and value between TSA and RSA for treatment of glenohumeral osteoarthritis with an intact rotator cuff.
Increased Neurovascular Morbidity Is Seen in Documented Knee Dislocation Versus Multiligamentous Knee Injury
Kahan, Joseph B.; Schneble, Christopher A.; Li, Don; Petit, Logan; Huang, Patrick; Bullock, James; Porrino, Jack; Richter, Dustin L.; Schenck, Robert C.; Medvecky, Michael J
doi : 10.2106/JBJS.20.01151
The Journal of Bone and Joint Surgery. 103(10):921-930, May 19, 2021.
This article was updated on May 19, 2021 because of previous errors, which were discovered after the preliminary version of the article was posted online. In the legend for Figure 3-A, the phrase that had read “T1-weighted coronal MRI showing a right knee” now reads “T1-weighted coronal MRI showing a left knee.” On page 924, in the section entitled “Materials and Methods,” the sentence that had read “If there was no radiographic evidence or if there was a clinical note that documented visible deformity around the knee with no reduction maneuver being performed, then the patient was classified into the non-dislocated MLKI group.” now reads “If there was no radiographic evidence or if there was no clinical note that documented visible deformity around the knee with no reduction maneuver being performed, then the patient was classified into the non-dislocated MLKI group.” On page 925, in the section entitled “Analysis,” the sentence that had read “Our study included 78 dislocated MLKIs and non-dislocated MLKIs, so both cohorts were adequately powered for the overall analysis.” now reads “Our study included 45 dislocated MLKIs and 78 non-dislocated MLKIs, so both cohorts were adequately powered for the overall analysis.” Finally, on page 927, in the section entitled “Discussion,” the sentence that had read “Interestingly, we found that MLKIs with a documented knee dislocation had a substantially higher rate of vascular injury (23%) compared with those without (3%).” now reads “Interestingly, we found that MLKIs with a documented knee dislocation had a substantially higher rate of vascular injury (18%) compared with those without (4%).”
In Vivo Imaging of Fibroblast Activity Using a 68Ga-Labeled Fibroblast Activation Protein Alpha (FAP-?) Inhibitor: Study in a Mouse Rotator Cuff Repair Model
Zhang, Xueying; Chen, Daoyun; Babich, John W.; Green, Samuel J.E.; Deng, Xiang-Hua; Rodeo, Scott A
doi : 10.2106/JBJS.20.00831
The Journal of Bone and Joint Surgery. 103(10):e40, May 19, 2021.
Rotator cuff repair site failure is a well-established clinical concern. Tendon-to-bone healing is initiated by inflammatory mediators followed by matrix synthesis by fibroblasts. The kinetics of fibroblast accumulation and activity are currently poorly understood.
In Bicortical Fracture of the Scaphoid Waist, Early Fixation and Initial Cast Immobilization Did Not Differ for Wrist Pain and Disability at 52 Weeks
Buckwalter V, Joseph A.
doi : 10.2106/JBJS.21.00244
The Journal of Bone and Joint Surgery. 103(10):932, May 19, 2021.
In Young Adults with Femoroacetabular Impingement, Osteochondroplasty and Hip Joint Lavage, Each with or without Labral Repair, Did Not Differ for Pain at 1 Year; Osteochondroplasty Reduced Reoperations at 2 Years
Mayer, Stephanie W.
doi : 10.2106/JBJS.21.00243
The Journal of Bone and Joint Surgery. 103(10):933, May 19, 2021.
In Nonsurgically Managed Acute Achilles Tendon Rupture, Platelet-Rich Plasma Did Not Improve Healing or Function at 12 Months Compared with Placebo
Willits, Kevin R.
doi : 10.2106/JBJS.21.00242
The Journal of Bone and Joint Surgery. 103(10):934, May 19, 2021.
Prevention and Treatment of Nerve Injuries in Shoulder Arthroplasty
Florczynski, Matthew; Paul, Ryan; Leroux, Timothy; Baltzer, Heather Less
doi : 10.2106/JBJS.20.01716
The Journal of Bone and Joint Surgery. 103(10):935-946, May 19, 2021.
Nerve injuries during shoulder arthroplasty have traditionally been considered rare events, but recent electrodiagnostic studies have shown that intraoperative nerve trauma is relatively common.
What’s Important: The Power of Touch
Khan, Irfan A.; Quatman, Carmen E.
doi : 10.2106/JBJS.20.01781
The Journal of Bone and Joint Surgery. 103(10):947-948, May 19, 2021.
Clinical Trial Registry Use in Orthopaedic Surgery Systematic Reviews
Reddy, Arjun K.; Anderson, J. Michael; Gray, Harrison M.; Fishbeck, Keith; Vassar, Matt Less
doi : 10.2106/JBJS.20.01743
The Journal of Bone and Joint Surgery. 103(10):e41, May 19, 2021.
The Use of Tourniquets in the Treatment of Open Fractures: A Fresh Look at Older Data: Commentary on an article by Ida Leah Gitajn, MD, et al.: “Effect of Tourniquet Use During Surgical Treatment of Open Fracture”
Patterson, Brendan M.
doi : 10.2106/JBJS.21.00094
The Journal of Bone and Joint Surgery. 103(10):e42, May 19, 2021.
More Value Analytics Needed in Shoulder Arthroplasty: Commentary on an article by Teja S. Polisetty, BS, et al.: “Value Analysis of Anatomic and Reverse Shoulder Arthroplasty for Glenohumeral Osteoarthritis with an Intact Rotator Cuff”
Hsu, Jason E.
doi : 10.2106/JBJS.21.00034
The Journal of Bone and Joint Surgery. 103(10):e43, May 19, 2021.
Erratum: The Fallacy of Follow-up: When Orthopaedic Trauma Patients Actually Return to Clinic
doi : 10.2106/JBJS.ER.20.00348
The Journal of Bone and Joint Surgery. 103(10):e44, May 19, 2021.
