Journal of Bone and Joint Surgery - Series A




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What's New in Orthopaedic Trauma.

Flanagan, Christopher D. MD 1; Vallier, Heather A. MD 2,a

doi : 10.2106/JBJS.23.00244

Volume 105(13) pgs. 973-1050,e34-e35 July 5, 2023

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Medicaid Patients Undergo Total Joint Arthroplasty at Lower-Volume Hospitals by Lower-Volume Surgeons and Have Poorer Outcomes.

Cohen-Rosenblum, Anna MD, MSc 1,a; Richardson, Mary K. BS 2; Liu, Kevin C. BS 2; Wang, Jennifer C. BS 2; Piple, Amit S. MD 2; Hansen, Charles MD 1; Christ, Alexander B. MD 2; Heckmann, Nathanael D. MD 2

doi : 10.2106/JBJS.22.01336

Medicaid insurance coverage among patients undergoing total hip arthroplasty (THA) or those undergoing total knee arthroplasty (TKA) has been associated with worse postoperative outcomes compared with patients without Medicaid.

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Gene Expression in Glenoid Articular Cartilage Varies Across Acute Instability, Chronic Instability, and Osteoarthritis.

Aleem, Alexander W. MD, MSc 1,a; Rai, Muhammad Farooq PhD 1,2; Cai, Lei PhD 1; Brophy, Robert H. MD 1

doi : 10.2106/JBJS.22.01124

Shoulder instability is a common pathology associated with an elevated risk of osteoarthritis (OA). Little is known about gene expression in the cartilage of the glenohumeral joint after dislocation events, particularly as it relates to the risk of posttraumatic OA.

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Complications Associated with Preventive Management to Reduce the Risk of COVID-19 Spread After Surgery for Spinal Cord Injury.

Ushirozako, Hiroki MD, PhD 1,2,a; Suda, Kota MD, PhD 1; Matsumoto Harmon, Satoko MD, PhD 1; Komatsu, Miki MD, PhD 1; Ota, Masahiro MD, PhD 1; Shimizu, Tomoaki MD 1; Minami, Akio MD, PhD 1; Takahata, Masahiko MD, PhD 3; Iwasaki, Norimasa MD, PhD 3; Matsuyama, Yukihiro MD, PhD 2

doi : 10.2106/JBJS.22.00785

Preventive management to reduce the risk of coronavirus disease-2019 (COVID-19) spread led to delays in active rehabilitation, which may have negatively impacted the outcomes of patients with traumatic spinal cord injury (SCI).

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Extensor Mechanism Disruption Impacts Treatment of Dislocated and Multiligament Injured Knees: Treatment and Schenck Classification Recommendations Based on a Global Delphi Method.

Medvecky, Michael J. MD 1,a; Kahan, Joseph B. MD 1; Richter, Dustin L. MD 2; Islam, Wasif BS 1; McLaughlin, William M. MD 1; Moran, Jay BS 1; Alaia, Michael J. MD 3; Miller, Mark D. MD 4; Wascher, Daniel C. MD 2; Treme, Gehron P. MD 2; Campos, Tulio V.O. MD 5; Held, Michael MD 6; Schenck, Robert C. Jr. MD 2; the Knee Fracture-Dislocation Study Group; Abrams, Geoffrey D. MD; Arciero, Robert A. MD; Barenius, Bjorn MD, PhD; Brady, Jacqueline M. MD; Ferrer, Gonzalo MD; Franciozi, Carlos E. MD, PhD; Gelber Ghertner, Pablo E. MD, PhD; Getgood, Alan MD; Hantes, Michael MD; Harner, Christopher D. MD; Jazrawi, Laith M. MD; Krych, Aaron J. MD; Lagae, Koen C. MD; LaPrade, Robert F. MD; Levy, Bruce A. MD; Lind, Martin MD; Lording, Timothy MBBS, FRACS, FAOrthA; Maestu, Rodrigo MD; Matava, Matthew MD; Moatshe, Gilbert MD, PhD; Monllau, Joan C. MD, PhD; Murray, Iain R. FRCS, MFSEM, PhD; Musahl, Volker MD; Ooka, Nelson H.M. MD; Owens, Brett D. MD; Parker, David A. MD; Percope Andrade, Marco A. MD, PhD; Pimenta, Frederico S. MD; Pujol, Nicolas MD; Rincon, Gustavo A. MD; Robinson, James FRCS(Tr&Orth), MS; Safran, Marc R. MD; Saltzman, Bryan M. MD; Stannard, James MD; Stuart, Michael J. MD; Tischer, Thomas MD; Uchida, Soshi MD, PhD; Villascusa, Silvio MD; von Bormann, Richard P.B. MD; Waterman, Brian R. MD.

doi : 10.2106/JBJS.23.00079

Multiligament knee injury (MLKI) with associated extensor mechanism (EM) involvement is a rare injury, with limited evidence to guide optimal treatment.

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A Torn Discoid Lateral Meniscus Impacts Lower-Limb Alignment Regardless of Age: Surgical Treatment May Not Be Appropriate for an Asymptomatic Discoid Lateral Meniscus.

Lei, Kai MD 1,*; Liu, Liming MD 1,*; Yang, Liu MD 1; Guo, Lin MD 1,a; Fu, Dejie MD 1,a

doi : 10.2106/JBJS.22.01314

A discoid lateral meniscus (DLM) is more prone to tear, and treatment of this condition is challenging. The purpose of the present study was to investigate (1) whether a torn DLM is associated with more varus alignment than a torn semilunar lateral meniscus (SLM) and (2) whether the lower-limb alignment associated with a torn DLM changes with age.

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New Considerations in ACL Surgery: When Is Anatomic Reconstruction Not Enough?.

Baker, Hayden P. MD 1; Bowen, Edward BA 2; Sheean, Andrew MD 3; Bedi, Asheesh MD 4,a

doi : 10.2106/JBJS.22.01079

AB Clinicians should be careful to assess for associated injuries including anterolateral complex and medial meniscal ramp lesions or lateral meniscal posterior root tears.

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What's Important: When the Question Is More Important Than the Answer.

Shah, Ronit V. MD 1,a

doi : 10.2106/JBJS.22.01387

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The Arthroplasty Surgeon Growth Indicator: A Tool for Monitoring Supply and Demand Trends in the Orthopaedic Surgeon Workforce from 2020 to 2050.

Rullan, Pedro J. MD 1,*; Deren, Matthew E. MD 1,*; Zhou, Guangjin PhD 2; Emara, Ahmed K. MD 1; Klika, Alison K. MS 1; Schiltz, Nicholas K. PhD 2; Barsoum, Wael K. MD 1; Koroukian, Siran PhD 2; Piuzzi, Nicolas S. MD 1,3,a

doi : 10.2106/JBJS.22.00874

Orthopaedic practices in the U.S. face a growing demand for total joint arthroplasties (TJAs), while the orthopaedic workforce size has been stagnant for decades.

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AOA Critical Issues Symposium: Mind the Gap: Addressing Confidence, Imposter Syndrome, and Perfectionism in Surgical Training.

Samora, Julie B. MD, PhD, FAAOS, FAOA 1,a; Ghanayem, Alexander J. MD 2,3; Lewis, Valerae O. MD 4; Weber, Kristy MD, FAAOS, FAOA 5

doi : 10.2106/JBJS.22.01101

AB Orthopaedic surgeons in training and in their careers can experience a lack of confidence and imposter syndrome. Confidence is built early through continuous improvement, accomplishments, support, and reinforcement. Although it is normal to lack confidence at times, the goal is to recognize this issue, work on visualizing success, and know when to seek help.

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The Enigma of Posttraumatic Osteoarthritis: Commentary on an article by Alexander W. Aleem, MD, MSc, et al.: "Gene Expression in Glenoid Articular Cartilage Varies Across Acute Instability, Chronic Instability, and Osteoarthritis".

Wang, Dean MD 1,a; Johnston, Tyler R. MD 1

doi : 10.2106/JBJS.23.00492

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Erratum: Strategies for Recruiting and Retaining Women and Minorities in Orthopaedics.

doi : 10.2106/JBJS.ER.21.00016

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