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What’s New in Adult Reconstructive Knee Surgery
Villa, Jesus M. MD1; Pannu, Tejbir S. MD, MS1; Higuera-Rueda, Carlos A. MD1,a
doi : 10.2106/JBJS.21.01080
January 19, 2022 - Volume 104 - Issue 2 - p 97-106
Patients Who Do Not Receive Aspirin Because of Allergy Have an Increased Risk of Venous Thromboembolism Following Total Joint Arthroplasty
Goh, Graham S. MD1,*; Kozaily, Elie MD1,*; Tan, Timothy L. MD2; Parvizi, Javad MD, FRCS1,a
doi : 10.2106/JBJS.21.00528
January 19, 2022 - Volume 104 - Issue 2 - p 107-114
Patient-reported allergies to aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs) may preclude certain patients from receiving aspirin as venous thromboembolism (VTE) prophylaxis after total joint arthroplasty (TJA). The purpose of the study was to (1) determine whether the use of non-aspirin agents due to a self-reported aspirin or NSAID allergy was associated with a higher incidence of VTE and (2) determine the rate of true allergic reactions in patients who reported an allergy but still received aspirin.
Cold Weather as a Risk Factor for Late Diagnosis and Surgery for Developmental Dysplasia of the Hip
Lee, Wei Chun MD1; Kao, Hsuan Kai MD1; Wang, Shu Mei MS1; Yang, Wen E. MD1; Chang, Chia Hsieh MD, PhD1,a; Kuo, Ken N. MD2,3
doi : 10.2106/JBJS.21.00460
January 19, 2022 - Volume 104 - Issue 2 - p 115-122
Newborn hip screening aims to prevent the late diagnosis of and subsequent surgical procedures for developmental dysplasia of the hip (DDH). Weather may affect how parents swaddle their babies in early life, but weather has never been formally regarded as a risk factor in hip screening. This study investigates the association between the incidence of surgically treated DDH and the outdoor temperature.
Functional Outcome After Nonoperative Treatment of a Proximal Humeral Fracture in Adults
Goudie, Ewan B. FRCSEd1; MacDonald, Deborah J. BA1; Robinson, C. Michael FRCSEd1,a
doi : 10.2106/JBJS.20.02018
January 19, 2022 - Volume 104 - Issue 2 - p 123-138
The functional outcome following nonoperative treatment of a proximal humeral fracture and the factors that influence it are poorly defined. We aimed to prospectively assess patient-reported outcome measures (PROMs) in a patient cohort at 1 year after the injury.
Does Total Hip Arthroplasty Influence the Development and Localization of Sacral Insufficiency Fractures?
Graul, Isabel MD1,a; Strube, Patrick MD1; Vogt, Sophia MD1; Matziolis, Georg MD1; Brodt, Steffen MD1; Hölzl, Alexander MD1
doi : 10.2106/JBJS.21.00218
January 19, 2022 - Volume 104 - Issue 2 - p 139-144
Sacral insufficiency fractures (SIFs) are fractures related to reduced bone strength. In a previous study, we noticed that many patients with SIF had undergone total hip arthroplasty (THA). Therefore, the purpose of the present study was to research the localization of clinically apparent SIFs in relation to unilateral THA as well as the influence of unilateral THA on bone mineral density changes in the sacrum.
Predicting Anterior Cruciate Ligament Reconstruction Revision
Martin, R. Kyle MD, FRCSC1,2,a; Wastvedt, Solvejg BA3; Pareek, Ayoosh MD4; Persson, Andreas MD, PhD5,6,7; Visnes, Håvard MD, PhD6; Fenstad, Anne Marie MS6; Moatshe, Gilbert MD, PhD7,8; Wolfson, Julian PhD3; Engebretsen, Lars MD, PhD7,8
doi : 10.2106/JBJS.21.00113
January 19, 2022 - Volume 104 - Issue 2 - p 145-153
Several factors are associated with an increased risk of anterior cruciate ligament (ACL) reconstruction revision. However, the ability to accurately translate these factors into a quantifiable risk of revision at a patient-specific level has remained elusive. We sought to determine if machine learning analysis of the Norwegian Knee Ligament Register (NKLR) can identify the most important risk factors associated with subsequent revision of primary ACL reconstruction and develop a clinically meaningful calculator for predicting revision of primary ACL reconstruction.
Effect of Sequential Intravenous and Oral Tranexamic Acid on Hemoglobin Drop After Total Knee Arthroplasty
Chang, Moon Jong MD, PhD1,*; Shin, Joung Youp MD1,*; Yoon, Chan MD, MS2; Kim, Tae Woo MD, PhD1; Chang, Chong Bum MD, PhD3; Kang, Seung-Baik MD, PhD1,a
doi : 10.2106/JBJS.20.02174
January 19, 2022 - Volume 104 - Issue 2 - p 154-159
Tranexamic acid (TXA) is typically discontinued on the day of total knee arthroplasty (TKA). However, bleeding may persist for several days. We sought to determine whether sequential administration of intravenous (IV) and oral TXA could reduce hemoglobin (Hb) drop more than IV TXA alone. We also wanted to determine whether the use of additional oral TXA increased the rate of complications of deep vein thrombosis (DVT) or symptomatic pulmonary embolism (PE).
Inflammatory Bowel Diseases Increase the Risk of Periprosthetic Joint Infection
Chisari, Emanuele MD1,a; D’Mello, Darren BA1; Sherman, Matthew B. BS1; Parvizi, Javad MD, FRCS1
doi : 10.2106/JBJS.20.01585
January 19, 2022 - Volume 104 - Issue 2 - p 160-165
A large body of evidence is emerging to implicate that dysregulation of the gut microbiome (dysbiosis) increases the risk of surgical site infections. Gut dysbiosis is known to occur in patients with inflammatory bowel disease (IBD), allowing for translocation of bacteria across the inflamed and highly permeable intestinal mucosal wall. The null hypothesis was that IBD was not associated with an increased risk of periprosthetic joint infection (PJI) after primary total hip and knee arthroplasty.
Predictors and Outcomes of Postoperative Hemoglobin of <8 g/dL in Total Joint Arthroplasty
Chaudhry, Yash P. DO1,*; MacMahon, Aoife MD2,*; Rao, Sandesh S. MD2; Mekkawy, Kevin L. DO2; Toci, Gregory R. BS2; Oni, Julius K. MD2; Sterling, Robert S. MD2; Khanuja, Harpal S. MD2,a
doi : 10.2106/JBJS.20.01766
January 19, 2022 - Volume 104 - Issue 2 - p 166-171
Restrictive transfusion practices have decreased transfusions in total joint arthroplasty (TJA). A hemoglobin threshold of <8 g/dL is commonly used. Predictors of this degree of postoperative anemia in TJA and its association with postoperative outcomes, independent of transfusions, remain unclear. We identified predictors of postoperative hemoglobin of <8 g/dL and outcomes with and without transfusion in TJA.
Reconstruction of Massive Segmental Distal Femoral Metaphyseal Bone Defects After Open Injury
Dheenadhayalan, J. MS(Ortho)1,a; Devendra, A. DNB(Ortho)1; Velmurugesan, P. MS(Ortho)1; Shanmukha Babu, T. DNB(Ortho)1; Ramesh, P. DNB(Ortho)1; Zackariya, Mohd MS(Ortho)1; Sabapathy, S. Raja MS, MCh, FRCS2; Rajasekaran, S. MS, DNB, FRCS(Ed), MCh(Liv), FACS, FRCS(Eng), PhD1
doi : 10.2106/JBJS.21.00065
January 19, 2022 - Volume 104 - Issue 2 - p 172-180
Our aim was to examine the outcome of gamma-irradiated intercalary structural allografts combined with autologous cancellous grafts in treating large metaphyseal bone defects of the distal femur following open injuries.
Inconsistencies in the Methodological Framework Throughout Published Studies in High-Impact Orthopaedic Journals
Docter, Shgufta MSc1,2; Lukacs, Michael J. MPT1,2; Fathalla, Zina BHSc3; Khan, Michaela C.M. MSc1,2; Jennings, Morgan MSc1,2; Liu, Shu-Hsuan BHSc3; Dong, Susan BHSc3; Getgood, Alan MD, FRCS(Tr&Orth)2,4; Bryant, Dianne M. MSc, PhD1,2,3,4,a
doi : 10.2106/JBJS.21.00116
January 19, 2022 - Volume 104 - Issue 2 - p 181-188
Both the Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) and Consolidated Standards of Reporting Trials (CONSORT) guidelines recommend that clinical trials follow a study framework that aligns with their objective to test the relative efficacy or safety (equality) or effectiveness (superiority, noninferiority, or equivalence) between interventions. We conducted a systematic review to assess the proportion of studies that demonstrated inconsistency between the framing of their research question, sample size calculation, and conclusion and those that should have framed their research question differently based on the compared interventions.
Bone Marrow Edema
Tarantino, Umberto MD1,2; Greggi, Chiara PhD1,3; Cariati, Ida PhD1,3; Caldora, Patrizio MD4; Capanna, Rodolfo MD5; Capone, Antonio MD6; Civinini, Roberto MD7; Colagrande, Stefano MD8; De Biase, Pietro MD9; Falez, Francesco MD10; Iolascon, Giovanni MD11; Maraghelli, Davide MD8; Masi, Laura MD12; Cerinic, Marco Matucci MD13; Sessa, Giuseppe MD14; Brandi, Maria L. MD15,a
doi : 10.2106/JBJS.21.00300
January 19, 2022 - Volume 104 - Issue 2 - p 189-200
Bone marrow edema (BME) is a nonspecific but relevant finding, usually indicating the presence of an underlying pathology.
What’s Important: Postoperative Debriefings and Surgical Team Communication
Bourget-Murray, Jonathan MD, CM, FRCSC1,a; Page, Piers MD, FRCSEd(Tr&Orth), DLM, MFSTEd1; Penn-Barwell, Jowan MBChB, PhD, FRCS1
doi : 10.2106/JBJS.21.00252
January 19, 2022 - Volume 104 - Issue 2 - p 201-202
Physician-Rating Websites and Social Media Usage: A Global Survey of Academic Orthopaedic Surgeons
Gross, Christopher E. MD1,a; Scott, Daniel MD, MBA1; Samora, Julie B. MD, PhD2; Khan, Moin MD, MSc3; Kang, Daniel G. MD4; Frank, Rachel M. MD5
doi : 10.2106/JBJS.20.01893
January 19, 2022 - Volume 104 - Issue 2 - p e5
The relationship between orthopaedic surgeons and the internet is complicated. Social media allows surgeons to educate their patients while marketing to them at the same time. Conversely, patients are able to better communicate with their surgeons while anonymously rating their service and expertise. This study aims to look at the complex relationship between surgeons and social media use.
Is Cold Weather a Birth Risk Factor for Late Diagnosis and Surgery for Developmental Dysplasia of the Hip or a Predictor of the Actual Cause?
Wedge, John H. OC, MD, FRCSC, FACS1,a
doi : 10.2106/JBJS.21.01169
January 19, 2022 - Volume 104 - Issue 2 - p e6
