Journal of Bone and Joint Surgery - Series A




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سفارش

What’s Important: Empathy for Leaders in the Time of COVID-19

Bernstein, David N.

doi : 10.2106/JBJS.20.02030

The Journal of Bone and Joint Surgery. 103(5):377-378, March 3, 2021.

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JBJS 2020 Publication Metrics: Resilience in a Pandemic Year

Swiontkowski, Marc

doi : 10.2106/JBJS.21.00028

The Journal of Bone and Joint Surgery. 103(5):379-380, March 3, 2021.

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Meniscal and Mechanical Symptoms Are Associated with Cartilage Damage, Not Meniscal Pathology

Farina, Evan M.; Lowenstein, Natalie A.; Chang, Yuchiao; Arant, Kaetlyn R.; Katz, Jeffrey N.; Matzkin, Elizabeth G. 

doi : 10.2106/JBJS.20.01193

The Journal of Bone and Joint Surgery. 103(5):381-388, March 3, 2021.

Traditionally defined “meniscal” and “mechanical” symptoms are thought to arise from meniscal tears. Yet meniscal tears and cartilage damage commonly coexist in symptomatic knees. To better characterize the primary driver of these symptoms, we investigated whether the presence of preoperative patient-reported knee symptoms (PRKS), including knee catching/locking, grinding/clicking/popping, and pain with pivoting, are associated with various intra-articular pathological conditions diagnosed at knee arthroscopy.

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Lifetime Risk of Revision Hip Replacement Surgery in Australia Remains Low: A Population-Level Analysis Using National Registry Data

Ackerman, Ilana N.; Busija, Ljoudmila; Lorimer, Michelle; de Steiger, Richard; Graves, Stephen E. Less

doi : 10.2106/JBJS.20.01235

The Journal of Bone and Joint Surgery. 103(5):389-396, March 3, 2021.

Well-validated data from arthroplasty registries provide an opportunity to understand contemporary use of revision hip replacement at a national level. Such information can underpin health-care resource allocation and surgical workforce planning. The purposes of the present study were to describe the demographic characteristics of patients managed with revision hip replacement surgery in Australia and to examine changes in the lifetime risk of revision hip replacement over a decade.

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Ankle Fracture Fixation with Use of WALANT (Wide Awake Local Anesthesia with No Tourniquet) Technique: An Attractive Alternative for the Austere Environment

Tahir, Muhammad; Chaudhry, Ejaz Ali; Ahmed, Nadeem; Mamoon, Ameer Hamza; Ahmad, Muhammad; Jamali, Allah Rakhio; Mehboob, Ghulam Less

doi : 10.2106/JBJS.20.00196

The Journal of Bone and Joint Surgery. 103(5):397-404, March 3, 2021.

Wide awake local anesthesia with no tourniquet (WALANT) is a simple technique that has had successful application in hand surgery. When utilized in the plating of distal radial fractures, the WALANT technique has proven to be a cost-effective approach in orthopaedic trauma. The aim of the present study was to assess the applicability of the WALANT technique in open reduction and internal fixation of ankle fractures.

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Surgical Treatment of Distal Radial Fractures with External Fixation Versus Volar Locking Plate: A Multicenter Randomized Controlled Trial

Ludvigsen, Trine; Matre, Kjell; Gudmundsdottir, Rakel Sif; Krukhaug, Yngvar; Dybvik, Eva Hansen; Fevang, Jonas Meling Less

doi : 10.2106/JBJS.20.00275

The Journal of Bone and Joint Surgery. 103(5):405-414, March 3, 2021.

The use of volar locking plate fixation (VLP) for unstable extra-articular distal radial fractures has increased in the last decades. External fixation (EF) is less frequently used. This change of surgical approach has only to some extent been evidence-based.

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Sex Differences in Clinical Outcomes Following Surgical Treatment of Femoroacetabular Impingement

Maerz, Tristan; Nepple, Jeffrey J.; Bedi, Asheesh; Zaltz, Ira; Belzile, ?tienne; Beaulé, Paul E.; Sink, Ernest L.; Clohisy, John C.; the ANCHOR Group

doi : 10.2106/JBJS.20.00394

The Journal of Bone and Joint Surgery. 103(5):415-423, March 3, 2021.

Sex-based differences in clinical outcomes following surgical treatment of femoroacetabular impingement remain largely uncharacterized; this prospective, multicenter study evaluated these differences both directly and adjusted for covariates.

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The CARDE-B Scoring System Predicts 30-Day Mortality After Revision Total Joint Arthroplasty

Raad, Micheal; Amin, Raj; Puvanesarajah, Varun; Musharbash, Farah; Rao, Sandesh; Best, Matthew J.; Amanatullah, Derek F

doi : 10.2106/JBJS.20.00969

The Journal of Bone and Joint Surgery. 103(5):424-431, March 3, 2021.

There exists a substantial risk of having a perioperative complication after revision total joint arthroplasty (TJA). The complex shared decision-making between surgeon and patient would benefit from a high-fidelity tool to identify patients at risk for mortality after revision TJA. Therefore, we developed the CARDE-B score. CARDE-B is an acronym for congestive heart failure, albumin or malnutrition (<3.5 mg/dL), renal failure on dialysis, dependence for daily living, elderly (>65 years of age), and body mass index <25 kg/m2. We developed and validated the CARDE-B score to determine the risk of death within 30 days of a revision TJA.

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Development of a Murine Model of Pyogenic Flexor Tenosynovitis

Qiu, Bowen; Cobb, Justin; Loiselle, Alayna E.; Ketonis, Constantinos 

doi : 10.2106/JBJS.20.00428

The Journal of Bone and Joint Surgery. 103(5):432-438, March 3, 2021.

Pyogenic flexor tenosynovitis is a debilitating infection of the hand flexor tendon sheath with high morbidity despite standard treatments of empiric antibiotics with irrigation and debridement. In vivo studies in the available literature have used avian models, but these models are difficult to scale and maintain. The purpose of this study was to demonstrate the plausibility of a murine model of pyogenic flexor tenosynovitis utilizing bioluminescence imaging and tissue analysis at harvest.

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Development of a Short Form of the Negative Pain Thoughts Questionnaire (NPTQ)

Dekker, Anne-Britt; Teunis, Teun; Schipper, Inger; Ring, David Less

doi : 10.2106/JBJS.20.00571

The Journal of Bone and Joint Surgery. 103(5):439-444, March 3, 2021.

Thoughts affect pain intensity and the magnitude of activity intolerance for a given nociception. The Negative Pain Thoughts Questionnaire (NPTQ) measures common unhelpful cognitive biases regarding pain. A shorter version of the NPTQ could be used in daily practice to improve health by identifying important misconceptions.

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American Orthopaedic Association’s (AOA) Council of Orthopaedic Residency Directors (CORD) 2019 Summer Conference: Top Abstracts*

Weistroffer, Joseph K.; Patt, Joshua C.; on behalf of the CORD/Academics Committeeon behalf of the CORD/Academics Committee

doi : 10.2106/JBJS.20.00159

The Journal of Bone and Joint Surgery. 103(5):e17, March 3, 2021.

In a continuing collaboration between the American Orthopaedic Association’s (AOA) Council of Orthopaedic Residency Directors (CORD) and JBJS, the following 10 abstracts highlight the scientific research presented at AOA’s annual national meeting that was held in June 2019 in San Diego, California. These abstracts embody CORD’s purpose and mission:

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Activity Recommendations After Total Hip and Total Knee Arthroplasty

Fortier, Luc M.; Rockov, Zachary A.; Chen, Antonia F.; Rajaee, Sean S

doi : 10.2106/JBJS.20.00983

The Journal of Bone and Joint Surgery. 103(5):446-455, March 3, 2021.

A formal unsupervised activity program should be recommended to all patients recovering from total knee arthroplasty (TKA) and total hip arthroplasty (THA).

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What’s Important: What Kept Me Looking Forward to Going to Work for 50 Years

Gross, Richard H.

doi : 10.2106/JBJS.20.01587

The Journal of Bone and Joint Surgery. 103(5):456-457, March 3, 2021.

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Risk Stratification Algorithm for Management of Head-Neck Taper Tribocorrosion in Patients with Metal-on-Polyethylene Total Hip Arthroplasty: Consensus Statement of the American Association of Hip and Knee Surgeons, the American Academy of Orthopaedic Surgeons, and The Hip Society

Kwon, Young-Min; Della Valle, Craig J.; Lombardi, Adolph V.; Garbuz, Donald S.; Berry, Daniel J.; Jacobs, Joshua J. 

doi : 10.2106/JBJS.20.01837

The Journal of Bone and Joint Surgery. 103(5):e18, March 3, 2021.

Adverse local tissue reactions (ALTRs) were initially reported as complications associated with metal-on-metal (MoM) bearings; however, there is increasing concern regarding the occurrence of adverse local tissue reactions from mechanically assisted crevice corrosion (MACC) at the femoral head-neck junction or between other modular junctions of the implant containing cobalt chromium parts in patients with metal-on-polyethylene (MoP) bearings. ALTR due to MACC at the head-neck junction has primarily been reported in association with cobalt chromium alloy femoral heads. As pain following total hip arthroplasty may have various intrinsic and extrinsic causes, a systematic approach to evaluation (risk stratification algorithm) based on the currently available data is recommended to optimize patient management. Evaluation should begin by ruling out common causes of pain, including component loosening and periprosthetic joint infection. While specialized tests such as blood metal analysis and metal artifact reduction sequence magnetic resonance imaging (MARS MRI) are useful modalities in evaluating for ALTRs, over-reliance on any single investigative tool in the clinical decision-making process should be avoided. There should be a low threshold to perform a systematic evaluation for ALTR due to MACC in patients with metal-on-polyethylene total hip arthroplasty as early recognition and diagnosis is critical, as delays in appropriate treatment initiation may result in soft-tissue damage, which complicates surgical treatment and is associated with a higher risk of complications and poorer patient outcomes.

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The Importance of a Thorough History and Exam: Commentary on an article by Evan M. Farina, MD, et al.: “Meniscal and Mechanical Symptoms Are Associated with Cartilage Damage, Not Meniscal Pathology”

Tompkins, Marc

doi : 10.2106/JBJS.20.02139

The Journal of Bone and Joint Surgery. 103(5):e19, March 3, 2021.

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Arthroplasty Registries Are Leading the Way in Orthopaedic Documentation: Commentary on an article by Ilana N. Ackerman, BPhysio(Hons), PhD, et al.: “Lifetime Risk of Revision Hip Replacement Surgery in Australia Remains Low. A Population-Level Analysis Using National Registry Data”

Hafez, Mahmoud A.

doi : 10.2106/JBJS.20.02184

The Journal of Bone and Joint Surgery. 103(5):e20, March 3, 2021.

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Erratum: Humeral Shaft Fracture Fixation

doi : 10.2106/JBJS.ER.15.01049

The Journal of Bone and Joint Surgery. 103(5):e21, March 3, 2021.

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