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Instructions for Authors
doi : 10.1016/S0749-8063(21)00416-3
Volume 37, Issue 6, June 2021, Page A35
no abstract
Artificial Intelligence, Machine Learning, and Medicine: A Little Background Goes a Long Way Toward Understanding
Mark P. Cote, James H. Lubowitz, Jefferson C. Brand, Michael J. Rossi
doi : 10.1016/j.arthro.2021.04.022
Volume 37, Issue 6, June 2021, Pages 1699-1702
Artificial intelligence (AI) and machine learning refer to computers built and programed by humans to perform tasks according to our design. This is vital to keep in mind as we try to understand the application of AI to medicine. AI is a tool with strengths and limitations. The primary strength of AI is that it allows us to assimilate and process unlimited quantities of health care data. The limits of AI include the inability of machines to adapt in a human sense, the reality that machines lack human insight (i.e., clinical judgment or common sense), and the limitation that machine-learning algorithms are subject to the data on which they are trained. Thus, we must adapt to AI and machine learning. Next, because machine learning is a type of AI in which computers are programmed to improve the algorithms under which they function over time, we require insight to achieve an element of explainability about the key data underlining a particular machine-learning prediction.
The Truth
Jack M. Bert
doi : 10.1016/j.arthro.2021.04.021
Volume 37, Issue 6, June 2021, Pages 1703-1704
An Applicant’s Review of Virtual Fellowship Interviews: The New Norm?
Matthew J. Kraeutler
doi : 10.1016/j.arthro.2021.04.020
Volume 37, Issue 6, June 2021, Pages 1704-1705
Proper Indications for Shoulder Subacromial Decompression Result in Excellent Outcomes
Alexandre L?dermann, Patrick J. Denard
doi : 10.1016/j.arthro.2021.04.023
Volume 37, Issue 6, June 2021, Pages 1705-1707
Superior Capsular Reconstruction of the Shoulder
Michael B. Eppler, Ioanna K. Bolia, James E. Tibone, Seth C. Gamradt, ... Frank A. Petrigliano
doi : 10.1016/j.arthro.2021.04.001
Volume 37, Issue 6, June 2021, Pages 1708-1710
Ultrasound-Guided Biceps Tendon Sheath Injections Frequently Extravasate Into the Glenohumeral Joint
John Slevin, Meghan Joyce, Joseph W. Galvin, Michael A. Mahlon, ... Jason A. Grassbaugh
doi : 10.1016/j.arthro.2020.12.238
Volume 37, Issue 6, June 2021, Pages 1711-1716
Editorial Commentary: First They Came for My Examination Skills: Diagnostic Injections of the Biceps Sheath Are No Substitute for a Careful Collaboration of History, Examination, and Clinical Acumen
Timothy S. Crall
doi : 10.1016/j.arthro.2021.02.004
Volume 37, Issue 6, June 2021, Pages 1717-1718
Diagnostic injections have been used in the workup of many musculoskeletal complaints, especially when a good history and physical examination don’t point to a concrete diagnosis. However, the accuracy of blind injections, especially in locations like the biceps sheath, has been called into question. This has led to the use of image guidance to improve injection accuracy, usually with great success.
Evaluation and Management of Glenohumeral Instability With Associated Bone Loss: An Expert Consensus Statement Using the Modified Delphi Technique
Luciano Andrés Rossi, Rachel M. Frank, David Wilke, CAPT Matthew T. Provencher, ... Jorge Chahla
doi : 10.1016/j.arthro.2020.12.237
Volume 37, Issue 6, June 2021, Pages 1719-1728
Editorial Commentary: Delphi Expert Consensus Clarifies Evidence-Based Medicine for Shoulder Instability and Bone Loss
Erik Hohmann
doi : 10.1016/j.arthro.2021.01.055
Volume 37, Issue 6, June 2021, Pages 1729-1730
Anterior glenohumeral instability with glenoid bone loss is a difficult problem and often requires open procedures with bone block augmentation. The current evidence suggests glenoid bone loss of 20% or more as a cutoff value indicating augmentation. Expert consensus–based techniques, such as the Delphi, clarify evidence-based medicine and allow pooling of expert opinion in a scientific fashion.
Establishing Clinically Significant Outcomes for Patient-Reported Outcomes Measurement Information System After Biceps Tenodesis
Enrico M. Forlenza, Yining Lu, Matthew R. Cohn, James Baker, ... Brian Forsythe
doi : 10.1016/j.arthro.2020.12.236
Volume 37, Issue 6, June 2021, Pages 1731-1739
Male Sex, Western Ontario Shoulder Instability Index Score, and Sport as Predictors of Large Labral Tears of the Shoulder: A Multicenter Orthopaedic Outcomes Network (MOON) Shoulder Instability Cohort Study
Kevin J. Cronin, Justin A. Magnuson, Brian R. Wolf, Gregory S. Hawk, ... Alan L. Zhang
doi : 10.1016/j.arthro.2021.01.007
Volume 37, Issue 6, June 2021, Pages 1740-1744
Editorial Commentary: Identifying the Large Glenoid Labrum Tear Is Not as Easy as it May Seem
Justin J. Ernat, Simon Lee
doi : 10.1016/j.arthro.2021.01.031
Volume 37, Issue 6, June 2021, Pages 1745-1747
Labrum tears involving >270° of the glenoid have been termed “circumferential tears,” “panlabral tears,” “triple lesions,” and “large tears.” They are rare injuries that encompass anywhere from 2.4% to 6.5% of traumatic labral injuries. Given their rare nature, the literature has been limited to level IV studies with small patient numbers. Identifying these injuries in the clinical setting can be challenging, as patients can present with signs and symptoms of unidirectional instability, combined instability, or even microinstability. However, we know that magnetic resonance arthrography seems to be more helpful than magnetic resonance imaging, and that these patients will most often present with pain in between multiple instability episodes.
Undergoing an Arthroscopic Procedure Prior to Shoulder Arthroplasty is Associated With Greater Risk of Prosthetic Joint Infection
Azeem Tariq Malik, Jesse Morris, Julie Y. Bishop, Andrew S. Neviaser, ... Gregory L. Cvetanovich
doi : 10.1016/j.arthro.2021.01.013
Volume 37, Issue 6, June 2021, Pages 1748-1754.e1
Editorial Commentary: Arthroscopic Surgery Is Not Minor Surgery: Shared Decision Requires Comprehensive Informed Consent
Kwadwo Adu Owusu-Akyaw
doi : 10.1016/j.arthro.2021.02.036
Volume 37, Issue 6, June 2021, Pages 1755-1756
Arthroscopic surgery of the shoulder has revolutionized the way we address intra-articular and tendinous injuries about the joint. Nevertheless, despite the apparent minimally invasive nature of our trade, there remain potential long-term consequences to every operation.
Computed Tomography–Based Preoperative Planning Provides a Pathology and Morphology-Specific Approach to Glenohumeral Instability With Bone Loss
Joseph D. Lamplot, Christopher M. Brusalis, John M. Apostolakos, Mark Langhans, ... Samuel A. Taylor
doi : 10.1016/j.arthro.2021.01.021
Volume 37, Issue 6, June 2021, Pages 1757-1766.e2
Long Head of Biceps Tenotomy Is Not Inferior to Suprapectoral Tenodesis in Arthroscopic Repair of Nontraumatic Rotator Cuff Tears: A Multicenter, Non-inferiority, Randomized, Controlled Clinical Trial
Derek F.P. van Deurzen, Kiem G. Auw Yang, Ron Onstenk, Eric E.J. Raven, ... Vanessa A.B. Scholtes
doi : 10.1016/j.arthro.2021.01.036
Volume 37, Issue 6, June 2021, Pages 1767-1776.e1
Editorial Commentary: Shoulder Biceps Tenotomy Versus Tenodesis Surgical Decision Making Must be Individualized for Each Patient
Michael J. O’Brien
doi : 10.1016/j.arthro.2021.03.015
Volume 37, Issue 6, June 2021, Pages 1777-1778
The optimal treatment for proximal biceps tendon lesions identified at the time of arthroscopic rotator cuff repair remains a topic for debate. The decision between biceps tenotomy and tenodesis is one in which we will likely never have a clear-cut answer. Proponents of biceps tenotomy and biceps tenodesis will cite the pros and cons of each surgical option to support their treatment of choice. Several meta-analyses have shown no superior outcomes with either treatment.
The Top 100 Most-Cited Articles on Arthroscopy: Most Popular Topic Is Rotator Cuff Rather Than Cartilage in the Last 5 Years
Ning Tang, Wenchao Zhang, Daniel M. George, Cong Wei, ... Tianlong Huang
doi : 10.1016/j.arthro.2021.01.039
Volume 37, Issue 6, June 2021, Pages 1779-1797.e1
Editorial Commentary: Knowledge of Past Citations in Arthroscopic Research May Yield Wisdom for a Snapshot of Future Trends
Michael J. Rossi
doi : 10.1016/j.arthro.2021.02.048
Volume 37, Issue 6, June 2021, Pages 1798-1799
Predicting future trends in arthroscopic and related surgery can be a challenging task for researchers, authors, editors, and clinicians alike. Analysis of high-citation articles from the past may guide future research. Cartilage had been the most highly cited topic in the arthroscopic literature, but the last 5 years has been overtaken by shoulder and rotator cuff. Following close behind is the hip arthroscopy literature, which is clearly moving up in the citation rankings.
The Hook Test Is More Accurate Than the Trampoline Test to Detect Foveal Tears of the Triangular Fibrocartilage Complex of the Wrist
Andrea Atzei, Riccardo Luchetti, Daniele Carletti, Lucian Lior Marcovici, ... Silvia Barbon
doi : 10.1016/j.arthro.2021.03.005
Volume 37, Issue 6, June 2021, Pages 1800-1807
Editorial Commentary: The Hook Test Is More Accurate for Detecting Foveal Triangular Fibrocartilage Complex Tears but Not More Important Than the Trampoline Test
Sebastian Farr
doi : 10.1016/j.arthro.2021.04.011
Volume 37, Issue 6, June 2021, Pages 1808-1810
Wrist arthroscopy is a successful tool to diagnose and treat several intra-articular wrist pathologies. To assess the stability and integrity of the triangular fibrocartilage complex (TFCC), the most commonly injured structure in the ulnocarpal compartment, the trampoline and hook tests are frequently used in daily practice. However, their arthroscopic performance measures have not been well elucidated to date.
Ligamentum Teres Reconstruction May Lead to Improvement in Outcomes Following a Secondary Hip Arthroscopy for Symptomatic Microinstability: A Systematic Review
Jacob Shapira, Mitchell J. Yelton, Philip J. Rosinsky, David R. Maldonado, ... Benjamin G. Domb
doi : 10.1016/j.arthro.2021.01.022
Volume 37, Issue 6, June 2021, Pages 1811-1819.e1
Editorial Commentary: Ligamentum Teres Reconstruction May Improve Hip Stability But Has High Revision Rates: Fad or Restoration of Function?
David E. Hartigan, Catherine E. Hegedus
doi : 10.1016/j.arthro.2021.02.037
Volume 37, Issue 6, June 2021, Pages 1820-1821
Ligamentum teres (LT) tears are correlated with hip instability, and biomechanical research suggests there is a stabilizing function of the intact native LT. With regard to LT reconstruction, currently, there are imaging studies demonstrating that the ligament goes on to heal and properly function. There are also no long-term clinical studies on the success rates of LT reconstruction. The clinical studies that have been done are done with a fairly high number of concomitant procedures, which makes it difficult to discern whether improvement can be attributed to the LT reconstruction.
Osteoarthrosis, Advanced Age, and Female Sex Are Risk Factors for Inferior Outcomes After Hip Arthroscopy and Labral Debridement for Femoroacetabular Impingement Syndrome: Case Series With Minimum 10-Year Follow-Up
Alexander Zimmerer, Annalena Ramoser, Marcus Streit, Viktor Janz, ... Wolfgang Miehlke
doi : 10.1016/j.arthro.2021.01.024
Volume 37, Issue 6, June 2021, Pages 1822-1828.e1
Editorial Commentary: Hip Arthroscopy Evolution and Causes of Failure
Andrea M. Spiker
doi : 10.1016/j.arthro.2021.03.027
Volume 37, Issue 6, June 2021, Pages 1829-1832
Hip arthroscopy use has grown as a result of expanding indications; improved imaging including higher resolution magnetic resonance imaging with stronger magnetic fields and the advent of 3-dimensional computed tomography revealing the nuances of hip joint morphology; increased specialized training; improvements in instruments and implants; a record of successful outcomes; and increased understanding of microinstability, focal acetabular undercoverage or occult dysplasia, indications for labral reconstruction and capsular plication, and, most of all, femoroacetabular impingement syndrome, the leading diagnosis for which hip arthroscopy is performed, in the orthopaedic community as well as the general medical and athletic communities.
Complete Capsular Closure Provides Higher Rates of Clinically Significant Outcome Improvement and Higher Survivorship Versus Partial Closure After Hip Arthroscopy at Minimum 5-Year Follow-Up
Edward C. Beck, Benedict U. Nwachukwu, Jorge Chahla, Ian M. Clapp, ... Shane J. Nho
doi : 10.1016/j.arthro.2021.01.035
Volume 37, Issue 6, June 2021, Pages 1833-1842
Editorial Commentary: Complete Capsular Closure During Hip Arthroscopy Provides the Most Reliable and Durable Outcome . . . Capsule Closed . . . Case Closed!
James D. Wylie
doi : 10.1016/j.arthro.2021.02.031
Volume 37, Issue 6, June 2021, Pages 1843-1844
The management of the hip capsule has been a recent area of controversy in hip arthroscopy. Over the past 5 years, there has been mounting biomechanical and clinical evidence that complete capsular closure is an important step to achieve the best and most durable outcome from hip arthroscopy. Numerous studies in the laboratory have shown that repairing the capsulotomy during simulated hip arthroscopy establishes normal hip biomechanics.
Endoscopic Iliotibial Band Release During Hip Arthroscopy for Femoroacetabular Impingement Syndrome and External Snapping Hip Had Better Patient-Reported Outcomes: A Retrospective Comparative Study
Shanxing Zhang, Chenhui Dong, Zhongli Li, Zhigang Wang, ... Chunbao Li
doi : 10.1016/j.arthro.2021.01.040
Volume 37, Issue 6, June 2021, Pages 1845-1852
Editorial Commentary: Indications for Concurrent Procedures During Hip Femoroacetabular Impingement Arthroscopic Treatment
Jordan A. Gruskay, Marc J. Philippon
doi : 10.1016/j.arthro.2021.03.004
Volume 37, Issue 6, June 2021, Pages 1853-1855
In patients with femoroacetabular impingement (FAI), hip joint pathology often leads to an alteration of gait as well as core and pelvic muscular imbalance. Flexor, abductor, adductor, and hamstring tightness and pain are common patient-reported complaints at the time of evaluation for FAI and potential hip arthroscopy.
The Arthroscopic Surgery Skill Evaluation Tool Global Rating Scale is a Valid and Reliable Adjunct Measure of Performance on a Virtual Reality Simulator for Hip Arthroscopy
Meghan E. Bishop, Gabriella E. Ode, Daniel J. Hurwit, Stephan Zmugg, ... Anil S. Ranawat
doi : 10.1016/j.arthro.2021.01.046
Volume 37, Issue 6, June 2021, Pages 1856-1866
Editorial Commentary: Virtual Reality Simulation Can Help Arthroscopic Hip Preservation Surgeons at All Levels of Training and Practice—This is How
Joshua D. Harris
doi : 10.1016/j.arthro.2021.03.002
Volume 37, Issue 6, June 2021, Pages 1867-1871
Virtual reality (VR) simulation has enormous potential utility in technically demanding manual activities. Hip arthroscopy is a perfect example of a challenging surgical technique with an extensive learning curve. The literature has recently consistently demonstrated that both career and annual maintenance case volume significantly influences patient-reported outcomes and risk of revision surgery and complications. Current residency and fellowship programs do not sufficiently prepare trainees to meet or exceed experience thresholds, so augmentation of training is necessary. A significant strength of VR simulation includes its ability to practice without limits.
Results of Arthroscopic Treatment of Acute Posterior Cruciate Ligament Avulsion Fractures With Suspensory Fixation
Wei Zheng, Wanxing Hou, Ziyang Zhang, Peicong Li, ... Bin Pan
doi : 10.1016/j.arthro.2021.01.044
Volume 37, Issue 6, June 2021, Pages 1872-1880
Editorial Commentary: Suspensory Fixation of Displaced Tibial Posterior Cruciate Ligament Avulsions: A Novel Application of a Familiar Technique
Joshua S. Everhart, Robert G. Klitzman
doi : 10.1016/j.arthro.2021.03.039
Volume 37, Issue 6, June 2021, Pages 1881-1882
Isolated tibial posterior cruciate ligament avulsion fractures, although rare, are becoming increasingly common in regions of the world with frequent 2-wheel motor vehicle accidents.
Tranexamic Acid Has No Effect on Postoperative Hemarthrosis or Pain Control After Anterior Cruciate Ligament Reconstruction Using Bone–Patellar Tendon–Bone Autograft: A Double-Blind, Randomized, Controlled Trial
Jordan W. Fried, David A. Bloom, Eoghan T. Hurley, Samuel L. Baron, ... Michael J. Alaia
doi : 10.1016/j.arthro.2021.01.037
Volume 37, Issue 6, June 2021, Pages 1883-1889
Editorial Commentary: Tranexamic Acid Is Beneficial in the Very Early Postoperative Period in Anterior Cruciate Ligament Reconstruction Patients
En-Rung Chiang, Kun-Hui Chen, Hsiao-Li Ma
doi : 10.1016/j.arthro.2021.03.016
Volume 37, Issue 6, June 2021, Pages 1890-1891
Tranexamic acid (TXA) has been administrated in many orthopaedic surgical procedures to decrease perioperative and postsurgical bleeding. Relatively scant literature exists regarding the effect of TXA in patients after anterior cruciate ligament reconstruction.
All-Arthroscopic Hydrogel-Based Autologous Chondrocyte Transplantation in the Knee Joint: Good Clinical and Magnetic Resonance Imaging Outcome After 24 Months
Fabian Blanke, Nicola Oehler, Maximilian Haenle, Robert Lenz, ... Thomas Tischer
doi : 10.1016/j.arthro.2021.01.038
Volume 37, Issue 6, June 2021, Pages 1892-1899.e1
Editorial Commentary: The Number of Cartilage Treatment Options Continues to Grow, Despite the Lack of High-Quality Comparative Studies?
Jay R. Ebert
doi : 10.1016/j.arthro.2021.02.003
Volume 37, Issue 6, June 2021, Pages 1900-1901
A growing number of knee cartilage repair studies continue to be published, employing both traditional and also novel and emerging surgical methods. Marrow stimulation, osteochondral transplantation, and autologous chondrocyte implantation via varied surgical techniques and delivery methods exist, as well as isolated, or concomitant, realignment procedures.
Using Anatomic Landmarks to Locate Sch?ttle’s Point Was Accurate Without Fluoroscopy During Medial Patellofemoral Ligament Reconstruction
Hai-Jun Wang, Yi-Fan Song, Xin Yan, Fei Wang, ... Jia-Kuo Yu
doi : 10.1016/j.arthro.2021.01.041
Volume 37, Issue 6, June 2021, Pages 1902-1908
The purpose of the present study was to analyze the anatomic landmarks of Sch?ttle’s point and establish a locating method for identification.
Surgical Timing Does Not Interfere on Clinical Outcomes in Combined Reconstruction of the Anterior Cruciate Ligament and Anterolateral Ligament: A Comparative Study With Minimum 2-Year Follow-Up
Camilo Partezani Helito, Marcel Faraco Sobrado, Pedro Nogueira Giglio, Marcelo Batista Bonadio, ... Gilberto Luis Camanho
doi : 10.1016/j.arthro.2021.01.045
Volume 37, Issue 6, June 2021, Pages 1909-1917
Editorial Commentary: Timing of the Combined Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction: Still a Debatable Issue
Yong Seuk Lee
doi : 10.1016/j.arthro.2021.02.012
Volume 37, Issue 6, June 2021, Pages 1918-1919
Anterior cruciate ligament (ACL) injuries frequently occur as the results of twisting injury of the knee. Accompanying damages to other structures at the time of injury determine the severity of the injury, subsequent surgical procedures, and hence, clinical outcomes. Anterolateral ligament (ALL) seems to act as a side-bar of the ACL rather than a major ligament that should be reconstructed separately.
Allograft Bone Dowels Show Better Incorporation in Femoral Versus Tibial Tunnels in 2-Stage Revision Anterior Cruciate Ligament Reconstruction: A Computed Tomography–Based Analysis
Kadir Büyükdo?an, Michael S. Laidlaw, Michelle E. Kew, Mark D. Miller
doi : 10.1016/j.arthro.2021.01.066
Volume 37, Issue 6, June 2021, Pages 1920-1928
The Influence of the Sunshine Act on Industry Payments to United States Orthopaedic Sports Medicine Surgeons
Matthew J. Partan, Peter B. White, Nicholas Frane, Cesar R. Iturriaga, Adam Bitterman
doi : 10.1016/j.arthro.2021.02.034
Volume 37, Issue 6, June 2021, Pages 1929-1936
Double-Row Rotator Cuff Repair Enhanced With Platelet-Rich Therapy Reduces Retear Rate: A Systematic Review and Meta-analysis of Randomized Controlled Trials
Gregorio Alejandro Villarreal-Villarreal, Mario Simental-Mend?a, Abiel Eugenio Garza-Borj?n, Juan Manuel Mill?n-Alan?s, ... Carlos Alberto Acosta-Olivo
doi : 10.1016/j.arthro.2020.12.191
Volume 37, Issue 6, June 2021, Pages 1937-1947.e1
To assess retear rates in arthroscopic double-row rotator cuff repair (double-row RCR) with and without platelet-rich therapy (PRT).
Editorial Commentary: Systematic Review and Meta-analysis Demonstrates Improved Healing When Platelet-Rich Plasma Is Incorporated into Double Row Rotator Cuff Repairs: More of the Same or Something New?
Andrew J. Sheean
doi : 10.1016/j.arthro.2021.02.007
Volume 37, Issue 6, June 2021, Pages 1948-1949
Numerous recently published systematic reviews and meta-analyses have sought to clarify the effect, if any, of platelet-rich plasma as an adjuvant to rotator cuff repair on healing rates and clinical outcomes. As time has gone on, these types of studies have become more focused in their analysis of particular features and aspects of the surgical procedure, as well as the formulation and application of the platelet-rich plasma itself.
Rotator Cuff Repairs With and Without Acromioplasties Yield Similar Clinical Outcomes: A Meta-analysis and Systematic Review
Andrew Arjun Sayampanathan, Amila Nirmal Silva, Andrew Tan Hwee Chye
doi : 10.1016/j.arthro.2021.01.025
Volume 37, Issue 6, June 2021, Pages 1950-1957
The Use of Elbow Arthroscopy for Management of the Pediatric Elbow: A Systematic Review of Indications and Outcomes
Kyle Gouveia, Kailai Zhang, Jeffrey Kay, Muzammil Memon, ... Olufemi R. Ayeni
doi : 10.1016/j.arthro.2021.01.047
Volume 37, Issue 6, June 2021, Pages 1958-1970.e1
Editorial Commentary: Elbow Arthroscopy in the Pediatric Patient—Small Lesions in a Small Joint but With a Big Impact
J?rn Kircher
doi : 10.1016/j.arthro.2021.02.030
Volume 37, Issue 6, June 2021, Pages 1971-1972
Elbow arthroscopy has evolved to be a powerful tool for the treatment of a broad spectrum of pathologies over the past almost 40 years. The small joint with a complex arthroscopic anatomy demands special training and exceptional skills from the orthopaedic surgeon. On the basis of this fact and in light of the close proximity of the neurovascular structures, complication rates are somewhat higher compared with other large joints such as the knee and the shoulder.
Outcomes After Arthroscopic Osteochondroplasty for Femoroacetabular Impingement Secondary to Slipped Capital Femoral Epiphysis: A Systematic Review
Masayoshi Saito, Yuichi Kuroda, Karadi Hari Sunil Kumar, Vikas Khanduja
doi : 10.1016/j.arthro.2020.12.213
Volume 37, Issue 6, June 2021, Pages 1973-1982
no abstract
The Fragility Index of Hip Arthroscopy Randomized Controlled Trials: A Systematic Survey
David R. Maldonado, Cammille C. Go, Brian H. Huang, Benjamin G. Domb
doi : 10.1016/j.arthro.2021.01.049
Volume 37, Issue 6, June 2021, Pages 1983-1989
no abstract
Editorial Commentary: High Level of Evidence Randomized Controlled Trials May Report Statistically Fragile Conclusions
Joseph J. Ruzbarsky
doi : 10.1016/j.arthro.2021.02.009
Volume 37, Issue 6, June 2021, Pages 1990-1991
Randomized controlled trials (RCTs) are considered the gold standard for evidence-based medicine, and although a well-designed and executed RCT can be extremely powerful, many RCTs have significant flaws that may significantly impact the strength of their conclusions.
Pedicled Strip of Quadriceps Tendon Graft for Primary Medial Patellofemoral Ligament Reconstruction in Recurrent Patellofemoral Instability: A Systematic Review
Filippo Migliorini, Andromahi Trivellas, J?rg Eschweiler, Marcel Betsch, ... Nicola Maffulli
doi : 10.1016/j.arthro.2021.01.048
Volume 37, Issue 6, June 2021, Pages 1992-1999
Current Orthopaedic Health Economic Literature: Quality Is High but Ethical and Societal Perspectives Are Lacking
Joseph D. Lamplot, Abhinav K. Sharma, Spencer W. Sullivan, Answorth A. Allen, Benedict U. Nwachukwu
doi : 10.1016/j.arthro.2021.01.026
Volume 37, Issue 6, June 2021, Pages 2000-2008
To evaluate the quality of orthopaedic cost-effectiveness analyses (CEAs) in accordance with the 2016 recommendations by the Second Panel on Cost-Effectiveness in Health and Medicine.
Editorial Commentary: Fixing Health Care Requires Us to Evaluate Policy Through an Ethical and Societal (And Not Just a Financial) Lens
David N. Bernstein, Kevin J. Bozic
doi : 10.1016/j.arthro.2021.03.084
Volume 37, Issue 6, June 2021, Pages 2009-2010
Health care systems globally, including in the United States, continue to undergo a much-needed transformation focused on optimizing value—or health outcomes per dollar spent across a full cycle of care—for patients. Given the traditionally high cost and use of orthopaedic surgery services, the field is ripe for in-depth assessment and comparison of interventions to ensure that evidence-based, high-value care is prioritized.
