Journals and Research
Research and education are foundational to the mission of Orlando Health and our Orlando Health Jewett Orthopedic Institute. As contributors to leading publications on orthopedics, our physicians share their research and clinical knowledge with a national and international community of colleagues.
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| Author(s) | Title | Description | Publish Date |
|---|---|---|---|
| External Fixator Application, 2-Stage Procedures, and Postoperative Infection Risk Are Higher in Multiligamentous Knee Injuries After Frank Knee Dislocations | CONCLUSIONS: Patients who experienced frank KDs showed an increased odds of receiving external fixation, showed an increased odds of undergoing a staged procedure, had higher grades of injury, and had a higher risk of postoperative infection compared with those without KDs. At final follow-up, no di... | 4/29/2025 | |
| Management of Posterior Cruciate Ligament Injuries An Expert Consensus from 17 Countries | CONCLUSION: Consensus was reached on 11 statements regarding three aspects of PCL injury management. These findings provide a foundation for developing evidence-based guidelines that can enhance clinical decision-making, improve treatment strategies, and optimize postoperative care for patients with... | 4/25/2025 | |
| The Impact of Time to Surgical Debridement on Infection Rates in Open Tibial Shaft Fractures Treated with Immediate Medullary Nailing | CONCLUSIONS: Smoking and type IIIB fractures were identified as significant predictors of infection following immediate medullary nailing of open tibial shaft fractures, whereas time to debridement, within the categorized time points, was not found to be a significant factor. | 4/23/2025 | |
| Combined Anterior Cruciate Ligament Reconstruction, Posterolateral Corner Reconstruction, and Lateral Extra-Articular Tenodesis | Over the past decade, renewed interest in the anterolateral ligament complex (ALC) has led to a significant increase in use of the lateral extra-articular tenodesis (LET) procedure. An emerging body of literature suggests that LET augmentation may be beneficial for patients undergoing primary and re... | 4/10/2025 | |
| Constrained Liners During Acetabular Revision Clinical Results of an Impingement Avoidance Strategy | CONCLUSIONS: This study demonstrated significantly lower rates of recurrent instability when CLs can be positioned to minimize impingement, either by revising the cup or cementing the liner independent of the existing cup: a so-called "FC." Cup revision demonstrated the lowest rate of recurrent inst... | 3/26/2025 | |
| The Role of Alignment in Treating Meniscus Pathology | PURPOSE OF REVIEW: Limb alignment correction about the knee joint is crucial for the protection of the meniscus, particularly in the setting of meniscal root repairs and meniscal allograft transplantation. Distal femoral osteotomies and high tibial osteotomies have been described to restore the anat... | 2/21/2025 | |
| The Burden of Revision Arthroplasty An Ergonomic Analysis of Surgeon Posture in the Operating Room | CONCLUSIONS: Surgeons performing revision total joint arthroplasty spend markedly more case time in a slouched posture compared with primary arthroplasty, particularly in patients with a higher body mass index. Awareness of the surgical and patient factors that can affect posture in TKAs and THAs ca... | 2/17/2025 | |
| AKIRA Deep learning tool for image standardization, implant detection and arthritis grading to establish a radiographic registry in patients with anterior cruciate ligament injuries | CONCLUSION: AKIRA effectively automated the classification and object detection in a large radiograph cohort of ACL injuries, creating an AI-enabled radiographic registry with comprehensive details on laterality, projection, implants and OA. | 2/10/2025 | |
| A Workflow-Efficient Approach to Pre- and Post-Operative Assessment of Weight-Bearing Three-Dimensional Knee Kinematics | CONCLUSIONS: Weight-bearing kinematics affects knee function pre- and post-TKA. It has long been exclusively the domain of researchers to make such measurements. We present an approach that leverages common, but digitally upgraded, imaging hardware and software to implement an efficient examination ... | 2/8/2025 | |
| ChatGPT is an Unreliable Source of Peer-Reviewed Information for Common Total Knee and Hip Arthroplasty Patient Questions | Background: Advances in artificial intelligence (AI), machine learning, and publicly accessible language model tools such as ChatGPT-3.5 continue to shape the landscape of modern medicine and patient education. ChatGPT's open access (OA), instant, human-sounding interface capable of carrying discuss... | 1/16/2025 | |
| Preoperative Predictors of Soft Tissue Releases Required for Femoral Exposure in Direct Anterior Total Hip Arthroplasty | CONCLUSIONS: Patients with increased ilium to ischial ratio, right laterality, and larger BMI were associated with greater number of soft tissue releases for adequate femoral exposure. Surgeons may consider these factors to anticipate femoral releases or challenging femoral exposure in direct anteri... | 1/13/2025 | |
| Increased Lag-Screw Slide and All-Cause Revision in a New-Generation Cephalomedullary Nail After Treatment of Geriatric Intertrochanteric Femoral Fractures | CONCLUSIONS: The 130 degrees G4 demonstrated increased lag screw slide and all-cause revision surgery when compared with the 130 degrees G3 when used in the treatment of geriatric intertrochanteric femoral fractures. Given the high incidence of increased slide and the significantly higher revision s... | 1/10/2025 | |
| Flexor Tendon Rupture After a Cat Bite - A Case Report of An Uncommon Sequela | CONCLUSION: The purpose of this case report is to describe the clinical course of a patient with the rare complication of a flexor tendon rupture after being bitten by a cat, as well as to review the current literature and treatment for feline bite-related hand injuries. We recommend patients who ha... | 12/13/2024 | |
| A Novel Machine Learning Model to Predict Revision ACL Reconstruction Failure in the MARS Cohort | CONCLUSION: The present study demonstrated the ability of the novel AutoPrognosis machine learning model to best predict the risk of graft failure in patients undergoing rACLR at 6 years postoperatively with moderate predictive ability. Femoral and tibial tunnel size and position in prior ACLR and a... | 11/18/2024 | |
| Building a Strong Local Reputation | Establishing a strong local reputation is essential for growing your practice. Primary care physicians, pediatricians, physical therapists, athletic trainers, and fellow orthopedic surgeons are key sources of referrals for new and old practices alike. Additionally, there is nothing better than a ref... | 11/7/2024 | |
| Surgical Predictors of Clinical Outcome 6 Years After Revision ACL Reconstruction | CONCLUSION: There are surgical variables at the time of ACL revision that can modify clinical outcomes at 6 years. Opting for a transtibial surgical approach and choosing an interference screw for femoral and tibial fixation improved patients' odds of having a significantly better 6-year clinical ou... | 11/6/2024 | |
| Does Body Mass Index Affect the Success of Two-Stage Management of Periprosthetic Joint Infection | CONCLUSIONS: The success of PJI management with two-stage arthroplasty is significantly impacted by patient BMI, with morbidly obese subjects having the worst outcomes. Attempts to modify BMI before completion of two-stage PJI treatment should be considered in the morbidly obese given high rates of ... | 11/4/2024 | |
| Identifying Racial Disparities in Utilization and Clinical Outcomes of Ambulatory Hip Arthroscopy Analysis of Temporal Trends and Causal Inference via Machine Learning | CONCLUSION: Irrespective of insurance status, racial and ethnic minority patients undergo hip arthroscopy at a lower incidence and incur higher costs per surgical encounter. | 9/24/2024 | |
| Anatomic Fibular-Based Posterolateral Corner Reconstruction With 2 Femoral Tunnels Shows Lowest Residual Laxity With External Rotation and Varus Stresses A Systematic Review and Network Meta-analysis of In Vitro Biomechanical Studies | CONCLUSIONS: PLC reconstructions using nonanatomic fibular-based techniques showed increased residual laxity in ER from 30° to 90° of knee flexion. Conversely, anatomic fibular- and tibiofibular-based reconstructions showed ER and varus laxity similar to that in the intact knee state across most of ... | 9/14/2024 | |
| Multiligament knee injury MLKI an expert consensus statement on nomenclature, diagnosis, treatment and rehabilitation | Multiligament knee injuries (MLKIs) represent a broad spectrum of pathology with potentially devastating consequences. Currently, disagreement in the terminology, diagnosis and treatment of these injuries limits clinical care and research. This study aimed to develop consensus on the nomenclature, d... | 9/5/2024 | |
| Clinical and Radiographic Results of a Retrograde Nail-Washer Combination Versus Lateral Locked Plating for Distal Femur Fractures | CONCLUSIONS: The Retrograde Nail Advanced-Lateral Attachment Washer combination demonstrated a high union rate when treating complex fractures of the distal femur. When compared with lateral locked plating, this implant combination demonstrated significantly lower rates of nonunion and reoperation. | 8/13/2024 | |
| Effect of Glenoid Bone Loss and Shoulder Position on Axillary Nerve Anatomy During the Latarjet Procedure | CONCLUSION: Abduction of the shoulder induced a superior, lateral, and posterior shift of the AN, and ER caused anterior translation. Interestingly, the Latarjet procedure, when performed on shoulders with extensive glenoid bone loss, significantly reduced the minimum AN-glenoid distance during shou... | 8/5/2024 | |
| Editorial Commentary Combined Anterior Cruciate LigamentMedial Collateral Ligament Injuries Surgeons Should Have a Low Threshold to Operate on the Medial Collateral Ligament | Combined anterior cruciate ligament/medial collateral ligament (ACL/MCL) injuries are relatively common, and multiple factors are involved in surgical decision-making, particularly when it comes to the MCL. Historically, most surgeons treated the MCL conservatively and performed staged MCL reconstru... | 7/21/2024 | |
| Clinical and Radiographic Results After Treatment of Traumatic Syndesmotic Instability Using a Novel Screw-Suture Syndesmotic Fixation Device | CONCLUSIONS: A novel screw-suture syndesmotic implant provides the fixation of a screw, and the flexibility of a suture had similar radiographic outcomes compared with suture button fixation devices in treating ankle syndesmotic instability. | 7/15/2024 | |
| Using the Equatorial Talar Line as a Radiographic Predictor of Sanders Type 3 and 4 Calcaneus Fractures and Lateral Wall Blowout | CONCLUSION: The ETL is a reproducible radiographic parameter that can be reliably used to crudely predict between Sanders type I or II (ETL is "above") and Sanders type III or IV (ETL is "below") calcaneus fractures as well as the presence of lateral wall blowout. | 6/14/2024 | |
| Hand Surgeon Posture An Evaluation and Factors That Affect It | CONCLUSION: The three orthopaedic hand surgeons in our study spent a significant portion of their operative time slouched. The main variable associated with a significant risk of poor surgical posture was wearing loupes. Slight increases in slouching were seen with operating while seated and as the ... | 6/10/2024 | |
| Mechanism of Knee Injuries in the National Basketball Association A Video-Based Analysis | CONCLUSION: Understanding mechanisms of knee injury may guide preventative strategies and injury management programs in NBA players. Video-based analysis reveals the situational characteristics and mechanisms of knee injuries, but further studies are needed to develop injury prevention programs, eff... | 4/29/2024 | |
| Whats New in Periprosthetic Femur Fractures | CONCLUSION: As the incidence of PPF continues to increase, arthroplasty and trauma surgeons must be prepared to address this challenging complication with a contemporary understanding of the treatment options and their outcomes. | 4/20/2024 | |
| Editorial Commentary Surgical Videos on YouTube Are Not Peer Reviewed and Have Low Educational Value | The rise of online platforms like YouTube for health information has prompted scrutiny over the quality of medical/surgical-related video content. Recent research on YouTube videos regarding anterior cruciate ligament reconstruction (ACLR) with quadriceps tendon autograft shows low educational quali... | 3/11/2024 | |
| Editorial Commentary Clinical and Basic Science Evidence Supports the Use of Suture Tape Augmentation of Posterior Cruciate Ligament Reconstruction | Although isolated posterior cruciate ligament (PCL) injuries often can be treated successfully without surgical intervention, in the setting of persistent instability or multiligamentous knee injury, PCL reconstruction is indicated. PCL reconstructions often have resulted in persistent postoperative... | 3/1/2024 | |
| Multivariate Analysis of Risk Factors for Injury and Surgical Interventions in Ankle and Knee Injuries in NBA Athletes | CONCLUSION: Knee surgery was significantly more frequent than ankle surgery despite similar injury rates per 1000 exposures. The center position had the greatest risk for lower extremity injury followed by minutes played while a higher player efficiency rating was protective against surgical interve... | 2/13/2024 | |
| Total Ankle Arthroplasty in Young Patients | With continuing advancements in total ankle arthroplasty (TAA), it is quickly becoming the procedure of choice for older patients with end-stage ankle arthritis. Multiple studies have been conducted on younger patients who have undergone TAA with promising results, but is it the procedure of choice?... | 2/3/2024 | |
| Changes in injury type among NBA athletes in response to the COVID-19 pandemic | CONCLUSIONS: The COVID-19 pandemic led to an increased number of games missed, but no increase in injury rates when accounting for health and safety protocols. Additionally, bubble participation had no impact on injury rates. However, despite no changes in injury rates, the types of injuries changed... | 1/26/2024 | |
| Editorial Commentary Gracilis-Sparing Anterior Cruciate Ligament Hamstring Graft Reconstruction Is Less Invasive Than Semitendinosus-Gracilis Graft Harvest, and Shows No Clinical Difference in Outcomes With Grafts Greater Than 8 mm in Diameter | Although patellar tendon grafts are most commonly used for anterior cruciate ligament reconstruction in the United States, hamstring autograft is most commonly used worldwide. Hamstring advantages include easy, quick harvest; low morbidity; ease of rehabilitation (compared with patellar tendon graft... | 1/14/2024 | |
| Obstetricians are likely to elect for cesarean section in women with retained pelvic implants a radiographic survey study | PURPOSE: Women with a history of pelvic fracture undergo cesarean section (CS) at a higher rate than the general population. The purpose of our study is to query obstetricians on their preferences. | 12/22/2023 | |
| Chiropractic Manipulation Causing Anterior-Posterior Compression Type Pelvic Ring Injury A Case Report | CONCLUSION: APC type pelvic ring injuries usually occur to high-energy mechanisms. We describe a case of a patient with quadriplegia and osteopenia that suffered a pelvic ring injury because of a unique mechanism. Practitioners performing pelvic manipulation should be aware of this type of injury in... | 12/8/2023 | |
| Effectiveness of Flat-Panel Fluoroscopy in Direct Anterior Total Hip Arthroplasty A Comparison to Image Intensifier Fluoroscopy With Radiopaque Grid | CONCLUSIONS: We demonstrated no significant difference in component positioning in DA THAs utilizing flat-panel fluoroscopy as compared to using traditional fluoroscopy with a grid. | 11/29/2023 | |
| Management of pediatric renal trauma Results from the American Association for Surgery and Trauma Multi-Institutional Pediatric Acute Renal Trauma Study | CONCLUSION: The management and outcomes of pediatric renal trauma lack data to inform evidence-based guidelines. Nonoperative management of bleeding following renal injury is a well-established practice. Intervention for renal trauma is rare. Our findings reinforce differences from the adult populat... | 11/15/2023 | |
| Performance of Orthopaedic Shoulder and Elbow Surgeons on a Biostatistical Knowledge Examination | CONCLUSIONS: It is concerning that fellowship-trained shoulder and elbow surgeons, many of whom frequently publish or are reviewing scientific literature for publication, are scoring 55.2% correctly on average on this biostatistical knowledge examination. Surgeons that are further from formal statis... | 9/20/2023 | |
| The direct anterior approach for conversion to total hip arthroplasty after acetabular fixation is safe and effective | CONCLUSION: This is the largest known cohort analyzing the DA approach for conversion to hip arthroplasty after previous acetabular fixation. Overall, we demonstrate that the DAA is safe for conversion THA after acetabular fixation. | 8/20/2023 | |
| Efficacy of antimicrobial washes before shoulder surgery against emCutibacteriumem a systematic review and meta-analysis | CONCLUSION: This review demonstrated that preoperative CHG and BPO can reduce C. acnes at the shoulder. However, BPO exhibits greater efficacy than CHG, potentially because of the compound's ability to penetrate the dermis. BPO is a simple and economical agent that may reduce joint exposure to C. ac... | 8/17/2023 | |
| Positive Correlation Between Social Media Utilization by Orthopaedic Journals and Impact Factor | INTRODUCTION: Social media use has exploded in popularity over the past decade with over 1.5 billion users on Facebook and 320 million users on Twitter. The aim of this study was to analyze the use of social media by orthopaedic journals and determine whether a relationship exists between social med... | 7/26/2023 | |
| Opportunistic Use of Computed Tomography to Determine Muscle-Adipose Ratio Reliably Predicts Wound Complications After Kocher-Langenbeck Surgical Exposure of the Acetabulum | CONCLUSIONS: MAR is a significant predictor of postoperative wound complication in patients undergoing treatment of posterior wall acetabular fractures. The higher rate of wound complications in patients with a low MAR should be considered in the treatment of these patients and may be used to guide ... | 7/24/2023 | |
| Phase II Randomized Trial of Carboplatin, Pemetrexed, and Bevacizumab With and Without Atezolizumab in Stage IV Nonsquamous Non-Small-Cell Lung Cancer Patients Who Harbor a Sensitizing EGFR Mutation or Have Never Smoked | CONCLUSION: This phase II trial is accruing patients at U.S. sites through the National Comprehensive Cancer Network (NCCN). The trial opened in August 2019 and accrual is expected to be completed in the Fall of 2024. | 7/14/2023 | |
| Fellowship-Trained Orthopaedic Trauma Surgeons Achieve Better Postoperative Radiographic Parameters After Intramedullary Nailing of Intertrochanteric Femur Fractures when Compared With Non-trauma-Trained Surgeons | INTRODUCTION: Intertrochanteric femoral fractures are common orthopaedic injuries accounting for nearly 30% of all fracture-related hospitalizations. Because many factors predictive of failure are related to technical aspects of the surgery, the purpose of this study was to compare radiographic para... | 6/6/2023 | |
| Systematic Review and Meta-Analysis of Locked Posterior Dislocation of the Shoulder Treated with Shoulder Arthroplasty Improved Outcomes for Total Shoulder Arthroplasty are Associated with Increased Age | Locked shoulder dislocations account for up to 5% of shoulder dislocations. These relatively rare injuries are characterized by dislocation of the humeral head from the scapular glenoid cavity with the humeral head incarcerated on the glenoid in a "locked" fashion. Diagnosis is often delayed because... | 6/1/2023 | |
| Risk Factors for Revision Surgery Following Revision Total Knee Arthroplasty Using a Hinged Knee Prosthesis for Septic and Aseptic Indications | INTRODUCTION: The use of hinged knee replacements (HKRs) for limb salvage is a popular option for revision total knee arthroplasty (RTKA). Although recent literature focuses on the outcomes of HKR for septic and aseptic RTKAs, little is reported on the risk factors of returning to the operating room... | 5/26/2023 | |
| Trends in Female Authorship in Orthopaedic Literature from 2002 to 2021 An Analysis of 168,451 Authors | CONCLUSIONS: Female representation in orthopaedics has been growing over the past decade. Increasing publication rates of female authors reveal steps toward positive gender equity in the field and present an opportunity for female leadership visibility, illustrating the capabilities of women in orth... | 5/8/2023 | |
| The Evolution of the Musculoskeletal Trauma Section of the Orthopaedic In-Training Examination | INTRODUCTION: In 1963, the American Academy of Orthopaedic Surgeons administered the Orthopaedic In-Training Examination (OITE), the first and longest running yearly medical specialty examination. There have been no recent studies to evaluate the content of the musculoskeletal trauma section of the ... | 4/13/2023 | |
| Validity of Video-Based Analysis for Analyzing Shoulder Injuries in the National Basketball Association | CONCLUSION: Despite its low yield of 7.3%, video-based analysis may be a useful tool to determine the mechanism of shoulder injuries in the NBA, given the similarities of injury characteristics as compared with the control group. | 3/10/2023 | |
| Hypoalbuminemia Predicts Failure of Two-Stage Exchange for Chronic Periprosthetic Joint Infection of the Hip and Knee | CONCLUSION: Low preoperative SAB and Musculoskeletal Infection Societyhost type-C are independent risk factors for failure following first-stage resection in planned two-stage exchange for PJI. Efforts to nutritionally optimize PJI patients, when possible, may improve the outcome of two-stage exchan... | 1/24/2023 | |
| Extensor Mechanism Reconstruction After Total Knee Arthroplasty with Allograft Versus Synthetic Mesh A Multicenter Retrospective Cohort | INTRODUCTION: Patellar and quadriceps tendon ruptures after total knee arthroplasty (TKA) have historically poor outcomes. To date, there is no consensus for optimal treatment. The purpose of this study is to directly compare clinical outcomes and survivorship between allograft versus synthetic mesh... | 12/22/2022 | |
| Periprosthetic distal femur fractures treated by retrograde intramedullary nails with a 10-degree distal bend achieve significantly better post-operative radiographic alignment when compared to conventional retrograde nails | CONCLUSION: Retrograde intramedullary nailing of PPDFF with a 10° distal bend results in significantly better alignment in the sagittal plane when compared to a conventional 5° nail. The use of a 5° nail resulted in an extension deformity significantly more frequently. We therefore recommend the uti... | 11/25/2022 | |
| Treatment of Diaphyseal Tibial Fractures Distal to a Total Knee Arthroplasty by Intramedullary Nailing Is Safe and Effective | CONCLUSION: Overall, we report on the largest cohort in the literature undergoing IMN of a tibial shaft fracture distal to a TKA. We demonstrate that IMN of diaphyseal tibial fractures distal to a TKA can be performed safely. We additionally demonstrate that this treatment is highly effective in ach... | 11/18/2022 | |
| Is Video-Based Analysis a Valid Method for Determining Mechanisms of Ankle Injuries During Gameplay in the National Basketball Association | CONCLUSION: Despite its low yield of 11.3%, video analysis proved to be a useful tool to determine ankle injury mechanisms as well as the distribution of injuries based on player position. However, this methodology was subject to selection bias, as evidenced by a $50,000 increase in player salary am... | 11/4/2022 | |
| Direct Plantar Approach to Plantar Plate Repair and Associated Wound Complications | CONCLUSION: To our knowledge, this is the largest study evaluating the direct plantar approach to PPR as well as the evaluation of associated complications with the plantar incision. With low complication and minimal reoperation rates, the results of this study have demonstrated the clinical viabili... | 8/25/2022 | |
| Low interobserver and intraobserver reliability using the Matta radiographic system for intraoperative assessment of reduction following acetabular ORIF | INTRODUCTION: The system described by Matta for rating acetabular fracture quality of reduction following ORIF has been used extensively throughout the literature. However, the reliability of this system remains to be validated. We sought to determine the interobserver and intraobserver reliability ... | 5/31/2022 | |
| Ankle Mortise Instability in Multiple Hereditary Exostoses | Ankle valgus is commonly reported in patients with multiple hereditary exostoses (MHE). We report the characteristics of mortise widening in MHE, its progression over time, and the resultant ankle pain and function at skeletal maturity. Mortise medial space (M), talocrural angle (TC), and tibiotalar... | 4/4/2022 | |
| Encouraging Firework Safety Through Public Service Announcements | A dramatic increase in firework-related blast injuries to the hand and upper extremity resulted in record-setting numbers at our institution over the July 4, 2018, holiday. This led our hand and upper extremity department to create a public service announcement (PSA) campaign regarding firework safe... | 1/26/2022 | |
| Membrane-Inducing Masquelet Technique for Massive Traumatic Diaphyseal Femur Bone Loss in a Pediatric Patient A Case Report | CONCLUSION: Although the Masquelet technique is thoroughly described in adult orthopaedic trauma and oncology literature, there are minimal reports to support its use in pediatric patients. Five-year follow-up data on this patient concluded that utilization of this technique for significant bone def... | 11/22/2021 | |
| N95 respirator and surgical mask effectiveness against respiratory viral illnesses in the healthcare setting A systematic review and meta-analysis | CONCLUSIONS: N95 respirator use was associated with fewer viral infectious episodes for healthcare workers compared with surgical masks. The N95 respirator was most effective in reducing the risk of a viral infection in the hospital setting from the SARS-CoV 1 and 2 viruses compared to the other vir... | 11/8/2021 | |
| Pelvic Shadowing as a Diagnostic Predictor of Orthopedic Pathology in Orthopedic Trauma Patients | Introduction The Throckmorton sign, or John Thomas sign, is a well-established orthopedic eponym, anecdotally used in orthopedic surgery to correlate the direction of male genitalia, observed on a pelvic radiograph, with the laterality of an associated orthopedic pathology. In earlier studies, the d... | 10/18/2021 | |
| Clamp Assisted Reduction of the Transverse Acetabular Fracture With Anterior Column Screw Fixation and Posterior Plating A Technical Trick and Case Series | Displaced transverse acetabular fractures are unstable injuries that frequently require repair. Although multiple approaches, techniques, and fixation constructs have been described to treat this pattern, achieving an anatomical reduction and applying fixation to maintain this until union remains th... | 10/11/2021 | |
| Retrograde intramedullary nailing of comminuted intra-articular distal femur fractures results in high union rate | CONCLUSIONS: Comminuted intra-articular distal femur fractures that can be successfully treated with retrograde IMN fixation will reliably go on to union with a complication rate that is favorable to that reported for plate fixation. | 10/8/2021 | |
| A New Algorithm for Classifying Acetabular Fracture Patterns on Three-dimensional Computed Tomography Reconstructions Markedly Improves Residents Ability to Correctly Classify Fractures | INTRODUCTION: CT and three-dimensional (3D) CT reconstructions have been shown to improve the understanding of acetabular fractures. With the increased availability of 3D pelvic CT reconstructions, our goal for this study was to develop an algorithm to aid residents in the classification of acetabul... | 9/17/2021 | |
| Theme Park Water Slides A New Mechanism of Causing 61B23 Pelvic Ring Injuries A Case Series | CONCLUSION: Pelvic ring injuries usually occur because of high-energy mechanisms, but unique mechanisms of injuries are possible. We aim to draw attention to this unique mechanism of injury because serious injury may occur to riders. Water parks should use the information presented in this study to ... | 7/8/2021 | |
| Total Hip Arthroplasty for Acute Femoral Neck Fractures Who Should Perform the Operation-Adult Reconstructive or Trauma Surgeons | CONCLUSIONS: THA for acute FN fracture performed by AR surgeons demonstrated higher rates of accurate radiographic component positioning, significantly lower major complication rates at 90 days and 1 year, and greater implant survival at 1 year. | 5/29/2021 | |
| Outcomes of periprosthetic distal femur fractures following total knee arthroplasty Intramedullary nailing versus plating | CONCLUSION: Intramedullary nailing was associated with an increased risk of malalignment, most commonly an extension deformity, in this series. However, malalignment was not associated with worse outcomes. | 5/25/2021 | |
| Long-Term Patient-Reported Knee Outcomes After Suprapatellar Intramedullary Tibial Nailing | CONCLUSION: At long-term follow-up a majority of patients undergoing suprapatellar nailing had good/excellent knee outcomes. Poor/fair knee outcomes were associated with the development of complications. | 5/17/2021 | |
| Modified Use of a Fibular Strut in the Reduction and Stabilization of 2-Part Osteoporotic Proximal Humerus Fractures | PURPOSE: This study introduces a modified use of a fibular strut allograft as an adjunct to lateral locked plating in the treatment of osteoporotic two-part fractures of the proximal humerus. | 5/14/2021 | |
| The Competitive Orthopaedic Trauma Fellowship Applicant A Program Directors Perspective | INTRODUCTION: In 2018, orthopaedic trauma had the lowest match rate among orthopaedic subspecialties. The purpose of this study was to determine the importance of factors evaluated by orthopaedic trauma fellowship directors when ranking applicants after the interview. | 5/7/2021 | |
| Clinical outcomes in prone positioning for percutaneous fixation of posterior column acetabular fractures | CONCLUSION: Prone positioning is a versatile and effective approach for retrograde percutaneous fixation of posterior column acetabular fractures. This study is the first to report clinical outcomes utilizing this technique and contributes to a growing body of the literature supporting the value and... | 3/19/2021 | |
| Comparison of standard versus reconstruction proximal interlocking screw configurations for antegrade intramedullary nail fixation of femoral shaft fractures | CONCLUSIONS: In this matched cohort of patients with femoral shaft fractures undergoing antegrade IMN fixation, RS and SS configurations were associated with a similar number of complications and no femoral neck complications. The SS configuration remains the standard for antegrade IMN femoral shaft... | 3/19/2021 | |
| Transverse and transverse-variant acetabular fractures with ipsilateral sacroiliac joint injuries A technical note for reduction and stabilization | Transverse and T-type acetabular fractures are high energy fractures that may be associated with a disruption of the pelvic ring. While several studies report upon clinical findings and outcomes associated with combination injuries of the pelvic ring and acetabulum, there are limited reports discuss... | 1/26/2021 | |
| Predictors of Performance on the Arthrobox Arthroscopy Simulator for Medical Students | CONCLUSIONS: This study provides evidence of a statistically significant correlation between increased experience in athletics and single-use test performance on an arthroscopic surgical simulator. Subjects who reported higher levels of experience in athletics were significantly more likely to achie... | 12/30/2020 | |
| A Nomogram for Predicting 30-day Mortality in Elderly Patients Undergoing Hemiarthroplasty for Femoral Neck Fractures | CONCLUSION: A tool based on easily identifiable risk factors, demographics, and comorbidities was developed that can help predict elderly patients who will experience mortality within 30 days of following hemiarthroplasty. In addition to identifying high risk patients, the nomogram can serve as a co... | 10/29/2020 | |
| Morbid obesity and short-term complications following acetabular fracture surgery A comparative cohort study | CONCLUSIONS: In the treatment of the obese and morbidly obese with acetabular fractures, we find that these cohorts are not at a greater risk of wound complications or infection. The higher rate of pulmonary embolism seen in the morbidly obese should be considered when evaluating these patients for ... | 8/23/2020 | |
| Medically Necessary Orthopaedic Surgery During the COVID-19 Pandemic Safe Surgical Practices and a Classification to Guide Treatment | CONCLUSIONS: Orthopaedic surgery during the COVID-19 pandemic can be performed safely when medically necessary but should be rare for COVID-19-positive or high-risk patients. Appropriate screening, PPE use, and multidisciplinary care will allow for safe medically necessary orthopaedic surgery to con... | 7/18/2020 | |
| Innate Arthroscopic amp; Laparoscopic Surgical Skills A Systematic Review of Predictive Performance Indicators Within Novice Surgical Trainees | CONCLUSIONS: Current literature suggests that video game experience/frequency, psychomotor and visuospatial aptitude, and perceptual ability are among the most promising predictive indicators of baseline simulator performance. Study limitations include utilization of different standards for characte... | 6/28/2020 | |
| Blunt End Wire and Lateral Sacral View A Technical Trick to Precisely Terminate Percutaneous Pelvic Brim Screw Fixation in the Posterior Ilium | Percutaneous screw fixation in the treatment of a variety of pelvic fractures may involve placement of a pelvic brim or "LC-2" screw. The technique requires the use of the combined obturator oblique inlet view to define the medial and lateral cortical borders of the corridor and an iliac oblique vie... | 5/30/2020 | |
| Elbow Dislocation | This article is a brief overview of the elbow dislocations focusing on updates in treatment and rehabilitation protocols. The fight between obtaining elbow stability without leading to long-term elbow stiffness has been a continued focus in field of sports medicine. This article highlights advances ... | 5/25/2020 | |
| Healthcare resource utilization in advanced non-small-cell lung cancer post hoc analysis of the randomized phase 3 REVEL study | CONCLUSION: In REVEL, the addition of ramucirumab to docetaxel did not increase HCRU among patients with aggressive aNSCLC disease. These results may help inform economic evaluation of treatment for patients with aNSCLC. | 4/23/2020 | |
| Increasing Fellow Recruitment How Can Fellowship Program Websites Be Optimized | BACKGROUND: The purpose of this study was to determine the importance of factors considered by orthopaedic trauma fellowship applicants when evaluating programs. We hypothesized that applicants will prioritize consistent factors when applying to programs. In addition, we assessed how the applicants ... | 4/2/2020 | |
| Variables Associated With Lag Screw Sliding After Single-Screw Cephalomedullary Nail Fixation of Intertrochanteric Fractures | CONCLUSIONS: Unstable fracture patterns are unavoidable; however, careful attention to calcar reduction and selection of dual-screw CMN implants may minimize lag screw sliding and its detrimental effects on outcomes. | 1/10/2020 | |
| Clinical Results of Acetabular Fracture Fixation Using a Focal Kocher-Langenbeck Approach Without a Specialty Traction Table | CONCLUSION: Overall, we report on the largest cohort in the literature undergoing a prone Kocher-Langenbeck without a specialty table for acetabular fracture fixation. We found that limited extremity prepping and draping for a prone Kocher-Langenbeck on a flat, radiolucent table did not result in an... | 1/10/2020 | |
| Lung Cancer Surveillance After Definitive Curative-Intent Therapy ASCO Guideline | PURPOSE: To provide evidence-based recommendations to practicing clinicians on radiographic imaging and biomarker surveillance strategies after definitive curative-intent therapy in patients with stage I-III non-small-cell lung cancer (NSCLC) and SCLC. | 12/13/2019 | |
| Early Operative Treatment of Acetabular Fractures Does Not Increase Blood Loss A Retrospective Review | CONCLUSIONS: Fixation of acetabular fractures within 48 hours of admission did not increase blood loss or intraoperative transfusions. CS was successful in returning an average of one unit of blood to a majority of patients. | 11/6/2019 | |
| Caregivers of hip fracture patients The forgotten victims | CONCLUSIONS: High degrees of burden were experienced by 20% of caregivers of hip fracture patients. Caregivers with high caregiver burdens were more likely to consider placement of the patient into a long-term care facility. Risk factors for high caregiver burdens should be identified to optimize th... | 10/13/2019 | |
| Needlestick and sharps injuries in orthopedic surgery residents and fellows | CONCLUSIONS: The incidence of NSSI during residency training is high, with >90% of trainees in their fifth year or later of training having received an injury during their training, with a mean of >4 separate events. Most trainees with an NSSI did not report all of their events, which implies that c... | 9/27/2019 | |
| Screws are at a safe distance from critical structures after superior plate fixation of clavicle fractures | CONCLUSIONS: None of the screws were excessively prominent or within 15 mm of the subclavian vessels. Attentive superior plate fixation of the clavicle with screws is a safe technique. | 9/11/2019 | |
| Practical Surgical Techniques for Revision Total Hip Arthroplasty | Although total hip arthroplasty is an extremely successful procedure, the continual increase in the number of total hip arthroplasties that are performed is associated with the substantial burden of revision total hip arthroplasty. Modes of total hip arthroplasty failure include instability, aseptic... | 8/15/2019 | |
| Role of Distal Femoral Replacement for Periprosthetic Fractures Above a Total Knee Arthroplasty When and How | With increasing incidence of total knee arthroplasty (TKA), a concurrent rise in periprosthetic fractures is also expected. Although many periprosthetic fractures about a TKA can be fixed through locked plating, retrograde intramedullary nailing, or both, some fracture patterns combined with poor bo... | 8/13/2019 | |
| Vitamin D and Metabolic Supplementation in Orthopedic Trauma | Active assessment and management of hypovitaminosis D among orthopedic patients is low-risk and low-cost while retaining significant potential to improve patient care. Vitamin D has an established role in musculoskeletal development and calcium homeostasis, and vitamin D deficiency is pervasive in o... | 3/10/2019 | |
| Afatinib With Pembrolizumab for Treatment of Patients With Locally AdvancedMetastatic Squamous Cell Carcinoma of the Lung The LUX-Lung IOKEYNOTE 497 Study Protocol | BACKGROUND: Afatinib is a selective, irreversible ErbB family blocker that has shown survival benefit in lung squamous-cell carcinoma (SCC) patients. Pembrolizumab, a humanized immunoglobulin G4 monoclonal antibody to the programmed cell death 1 (PD-1) receptor, has also shown survival benefit in lu... | 2/28/2019 | |
| Knee Sepsis after Suprapatellar Nailing of an Open Tibia Fracture Treatment with Acute Deformity and External Fixation | CONCLUSION: This patient was managed with irrigation and debridements of the knee, fracture site, and intramedullary canal. A resultant soft-tissue defect over the fracture site obviated primary closure. Creation of an acute deformity stabilized by a Taylor spatial frame allowed primary wound closur... | 2/7/2019 | |
| Evaluation of the Acquisition of Ultrasound Proficiency in Hand Surgery Fellows | CONCLUSIONS: After a 30-minute instructional session, hand surgery fellows can achieve a basic level of US competency. | 1/17/2019 | |
| Dynamic Stress Fluoroscopy for Evaluation of the Femoral Neck After Intramedullary Nails Improved Sensitivity for Identifying Occult Fractures | CONCLUSIONS: Compared with a fully static imaging protocol, DSF is a more sensitive and highly specific technique, enabling intraoperative detection of occult fractures of the femoral neck. | 11/30/2018 | |
| Fixation Strategy Using Sequential Intraoperative Examination Under Anesthesia for Unstable Lateral Compression Pelvic Ring Injuries Reliably Predicts Union with Minimal Displacement | CONCLUSIONS: A fixation strategy based on sequential intraoperative EUA reliably results in union with minimal displacement for unstable LC pelvic ring injuries. Injuries requiring combined anterior and posterior fixation healed with no displacement. Those without anterior fixation and a unilateral ... | 9/5/2018 | |
| Terminal position of a tibial intramedullary nail a computed tomography CT based study | CONCLUSION: The distal end-point of a tibial intramedullary nail is lateral (ML plane) and center (AP plane) in both cadaveric legs and patients with midshaft tibia fractures. These results suggest that the treatment of distal tibia fractures with intramedullary nails may be improved by positioning ... | 9/1/2018 | |
| Clinical and Radiographic Outcomes of the Ream-and-Run Procedure for Primary Glenohumeral Arthritis | CONCLUSIONS: The ream-and-run procedure can be an effective treatment for advanced primary glenohumeral osteoarthritis in active patients. Further study will be necessary to determine whether medialization affects the clinical outcome with follow-up of >2 years. | 8/2/2017 | |
| Does Postoperative Glenoid Retroversion Affect the 2-Year Clinical and Radiographic Outcomes for Total Shoulder Arthroplasty | CONCLUSION: In this small series of TSAs, postoperative glenoid retroversion was not associated with inferior clinical results at 2 years after surgery. This suggests that it may be possible to effectively manage arthritic glenohumeral joints without specific attempts to modify glenoid version. Larg... | 7/7/2017 | |
| Development of a Unifying Target and Consensus Indicators for Global Surgical Systems Strengthening Proposed by the Global Alliance for Surgery, Obstetric, Trauma, and Anaesthesia Care The G4 Alliance | After decades on the margins of primary health care, surgical and anaesthesia care is gaining increasing priority within the global development arena. The 2015 publications of the Disease Control Priorities third edition on Essential Surgery and the Lancet Commission on Global Surgery created a comp... | 5/17/2017 | |
| Is there evidence that the outcomes of primary anatomic and reverse shoulder arthroplasty are getting better | CONCLUSIONS: Better evidence from reports with greater detail will be necessary to show that patients are realizing progressively better outcomes from shoulder arthroplasty. | 3/30/2017 | |
| The Effect of Carpal Tunnel Release on Typing Performance | CONCLUSIONS: On average, typing speed returned to preoperative levels between 2 and 3 weeks after CTR and typing speed showed improvement beyond preoperative levels after surgery. The MHQ and BCTQ-F correlate well with typing speed after CTR. | 11/20/2016 | |
| Instability in total knee arthroplasty assessment and solutions | Instability is a common indication for early revision after both primary and revision total knee arthroplasty (TKA), accounting for up to 20% in the literature. The number of TKAs performed annually continues to climb exponentially, thus having an effective algorithm for treatment is essential. This... | 1/7/2016 | |
| Influence of Femoral Component Design on Retrograde Femoral Nail Starting Point | CONCLUSIONS: The FCR for the femoral trials studied was significantly greater than the SPR for native knees and was significantly greater for CR femoral components compared with posterior stabilized components. These findings demonstrate that many total knee prostheses, particularly CR designs, are ... | 5/2/2015 | |
| Pelvic discontinuity current solutions | Pelvic discontinuity represents a rare but challenging problem for orthopaedic surgeons. It is most commonly encountered during revision total hip replacement, but can also result from an iatrogentic acetabular fracture during hip replacement. The general principles in management of pelvic discontin... | 11/5/2013 | |
| When femoral fracture fixation fails salvage options | Most hip fractures treated with modern internal fixation techniques will heal. However, failures occasionally occur and require revision procedures. Salvage strategies employed during revision are based on whether the fixation failure occurs in the femoral neck, or in the intertrochanteric region. P... | 11/5/2013 | |
| Silicon a review of its potential role in the prevention and treatment of postmenopausal osteoporosis | Physicians are aware of the benefits of calcium and vitamin D supplementation. However, additional nutritional components may also be important for bone health. There is a growing body of the scientific literature which recognizes that silicon plays an essential role in bone formation and maintenanc... | 6/14/2013 | |
| Revision for periprosthetic fractures of the hip and knee | Many periprosthetic fractures about the hip and knee can be managed successfully with modern internal fixation techniques; however, there are particular circumstances when revision arthroplasty is a better choice. These revision cases often require a substantial amount of preoperative planning and r... | 2/12/2013 | |
| Essential Nutrients for Bone Health and a Review of their Availability in the Average North American Diet | Osteoporosis and low bone mineral density affect millions of Americans. The majority of adults in North America have insufficient intake of vitamin D and calcium along with inadequate exercise. Physicians are aware that vitamin D, calcium and exercise are essential for maintenance of bone health. Ph... | 4/24/2012 |
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