What to Read and How to Read It: A Guide for Orthopaedic Surgeons
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - February 3, 2016 Category: Orthopaedics Authors: Krueger, C. A., Hsu, J. R., Belmont, P. J. Tags: The Orthopaedic Forum Source Type: research

Role of Cages in Revision Arthroplasty of the Acetabulum
The outcome of acetabular revision is heavily influenced by the degree of associated bone loss. Uncemented hemispherical acetabular components can be used in the majority of acetabular revisions, although occasionally the degree of bone loss precludes the stability of the hemispherical component at the correct anatomic level or there is minimal bleeding host bone left for biologic fixation. Massive acetabular bone loss resulting in the need for bone grafts or highly porous augments involving more than half of the acetabulum is one of the main indications for the use of cages. The cup-cage reconstruction is based on bone...
Source: The Journal of Bone and Joint Surgery - February 3, 2016 Category: Orthopaedics Authors: Mäkinen, T. J., Kuzyk, P., Safir, O. A., Backstein, D., Gross, A. E. Tags: Hip Current Concepts Review Source Type: research

A Patient Follow-up Program for Short-Term Surgical Mission Trips to a Developing Country
Conclusions: It is possible to develop a sustainable surgical patient follow-up program with robust results and to achieve acceptable outcomes for orthopaedic conditions, even in an austere medical environment. Level of Evidence: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - February 3, 2016 Category: Orthopaedics Authors: Torchia, M. T., Schroder, L. K., Hill, B. W., Cole, P. A. Tags: Scientific Articles Source Type: research

Improving Resident Performance in Knee Arthroscopy: A Prospective Value Assessment of Simulators and Cadaveric Skills Laboratories
Conclusions: Cadaveric skills laboratories improved residents’ performance of knee arthroscopy compared with that of matched controls. Residents practicing on cadaveric specimens improved twice as fast as those utilizing a high-fidelity simulator; however, based on cost estimation specific to our institution, the simulator may be more cost-effective if it is used at least 300 hours per year. Additional study of this possibility is warranted. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - February 3, 2016 Category: Orthopaedics Authors: Camp, C. L., Krych, A. J., Stuart, M. J., Regnier, T. D., Mills, K. M., Turner, N. S. Tags: Sports Medicine Scientific Articles Source Type: research

Bone-Grafting in Polyostotic Fibrous Dysplasia
Conclusions: Bone-grafting, including both allograft and autograft, is of limited value in ablating the lesions of fibrous dysplasia. The expectations of patients and surgeons should include the high probability of graft resorption over time with return of bone characteristics of fibrous dysplasia, particularly in younger patients. This suggests the maintenance of normal bone mechanics with implant support should be the priority of any surgical intervention. Level of Evidence: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - February 3, 2016 Category: Orthopaedics Authors: Leet, A. I., Boyce, A. M., Ibrahim, K. A., Wientroub, S., Kushner, H., Collins, M. T. Tags: Oncology, Pediatrics Scientific Articles Source Type: research

Improved Prognosis for Patients with Ewing Sarcoma in the Sacrum Compared with the Innominate Bones: The Scandinavian Sarcoma Group Experience
Conclusions: Disease-free survival among patients with Ewing sarcoma was improved when the tumor was localized in the sacrum compared with the innominate bones, where these tumors are generally larger. Local radiation therapy alone appears to result in good local tumor control and may be the treatment of choice for sacral tumors. Level of Evidence: Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - February 3, 2016 Category: Orthopaedics Authors: Hesla, A. C., Tsagozis, P., Jebsen, N., Zaikova, O., Bauer, H., Brosjö, O. Tags: Oncology Scientific Articles Source Type: research

Management and Outcome of Dens Fracture Nonunions in Geriatric Patients
Conclusions: C1-C2 arthrodesis was a reliable treatment option for dens fracture nonunions that were unstable, those associated with neurological symptoms, and those causing persistent pain. Clinical and radiographic monitoring was an acceptable nonoperative treatment option but was associated with a very low rate of osseous union of the dens. Level of Evidence: Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - February 3, 2016 Category: Orthopaedics Authors: Joestl, J., Lang, N. W., Tiefenboeck, T. M., Hajdu, S., Platzer, P. Tags: Spine, Trauma Scientific Articles Source Type: research

Are the Symptoms of Calcific Tendinitis Due to Neoinnervation and/or Neovascularization?
Conclusions: This is the first study to show a significant increase in neovascularization and neoinnervation in calcific tendinitis lesions of the shoulder along with an eightfold increase in mast cells and macrophages. The findings are consistent with the hypothesis that, in calcific tendinitis, the calcific material is inducing a vigorous inflammatory response within the tendon with formation of new blood vessels and nerves. Clinical Relevance: This study helps to explain why calcific tendinitis is related to substantial pain in the clinical setting. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - February 3, 2016 Category: Orthopaedics Authors: Hackett, L., Millar, N. L., Lam, P., Murrell, G. A. C. Tags: Basic Science, Shoulder Scientific Articles Source Type: research

Bariatric Orthopaedics: Total Hip Arthroplasty in Super-Obese Patients (Those with a BMI of >=50 kg/m2)
Conclusions: The clinical and patient-reported outcomes of primary total hip arthroplasty were lower in the super-obese patients. These patients also faced challenges in finding surgeons who would perform their procedure. Super-obese patients may benefit from counseling with their treating surgeon to set realistic expectations with regard to the outcomes of their procedure. Level of Evidence: Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - February 3, 2016 Category: Orthopaedics Authors: Issa, K., Harwin, S. F., Malkani, A. L., Bonutti, P. M., Scillia, A., Mont, M. A. Tags: Hip Scientific Articles Source Type: research

Effect of Body Mass Index on Complications and Reoperations After Total Hip Arthroplasty
Conclusions: The rates of reoperation, implant revision or removal, and common complications after total hip arthroplasty were strongly associated with BMI. Level of Evidence: Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - February 3, 2016 Category: Orthopaedics Authors: Wagner, E. R., Kamath, A. F., Fruth, K. M., Harmsen, W. S., Berry, D. J. Tags: Hip Scientific Articles Source Type: research

Why Do Tendons Hurt? Lessons from the Study of Calcific Tendinitis: Commentary on an article by Lisa Hackett, AMS, et al.: "Are the Symptoms of Calcific Tendinitis Due to Neoinnervation and/or Neovascularization?"
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - February 3, 2016 Category: Orthopaedics Authors: Rodeo, S. A. Tags: Basic Science, Shoulder Commentary and Perspective Source Type: research

What Will We Do Now with the Super-Obese Patient Undergoing Total Hip Arthroplasty?: Commentary on an article by Kimona Issa, MD, et al.: "Bariatric Orthopaedics: Total Hip Arthroplasty in Super-Obese Patients (Those with a BMI of >=50 kg/m2)"
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - February 3, 2016 Category: Orthopaedics Authors: Robinson, R. P. Tags: Hip Commentary and Perspective Source Type: research

Is BMI an Independent Risk Factor for Unfavorable Outcomes Following Total Hip Arthroplasty?: Commentary on an article by Eric R. Wagner, MD, et al.: "Effect of Body Mass Index on Complications and Reoperations After Total Hip Arthroplasty"
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - February 3, 2016 Category: Orthopaedics Authors: Toossi, N., Johanson, N. A. Tags: Hip Commentary and Perspective Source Type: research

Whats New in Adult Reconstructive Knee Surgery
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - January 20, 2016 Category: Orthopaedics Authors: Lee, G.-C. Tags: Knee Specialty Update Source Type: research

The American Academy of Orthopaedic Surgeons Appropriate Use Criteria on the Management of Anterior Cruciate Ligament Injuries
(Source: The Journal of Bone and Joint Surgery)
Source: The Journal of Bone and Joint Surgery - January 20, 2016 Category: Orthopaedics Authors: Members of the Writing, Review, and Voting Panels of the AUC on Prevention and Treatment of Anterior Cruciate Ligament Injuries, Quinn, R. H., Sanders, J. O., Brown, G. A., Murray, J., Pezold, R. Tags: Knee, Sports Medicine Evidence-Based Orthopaedics Source Type: research