The Journal of the American Academy of Orthopaedic Surgeons 
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This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.Principles of Minimally Invasive Reduction and Nail Fixation for Subtrochanteric Femur Fractures
J Am Acad Orthop Surg. 2024 Apr 9. doi: 10.5435/JAAOS-D-23-00904. Online ahead of print.ABSTRACTSubtrochanteric femur fractures have a reputation as difficult orthopaedic injuries to treat. Strong deforming forces, including the hip musculature and high physiologic forces, must be counteracted to obtain and maintain reduction. Adding to the complexity is a wide variety of fracture morphologies that must be recognized to execute an appropriate surgical plan. The challenging nature of this injury is demonstrated by nonunion rates of 4% to 5%, but some series have reports of up to 15% and malunion rates of 10% to 15%. Improve...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 16, 2024 Category: Orthopaedics Authors: Jeffrey Brewer Francisco Fuster Samantha Mosle Marilyn Heng Source Type: research
Cemented Stem Design in Total Hip Arthroplasty: Fixation Philosophies, Biomechanics, and an Updated Classification System
J Am Acad Orthop Surg. 2024 Apr 10. doi: 10.5435/JAAOS-D-23-00914. Online ahead of print.ABSTRACTThere is renewed interest in cemented femoral fixation in total hip arthroplasty in the United States, and to fully appreciate the evolution of cemented femoral stem designs, an understanding of their history and design rationale is essential. To adequately study the outcomes of modern-day designs, a comprehensive classification system is also necessary. The biomechanical principles, failure mechanisms, and clinical outcomes associated with various cemented femoral stems are described in this comprehensive review. In addition, ...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 16, 2024 Category: Orthopaedics Authors: Vishal Hegde Andrew B Harris Bryan D Springer Harpal S Khanuja Source Type: research
Applications of Natural Language Processing for Automated Clinical Data Analysis in Orthopaedics
J Am Acad Orthop Surg. 2024 Apr 10. doi: 10.5435/JAAOS-D-23-00839. Online ahead of print.ABSTRACTNatural language processing is an exciting and emerging field in health care that can transform the field of orthopaedics. It can aid in the process of automated clinical data analysis, changing the way we extract data for various purposes including research and registry formation, diagnosis, and medical billing. This scoping review will look at the various applications of NLP in orthopaedics. Specific examples of NLP applications include identification of essential data elements from surgical and imaging reports, patient feedb...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 16, 2024 Category: Orthopaedics Authors: Yasir AlShehri Arashdeep Sidhu Laks V S Lakshmanan Kelly A Lefaivre Source Type: research
Effect of Depression Interventions in Patients Undergoing Total Joint Arthroplasty Without a Formal Diagnosis of Depression: A Systematic Review
CONCLUSIONS: Overall, a wide range of interventions aimed at psychological optimization of patients undergoing TJA can improve depressive symptoms, pain, and function, even in the absence of a formal diagnosis of depression. Specifically, cognitive-based psychotherapy and enhanced perioperative support had the best evidence. Routine pharmacotherapy plays a limited role, if any, in the care of TJA. Additional efforts to develop pragmatic, evidence-based, and reproducible interventions are warranted to continue to optimize outcomes in TJA patients.PMID:38626430 | DOI:10.5435/JAAOS-D-23-01130 (Source: The Journal of the Ameri...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 16, 2024 Category: Orthopaedics Authors: Faran Chaudhry Samuel Morgan Colin Kruse Jesse Wolfstadt Seper Ekhtiari Source Type: research
Treatment of Shoulder Osteoarthritis With Intact Rotator Cuff and Severe Glenoid Retroversion
J Am Acad Orthop Surg. 2024 Apr 10. doi: 10.5435/JAAOS-D-23-00669. Online ahead of print.ABSTRACTThe American Academy of Orthopaedic Surgeons has developed an Appropriate Use Criteria (AUC) for Treatment of Shoulder Osteoarthritis with Intact Rotator Cuff and Severe Glenoid Retroversion. Evidence-based information, in conjunction with the clinical expertise of physicians, was used to develop the criteria to determine the appropriateness of various treatments of shoulder osteoarthritis with intact rotator cuff and severe glenoid retroversion. The AUC for Treatment of Shoulder Osteoarthritis with Intact Rotator Cuff and Seve...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 16, 2024 Category: Orthopaedics Authors: Melissa A Wright Matthew J Smith Christopher J Roach Source Type: research
Women's Representation as Principal Investigators Among Pediatric Orthopaedic Clinical Trials: An Analysis of ClinicalTrials.Gov
CONCLUSION: Progress toward gender parity in pediatric orthopaedic research is evident; however, disparities still exist. Efforts to provide additional research opportunities for women in orthopaedics may be crucial in attracting and retaining diverse talent in the field. Targeted initiatives may have potential in achieving equal representation in orthopaedics.PMID:38626437 | DOI:10.5435/JAAOS-D-23-00958 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 16, 2024 Category: Orthopaedics Authors: Amir H Karimi Robert J Burkhart Monish Lavu Aakash K Shah R Justin Mistovich Source Type: research
Risk Factors Associated with Thromboembolic Complications After total Hip Arthroplasty: An Analysis of 1,129 Pulmonary Emboli
This study aimed to identify risk factors of developing pulmonary embolism (PE) and deep vein thrombosis (DVT) after THA using a modern cohort of patients reflecting contemporary practices.METHODS: The Premier Healthcare Database was queried for primary, elective THAs from January 1st, 2015, to December 31st, 2021. Patients who developed PE or DVT within 90 days of THA were compared with patients who did not develop any postoperative VTE. Differences in patient demographics, comorbidities, hospital factors, perioperative medications, chemoprophylactic agents, and allogeneic blood transfusion were compared between cohorts. ...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 16, 2024 Category: Orthopaedics Authors: Kevin C Liu Neelesh Bagrodia Mary K Richardson Amit S Piple Nicholas Kusnezov Jennifer C Wang Jay R Lieberman Nathanael D Heckmann Source Type: research
Declining Inflation-Adjusted Medicare Physician Fees: An Unsustainable Trend in Hip Arthroscopy
DISCUSSION: Medicare reimbursement for all seven of the commonly used hip arthroscopy services did not keep up with inflation, demonstrating marked reductions from 2011 to 2021. Specifically, the inflation-adjusted reimbursements decreased between 19.23% and 24.69% between 2011 and 2021.PMID:38626441 | DOI:10.5435/JAAOS-D-23-00080 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 16, 2024 Category: Orthopaedics Authors: Andrew G Kim Adam A Rizk Jason G Ina Steven J Magister Michael J Salata Source Type: research
Cervical Sagittal Alignment and Related Factor Analysis and Prediction Model in Patients Undergoing Revision Surgery After Anterior Cervical Fusion
CONCLUSION: The causes of revision surgery in cervical myelopathic patients after anterior cervical corpectomy and fusion/anterior cervical diskectomy and fusion are multifactorial. (T1S-CL)-C2S mismatch and high C2C7SVA are the best cervical sagittal parameters that increase the odds of revision surgery, and the effect is more enhanced when comorbidities such as smoking, low bone-mineral density, and increased levels of fusion are taken into account.PMID:38595101 | DOI:10.5435/JAAOS-D-23-00565 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 10, 2024 Category: Orthopaedics Authors: Manini Daudi Romani Hong-Qi Zhang Qi-Le Gao Shao-Hua Liu Ang Deng Source Type: research
"Trend" Statement Use in the Orthopaedic Literature
DISCUSSION: Trend statements are used to describe non-statistically significant findings with moderate frequency in the orthopaedic literature. Given the potentially misleading effects of trend statements, efforts should be made to mitigate their use. If trend statements are to be used, attention should be paid to defining what constitutes a "trend", explicitly acknowledging the lack of statistical significance of the finding to which the trend statement refers, and avoiding drawing undue conclusions from non-statistically significant data.PMID:38595127 | DOI:10.5435/JAAOS-D-23-00770 (Source: The Journal of the American Ac...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 10, 2024 Category: Orthopaedics Authors: Andrew J Luzzi Natalia Czerwonka Brandon Rogalski Michael L Knudsen William N Levine Source Type: research
Medicare in the 21st Century: Understanding the Program to Promote Improvements
J Am Acad Orthop Surg. 2024 Apr 9. doi: 10.5435/JAAOS-D-23-00464. Online ahead of print.ABSTRACTMedicare is the largest single purchaser of health care in the United States and currently helps to pay medical expenses for approximately one-fifth of the US population. The impetus for Medicare to move away from fee-for-service and toward value-based care payments reflects the need to incentivize and improve healthcare quality while containing increasing costs. This primer provides a detailed overview of several interrelated topics for an improved understanding of the Medicare program for orthopaedic surgeons, other clinicians...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 10, 2024 Category: Orthopaedics Authors: David M Kalainov Cynthia Barnard Jessica Walradt Source Type: research
Similar Medium-Term Revision Rates Following Acute Total Hip Arthroplasty Versus Open Reduction and Internal Fixation for Acetabular Fractures in the Elderly
CONCLUSIONS: No difference was observed in medium-term RFS between acute THA and ORIF for elderly acetabular fractures in California. Revision surgeries for either conversion or revision THA were relatively common in both groups, with roughly half of all revisions occurring within the first year postoperatively.LEVEL OF EVIDENCE: III.PMID:38595147 | DOI:10.5435/JAAOS-D-23-00771 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 10, 2024 Category: Orthopaedics Authors: Alexander Upfill-Brown Brendan Shi Bailey Mooney Daniel Chiou Dane Brodke Akash A Shah Benjamin V Kelley Erik N Mayer Sai K Devana Christopher Lee Nelson F SooHoo Source Type: research
The Association between Race and Extended Length of Stay in Low-energy Proximal Humerus Fractures in Elderly Patients
CONCLUSION: Our study highlights the notable influence of age and race on the likelihood of hospital admission and prolonged hospital stay. Specifically, Black patients exhibited prolonged hospital stay, which has been associated with lower-quality care, warranting additional exploration. Understanding these demographic and hospital-related factors is essential for optimizing resource allocation and reducing healthcare disparities in the care of PHF patients, especially as the population ages and the incidence of PHF continues to rise.PMID:38595161 | DOI:10.5435/JAAOS-D-23-00925 (Source: The Journal of the American Academy...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 10, 2024 Category: Orthopaedics Authors: Kevin T Root Alex J Burnett Jaquelyn Kakalecik Andrew B Harris Lauren Ladehoff Kamil Taneja Matthew R Patrick Jennifer E Hagen Joseph J King Source Type: research
Association of Pharmacologic Treatment of Depression/Anxiety With Initial Patient-Reported Outcome Measures in Patients With Hip and Knee Osteoarthritis
CONCLUSION: :Our results indicate that pharmacologic treatment of depression/anxiety is associated with improved psychological health but not with improved physical symptoms related to OA. We observed a nonsignificant trend that patients with depression/anxiety who warrant pharmacologic treatment tend to have worse physical symptoms than those who do not; however, unadjusted analyses suggest this is a complex relationship beyond the isolated effect of pharmacologic treatment.PMID:38595309 | DOI:10.5435/JAAOS-D-23-00887 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 10, 2024 Category: Orthopaedics Authors: Alexander R Farid Adriana P Liimakka Emily B Parker Jeremy T Smith Christopher M Melnic Antonia F Chen Jeffrey K Lange Source Type: research
Cervical Sagittal Alignment and Related Factor Analysis and Prediction Model in Patients Undergoing Revision Surgery After Anterior Cervical Fusion
CONCLUSION: The causes of revision surgery in cervical myelopathic patients after anterior cervical corpectomy and fusion/anterior cervical diskectomy and fusion are multifactorial. (T1S-CL)-C2S mismatch and high C2C7SVA are the best cervical sagittal parameters that increase the odds of revision surgery, and the effect is more enhanced when comorbidities such as smoking, low bone-mineral density, and increased levels of fusion are taken into account.PMID:38595101 | DOI:10.5435/JAAOS-D-23-00565 (Source: The Journal of the American Academy of Orthopaedic Surgeons)
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 10, 2024 Category: Orthopaedics Authors: Manini Daudi Romani Hong-Qi Zhang Qi-Le Gao Shao-Hua Liu Ang Deng Source Type: research
