Clinical Orthopaedics and Related Research®最新文献

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Letter to the Editor: Editorial: Keep the Conversation Going-The Importance of Post-Publication Dialogue. 致编辑的信社论:继续对话--出版后对话的重要性。
IF 4.2 2区 医学
Clinical Orthopaedics and Related Research® Pub Date : 2024-11-04 DOI: 10.1097/CORR.0000000000003274
Alicia R Jacobson, Aliya G Feroe
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引用次数: 0
Gunshot Trauma Patients Have Higher Risk of PTSD Compared With Blunt Trauma and Elective Populations: A Retrospective Comparative Study of Outpatient Orthopaedic Care. 与钝器伤和择期手术人群相比,枪伤患者患创伤后应激障碍的风险更高:骨科门诊护理的回顾性比较研究》。
IF 4.2 2区 医学
Clinical Orthopaedics and Related Research® Pub Date : 2024-11-01 Epub Date: 2024-06-20 DOI: 10.1097/CORR.0000000000003155
Jennifer Moriatis Wolf, Fatima Bouftas, David C Landy, Jason A Strelzow
{"title":"Gunshot Trauma Patients Have Higher Risk of PTSD Compared With Blunt Trauma and Elective Populations: A Retrospective Comparative Study of Outpatient Orthopaedic Care.","authors":"Jennifer Moriatis Wolf, Fatima Bouftas, David C Landy, Jason A Strelzow","doi":"10.1097/CORR.0000000000003155","DOIUrl":"10.1097/CORR.0000000000003155","url":null,"abstract":"<p><strong>Background: </strong>Posttraumatic stress disorder (PTSD) has been extensively studied in patients who have experienced natural disasters or military conflict, but there remains a substantial gap in knowledge about the prevalence of PTSD after civilian orthopaedic trauma, especially as related to firearms. Gun violence is endemic in the United States, especially in urban centers, and the mental impact is often minimized during the treatment of physical injuries.</p><p><strong>Questions/purposes: </strong>(1) Do patients who experience gunshot wound (GSW) trauma have higher PTSD screening scores compared with patients with blunt or other trauma (for example, motor vehicle and motorcycle accidents or stab wounds) and those with elective conditions (for example, arthritis, tendinitis, or nerve compression)? (2) Are PTSD scores correlated with pain scores in patients with GSW trauma, those with non-GSW trauma, and patients with elective orthopaedic symptoms?</p><p><strong>Methods: </strong>We performed a retrospective study of adults older than 18 years of age presenting to an orthopaedic clinic over an 8-month period between August 2021 and May 2022. All patients presenting to the clinic were approached for inclusion (2034 patients), and 630 new or postoperative patients answered study surveys as part of routine care. Patients were divided into three cohorts based on the orthopaedic condition with which they presented, whether gunshot trauma, blunt trauma, or elective orthopaedic symptoms. Overall, the results from 415 patients were analyzed, including 212 patients with elective orthopaedic symptoms, 157 patients with non-GSW trauma, and 46 patients with GSW trauma. Clinical data including demographic information were collected at the time of appointment and abstracted along with results from the Diagnostic and Statistical Manual of Mental Disorders, fourth edition, short screening questionnaire, which uses a 7-item scale scored from 0 to 7 (with higher scores representing worse symptoms), and from the numeric rating scale for pain (range 0 to 10). Both questionnaires were routinely administered by medical assistants at patient intake. The proportions of patients completing PTSD scoring were 45% (95) in the elective group, 74% (116) in the group with non-GSW trauma, and 85% (39) in the group with GSW trauma (p = 0.01). We compared the PTSD scores across the three groups and then dichotomized the scores as a negative versus positive screening result at a value of ≥ 4 with further comparative analysis. The correlation between pain and PTSD scores was also evaluated.</p><p><strong>Results: </strong>Patients with GSW trauma had higher mean ± SD PTSD scores compared with those who had non-GSW trauma (4.87 ± 4.05 versus 1.75 ± 2.72, mean difference 3.21 [95% CI 1.99 to 4.26]; p < 0.001) and those who presented with elective conditions (4.87 ± 4.05 versus 0.49 ± 1.04, mean difference 4.38 [95% CI 3.50 to 5.26]; p < 0.001). When dichotomized for ","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":"2052-2059"},"PeriodicalIF":4.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11469896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141426489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Letter to the Editor: Intramedullary Nailing of Intertrochanteric Femoral Fractures in a Level I Trauma Center in Finland: What Complications Can Be Expected? 致编辑的信:芬兰一级创伤中心的股骨转子间骨折髓内钉治疗:预计会出现哪些并发症?
IF 4.2 2区 医学
Clinical Orthopaedics and Related Research® Pub Date : 2024-11-01 Epub Date: 2024-07-03 DOI: 10.1097/CORR.0000000000003180
Yi-Ming Qi, Shi-Min Chang
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引用次数: 0
CORR Insights®: Acquired Acromion Compromise, Including Thinning and Fragmentation, Is Not Associated With Poor Outcomes After Reverse Shoulder Arthroplasty. CORR Insights®:后天性肩峰缺损(包括变薄和碎裂)与反向肩关节置换术后的不良疗效无关。
IF 4.2 2区 医学
Clinical Orthopaedics and Related Research® Pub Date : 2024-11-01 Epub Date: 2024-07-15 DOI: 10.1097/CORR.0000000000003182
Brett D Haislup
{"title":"CORR Insights®: Acquired Acromion Compromise, Including Thinning and Fragmentation, Is Not Associated With Poor Outcomes After Reverse Shoulder Arthroplasty.","authors":"Brett D Haislup","doi":"10.1097/CORR.0000000000003182","DOIUrl":"10.1097/CORR.0000000000003182","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":"2014-2016"},"PeriodicalIF":4.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11469879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141626160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CORR Insights®: Gunshot Trauma Patients Have Higher Risk of PTSD Compared With Blunt Trauma and Elective Populations: A Retrospective Comparative Study of Outpatient Orthopaedic Care. CORR Insights®:与钝性创伤和择期手术人群相比,枪伤患者患创伤后应激障碍的风险更高:骨科门诊护理的回顾性比较研究。
IF 4.2 2区 医学
Clinical Orthopaedics and Related Research® Pub Date : 2024-11-01 Epub Date: 2024-07-24 DOI: 10.1097/CORR.0000000000003187
Mai P Nguyen
{"title":"CORR Insights®: Gunshot Trauma Patients Have Higher Risk of PTSD Compared With Blunt Trauma and Elective Populations: A Retrospective Comparative Study of Outpatient Orthopaedic Care.","authors":"Mai P Nguyen","doi":"10.1097/CORR.0000000000003187","DOIUrl":"10.1097/CORR.0000000000003187","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":"2060-2062"},"PeriodicalIF":4.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11469866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141757523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CORR Insights®: Ultrasound-guided Hydrogel Injection Provides Better Therapeutic Effects After Hand Tendon Surgery Than Intraoperative Injection: A Randomized Controlled Trial. CORR Insights®:超声引导水凝胶注射比术中注射在手部肌腱手术后提供更好的治疗效果:随机对照试验。
IF 4.2 2区 医学
Clinical Orthopaedics and Related Research® Pub Date : 2024-11-01 Epub Date: 2024-09-03 DOI: 10.1097/CORR.0000000000003216
Julia Blackburn
{"title":"CORR Insights®: Ultrasound-guided Hydrogel Injection Provides Better Therapeutic Effects After Hand Tendon Surgery Than Intraoperative Injection: A Randomized Controlled Trial.","authors":"Julia Blackburn","doi":"10.1097/CORR.0000000000003216","DOIUrl":"10.1097/CORR.0000000000003216","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":"2028-2029"},"PeriodicalIF":4.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11469895/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142153292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What Is the Incidence of and Outcomes After Debridement, Antibiotics, and Implant Retention (DAIR) for the Treatment of Periprosthetic Joint Infections in the AJRR Population? 在 AJRR 群体中,清创、抗生素和植入物保留(DAIR)治疗假体周围关节感染的发生率和效果如何?
IF 4.2 2区 医学
Clinical Orthopaedics and Related Research® Pub Date : 2024-11-01 Epub Date: 2024-08-19 DOI: 10.1097/CORR.0000000000003138
Ayushmita De, Brian P Chalmers, Bryan D Springer, James A Browne, David G Lewallen, Jeffrey B Stambough
{"title":"What Is the Incidence of and Outcomes After Debridement, Antibiotics, and Implant Retention (DAIR) for the Treatment of Periprosthetic Joint Infections in the AJRR Population?","authors":"Ayushmita De, Brian P Chalmers, Bryan D Springer, James A Browne, David G Lewallen, Jeffrey B Stambough","doi":"10.1097/CORR.0000000000003138","DOIUrl":"10.1097/CORR.0000000000003138","url":null,"abstract":"<p><strong>Background: </strong>Debridement, antibiotics, and implant retention (DAIR) is used to manage acute periprosthetic joint infections (PJIs) after total joint arthroplasty (TJA). Given the uncertain success of single or multiple DAIR attempts and possible long-term deleterious effects this treatment can create when trying to treat persistent infection, it is important to understand the frequency with which surgeons in the United States are attempting multiple debridements for PJI and whether those procedures are achieving the desired goal.</p><p><strong>Question/purposes: </strong>In the context of the American Joint Replacement Registry (AJRR), we asked: (1) What proportion of patients who undergo DAIR have only one DAIR, and what percentage of those patients have more than one? (2) Of the patients who undergo one or more DAIR procedures, what is the proportion who progress to additional surgical procedures? (3) What is the cumulative incidence of medical or surgical endpoints related to infection on the affected leg (other than additional DAIR procedures)?</p><p><strong>Methods: </strong>DAIR procedures to treat PJI, defined by ICD-9/10 and CPT (Current Procedural Technology) codes, reported to the AJRR from 2012 to 2020 were merged with Centers for Medicare and Medicaid Services (CMS) data from 2012 to 2020 to determine the incidence of patients aged 65 and older who underwent additional PJI-related procedures on the same joint. Linking to CMS ensures no loss to follow-up or patient migration to a non-AJRR site. As of 2021, the AJRR captures roughly 35% of all arthroplasty procedures performed in the United States. Of the total 2.2 million procedures in the AJRR, only 0.2% of the procedures were eligible based on our inclusion criteria. Additionally, 61% of the total population is Medicare eligible, and thus, these patients are linked to CMS. Of the 5029 DAIR attempts after a TKA, 46% (2318) were performed in female patients. Similarly, there were a total of 798 DAIR attempts after a THA, and 50% (398) were performed in female patients. For the purposes of decreasing confounding factors, bilateral THAs and TKAs were excluded from the study population. When querying for eligible procedures from 2012 to 2020, the patient population was limited to those 65 years and older, and a subsequent reoperation for infection had to be reported after a primary TJA. This limited the patient population as most infections reported to AJRR resulted in a revision, and we were searching for DAIRs. Although 5827 TJAs were identified as a primary TJA with a subsequent infectious event, more than 65% (3788) of that population did not have a reported event. The following conditions were queried as secondary outcomes after the first DAIR: sepsis, cellulitis, postoperative infection, endocarditis, amputation, knee fusion, resection, drainage, arthrotomy, and debridement. To answer our first and second study questions, we used frequency testing from the availab","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":"2042-2051"},"PeriodicalIF":4.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11469890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142153295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CORR Insights®: Comparing Open and Arthroscopic Grafting for Scaphoid Nonunion: Is There Truly a Noticeable Difference? CORR Insights®:比较肩胛骨骨不连的开放和关节镜植骨术:真的有明显区别吗?
IF 4.2 2区 医学
Clinical Orthopaedics and Related Research® Pub Date : 2024-11-01 Epub Date: 2024-08-14 DOI: 10.1097/CORR.0000000000003207
Shafic Sraj
{"title":"CORR Insights®: Comparing Open and Arthroscopic Grafting for Scaphoid Nonunion: Is There Truly a Noticeable Difference?","authors":"Shafic Sraj","doi":"10.1097/CORR.0000000000003207","DOIUrl":"10.1097/CORR.0000000000003207","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":"2039-2041"},"PeriodicalIF":4.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11469865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141981864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cochrane in CORR®: Red Flags to Screen for Vertebral Fracture in Patients Presenting With Low-back Pain. CORR® 中的 Cochrane:在腰背痛患者中筛查椎体骨折的红旗。
IF 4.2 2区 医学
Clinical Orthopaedics and Related Research® Pub Date : 2024-11-01 Epub Date: 2024-09-27 DOI: 10.1097/CORR.0000000000003254
Kim Madden, Markian A Pahuta
{"title":"Cochrane in CORR®: Red Flags to Screen for Vertebral Fracture in Patients Presenting With Low-back Pain.","authors":"Kim Madden, Markian A Pahuta","doi":"10.1097/CORR.0000000000003254","DOIUrl":"https://doi.org/10.1097/CORR.0000000000003254","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":"482 11","pages":"1938-1942"},"PeriodicalIF":4.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11469816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142496331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CORR Insights®: Osteotomy Site Venting Enhances Femoral Bone Consolidation With Magnetic Intramedullary Lengthening Nails. CORR Insights®:髓内磁性延长钉的截骨部位通气可增强股骨头的巩固。
IF 4.2 2区 医学
Clinical Orthopaedics and Related Research® Pub Date : 2024-11-01 Epub Date: 2024-06-04 DOI: 10.1097/CORR.0000000000003130
Kent Reinker
{"title":"CORR Insights®: Osteotomy Site Venting Enhances Femoral Bone Consolidation With Magnetic Intramedullary Lengthening Nails.","authors":"Kent Reinker","doi":"10.1097/CORR.0000000000003130","DOIUrl":"10.1097/CORR.0000000000003130","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":"2086-2087"},"PeriodicalIF":4.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11469877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141283115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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