Clinical Orthopaedics and Related Research®最新文献

{"title":"CORR Insights®: Hip-Spine Relationship in Femoroacetabular Impingement: Does Hip Arthroscopy Affect Pelvic Mobility?","authors":"George Grammatopoulos","doi":"10.1097/CORR.0000000000003389","DOIUrl":"https://doi.org/10.1097/CORR.0000000000003389","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":""},"PeriodicalIF":4.2,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is Your Surgical Helmet System Compromising the Sterile Field? A Systematic Review of Contamination Risks and Preventive Measures in Total Joint Arthroplasty.","authors":"Joshua R Porto, Monish S Lavu, Christian J Hecht, Atul F Kamath","doi":"10.1097/CORR.0000000000003383","DOIUrl":"https://doi.org/10.1097/CORR.0000000000003383","url":null,"abstract":"<p><strong>Background: </strong>Surgical helmet systems remain widely used in total joint arthroplasty (TJA) despite evidence to suggest that they may increase infection risk via contamination of sterile equipment and operating room air. However, the challenging nature of conducting high-quality clinical trials to study outcomes with low incidence, such as prosthetic joint infection (PJI), has made drawing definitive conclusions from the available experimental studies difficult. Therefore, a comprehensive analysis of the best available evidence is needed to clarify the association between surgical helmet system use and contamination and infection risk and to provide clinical recommendations for use in TJA.</p><p><strong>Questions/purposes: </strong>This systematic review aimed to address the following questions: (1) What is the level of sterility of surgical helmet systems and concomitantly used personal protective equipment (PPE)? (2) Is there an association between surgical helmet systems and air contamination within the operating room? (3) Does the use of a surgical helmet system affect wound contamination and/or infection?</p><p><strong>Methods: </strong>PubMed, Medline, EBSCOhost, and Google Scholar were queried on July 31, 2024, to identify studies published from inception to July 2024 that have evaluated the impact of surgical helmet system use in TJA on sterile field contamination (operating room air, PPE, sterile equipment), wound contamination and infection, or practices that may impact related outcomes. Inclusion criteria were that the study evaluate the sterility, donning, or intraoperative use (including mock TJA) of a surgical helmet system in association with contamination or infection. The following articles were excluded: case reports, case series, reviews, commentaries, editorials, duplicate studies among databases, gray literature, studies specific to a procedure other than TJA, and studies unavailable as a full-text English manuscript. After screening 536 articles, 21 were included. The 13 studies that evaluated the sterility of surgical helmet systems and concomitantly used PPE comprised 126 gowning simulations, 445 mock TJA procedures, and 191 patients who had undergone TJA. The seven studies that evaluated contamination of operating room air comprised 38 gowning simulations, 82 mock TJA procedures, and 96 patients who had undergone TJA. Three studies directly evaluated wound contamination or infection, comprising 83,888 patients who had undergone TJA. Risk of bias was determined via the Methodological Index for Nonrandomized Studies (MINORS) tool, with a mean ± SD score of 20 ± 1.4 (of 24) for comparative studies and 14 ± 0.8 (of 16) for noncomparative studies, indicating good study quality. Notably, the quality of evidence was limited by the inclusion of experimental study designs that did not directly measure infection; however, the inclusion of such studies is necessitated by the infeasibly large study population require","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":""},"PeriodicalIF":4.2,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Art in Science: Molding Deformities, Then and Now.","authors":"Stuart A Green","doi":"10.1097/CORR.0000000000003397","DOIUrl":"https://doi.org/10.1097/CORR.0000000000003397","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":""},"PeriodicalIF":4.2,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Do Patients Perceive Success and Satisfaction After Vertebral Body Tethering and Fusion for Adolescent Idiopathic Scoliosis? A Qualitative Study.","authors":"Lisa A Royse, Dinara Saparova, Melanie E Boeyer, Daniel G Hoernschemeyer","doi":"10.1097/CORR.0000000000003373","DOIUrl":"https://doi.org/10.1097/CORR.0000000000003373","url":null,"abstract":"<p><strong>Background: </strong>Adolescent idiopathic scoliosis (AIS) is the most common spinal deformity among children. Although posterior spinal fusion (PSF) is a commonly used treatment for curves ≥ 45°, anterior vertebral body tethering (VBT) has recently gained traction as an alternative for some patients. Surgeons have established radiographic definitions of success for PSF, with similar efforts underway for VBT. However, these definitions may not align with patient perceptions of success or their satisfaction with achieved outcomes.</p><p><strong>Questions/purposes: </strong>To enhance patient-centered care and inform subsequent comparative effectiveness research, we asked: (1) How do patients who have undergone VBT or PSF define and perceive treatment success ≥ 3 years after surgery? (2) What are patients' perceptions of their outcomes, specifically regarding satisfaction with symptom relief, side effects, physical function, and physical appearance?</p><p><strong>Methods: </strong>Using an approach informed by concepts from phenomenology to capture patients' lived experiences, we conducted semistructured interviews using an interview guide. Inclusion criteria required patients to have (1) progressive AIS with moderate deformity (< 60°) at surgery, (2) undergone VBT or PSF with at least 3 years of follow-up, and (3) reached full skeletal maturity. Patients unable to communicate or schedule interviews were excluded. From 96 eligible patients (VBT n = 47, PSF n = 49), we recruited 40 (20 per cohort). The sample size was guided by qualitative studies in the field and aimed to achieve saturation, defined as the point at which minimal new information and no new coding categories were identified. Participants were treated at a single urban Midwest hospital by the same physician. The VBT cohort (median age 18 years [range 16 to 22]) was 85% women/girls, while the PSF cohort (median age 21 years [range 18 to 27]) was 70% women. Interviews were analyzed using a collaborative content analysis approach in which two researchers independently identified key ideas, assigned codes, and resolved discrepancies through consensus to develop themes and subthemes aligned with the research questions.</p><p><strong>Results: </strong>Patients from both cohorts defined success as achieving pain relief, maintaining physical function, improving appearance, ensuring long-term deformity correction, and alleviating concerns about future health risks. Patient priorities varied; some prioritized flexibility to swim competitively or play musical instruments, while others prioritized pain-free living or improved physical appearance. Overall, both groups expressed satisfaction with symptom relief, physical function, and appearance improvements despite ongoing pain, side effects, and physical limitations.</p><p><strong>Conclusion: </strong>These findings may be used as a guide for preoperative counseling and highlight the importance of incorporating patient perspectives int","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":""},"PeriodicalIF":4.2,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CORR Insights®: Does Resilience Change in Patients Undergoing Shoulder Surgery? A Retrospective Comparative Study Utilizing the Brief Resilience Scale.","authors":"Conor F McCarthy","doi":"10.1097/CORR.0000000000003401","DOIUrl":"https://doi.org/10.1097/CORR.0000000000003401","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":""},"PeriodicalIF":4.2,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143188063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CORR Insights®: Contralateral THAs More Than 1 Year Apart: Do PROMs and Healthcare Utilization Differ After Each Procedure?","authors":"David S Jevsevar","doi":"10.1097/CORR.0000000000003388","DOIUrl":"https://doi.org/10.1097/CORR.0000000000003388","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":""},"PeriodicalIF":4.2,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial: The Goal is Health, Not Surgery.","authors":"David Ring, Seth S Leopold","doi":"10.1097/CORR.0000000000003399","DOIUrl":"https://doi.org/10.1097/CORR.0000000000003399","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":""},"PeriodicalIF":4.2,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143188131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Residency Diary: What My Attending Taught Me.","authors":"Lisa G M Friedman","doi":"10.1097/CORR.0000000000003392","DOIUrl":"https://doi.org/10.1097/CORR.0000000000003392","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":""},"PeriodicalIF":4.2,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CORR Insights®: Electric Scooter-related Injuries Are Becoming More Frequent and Costly in Denver, CO.","authors":"Paul Edward Levin","doi":"10.1097/CORR.0000000000003232","DOIUrl":"10.1097/CORR.0000000000003232","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":"327-329"},"PeriodicalIF":4.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11753725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142139505","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}

{"title":"CORR Insights®: Are There Differences in Performance Among Femoral Stem Brands Utilized in Cementless Hemiarthroplasty for Treatment of Geriatric Femoral Neck Fractures?","authors":"James A Keeney","doi":"10.1097/CORR.0000000000003266","DOIUrl":"10.1097/CORR.0000000000003266","url":null,"abstract":"","PeriodicalId":10404,"journal":{"name":"Clinical Orthopaedics and Related Research®","volume":" ","pages":"265-267"},"PeriodicalIF":4.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11753741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342866","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}