Journal of Bone and Joint Surgery, American Volume最新文献

{"title":"Defining Long-Term Success After Anatomic Total Shoulder Arthroplasty: Survivorship and Clinically Important Outcomes.","authors":"Michael P Kucharik, Victor Hung, Taylor Jones, Raahil Patel, William A Ranson, Christian M Schmidt, Kaitlyn N Christmas, Mark A Frankle","doi":"10.2106/JBJS.26.00452","DOIUrl":"https://doi.org/10.2106/JBJS.26.00452","url":null,"abstract":"<p><strong>Background: </strong>Long-term success after anatomic total shoulder arthroplasty (aTSA) is frequently defined by implant survivorship, but revision-free survival may not reflect durable clinical benefit.</p><p><strong>Methods: </strong>A retrospective cohort study of 791 consecutive aTSAs performed between 2003 and 2015 was conducted. Implant survivorship was assessed using Kaplan-Meier analysis. Clinical outcomes were evaluated at a 10-year landmark, and clinically important thresholds for the American Shoulder and Elbow Surgeons (ASES) score were derived using patient satisfaction as the anchor. Multivariable regression identified predictors of revision and substantial clinical benefit (SCB).</p><p><strong>Results: </strong>Kaplan-Meier survivorship was 96.1% at 10 years and 93.7% at 15 years. Walch B glenoid morphology and younger age were independently associated with revision. Clinical outcomes remained improved at long-term follow-up despite gradual attenuation over time. At 10 years, the patient acceptable symptom state (PASS) threshold for the ASES score was 68.1, and 69.5% of shoulders achieved it. The minimal clinically important difference (MCID) and SCB thresholds for the change in ASES score were 14.0 and 39.2, achieved by 79.9% and 55.8% of shoulders, respectively. Younger age, primary glenohumeral osteoarthritis, and lower preoperative ASES score were independently associated with achievement of SCB.</p><p><strong>Conclusions: </strong>aTSA demonstrated excellent long-term implant survivorship and modest patient-reported outcomes, although shoulder function gradually attenuated over extended follow-up. Despite the gradual functional decline, most patients maintained clinically meaningful benefit at 10 years. Younger age and Walch B morphology increased revision risk. Long-term clinically important thresholds provide patient-centered benchmarks for defining durable success.</p><p><strong>Level of evidence: </strong>Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.</p>","PeriodicalId":15273,"journal":{"name":"Journal of Bone and Joint Surgery, American Volume","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149147644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endoscopic Spine Surgery: Evidence Maturity and the Path Forward in the United States.","authors":"Matthew T Kim, Seungjun Lee, Graham S Goh, Don Y Park, Samuel K Cho, Jin-Sung Kim, Junseok Bae","doi":"10.2106/JBJS.26.00630","DOIUrl":"https://doi.org/10.2106/JBJS.26.00630","url":null,"abstract":"<p><p>➢ As has been shown by higher-level evidence, endoscopic spine surgery (ESS) provides clinical outcomes comparable with those of microscopic and tubular techniques for lumbar disc herniation and spinal stenosis.➢ The cervical and thoracic ESS evidence base has been limited, with a lack of contemporary multicenter randomized trials and overreliance on single-center retrospective data.➢ U.S. adoption has been constrained by a steep learning curve, limited training pathways, and reimbursement challenges, despite increasing interest and fellowship exposure.➢ The economic viability of ESS is facility-dependent, with higher disposable costs possibly offset by reduced hospital resource utilization. Migration of spine surgery into ambulatory surgery centers may also create additional opportunities for ESS adoption.➢ Broader U.S. integration will require standardized training, multi-institutional outcome registries, and alignment with value-based payment models, such as the 2026 Medicare Transforming Episode Accountability Model (TEAM) program.</p>","PeriodicalId":15273,"journal":{"name":"Journal of Bone and Joint Surgery, American Volume","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Midnight External Fixator.","authors":"Kevin Rama","doi":"10.2106/JBJS.26.01051","DOIUrl":"https://doi.org/10.2106/JBJS.26.01051","url":null,"abstract":"","PeriodicalId":15273,"journal":{"name":"Journal of Bone and Joint Surgery, American Volume","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Design Matters: Rethinking Femoral Stem Choices: Commentary on an article by P.A. Bouché, MD, PhD, et al.: \"Impact of Stem Design on Periprosthetic Femoral Fracture Risk. Findings from 182,118 Primary Total Hip Arthroplasties in the Swiss National Joint Registry\".","authors":"Jan-Erik Gjertsen","doi":"10.2106/JBJS.25.01634","DOIUrl":"https://doi.org/10.2106/JBJS.25.01634","url":null,"abstract":"","PeriodicalId":15273,"journal":{"name":"Journal of Bone and Joint Surgery, American Volume","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Between-Domain Interactions in Multi-Domain Platform Trials: Commentary on an article by Nathan N. O'Hara, PhD, MHA, et al.: \"Reimagining Orthopaedic Research: The Musculoskeletal Adaptive Platform Trial (MAPT) Design Rationale\".","authors":"Peter Greenstreet","doi":"10.2106/JBJS.26.00397","DOIUrl":"https://doi.org/10.2106/JBJS.26.00397","url":null,"abstract":"","PeriodicalId":15273,"journal":{"name":"Journal of Bone and Joint Surgery, American Volume","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial Intelligence in the Trauma Suite: From Fracture Detection to Explainable Decision Support in Distal Radial Fractures: Commentary on an article by Omar Shareef, BA, et al.: \"Ability of Deep Learning to Predict Surgical Recommendations for Distal Radial Fractures. A Feasibility Study\".","authors":"Jean Chaoui","doi":"10.2106/JBJS.26.00881","DOIUrl":"https://doi.org/10.2106/JBJS.26.00881","url":null,"abstract":"","PeriodicalId":15273,"journal":{"name":"Journal of Bone and Joint Surgery, American Volume","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Limb Rehabilitation and Functional Recovery Following Cast Immobilization.","authors":"Hassan Kamal","doi":"10.2106/JBJS.26.00545","DOIUrl":"10.2106/JBJS.26.00545","url":null,"abstract":"","PeriodicalId":15273,"journal":{"name":"Journal of Bone and Joint Surgery, American Volume","volume":" ","pages":"1497-1498"},"PeriodicalIF":4.5,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148271700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Prevalence of Pediatric Septic Arthritis of the Hip with Concomitant Osteomyelitis: A Retrospective Study of 58 Consecutive Cases Investigated Using MRI.","authors":"Ahmer Ahmad Khan, Elio Paris, Viola Sbampato, Giacomo De Marco, Anne Tabard-Fougère, Oscar Vazquez, Christina Steiger, Romain Dayer, Dimitri Ceroni","doi":"10.2106/JBJS.25.01422","DOIUrl":"10.2106/JBJS.25.01422","url":null,"abstract":"<p><strong>Background: </strong>This observational study systematically used magnetic resonance imaging (MRI) to determine the prevalence of concomitant osteomyelitis and its influence on clinical outcomes in cases of pediatric septic arthritis (SA) of the hip.</p><p><strong>Methods: </strong>We retrospectively analyzed the demographic, clinical, microbiological, and radiographic data of 58 children treated for SA of the hip who underwent systematic MRI between 2000 and 2025. Patients were categorized into 2 groups: isolated septic arthritis and septic arthritis with concomitant osteomyelitis. The clinical and laboratory parameters, causative pathogens, and treatments were compared between the groups.</p><p><strong>Results: </strong>Concomitant osteomyelitis was identified with MRI in 43% (25) of the 58 patients, while radiographs detected it in only 16%. Demographic, clinical, and inflammatory parameters were statistically similar between the groups. Kingella kingae was the most commonly identified pathogen (37.9%), and Staphylococcus aureus and Streptococcus spp. were more frequently associated with repeat surgery. No significant differences in complication rates, treatment duration, or outcomes were found between the groups.</p><p><strong>Conclusions: </strong>The systematic use of MRI revealed concomitant osteomyelitis in >40% of cases of pediatric SA. However, the presence of osteomyelitis was not associated with worse outcomes, suggesting that factors related to the microorganism profile or virulence must contribute substantially to disease severity. Nonetheless, MRI should be considered early in any diagnostic work-up of pediatric SA of the hip.</p><p><strong>Level of evidence: </strong>Diagnostic Level III . See Instructions for Authors for a complete description of levels of evidence.</p>","PeriodicalId":15273,"journal":{"name":"Journal of Bone and Joint Surgery, American Volume","volume":" ","pages":"1551-1557"},"PeriodicalIF":4.5,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Risk Stratification to Reproducibility: Commentary on an article by Alec Bigness, MD, et al.: \"Validation of the Bone-RADS (Bone Reporting and Data System) Score for Predicting Risk of Malignancy\".","authors":"Priya K Singh, Mitchell S Fourman","doi":"10.2106/JBJS.26.01124","DOIUrl":"https://doi.org/10.2106/JBJS.26.01124","url":null,"abstract":"","PeriodicalId":15273,"journal":{"name":"Journal of Bone and Joint Surgery, American Volume","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Timing Matters: Macrophage Dynamics and CCR2 Modulation in Rotator Cuff Tendinopathy: Commentary on an article by Matthew R. Covello, BS, et al.: \"Temporal Macrophage Activation Is Reduced by CCR2 Knockout in a Murine Subacromial Impingement Model\".","authors":"Shuai Yuan, Mingde Cao","doi":"10.2106/JBJS.26.01095","DOIUrl":"https://doi.org/10.2106/JBJS.26.01095","url":null,"abstract":"","PeriodicalId":15273,"journal":{"name":"Journal of Bone and Joint Surgery, American Volume","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}