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A Sonography-based Decision Model for Use in Treatment of Developmental Dysplasia of the Hip. 基于超声的决策模型用于治疗发育性髋关节发育不良。
Journal of surgical orthopaedic advances Pub Date : 2023-01-01
Brian Po-Jung Chen, H Theodore Harcke, Kenneth J Rogers, J Richard Bowen
{"title":"A Sonography-based Decision Model for Use in Treatment of Developmental Dysplasia of the Hip.","authors":"Brian Po-Jung Chen,&nbsp;H Theodore Harcke,&nbsp;Kenneth J Rogers,&nbsp;J Richard Bowen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The objective of this study was to delineate a model for management of developmental dysplasia of the hip (DDH) treatment that incorporates hip ultrasound with objective/predicative parameters at key decision-making times. Hip sonograms of 74 infants (59 females, 15 males; 141 hips) with DDH were retrospectively reviewed. Hip sonographic score (HSS; ranges 0-10) was developed to reflect hip status based on sonographic position, stability, and morphology. Analysis on different management groups (i.e., no treatment, successful treatment, and failed treatment) showed that the trend of HSS is helpful in predicting course of the disease and determining effectiveness of treatment. A model for the management of DDH that utilizes an HSS and frequency schedule for hip sonography that is aligned with times of critical treatment decisions is proposed. This model illustrates how hip sonography can bring added value when timed to guide critical treatment decisions. (Journal of Surgical Orthopaedic Advances 32(1):047-054, 2023).</p>","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"32 1","pages":"47-54"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9529400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Distal Humerus Fractures in Adults: Comorbidity Patterns and Demographic Trends in Treatment. 成人肱骨远端骨折:合并症模式和治疗的人口趋势。
Journal of surgical orthopaedic advances Pub Date : 2023-01-01
Andrew J Mitchelson, James S Lieber, Jianjun Ma, Steven L Scaife, Youssef El Bitar
{"title":"Distal Humerus Fractures in Adults: Comorbidity Patterns and Demographic Trends in Treatment.","authors":"Andrew J Mitchelson,&nbsp;James S Lieber,&nbsp;Jianjun Ma,&nbsp;Steven L Scaife,&nbsp;Youssef El Bitar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of the study was to (1) assess the prevalence of comorbidities and (2) compare demographics of surgically and non-surgically treated distal humerus fracture patients. Retrospective review of data from a national database was performed. The primary outcome was comorbidities; the secondary outcome was demographic trends between treatment groups. Distal humerus fractures are associated with cerebrovascular disease, dementia, diabetes mellitus, heart disease, hyperlipidemia, hypertension, hypothyroidism, kidney disease, liver disease, and lung disease. Those undergoing surgery are more likely to be obese, under the age of 40 years, female, Medicare recipients with fewer comorbidities, who reside in a rural setting, and who seek care at urban/teaching hospitals within the Southern United States. They are also more likely to have a shorter hospital stay, to be discharged to home, and to have improved survival. (Journal of Surgical Orthopaedic Advances 32(1):017-022, 2023).</p>","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"32 1","pages":"17-22"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9529401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Shoulder Surgery Google Search Trends during the COVID-19 Pandemic. 2019冠状病毒病大流行期间的谷歌搜索趋势。
Journal of surgical orthopaedic advances Pub Date : 2023-01-01
Daniel Gittings, Kurt Mohty, John Kelpin, Nassim Lashkari, Milan Stevanovic, Luke Nicholson
{"title":"Shoulder Surgery Google Search Trends during the COVID-19 Pandemic.","authors":"Daniel Gittings,&nbsp;Kurt Mohty,&nbsp;John Kelpin,&nbsp;Nassim Lashkari,&nbsp;Milan Stevanovic,&nbsp;Luke Nicholson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Coronavirus disease 2019 (COVID-19) pandemic has strained many healthcare systems. Google Trends is a tool that provides information on online interest in selected keywords and topics over time. The purpose of this study is to describe the effect of the COVID-19 pandemic on online interest in elective shoulder pathology. Online search pattern data were obtained via Google Trends from November 2019 to November 2020 using the search terms 'orthopedic surgery' and 'shoulder pathology' search terms. Relative search volume index (SVI) graphs were generated from this data and the 7-day average of new COVID-19 cases in the United States. Orthopaedic surgery and shoulder pathology search trends decreased during March 2020 with a sudden rise in the 7-day average of new COVID-19 cases. After March 2020, orthopaedic surgery and shoulder pathology search terms approached pre-COVID-19 pandemic values despite continued increases in the 7-day average of new COVID-19 cases. (Journal of Surgical Orthopaedic Advances 32(1):014-016, 2023).</p>","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"32 1","pages":"14-16"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9529402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of Body Mass Index and Hypoalbuminemia on Postoperative Outcomes in Patients Undergoing Total Knee Arthroplasty. 体重指数和低白蛋白血症对全膝关节置换术患者术后预后的影响。
Journal of surgical orthopaedic advances Pub Date : 2023-01-01
Alexis Gaskin, Rolanda Willacy, Regan Burgess, Kyra Caldwell, Olubode A Olufajo, Shelton McKenzie
{"title":"The Role of Body Mass Index and Hypoalbuminemia on Postoperative Outcomes in Patients Undergoing Total Knee Arthroplasty.","authors":"Alexis Gaskin,&nbsp;Rolanda Willacy,&nbsp;Regan Burgess,&nbsp;Kyra Caldwell,&nbsp;Olubode A Olufajo,&nbsp;Shelton McKenzie","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Obesity and malnutrition are modifiable risk factors associated with increased postoperative complications following total knee arthroplasty (TKA). Obesity is paradoxically associated with malnutrition. Previous studies have only evaluated the impact of body mass index (BMI) and hypoalbuminemia separately in relation to postoperative TKA outcomes and have attempted to compare the impact of these modifiable risk factors. Our study seeks to establish if increased BMI and decreased albumin levels have a compounding effect on postoperative outcomes. A retrospective analysis was conducted using the 2011-2014 American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP) dataset. This study reaffirmed that increased BMI and low albumin levels are associated with increased postoperative complications following TKA. Moreover, this study demonstrated that they do not have a compounding effect, but rather only help predict outcomes when analyzed individually. (Journal of Surgical Orthopaedic Advances 32(2) 114-117, 2023).</p>","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"32 2","pages":"114-117"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10217786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Posterior Capsule Reconstruction with Polypropylene Mesh After Total Hip Arthroplasty. 全髋关节置换术后聚丙烯网片后囊膜重建。
Journal of surgical orthopaedic advances Pub Date : 2023-01-01
James M Rizkalla, Brian P Gladnick, Tolulope F Obafemi, Kurt J Kitziger, Paul C Peters, Richard D Schubert
{"title":"Posterior Capsule Reconstruction with Polypropylene Mesh After Total Hip Arthroplasty.","authors":"James M Rizkalla,&nbsp;Brian P Gladnick,&nbsp;Tolulope F Obafemi,&nbsp;Kurt J Kitziger,&nbsp;Paul C Peters,&nbsp;Richard D Schubert","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Instability remains a challenge after total hip arthroplasty (THA). We have previously utilized a monofilament polypropylene mesh to reconstruct the posterior capsule for unstable THA. This study identified 24 hips that underwent mesh reconstruction of the posterior capsule for instability. Survivorship was 70.8% at mean 6.5 years (range 6 weeks-20.1 years). Six patients underwent re-operation, and one patient had the mesh removed. Of eight hips, five (62.5%) with a history of prior revision re-dislocated, while only 2/16 hips (12.5%) with no previous revision history re-dislocated (p = 0.02). Posterior capsule reconstruction with polypropylene mesh has reasonable mid-term survivorship in this challenging population. (Journal of Surgical Orthopaedic Advances 32(2):092-096, 2023).</p>","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"32 2","pages":"92-96"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10515165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of Mid-term Outcomes Following Shoulder Hemiarthroplasty for Avascular Necrosis of the Humeral Head in Patients 40 Years and Younger. 40岁及以下患者肱骨头缺血性坏死肩关节置换术的中期疗效评价。
Journal of surgical orthopaedic advances Pub Date : 2023-01-01
Matthew L Hrin, Edward C Beck, Evan M Miller, Alex S Weimer, Colin M Robbins, Hunter Matthews, Michael T Freehill, Christopher J Tuohy, Ethan R Wiesler, Benjamin R Graves, Brian R Waterman
{"title":"Evaluation of Mid-term Outcomes Following Shoulder Hemiarthroplasty for Avascular Necrosis of the Humeral Head in Patients 40 Years and Younger.","authors":"Matthew L Hrin,&nbsp;Edward C Beck,&nbsp;Evan M Miller,&nbsp;Alex S Weimer,&nbsp;Colin M Robbins,&nbsp;Hunter Matthews,&nbsp;Michael T Freehill,&nbsp;Christopher J Tuohy,&nbsp;Ethan R Wiesler,&nbsp;Benjamin R Graves,&nbsp;Brian R Waterman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In order to evaluate postoperative function and failure rates among younger patients undergoing hemiarthroplasty for humeral head avascular necrosis (AVN), data from patients < 40 years treated between December 2008 - January 2018 was retrospectively analyzed. Pain was assessed preoperatively and at final follow up using a visual analogue scale (VAS). The American Shoulder and Elbow Surgeons (ASES) standardized assessment, single assessment numeric evaluation (SANE) score, and patient satisfaction were assessed at final follow up, as well as surgical revision rates. In total, eight shoulders were included in the final analysis, with a follow up of 6.6 + 3.6 years. Analysis indicated a statistical improvement in VAS pain (p = 0.001), while comparison of postoperative function between surgical and non-surgical limbs did not demonstrate statistical differences in SANE or ASES averages (p > 0.05). At final follow up, 25% of patients expressed dissatisfaction; however, there were no cases of revision surgery. In conclusion, younger patients undergoing hemiarthroplasty for humeral head AVN experienced pain improvement and no revisions at short-to-mid-term follow up, but one-in-four indicated dissatisfaction. Level of evidence: IV, case series. (Journal of Surgical Orthopaedic Advances 32(2):118-121, 2023).</p>","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"32 2","pages":"118-121"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10515169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
041 041
Journal of surgical orthopaedic advances Pub Date : 2023-01-01 DOI: 10.3113/jsoa.2023.0041
D. Cunningham, Micaela LaRose, Patton Robinette, Michael A. Maceroli, S. Olson, Mark J. Gage
{"title":"041","authors":"D. Cunningham, Micaela LaRose, Patton Robinette, Michael A. Maceroli, S. Olson, Mark J. Gage","doi":"10.3113/jsoa.2023.0041","DOIUrl":"https://doi.org/10.3113/jsoa.2023.0041","url":null,"abstract":"","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74950596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Decision Making and Cost in Healthcare: The Patient Perspective. 医疗保健中的决策和成本:患者视角。
Journal of surgical orthopaedic advances Pub Date : 2023-01-01 DOI: 10.3113/jsoa.2023.0023
Sarah E. Lindsay, Aaron Alokozai, Sara L. Eppler, Jeffrey Yao, A. Morris, R. Kamal
{"title":"Decision Making and Cost in Healthcare: The Patient Perspective.","authors":"Sarah E. Lindsay, Aaron Alokozai, Sara L. Eppler, Jeffrey Yao, A. Morris, R. Kamal","doi":"10.3113/jsoa.2023.0023","DOIUrl":"https://doi.org/10.3113/jsoa.2023.0023","url":null,"abstract":"Unsustainable spending and unsatisfactory outcomes have prompted a reanalysis of healthcare policy towards value. Several strategies have been proposed as part of this effort including cost sharing plans to shift costs to patients and gain-sharing models to shift risk to health systems. The patient perspective is rarely elicited in policy formation despite efforts to increase patient-centered care. We conducted a prospective study of 118 patients presenting to hand clinic to assess patient perspective of who should constrain treatment options (patient, physician, insurance company, hospital) and be responsible for costs in scenarios of clinical equipoise. We found that patients believed that insurance companies and hospitals should not constrain which treatment options are available to a patient and that physicians and patients should together influence the availability of treatment options. Patients were willing to cost share with insurance companies when choosing more expensive treatments or in the setting of non-life-threatening diseases. In addressing rising healthcare costs, patient perspectives can inform policies designed to increase value. Asking patients to cost share when choosing a more expensive treatment option in the setting of clinical equipoise could be a strategy for health systems to increase value. Level of Evidence: III (Journal of Surgical Orthopaedic Advances 32(1):023-027, 2023).","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"275 1","pages":"23-27"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75125001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Early Clinical Results Following Repair of Gluteal Tendon Tears 臀腱撕裂修复术后的早期临床结果
Journal of surgical orthopaedic advances Pub Date : 2023-01-01 DOI: 10.3113/jsoa.2023.0075
Trevor Smith, Michael Matthews, Kenneth D Weeks, Susan M Odum, Bradley S Ellison
{"title":"Early Clinical Results Following Repair of Gluteal Tendon Tears","authors":"Trevor Smith, Michael Matthews, Kenneth D Weeks, Susan M Odum, Bradley S Ellison","doi":"10.3113/jsoa.2023.0075","DOIUrl":"https://doi.org/10.3113/jsoa.2023.0075","url":null,"abstract":"Gluteal tendinopathy is a common source of impairment in adults due to degenerative changes in the gluteus medius tendon. We identified patients with gluteal tendinopathy who underwent surgery with a minimum six-month follow up. Radiographs, magnetic resonance images, demographic data, Hip Outcome Score (HOS), Veterans Rand 12-item health survey (VR-12), and a patient survey were reviewed. The cohort consisted of seventeen complete tears and thirty-one partial tears of the gluteal medius tendon (n = 48). Of patients, 72.9% reported satisfaction with surgery and noted 95.5% improvement in symptoms. Patients with partial tears demonstrated 90.0% improvement, while patients with complete tears noted 85% (p = 0.983). The median percent improvement for satisfied patients was 95.00 (85-100) and was significantly different from non-satisfied patients (p < 0.0001). Surgical repair resulted in higher HOS, activities of daily living (ADL), and HOS Sports scores. The majority of patients were satisfied with surgical treatment at follow up, noting near complete resolution in preoperative symptoms. (Journal of Surgical Orthopaedic Advances 32(2):075-082, 2023).","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134887261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of Body Mass Index and Hypoalbuminemia on Postoperative Outcomes in Patients Undergoing Total Knee Arthroplasty 体重指数和低白蛋白血症对全膝关节置换术患者术后预后的影响
Journal of surgical orthopaedic advances Pub Date : 2023-01-01 DOI: 10.3113/jsoa.2023.0114
Alexis Gaskin, Rolanda Willacy, Regan Burgess, Kyra Caldwell, Olubode A Olufajo, Shelton McKenzie
{"title":"The Role of Body Mass Index and Hypoalbuminemia on Postoperative Outcomes in Patients Undergoing Total Knee Arthroplasty","authors":"Alexis Gaskin, Rolanda Willacy, Regan Burgess, Kyra Caldwell, Olubode A Olufajo, Shelton McKenzie","doi":"10.3113/jsoa.2023.0114","DOIUrl":"https://doi.org/10.3113/jsoa.2023.0114","url":null,"abstract":"Obesity and malnutrition are modifiable risk factors associated with increased postoperative complications following total knee arthroplasty (TKA). Obesity is paradoxically associated with malnutrition. Previous studies have only evaluated the impact of body mass index (BMI) and hypoalbuminemia separately in relation to postoperative TKA outcomes and have attempted to compare the impact of these modifiable risk factors. Our study seeks to establish if increased BMI and decreased albumin levels have a compounding effect on postoperative outcomes. A retrospective analysis was conducted using the 2011-2014 American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP) dataset. This study reaffirmed that increased BMI and low albumin levels are associated with increased postoperative complications following TKA. Moreover, this study demonstrated that they do not have a compounding effect, but rather only help predict outcomes when analyzed individually. (Journal of Surgical Orthopaedic Advances 32(2) 114-117, 2023).","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134887263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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