John Mickley, William E Long, Patrick Wabnitz, Michael Guyot, Arman Tabarestani, Nicholas James, Porter Young
{"title":"Outcomes of Distal Radius Fractures: A Comparison Between Fellowship-Trained Trauma and Hand Orthopaedic Surgeons.","authors":"John Mickley, William E Long, Patrick Wabnitz, Michael Guyot, Arman Tabarestani, Nicholas James, Porter Young","doi":"10.5435/JAAOSGlobal-D-25-00132","DOIUrl":"10.5435/JAAOSGlobal-D-25-00132","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate outcomes and complications after fixation of distal radius fractures performed by a fellowship-trained trauma versus hand orthopaedic surgeons.</p><p><strong>Methods: </strong>A retrospective review of operative distal radius fractures between 8/2022 and 8/2024 at a single academic, level I trauma center was performed. The primary outcome was unplanned reoperations. Secondary outcomes included reduction quality and complications.</p><p><strong>Results: </strong>A total of 134 distal radius fractures (86 trauma and 48 hand) were included with a mean follow-up of 5.8 and 5.4 months, respectively. No notable differences were found in baseline characteristics or initial injury radiograph measurements except for open injuries and fixation method. The trauma group had significantly more open injuries (20% vs/ 6%, P-value = 0.03) and used a volar plate alone (74% vs. 65%, P-value = 0.01) more than the hand group. No differences were found in unplanned revision surgeries between the trauma (10%) and hand (13%) surgeons. A significant difference was found in final radiograph measurements in radial inclination (21.9 vs/ 19.5, P-value = 0.04) and radial height (11.5 vs/ 9.9, P-value = 0.05) for the trauma and hand groups, respectively. No differences were found in any of the other complications recorded for the trauma and hand groups: nonunion (1% vs 2%), superficial infection (5% vs. 6%), deep infection (2% vs. 0%), chronic pain (20% vs. 27%), and tendon rupture (1% vs. 0%).</p><p><strong>Conclusion: </strong>No notable differences were found in unplanned revision surgeries or complications in surgically treated distal radius fractures between fellowship-trained trauma versus hand surgeons.</p>","PeriodicalId":45062,"journal":{"name":"Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews","volume":"9 9","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Radhika Gupta, Ryan Lopez, Holt S Cutler, John Gabriel Horneff
{"title":"Consumer Interest in Shoulder Replacement Surgery: A Google Trends Analysis From 2013 to 2023.","authors":"Radhika Gupta, Ryan Lopez, Holt S Cutler, John Gabriel Horneff","doi":"10.5435/JAAOSGlobal-D-24-00018","DOIUrl":"10.5435/JAAOSGlobal-D-24-00018","url":null,"abstract":"<p><strong>Background: </strong>Shoulder replacement has grown rapidly over the past decade, owing in part to the rise of reverse shoulder arthroplasty and its expanding indications. The interest of industry in shoulder replacement is well documented; however, consumer interest has not been investigated.</p><p><strong>Methods: </strong>Search inquiry data were queried from Google Trends to measure consumer interest in shoulder replacement over the period from 2013 to 2023. The primary search terms were \"shoulder arthritis\" and \"shoulder replacement\" odds ratio (OR) \"total shoulder replacement.\" Secondary search terms were \"reverse shoulder replacement\" OR \"reverse total shoulder replacement.\" Searches by geographic location were also conducted.</p><p><strong>Results: </strong>Search volume index (SVI) significantly increased for all search terms during the 10-year interval (P < 0.001), with a 58.5%, 129.3%, and 219.4% increase for \"shoulder arthritis,\" \"shoulder replacement\" OR \"total shoulder replacement,\" and \"reverse shoulder replacement\" OR \"reverse total shoulder replacement,\" respectively. Reverse shoulder replacement SVI grew 24.6% faster than that of shoulder replacement. In addition, trend analysis of SVI versus time revealed excellent correlations (R2) for all search terms: \"shoulder arthritis\" (0.76), \"shoulder replacement\" OR \"total shoulder replacement\" (0.79), and \"reverse shoulder replacement\" OR \"reverse total shoulder replacement\" (0.75). Over the 10-year period, interest increased the most for \"shoulder arthritis\" in Connecticut and Alabama, for \"shoulder replacement\" OR \"total shoulder replacement\" in Mississippi and Montana, and for \"reverse shoulder replacement\" OR \"reverse total shoulder replacement\" in Utah and Indiana.</p><p><strong>Discussion: </strong>Our results demonstrate a significant increase in consumer interest in shoulder replacements over the past decade and identify geographic hot spots of interest. These data will be useful for educating and treating populations interested in shoulder replacements. This is the first study to use Google Trends to analyze consumer interest in shoulder replacement surgery.</p>","PeriodicalId":45062,"journal":{"name":"Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews","volume":"9 9","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12440513/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Equivalent Patient-Reported Clinical Outcomes Between Single-Level and Multilevel Biportal Endoscopic Decompression at 5-Year Follow-up.","authors":"Ju Eun Kim, Eugene J Park, Daniel K Park","doi":"10.5435/JAAOSGlobal-D-24-00371","DOIUrl":"10.5435/JAAOSGlobal-D-24-00371","url":null,"abstract":"<p><strong>Study design: </strong>Retrospective.</p><p><strong>Objective: </strong>To compare long term clinical outcomes of single-level versus multilevel decompression using unilateral biportal endoscopic (UBE) decompression for degenerative lumbar spinal stenosis without instability.</p><p><strong>Summary of background data: </strong>Unilateral biportal endoscopic decompression has been shown to be effective in alleviating spinal stenosis without instability. Long-term data are lacking, and, in particular, a comparison between single-level and multilevel surgery using this minimally invasive technique has not been presented.</p><p><strong>Methods: </strong>Ninety-eight patients in each group were propensity matched based on demographics. All patients had at least 5-year follow-up. Clinical outcomes, including Oswestry Disability Index, visual analog system (VAS), time to ambulation, surgical time, and length of hospital stay, were investigated.</p><p><strong>Result: </strong>Oswestry Disability Index improved from 62.98 ± 11.53 before surgery to 18.51 ± 8.63 at the final follow-up in single-level decompression (P < 0.001). Multilevel decompression demonstrated improvement from 64.66 ± 13.71 to 19.31 ± 9.42 (P < 0.001). Similarly, leg and back VAS decreased from 7.39 ± 0.91 and 6.11 ± 1.21 before surgery to 1.72 ± 0.548 and 1.82 ± 0.67 at the last follow-up (P < 0.001) for single-level decompression. In comparison, for the multilevel, leg and back VAS improved from 7.47 ± 1.09 and 6.29 ± 1.28 to 1.86 ± 0.58 and 1.91 ± 0.75 (P < 0.001). No difference was observed between the groups at any time point. Complications and revision rates did not differ. Time to ambulation and length stay was markedly longer in multilevel.</p><p><strong>Conclusion: </strong>Outcomes, complication, and revision rates do not differ between single level and multilevel. UBE decompression can be applied to multiple levels without compromising outcomes if multiple-level decompression is deemed necessary.</p>","PeriodicalId":45062,"journal":{"name":"Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews","volume":"9 9","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12435546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Artificial Intelligence in Orthopaedic and Trauma Surgery Education: Applications, Ethics, and Future Perspectives.","authors":"Jaime Andrés Leal","doi":"10.5435/JAAOSGlobal-D-25-00174","DOIUrl":"10.5435/JAAOSGlobal-D-25-00174","url":null,"abstract":"<p><p>Artificial intelligence (AI) is redefining surgical education by enabling personalized, data-driven learning environments. In orthopaedic trauma surgery, a specialty defined by diagnostic complexity, time-sensitive decision making, and procedural precision, AI tools are uniquely positioned to enhance resident training. This narrative review explores the role of AI subfields-machine learning (machine learning), deep learning, computer vision, natural language processing, and generative AI-in orthopaedic education. Each technology supports distinct educational functions, from real-time performance tracking and image interpretation to examination simulation and feedback automation. We describe how machine learning and deep learning models can assess technical competence and predict skill progression, whereas computer vision and augmented reality technologies provide immersive simulation and motion analysis. Natural language processing enables documentation analysis and scenario-based teaching, and large language models like ChatGPT support interactive, case-based learning. Ethical concerns such as algorithmic bias, data governance, transparency, and cognitive over-reliance are also discussed. A systems-based framework is proposed to integrate these technologies into a closed-loop educational cycle, emphasizing adaptive learning and professional growth. AI is not a substitute for surgical mentorship, but a powerful amplifier of educational quality. Its thoughtful implementation can foster equity, efficiency, and innovation in orthopaedic trauma training-transforming how surgical competence is acquired, assessed, and advanced.</p>","PeriodicalId":45062,"journal":{"name":"Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews","volume":"9 9","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12425090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ye Peng, Xuezhu Qi, Mingzhi Yu, Gongzi Zhang, Moning Guo, Jianpeng Zheng, Lu Feng, Zaihua Wei, Jianting Su, Danhui Yi, Xinyu Liu, Yao Yao, Lihai Zhang
{"title":"Optimizing Surgical Strategies for Elderly Patients With Femoral Neck Fracture: The Critical Role of Comorbidities.","authors":"Ye Peng, Xuezhu Qi, Mingzhi Yu, Gongzi Zhang, Moning Guo, Jianpeng Zheng, Lu Feng, Zaihua Wei, Jianting Su, Danhui Yi, Xinyu Liu, Yao Yao, Lihai Zhang","doi":"10.5435/JAAOSGlobal-D-25-00062","DOIUrl":"10.5435/JAAOSGlobal-D-25-00062","url":null,"abstract":"<p><strong>Background: </strong>Femoral neck fractures (FNFs) pose a notable challenge in the elderly population, given the high associated mortality rates and costs. The choice between internal fixation (IF) and hip arthroplasty (HA) has long been debated, yet existing guidelines often overlooked the crucial influence of comorbidities. With the increasing number of hip fracture cases globally and the complexity of patient conditions, it is essential to identify the key factors that truly affect surgical outcomes.</p><p><strong>Methods: </strong>We conducted a large-scale retrospective study across 152 Beijing hospitals, including 25,764 patients aged 60+ years with FNF. After excluding those with severe preexisting conditions, we collected data on patient characteristics and used advanced statistical methods for analysis.</p><p><strong>Results: </strong>Among the patients, 4568 received IF and 21,196 received HA. IF decreased 1-year mortality in patients with fewer than four comorbidities, whereas HA was more beneficial for those with four or more comorbidities. Mortality predicted by comorbidities was notably lower than that by age and sex (2.379% versus 2.790%, P < 0.001), and age had no marked influence on outcomes.</p><p><strong>Conclusion: </strong>In summary, for elderly patients with FNF, comorbidity profile, rather than age or sex, should be the key determinant in surgical choices to reduce all-cause mortality. These findings support the refinement of surgical guidelines and have implications for geriatric care. Future research should focus on enhancing comorbidity assessment in surgical planning.</p>","PeriodicalId":45062,"journal":{"name":"Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews","volume":"9 9","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422777/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Annika N Hiredesai, Alejandro M Holle, Paul R Van Schuyver, David G Deckey, Nicholas E Probst, Mark J Spangehl
{"title":"Bilateral Osteonecrosis of the Femoral Head and Proximal Femur After Corticosteroid Injections: A Case Report.","authors":"Annika N Hiredesai, Alejandro M Holle, Paul R Van Schuyver, David G Deckey, Nicholas E Probst, Mark J Spangehl","doi":"10.5435/JAAOSGlobal-D-24-00395","DOIUrl":"10.5435/JAAOSGlobal-D-24-00395","url":null,"abstract":"<p><p>Atraumatic bilateral osteonecrosis of the femoral head (ONFH) is a rare phenomenon whose etiology is not fully understood. In this report, we describe the case of a 75-year-old female patient who developed rapidly onset bilateral ONFH after intra-articular corticosteroid injections. She was treated with staged bilateral total hip arthroplasty. Several months post-operatively, she developed aseptic loosening of the left femoral implant and requiring revision of her femoral implant. The severity and distal extent of her osteonecrosis was not fully appreciated upon initial surgical management, likely increasing her risk of failure of femoral implant osseous integration. This case demonstrates that intra-articular corticosteroid injections can cause severe ONFH with extension into the proximal femur and fixation failure. Thus, the extent of osteonecrosis in the proximal femur may influence stem choice.</p>","PeriodicalId":45062,"journal":{"name":"Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews","volume":"9 9","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12419381/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Roger Quesada-Jimenez, Ady H Kahana-Rojkind, Benjamin G Domb
{"title":"Soft-Tissue Sources of Extra-articular Pain Following Total Hip Arthroplasty: A Comprehensive Review.","authors":"Roger Quesada-Jimenez, Ady H Kahana-Rojkind, Benjamin G Domb","doi":"10.5435/JAAOSGlobal-D-25-00226","DOIUrl":"10.5435/JAAOSGlobal-D-25-00226","url":null,"abstract":"<p><p>Hip pain after a total hip arthroplasty is a prevalent condition. Once aseptic loosening and infection have been ruled out, the possible entities are vast. Accurate diagnosis in this patient population is challenging because they might present in different stages of their recovery process and the potential overlap of some conditions. Given the high expectations clinicians and patients have from hip arthroplasty, a multifaceted patient-specific approach is crucial to clinical decision making. Advances have been made to better stratify patients into the spectrum of management, which includes nonsurgical treatment, injections, such as orthobiologics, arthroscopic hip surgery, open surgery, and, in rare cases, revision total hip arthroplasty.</p>","PeriodicalId":45062,"journal":{"name":"Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews","volume":"9 9","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12417009/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Randall A Arroyo, Simon Moore, Francis Cruz, Patricia Rodarte, Rafael A Buerba, Mauricio Silva
{"title":"Hispanic Authorship in Orthopaedics: A Bibliometric Analysis of Orthopaedic Literature in the United States.","authors":"Randall A Arroyo, Simon Moore, Francis Cruz, Patricia Rodarte, Rafael A Buerba, Mauricio Silva","doi":"10.5435/JAAOSGlobal-D-25-00234","DOIUrl":"10.5435/JAAOSGlobal-D-25-00234","url":null,"abstract":"<p><strong>Introduction: </strong>Orthopaedic surgery has historically been among the least ethnically diverse fields in medicine. The latest American Academy of Orthopaedic Surgeons (AAOS) Census report in 2018 indicates that only 2.2% of all practicing orthopaedic surgeons in the United States identify as Hispanic/Latino. The effect of Hispanic representation on research and orthopaedic literature authorship is unknown. The purpose of this study was to establish Hispanic authorship trends in orthopaedic research by analyzing eight high-impact orthopaedic journals in a recent 10-year period.</p><p><strong>Methods: </strong>A bibliometric analysis was performed extracting original research articles with at least one US- based author from nine high-impact orthopaedic surgery journals from January 2012 to December 2021. Hispanic authorship was determined by matching author surnames to a modified Word and Perkins (1996) list of the most frequently occurring heavily Hispanic surnames. Data analysis was performed using Python and the statsmodels (v0.14.1) and SciPy (v.1.11.4) libraries. We determined the annual proportion of Hispanic authorship for first authors, senior authors, and any author, for all included articles and stratified by journal. Linear regression best-fit lines were employed to assess trends over time.</p><p><strong>Results: </strong>A total of 16,324 original research articles and 87,395 authors were included in the final analysis. Trend analysis of all included articles during the study period demonstrated increases in Hispanic first authorship (1.9% to 3.4%, P = 0.004), Hispanic senior authorship (2.0% to 3.0%, P = 0.087), and Hispanic total authorship (2.3% to 3.5%, P = 0.003). When stratified by journal, positive trends were seen in eight of nine journals for first and total authors. Six of nine journals demonstrated positive trends for senior authors.</p><p><strong>Conclusion: </strong>Although Hispanic orthopaedic authorship increased modestly over the study period, it appears to remain disproportionately low compared with the overall Hispanic population in the United States. These findings highlight the importance of future efforts needed to better understand possible causes of this underrepresentation in orthopaedic literature.</p>","PeriodicalId":45062,"journal":{"name":"Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews","volume":"9 9","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12412730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Daniel C Gabriel, David S Liu, Bryan Ang, Kristen E Hines, Anjali M Prabhat, Grant D Hogue
{"title":"Bertolotti Syndrome in the Pediatric Population: A Literature Review and Management Algorithm.","authors":"Daniel C Gabriel, David S Liu, Bryan Ang, Kristen E Hines, Anjali M Prabhat, Grant D Hogue","doi":"10.5435/JAAOSGlobal-D-25-00069","DOIUrl":"10.5435/JAAOSGlobal-D-25-00069","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to develop a comprehensive step-wise management algorithm for Bertolotti syndrome in the pediatric population by conducting a systematic review of the current literature regarding the diagnostic evaluation, nonsurgical and surgical treatment, and outcomes.</p><p><strong>Methods: </strong>A systematic review of the literature was conducted using PubMed to identify studies focused on the management of Bertolotti syndrome in the pediatric population. Data extraction of clinical presentation, management strategies, imaging, and outcomes was completed.</p><p><strong>Results: </strong>Thirteen studies reported on 17 patients younger than 18 years with confirmed diagnosis of Bertolotti syndrome were identified. Lower back pain was the most common presenting symptom and was described in all 13 studies. Radicular pain was described in six of 13 studies. Diagnostic, intraoperative, and postoperative assessments included preoperative radiographs, CT, MRI, along with targeted injections. Treatment options ranged from nonsurgical to surgical measures. Conservative options included physical therapy, nonsteroidal anti-inflammatory medications, bracing treatment, and targeted injections. Surgical modalities included open surgical resection and posterior spinal fusion. All patients in the 13 studies demonstrated partial or complete resolution of their presenting symptoms.</p><p><strong>Conclusions: </strong>This study provides a proposed systemic algorithm for the management of Bertolotti syndrome in the pediatric population. Based on our review of the current literature, we recommend a stepwise approach to the management of Bertolotti syndrome starting from conservative options and progressing toward surgical treatment if symptoms persist.</p>","PeriodicalId":45062,"journal":{"name":"Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews","volume":"9 9","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12410315/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J Brett Goodloe, Vaibhav R Tadepalli, F Winston Gwathmey, Meghan W Richardson, Charles A Su
{"title":"Contemporary Techniques in Femoral Osteoplasty.","authors":"J Brett Goodloe, Vaibhav R Tadepalli, F Winston Gwathmey, Meghan W Richardson, Charles A Su","doi":"10.5435/JAAOSGlobal-D-24-00276","DOIUrl":"10.5435/JAAOSGlobal-D-24-00276","url":null,"abstract":"<p><p>Hip arthroscopy has a steep learning curve with femoral osteoplasty being one of the most challenging technical aspects of the procedure. The authors discuss a methodical system of preoperative templating and intraoperative fluoroscopic evaluation to ensure adequacy of resection and correction of impingement. There have been multiple methods developed to help aid surgeons in intraoperative decision making during cam correction. Using the available techniques may help limit complications and revision arthroscopic procedures, and understanding the nuances and limitations of each method will be paramount for the success of hip arthroscopists when addressing cam morphology. Future studies comparing long-term outcomes of these various resection techniques will be important in guiding our understanding of femoroacetabular impingement management.</p>","PeriodicalId":45062,"journal":{"name":"Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews","volume":"9 9","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12398384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}