Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews最新文献_第9页

Correcting Severe Relapsed Hallux Varus Using Hexapod Circular External Fixator. 六足圆形外固定架矫正严重复发拇内翻。

IF 2

Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews Pub Date : 2024-12-04 eCollection Date: 2024-12-01 DOI: 10.5435/JAAOSGlobal-D-24-00064

Sherif Galal

引用次数: 0

The Use of 3-Dimensional Modeling and Printing in Corrective Osteotomies of the Malunited Pediatric Forearm: A Systematic Review and Meta-Analysis. 三维建模和打印在小儿前臂畸形矫形截骨术中的应用：系统回顾和荟萃分析。

IF 2

Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews Pub Date : 2024-12-04 eCollection Date: 2024-12-01 DOI: 10.5435/JAAOSGlobal-D-24-00213

Emma Fossett, Khaled Sarraf, Arash Afsharpad

{"title":"The Use of 3-Dimensional Modeling and Printing in Corrective Osteotomies of the Malunited Pediatric Forearm: A Systematic Review and Meta-Analysis.","authors":"Emma Fossett, Khaled Sarraf, Arash Afsharpad","doi":"10.5435/JAAOSGlobal-D-24-00213","DOIUrl":"10.5435/JAAOSGlobal-D-24-00213","url":null,"abstract":"Introduction: Forearm fractures contribute up to 40% of all pediatric fractures, with ≤39% of conservatively managed fractures resulting in malunion. Surgical management of malunion is challenging as precise calculation of multiplanar correction is required to obtain optimal outcomes. Advances in 3D computer modeling and printing have shown promising results in orthopaedics, reducing surgical time, blood loss, and fluoroscopy. This systematic review and meta-analysis are the first to explore the accuracy and functional outcome of 3D techniques in pediatric diaphyseal forearm malunion correction.Methods: A systematic review was carried out according to PRISMA guidelines.Results: Sixteen studies (44 patients) were included. Average 2D residual deformity was 1.84° (SD=1.68°). The average gain in range of movement (ROM) was 76.08° (SD=41.75°), with a statistically significant difference between osteotomies ≤12 months from injury and >12 months (96.36° vs. 64.91°, P = 0.027). Below a 2D residual deformity of 5.28°, no statistically significant difference on gain of ROM was found, indicating this as a nonconsequential residual deformity (P = 0.778). Multivariate regression analysis showed that 2D residual deformity and time to osteotomy only account for 6.3% gain in ROM, indicating that there are more factors to be researched.Conclusion: This study found superior accuracy of 3D techniques, reporting lower residual deformities than published standard osteotomy data; however, the volume of literature was limited. Larger studies are required to explore additional factors that influence accuracy and ROM, such as 3D residual deformity and the effect of particular 3D printed adjuncts. This will aid clarity in determining superiority and improve cost-effectiveness.","PeriodicalId":45062,"journal":{"name":"Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews","volume":"8 12","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11620726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787396","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}

引用次数: 0

When Things Go Wrong: A Guide to the Medical, Ethical, and Legal Dimensions of Surgical Complications. 当事情出错：外科并发症的医学、伦理和法律层面指南。

IF 2

Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews Pub Date : 2024-12-04 eCollection Date: 2024-12-01 DOI: 10.5435/JAAOSGlobal-D-24-00004

Jose Rafael Garcia, Felicitas Allende, Monica Kogan, Jorge Chahla

{"title":"When Things Go Wrong: A Guide to the Medical, Ethical, and Legal Dimensions of Surgical Complications.","authors":"Jose Rafael Garcia, Felicitas Allende, Monica Kogan, Jorge Chahla","doi":"10.5435/JAAOSGlobal-D-24-00004","DOIUrl":"10.5435/JAAOSGlobal-D-24-00004","url":null,"abstract":"Surgical complications remain an unfortunate inevitability of surgical practice. When adverse events arise, orthopaedic surgeons must be prepared to navigate the complex medical, ethical, and legal dimensions through a multifaceted response. Prompt communication and collaboration with the risk management team, along with proper documentation, are essential. The art of disclosure must be guided by compassionate yet candid discussions that focus on transparency and accountability. The effects of complications transcend the confines of the operating room, affecting not only patients and their families but also orthopaedic surgeons. Without adequate support, the emotional consequences experienced by surgeons involved in the adverse event can lead to devastating cascading effects, which negatively affect job performance and patient care due to maladaptive coping mechanisms. To ameliorate these issues, programs have been developed to improve the psychological and personal well-being of healthcare providers after adverse events, shifting toward a nonpunitive culture that emphasizes improvement rather than blame. In light of the absence of a roadmap for orthopaedic surgeons facing complications, this review is dedicated to presenting a comprehensive guide for navigating such events when they arise, while also highlighting the effect of these challenges on surgeons and potential avenues for their support and improvement.","PeriodicalId":45062,"journal":{"name":"Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews","volume":"8 12","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11620723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787398","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}

引用次数: 0

High Rate of Complications With Early Conversion Hip Arthroplasty Following Fracture Treatment. 骨折治疗后早期人工髋关节置换术的高并发症发生率。

IF 2

Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews Pub Date : 2024-11-19 eCollection Date: 2024-11-01 DOI: 10.5435/JAAOSGlobal-D-24-00318

Whisper Grayson, Carlo Eikani, Meredith Benson, Nicolas Jozefowski, Nicholas M Brown

{"title":"High Rate of Complications With Early Conversion Hip Arthroplasty Following Fracture Treatment.","authors":"Whisper Grayson, Carlo Eikani, Meredith Benson, Nicolas Jozefowski, Nicholas M Brown","doi":"10.5435/JAAOSGlobal-D-24-00318","DOIUrl":"10.5435/JAAOSGlobal-D-24-00318","url":null,"abstract":"Background: Conversion total hip arthroplasty (THA) is associated with higher rates of complications compared with primary THA, with prior surgical fixation of fractures in the ipsilateral hip shown to further increase these rates. There is a scarcity of literature on the effect of timing of conversion THA on complication rates. In this study, we evaluated early (≤6 months of index surgery) and late (>6 months of index surgery) conversion to THA following prior fixation of the proximal femur or acetabulum.Methods: Ninety-one patients who underwent conversion THA following prior surgical fixation of either the proximal femur or acetabulum were identified. Index surgery, fracture characteristics, time, and cause of failure were obtained. Postoperative complications evaluated following the conversion THA included infection, revision surgery rates, dislocation, and revision rates.Results: A total of 91 patients were included, of which 22 underwent early conversion to THA. In the early conversion group, 22.7% of patients had a complication versus 11.6% of patients in the late conversion group (P = 0.194). The most common complications were deep infection (18.2% vs. 5.8%), revision surgery (22.7% vs. 10.1%), and revision THA (18.2% vs. 5.8%). The early conversion group had a markedly higher rate of perioperative blood transfusion compared with the late cohort (P = 0.013).Conclusion: In this study, we found a high rate of complications associated with early THA conversion. Patients should be counseled on the high risk for complications following early conversion to THA following failed fracture fixation.","PeriodicalId":45062,"journal":{"name":"Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews","volume":"8 11","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11578206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142962339","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}

引用次数: 0

What Do Hip and Knee Arthroplasty Surgeons Agree on? Moving Forward Collectively. 髋关节和膝关节置换术医生都同意什么？共同前进。

IF 2

Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews Pub Date : 2024-11-19 eCollection Date: 2024-11-01 DOI: 10.5435/JAAOSGlobal-D-24-00317

Javad Parvizi, Michael A Mont, Mohit Bhandari, Ernesto Guerra-Farfan, Ibrahim Tuncay, Gwo-Chin Lee

引用次数: 0

Congenital Pseudoarthrosis of the Clavicle in a Softball Player. 一名垒球运动员的先天性锁骨假关节。

IF 2

Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews Pub Date : 2024-11-07 eCollection Date: 2024-11-01 DOI: 10.5435/JAAOSGlobal-D-24-00015

Kevin T Root, Keegan M Hones, Kevin W Farmer

引用次数: 0

Comments on "Readability Analysis of Patient Education Material on Rotator Cuff Injuries From the Top 25 Ranking Orthopedic Institutions". 关于 "排名前 25 位骨科机构的肩袖损伤患者教育材料可读性分析 "的评论

IF 2

Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews Pub Date : 2024-11-05 eCollection Date: 2024-11-01 DOI: 10.5435/JAAOSGlobal-D-24-00236

Neda Mirzaei, Mohammad Ghorbani, Ali Parsa

引用次数: 0

Sacral U-type Fractures in Patients Older Than 65 years. 65 岁以上患者的骶骨 U 型骨折。

IF 2

Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews Pub Date : 2024-10-21 eCollection Date: 2024-10-01 DOI: 10.5435/JAAOSGlobal-D-24-00030

Avrey A Novak, Joseph T Patterson, Michael F Githens, Reza Firoozabadi, Conor P Kleweno

{"title":"Sacral U-type Fractures in Patients Older Than 65 years.","authors":"Avrey A Novak, Joseph T Patterson, Michael F Githens, Reza Firoozabadi, Conor P Kleweno","doi":"10.5435/JAAOSGlobal-D-24-00030","DOIUrl":"10.5435/JAAOSGlobal-D-24-00030","url":null,"abstract":"Introduction: The purpose of this study was to determine the degree of disability that geriatric patients with sacral U-type fractures experience.Methods: Patients older than 65 years presenting from 2013 to 2019 with a U-type sacral fracture were included. Patient demographics, treatment type, preinjury domicile, preinjury use of assistive devices, and neurologic deficits were recorded. Outcomes included mortality, return to preinjury domicile, and use of assistive devices for mobility.Results: Among 46 patients in the treatment period, ground-level fall was the most common mechanism of injury (60.8%). Thirty-four patients (74%) were treated surgically, most commonly with closed percutaneous fixation (n = 27). Thirteen percent of patients died during the admission. At the final follow-up, 14 (45%) had not returned to their prior domicile and 18 (58%) required more supportive assistive devices. Seventy-three percent of patients who presented delayed required a new gait aid, compared with 47% presenting acutely. Between those presenting with low-energy versus high-energy mechanisms, similar rates of need were observed for new assistive devices (50% low and 73% high) and lack of return to preinjury domicile (40% low, 50% high).Discussion: Many geriatric patients were disabled by or died after sustaining a sacral U-type fracture, highlighting the morbidity regardless of high-energy or low-energy trauma.","PeriodicalId":45062,"journal":{"name":"Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews","volume":"8 10","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11495793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477220","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}

引用次数: 0

A Systematic Review and Meta-Analysis of Supercapsular Percutaneously Assisted Total Hip Arthroplasty Versus Standard Posterior Approach for Femoral Neck Fracture in Elderly Patients. 上囊经皮辅助全髋关节置换术与标准后路治疗老年股骨颈骨折的系统性回顾和荟萃分析。

IF 2

Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews Pub Date : 2024-10-21 eCollection Date: 2024-10-01 DOI: 10.5435/JAAOSGlobal-D-24-00226

Zhicheng Pan, Shibo Zhou, Wangxin Liu, Enpeng Gu

{"title":"A Systematic Review and Meta-Analysis of Supercapsular Percutaneously Assisted Total Hip Arthroplasty Versus Standard Posterior Approach for Femoral Neck Fracture in Elderly Patients.","authors":"Zhicheng Pan, Shibo Zhou, Wangxin Liu, Enpeng Gu","doi":"10.5435/JAAOSGlobal-D-24-00226","DOIUrl":"10.5435/JAAOSGlobal-D-24-00226","url":null,"abstract":"Introduction: This meta-analysis aimed to evaluate the efficacy and safety of the supercapsular percutaneously assisted total hip arthroplasty (SuperPATH) and the standard posterior approach in hip arthroplasty in treating femoral neck fractures in elderly patients.Method: A systematic search was conducted for studies from 2012 to December 2022. Meta-analysis was conducted using Review Manager 5.3 on surgical time, intraoperative blood loss, Harris hip scores, and visual analog scale scores.Result: A total of 26 studies involving 2,236 patients with femoral neck fractures were included. The SuperPATH group performed better than traditional posterior approach group in reducing intraoperative blood loss (in ml), shortening incision length (in cm), length of hospitalization period (in days) and improving Harris Hip score (HHS). The operation time took longer than the traditional posterior approach, with statistically significant differences. The VAS scores at 1 week and 3 months after surgery in the SuperPATH group were lower than those of the traditional posterior approach, with statistically significant differences. There was no statistical significance between the two groups in VAS scores 2 weeks and 1 month after surgery.Conclusion: The SuperPATH group resulted in better effects in reducing intraoperative blood loss (in ml), shortening incision length (in cm), length of hospitalization period (in days), and improving Harris hip score (HHS), which is conducive to the rapid postoperative recovery of patients.","PeriodicalId":45062,"journal":{"name":"Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews","volume":"8 10","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510038","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}

引用次数: 0

Impact of Atopic Dermatitis (Eczema) and Its Treatment on the Risk of Adverse Events Following Total Knee Arthroplasty. 特应性皮炎（湿疹）及其治疗对全膝关节置换术后不良事件风险的影响。

IF 2

Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews Pub Date : 2024-10-21 eCollection Date: 2024-10-01 DOI: 10.5435/JAAOSGlobal-D-23-00267

Julian J Smith-Voudouris, Meera M Dhodapkar, Scott J Halperin, Jeffrey M Cohen, Jonathan N Grauer

{"title":"Impact of Atopic Dermatitis (Eczema) and Its Treatment on the Risk of Adverse Events Following Total Knee Arthroplasty.","authors":"Julian J Smith-Voudouris, Meera M Dhodapkar, Scott J Halperin, Jeffrey M Cohen, Jonathan N Grauer","doi":"10.5435/JAAOSGlobal-D-23-00267","DOIUrl":"10.5435/JAAOSGlobal-D-23-00267","url":null,"abstract":"Background: Atopic dermatitis (AD), also known as eczema, is a highly prevalent, chronic inflammatory skin condition. The perioperative outcomes of patients with AD after total knee arthroplasty (TKA) have not been characterized.Methods: Adult patients who underwent TKA were identified in the PearlDiver administrative database. After matching based on patient characteristics, 90-day adverse events and 5-year revisions were compared by multivariable analyses and log-rank tests, respectively. Patients with atopic dermatitis were then stratified by medication status for repeated analysis between resultant subcohorts.Results: Relative to age, sex, and comorbidity matched patients without AD, those with AD had increased odds of aggregated adverse events (OR = 1.36), pneumonia (OR = 2.07), urinary tract infection (UTI, OR = 1.77), and emergency department (ED) visits (OR = 1.70) (P < 0.0001 for each). Those on medication for moderate-to-severe disease had similar associations as the primary analysis. Those not on medications were similar, but not found to have elevated odds of pneumonia. 5-year revisions were not markedly different.Conclusion: TKA patients with AD were at increased odds of pneumonia, UTI, and ED visits, but these risks were not exacerbated by immunosuppressive medications. Surgeons who are managing patients with AD for TKA should be vigilant but reassured by overall similar 5-year survival to revision.","PeriodicalId":45062,"journal":{"name":"Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews","volume":"8 10","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510050","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}

引用次数: 0