Archives of Bone and Joint Surgery-ABJS最新文献

{"title":"Acromioclavicular Joint Injury: A Bibliometric Analysis of the 50 Most Cited Articles.","authors":"Grace L Basralian, Paxton Sweeney, Daniel Calem, Eitan Kohan","doi":"10.22038/ABJS.2024.81587.3759","DOIUrl":"10.22038/ABJS.2024.81587.3759","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to identify the 50 most influential articles on acromioclavicular (AC) joint injury, exploring research trends and treatment options.</p><p><strong>Methods: </strong>Utilizing the Scopus database, the 50 top-cited articles were selected based on predefined criteria and analyzed for bibliometrics, including authorship, journal, and evidence level.</p><p><strong>Results: </strong>From 1963 to 2021, these articles amassed 3,363 citations, primarily comprising case series with level IV evidence, published across 19 journals from eight countries.</p><p><strong>Conclusion: </strong>This review highlights the dynamic progression in AC joint injury management and signals the urgent need for advanced research to enhance clinical decision-making and evidence-based practices.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 7","pages":"395-405"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12335193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817877","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":"MRI-Based Assessment of the Common Peroneal Nerve in ACL-Injured Versus Normal Knees: Implications for Inside-Out Lateral Meniscus Repair.","authors":"Mounika N S Chodavarapu, D Lakshmi Manjula, Srinivas B S Kambhampati, Chintakunta Gurivi Reddy, Shyam Kumar Chinta","doi":"10.22038/ABJS.2025.84236.3831","DOIUrl":"10.22038/ABJS.2025.84236.3831","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigates the risk of CPN injury by measuring the nerve's proximity to the trajectory of a straight needle inserted from the anteromedial portal at the knee joint level during inside-out lateral meniscus repairs in both ACL-injured and normal knees.</p><p><strong>Methods: </strong>In this retrospective study, we examined MRI scans of 30 ACL-injured knees and 30 normal knees. A reference line was drawn 1 cm medial to the patellar tendon at the joint level, extending to the lateral margin of the popliteus and continuing posteriorly. Perpendicular distances from this line to the CPN were measured to compare anatomical variations between the groups. These measurements were analyzed using paired t-tests, with a p-value of less than 0.05, which is considered statistically significant.</p><p><strong>Results: </strong>Analysis of 60 MRI scans revealed that the CPN is located significantly closer to the reference line in ACL-injured knees (mean distance: 1.59 cm) compared to normal knees (mean distance: 2.01 cm), with a p-value of less than 0.005. This finding suggests a higher potential risk of nerve injury in ACL-injured knees during inside-out meniscal repair procedures.</p><p><strong>Conclusion: </strong>The CPN is located significantly closer to potential surgical paths in ACL-injured knees compared to normal knees. These findings highlight the importance of meticulous surgical planning and technique adjustments to minimize the risk of CPN injury during inside-out meniscus repairs especially when using straight needles.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 8","pages":"479-486"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12432831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065905","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":"Total Knee Arthroplasty and Homelessness: A Database Study.","authors":"Terrul Ratcliff, Anubhav Thapaliya, Patrick Ojeaga, Marc Gadda, Senthil Sambandam","doi":"10.22038/ABJS.2025.83142.3799","DOIUrl":"10.22038/ABJS.2025.83142.3799","url":null,"abstract":"<p><strong>Objectives: </strong>Homelessness affects over 550,000 individuals in the United States each night, with the number and average age of homeless individuals steadily rising. This population suffers from a higher prevalence of chronic diseases, increasing their vulnerability to adverse health outcomes. Total knee arthroplasty (TKA) is a frequently performed surgery in the United States and is typically successful; however, concerns about postoperative complications are heightened for homeless patients. This study aimed to compare complication rates between homeless and non-homeless patients undergoing TKA.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted using the TriNetX Research Network database. Patients who underwent primary TKA were identified using CPT codes 27447, with homeless patients classified using ICD-9 and ICD-10 codes. A total of 245,567 patients were included, with 463 categorized as homeless. Demographic variables and postoperative complications were analyzed, and odds ratios (OR) were calculated for various outcomes, comparing homeless to non-homeless patients. Chi-square analysis and Fisher's exact test were used to determine statistical significance.</p><p><strong>Results: </strong>Homeless patients were more likely to be over 65, obese, diabetic, and smokers, all of which are risk factors for poor postoperative outcomes. Superficial surgical site infections (0.6 versus 0.1% p=0.008, OR 7.52; 95% CI: 2.40-23.63), prosthetic joint infections (2.2 versus 0.8% p=0.005, OR 2.70; 95% CI: 1.44-5.06), acute renal failure (4.5 versus 1.9% p<0.001, OR 2.44; 95% CI: 1.57-3.78), blood loss anemia (13.2 versus 6.1% p<0.001, OR 2.25; 95% CI: 1.72 -2.95), and pulmonary embolism (2.4 versus 0.9 p<0.003, OR 2.81; 95% CI: 1.54-5.12) occurred more frequently in homeless patients.</p><p><strong>Conclusion: </strong>Homeless patients undergoing TKA face significantly higher risks of postoperative complications compared to their non-homeless counterparts. These findings underscore the need for targeted preoperative optimization and tailored postoperative care to improve outcomes for this vulnerable population.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 8","pages":"470-478"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12432829/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065914","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":"Metacarpal Fracture Trends in Treatment: A Matched Cohort Analysis of 1022 Patients.","authors":"Daniel Nemirov, Alexis A Kasper, Matthew Sherman, Hassan Siddiqui, Asif M Ilyas, Bryan Hozack","doi":"10.22038/ABJS.2025.80704.3683","DOIUrl":"10.22038/ABJS.2025.80704.3683","url":null,"abstract":"<p><strong>Objectives: </strong>The goals of this study were twofold: first, to assess epidemiologic characteristics of metacarpal fractures including patient and fracture characteristics; second, to investigate the most common treatment strategies employed.</p><p><strong>Methods: </strong>Patients presenting to a single large academic practice with an isolated acute metacarpal fracture were retrospectively reviewed. Baseline demographics and fracture-specific data were collected. Two investigative arms of the study were then delineated. In the first arm, patient groups were matched based on metacarpal involvement between operative and nonoperative cohorts and CPT-stratified data was independently assessed and grouped based on frequency. In the second arm, a non-matched analysis was performed to assess management strategies and relative frequency of varying techniques.</p><p><strong>Results: </strong>After matching, 1022 patients were included in the first investigational arm. Fractures of the fifth metacarpal were most common. Most operative fractures were located at the metacarpal shaft (43.2%), whereas those managed nonoperatively were most found at the metacarpal neck (38.2%). In the second investigational arm, the four most common CPT codes were 26600 (closed management without manipulation), 26615 (open reduction and internal fixation), 26608 (closed reduction and percutaneous pinning), and 26605 (closed management with manipulation) in descending order. 97.2% of patients undergoing ORIF underwent plate and screw fixation.</p><p><strong>Conclusion: </strong>Most metacarpal fractures were found to have been managed nonoperatively. When treated operatively, metacarpal fractures were more often treated with open reduction and internal fixation rather than closed reduction and pinning. Most patients were treated with a plate and screw construct in favor of an intramedullary screw.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 8","pages":"489-496"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12432825/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065893","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":"Cross-cultural Adaptation, Validation, and Reliability of the Persian version of the Toronto Extremity Salvage Score (TESS) for Lower Extremity.","authors":"Khodamorad Jamshidi, Keihan Mostafavi, Khalil Kargar Shooroki, Marzieh Latifi, Seyyed Mohammad Ata Sharifi Dalooei, Mohammad Mohammadi","doi":"10.22038/ABJS.2025.80920.3691","DOIUrl":"10.22038/ABJS.2025.80920.3691","url":null,"abstract":"<p><strong>Objectives: </strong>The Toronto Extremity Salvage Score for the lower extremity (LE-TESS) is a commonly used patient-reported outcome measure (PROM) designed to assess physical disability in patients following lower limb salvage surgery for bone or soft tissue tumors. Although the TESS has been widely translated and culturally adapted for clinical and research purposes in many countries, it has not yet been translated into Persian (Farsi) or validated for use in Iranian society. This study aims to provide a validated and reliable Persian version of the TESS questionnaire.</p><p><strong>Methods: </strong>The LE-TESS questionnaire was adapted for the Iranian (Persian) society in accordance with international translation and cultural adaptation guidelines. The reliability and validity of the Persian LE-TESS were assessed in patients referred to Shafa Yahyaeian Hospital who underwent lower limb salvage procedures for malignant tumors between 2016 and 2022. Cronbach's alpha was used to measure internal consistency, and test-retest reliability was assessed within two weeks to calculate the intraclass correlation coefficient (ICC). Construct validity was evaluated using Spearman's rank correlation with the Short Form-36.</p><p><strong>Results: </strong>In this study, 31 patients (54.8% male) were included, with a mean age of 26.16 ± 9.61 years. The internal consistency evaluated by Cronbach's alpha was 0.887, and the intraclass correlation coefficient (ICC) assessed by the test-retest reliability was 0.872. This research's SEM and MDC 0.95 values were as much as 11.63 and 32.23, respectively. The construct validity analysis revealed a strong correlation between the Persian LE-TESS and the SF-36.</p><p><strong>Conclusion: </strong>The Persian version of the LE-TESS demonstrated reliability and validity in assessing the physical function of patients who underwent lower limb salvage surgery for bone and soft tissue tumors.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 8","pages":"509-516"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12432830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066046","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":"Evaluation of a Popular Large Language Model in Orthopedic Literature Review: Comparison to Previously Published Reviews.","authors":"Jie J Yao, Ryan D Lopez, Adam A Rizk, Manan Aggarwal, Surena Namdari","doi":"10.22038/ABJS.2025.84896.3874","DOIUrl":"10.22038/ABJS.2025.84896.3874","url":null,"abstract":"<p><strong>Objectives: </strong>Large language models (LLMs) may improve the process of conducting systematic literature reviews. Our aim was to evaluate the utility of one popular LLM chatbot, Chat Generative Pre-trained Transformer (ChatGPT), in systematic literature reviews when compared to traditionally conducted reviews.</p><p><strong>Methods: </strong>We identified five systematic reviews published in the Journal of Bone and Joint Surgery from 2021 to 2022. We retrieved the clinical questions, methodologies, and included studies for each review. We evaluated ChatGPT's performance on three tasks. (1) For each published systematic review's core clinical question, ChatGPT designed a relevant database search strategy. (2) ChatGPT screened the abstracts of those articles identified by that search strategy for inclusion in a review. (3) For one systematic review, ChatGPT reviewed each individual manuscript identified after screening to identify those that fit inclusion criteria. We compared the performance of ChatGPT on each of these three tasks to the previously published systematic reviews.</p><p><strong>Results: </strong>ChatGPT captured a median of 91% (interquartile range, IQR 84%, 94%) of articles in the published systematic reviews. After screening of these abstracts, ChatGPT was able to capture a median of 75% (IQR 70%, 79%) of articles included in the published systematic reviews. On in-depth screening of manuscripts, ChatGPT captured only 55% of target publications; however, this improved to 100% on review of the manuscripts that ChatGPT identified on this step. Qualitative analysis of ChatGPT's performance highlighted the importance of prompt design and engineering.</p><p><strong>Conclusion: </strong>Using published reviews as a gold standard, ChatGPT demonstrated ability in replicating fundamental tasks for orthopedic systematic review. Cautious use and supervision of this general purpose LLM, ChatGPT, may aid in the process of systematic literature review. Further study and discussion regarding the role of LLMs in literature review is needed.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 8","pages":"460-469"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12432827/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065974","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":"Clinical Insights and Management of Pediatric Bennett-Equivalent Fractures: Case Report and Literature Review.","authors":"Daniel A Nemirov, Pedro K Beredjiklian, Gregory G Gallant","doi":"10.22038/ABJS.2025.86413.3929","DOIUrl":"10.22038/ABJS.2025.86413.3929","url":null,"abstract":"<p><p>Pediatric Bennett-equivalent type fractures represent an uncommon yet consequential source of morbidity and diagnostic complexity. Despite the remarkable remodeling potential and resiliency of the pediatric patient population, if managed inappropriately, these injuries are associated with multiple sequelae such as residual deformity, pain, functional limitations, and prospective accelerated arthrosis. Given the paucity of literature and absence of prospective, rigorous trials, the optimal management of these injuries remains contentious. The present study exhibits the authors' experience with two pediatric Bennett-equivalent fractures, one managed conservatively and one operatively, highlighting the necessity for provider vigilance and attentiveness in recognizing and treating these injuries.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 8","pages":"526-531"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12432826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065982","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":"Optimizing Outcomes after Operative Treatment Bicondylar Tibial Plateau Fractures - Time for Innovation?","authors":"Mihir S Dekhne, Derek Stenquist, Nishant Suneja, Michael J Weaver, Michael Moerk Petersen, Upender Martin Singh, Arvind Von Keudell","doi":"10.22038/ABJS.2023.72836.3378","DOIUrl":"10.22038/ABJS.2023.72836.3378","url":null,"abstract":"<p><p>Bicondylar tibial plateau fractures are technically demanding fractures that have a high complication rate. We sought to review the recent literature with the aim to summarize the development of new classification systems that may enhance the surgeon's understanding of the fracture pattern and injury. We highlight the best methods for infection control and touch on new innovative solutions using 3D printer models and augmented mixed reality to provide potentially personalized solutions for each specific fracture configuration.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"12 2","pages":"80-91"},"PeriodicalIF":1.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10898803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139992288","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":"Risk Factors for Lateral Trochanteric Pain Following Anterior Approach Total Hip Arthroplasty.","authors":"Rex W Lutz, Danielle Y Ponzio, Hope S Thalody, Qudratullah S Qadiri, Alvin C Ong, Zachary D Post","doi":"10.22038/ABJS.2024.74576.3456","DOIUrl":"10.22038/ABJS.2024.74576.3456","url":null,"abstract":"<p><strong>Objectives: </strong>The principal aim of our study is to investigate risk factors for lateral trochanteric pain (LTP) after direct anterior approach (DAA) primary total hip arthroplasty (THA).</p><p><strong>Methods: </strong>A retrospective case control study was developed from 542 patients who underwent primary THA over a 9-year period to form two patient cohorts. Two hundred and seventy-one patients diagnosed with LTP were matched with 271 controls. Chart review revealed patient demographics, surgical approach, and femoral components utilized. Change in limb length and offset were assessed through preoperative and postoperative radiographic measurements.</p><p><strong>Results: </strong>There was a higher proportion of current or former smokers in the LTP group (34.5% vs 21.74%, p=0.003). There was no significant difference in use of high offset stems vs. standard offset stems between groups (15.9% vs. 18.5%, p=0.494). However, the LTP group had significantly higher increase in both femoral offset (+3.55mm vs +1.79mm, p<0.001) and total offset (+0.16mm vs -1.16mm, p=0.031) in comparison to controls.</p><p><strong>Conclusion: </strong>An increase in total offset, femoral offset, and smoking history are factors associated with LTP after DAA primary THA.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"12 9","pages":"631-636"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11531765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577447","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":"Strategies to Reduce Missed Fracture Diagnoses: Insights from Medical Malpractice Cases in China.","authors":"Xue-Dong Tian","doi":"10.22038/ABJS.2023.76051.3513","DOIUrl":"10.22038/ABJS.2023.76051.3513","url":null,"abstract":"","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"12 1","pages":"78-79"},"PeriodicalIF":1.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10838573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139693226","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}