Journal of Orthopaedic Experience & Innovation最新文献

{"title":"A Single Incision Technique for Medial Patellofemoral Ligament Repair with Augmentation Using a Reinforced Bio-Inductive Implant","authors":"Austin Wetzler, Sean McMillan, Aakash Patel, William Taylor, Merrick Wetzler","doi":"10.60118/001c.94092","DOIUrl":"https://doi.org/10.60118/001c.94092","url":null,"abstract":"Patella dislocations and resultant recurrent instability commonly occur. Surgery for patella dislocation is indicated after subsequent dislocation or after an initial dislocation with articular cartilage injury of the patella or femur. The strength of an isolated medial patellofemoral ligament (MPFL) repair has been shown to be insufficient to prevent recurrent dislocation. Multiple different techniques to augment the MPFL repair using various autologous and allografts, as well as high tensile strength sutures or synthetic ligaments have been developed. Most of the techniques use two incisions: one near the patella and the other by the medial femoral condyle. The purpose of this study is to demonstrate a single incision technique for MPFL repair with augmentation using a reinforced bio-inductive (RBI) implant. The single-incision technique does have advantages over the two-incision techniques. Furthermore, the RBI implant is easily reproducible docked into the patella sockets without difficulty and has an initial inherent strength comparable to the semitendinosus. The RBI heals to bone and allows for infiltration of the patient’s own cells which strengthens the augmentation over time.","PeriodicalId":503083,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"2 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141796828","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}

{"title":"“In My Experience…Seven Strategies for Enhancing ASC Profitability”","authors":"Derek Haas, Porter Jones, Matt Obenhaus, Prashanth Bala, Chris Strickland","doi":"10.60118/001c.120357","DOIUrl":"https://doi.org/10.60118/001c.120357","url":null,"abstract":"Effectively employing these seven strategies will help ASCs maximize their profitability.","PeriodicalId":503083,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"58 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141807097","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}

{"title":"“In My Experience…Development of Novel Transosseous Rotator Cuff Repair Techniques and Technologies”","authors":"Brett Sanders","doi":"10.60118/001c.117169","DOIUrl":"https://doi.org/10.60118/001c.117169","url":null,"abstract":"The author reviews his experience with transosseous rotator cuff repair techniques and technologies","PeriodicalId":503083,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"95 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141818616","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}

{"title":"The Year Publication Rate of Presentations from the Inaugural Medical Student Orthopedic Society Research Symposium","authors":"Kiah Mayo, Amy Zhao, A. Agarwal, Alisa Malyavko, Alex Gu, Lisa K. Cannada","doi":"10.60118/001c.94149","DOIUrl":"https://doi.org/10.60118/001c.94149","url":null,"abstract":"Orthopaedic surgery is one of the most competitive residencies to match in medicine, the match rate has decreased to 63.1% in 2023.1,13 Aspects of the application that are most in the control of applicants are their personal and research experiences in the field and their choice of acting internships. The Medical Student Orthopaedic Society (MSOS) hosted the first national, and virtual orthopaedic research symposium for medical students. This study aimed to examine the short-term publication rate of the research presented at the 2022 MSOS Research Symposium. The titles of the articles and the names of the presenters from the MSOS program were used to search for publications via PubMed and Google Scholar search engines. If no matching result was found, the article was considered not published. If the presentation was published in a journal within our study period, the updated title, name and gender of the medical student and senior author, name of the journal, and date of publication were recorded. Demographic variables among presenters included gender, and current training status. These were determined via a Google search. Impact factors were extracted from the Web of Science (WoS) database for the year of 2023. For the 2022 MSOS Symposium, a total of 300 presentations were given. Nineteen publications had to be excluded. Of the 281 presentations included in this study, 129 were published in a peer-reviewed journal within 18-months after the symposium (45%). Presentations were published on average 165 days (~5.5 months) after the symposium. Of the journals that had an impact factor score, the average was 2.18. Categories with over 60% publication rate were Practice Management and Health Disparities, shoulder and elbow, and medical education. Among presenters whose projects were published, 74% identified as men and 26% as women. The papers’ senior authors were 85% men and 15% women. Of those that participated and published in the 18-month period, 22% of individuals matched into orthopedics the following year, 9% matched into another residency, 38% were still medical students, 30% statuses were unknown or could not be determined. Of those schools represented, 20 schools (35 participants) did not have a home program at their institution, also known as orphan programs. The presenter was the first author in 53% (69) of the published works. The Medical Student Orthopaedic Society (MSOS) touted a publication rate of 45% which is comparable to the rates of publication in less time than numerous other meetings (~5.5 months). This may be due to medical students’ finite amount of time to gain the experience necessary to apply, suggesting there is a higher motivation to get research out and published. However, further research into the participation levels of presenters would need to be studied directly to give a definitive understanding as to why first authorship was not provided to the presenter. Participants that published were majority male and attended ","PeriodicalId":503083,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":" 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141831017","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}

{"title":"Assessing Diversity of Invited Speakers at the AAOS Annual Meeting","authors":"Chrystina L James, Tahsin Rahman, Gabriel Burdick, Michelle Hertzberg, Ani Kazanjian, Elizabeth Turner, Stephanie Muh","doi":"10.60118/001c.88228","DOIUrl":"https://doi.org/10.60118/001c.88228","url":null,"abstract":"Orthopaedic surgery remains one of the least diverse fields in medicine, particularly in the higher levels of academic medicine. There is limited literature examining representation of females as speakers and presenters at national meetings, although this is a common stepping stone in an academic career. The purpose of this study is to assess gender diversity among invited speakers at the AAOS Annual Meeting between 2015 and 2022 to determine if this increased over time. The AAOS Annual Meeting final programs from 2015 to 2022 were reviewed to collect the names of all invited speakers (paper presentation session moderators, Ask an Expert session moderators, ICL moderators, and ICL presenters). An internet search of publicly available websites was conducted to determine the gender of each speaker. We then determined the percentage of female speakers in each category each year and compared these across years. There were non-significant positive trends in the percentage of female ICL presenters, paper presentation sessions moderators, and Ask an Expert sessions moderators, there was a significant positive trend in the percentage of female ICL moderators between 2015 and 2022. Speaking at national meetings is an important component of advancing one’s career in academic surgery and can also provide crucial role models to aspiring young surgeons. However, despite various efforts to increase gender diversity in orthopaedic surgery, there have been few significant changes in the representation of female invited speakers at the AAOS annual meeting since 2015.","PeriodicalId":503083,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"11 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141273302","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}

{"title":"Patient Outcomes in a Novel Osseointegrated Device for Transfemoral Amputation: a case series","authors":"Ronald Hillock, Daniel Allison, Benjamin Moyer","doi":"10.60118/001c.91023","DOIUrl":"https://doi.org/10.60118/001c.91023","url":null,"abstract":"Socket suspension (SS) prosthetics are the current standard for transfemoral amputee prosthetic management. The SS systems have been shown to be inefficient in energy transfer, leading to gait alteration, wear discomfort, and skin complications. Many studies have shown osseointegrated (OI) devices are not associated with these problems and offer many benefits. Through this report the authors will describe surgical outcomes following transfemoral amputation (TFA) surgery using a novel OI device. Patients with problematic TFA were identified from 2013 to 2018 were treated with a novel OI system. Candidate TFA patients identified through record review as part of an IRB authorized retrospective study. The study group all had the following characteristics: (1)No diabetes, (2)no peripheral vascular disease, and (3)mature healed TFA. All study subjects had attempted use of SS and had failed for many reasons related to the skin to socket interface. The outcomes measured recorded included: (1)Q-TFA Scores, (2)SF-36 Score, (3)time coupled per day, (4)resolution of back pain, (5)residual limb pain, and (6)overall satisfaction. Radiographs of implanted stems were reviewed for evidence of loosening or bone on growth. A group of TFA patients (11) had been treated with the OI system and agreed for follow up evaluation. Mean age 52 (37-73) years at the time of OI stage I surgery, with a mean time of 9 (3-20) years post amputation to implantation of the OI system. Original indications for the amputation included: 1 chronic osteomyelitis, 1 neoplasm, and 9 traumatic. Mean time to from TFA to OI was 73 months (2- 216). All patients reported a reduction or complete resolution of back pain after OI. Ambulatory/device coupling status reported was mean 12 hours/day. Average Q-TFA Prosthetic use score 66.1, Prosthetic mobility score, 60.2, Problem score 18.2, and Global score 72. Average SF-36 PCS 56.2 and average MCS 70.0. Radiographs reviewed all showed 4 to 6mm of distal circumferential bone reabsorption with robust bone on growth in the diaphysis of the implanted femurs. Early data on the effectiveness and safety of the custom Patriot™ OI device is favorable. Future study evaluating long-term device survivorship and patient reported outcomes is warranted. Bone remodeling post implantation and coupling showed positive effects of the system. This study found the custom OI device to be safe and effective in the management of TFA in patients with controlled indications.","PeriodicalId":503083,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"111 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141115658","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}

{"title":"Medial Stabilised Total Knee Arthroplasty: Definition and Performance","authors":"S. W. King, J. Palan, Hemant Pandit","doi":"10.60118/001c.91477","DOIUrl":"https://doi.org/10.60118/001c.91477","url":null,"abstract":"Medial-stabilised total knee arthroplasty (MS-TKA) usage has increased significantly over the past decade with encouraging results. MS-TKA mimics the natural knee kinematics, providing superior antero-posterior stability as compared to cruciate-retaining or posterior-stabilised designs. Its proponents suggest that MS-TKA may provide the solution to the residual dissatisfaction seen in many patients following knee replacement surgery. The literature was reviewed for critical analysis of the evidence for the biomechanics of the native knee and the clinical outcomes for MS-TKA. The history of the development of the medial-stabilised knee was also reviewed. MS-TKA were found generally to have similar revision rates to non-MS-TKA. Studies of knee function found either similar or improved function, which may be due to increased AP stability and a lack of paradoxical movement of femur over tibia which is seen in CR and PS designs. This review highlights the key design features needed for a total knee arthroplasty to be termed as a medial-stabilised design, summarises current clinical and kinematic evidence including an overview of its development over the past three decades and sets out the next steps needed for meaningful evaluation of long-term real-world data of individual MS-TKA implants. With longer and more detailed follow-up data emerging as MS-TKA becomes more popular, a more thorough analysis of their performance will soon be possible.","PeriodicalId":503083,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"35 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140981384","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}

{"title":"Building a successful robotic-arm assisted orthopedic surgery program","authors":"Nanne P Kort, Peter Pilot","doi":"10.60118/001c.91030","DOIUrl":"https://doi.org/10.60118/001c.91030","url":null,"abstract":"Building a successful robotics team is a long journey with much effort before the first surgery. It starts with sound business development and, in case of acquiring a system, an implementation plan, to make it a success. The pathway to a successful Robotics program is much more than choosing the desired robotic arm-assisted surgery (RAS) brand. Success also depends on the specific pathway optimization aspects of RAS. High-over, all systems introduce the computer and robotic-arm into the operating room. But all systems have subtle, but significant, differences. An essential aspect of a successful RAS project is the implementation phase. After deciding to purchase a Robotic system, the following training and OR setup phase should be prepared and executed. When the robotic system enters the operating room, aspects like arm position using the arm board should be evaluated critically since the robot needs sufficient working space. A suboptimal positioning will disrupt the team dynamics and lead to preventable delay. RAS requires new or adjusted skills. Two crucial aspects are eye-hand-feet coordination in combination with a different focus of the surgeon (also screen instead of 100% surgery field) and new cognitive decision making features. Robotic surgery is a perfect example of how technology can change a surgical field. This data acquisition is probably the most fundamental, powerful aspect of adding the computer into the surgical process. The most used robotic-arm systems in hip and knee arthroplasty are semi-automatic systems, and practically all major orthopedic manufacturers offer a device. ORs are a highly capitalized section of hospitals, generating high costs and critical revenues. Therefore, taking a closer look at workflows, inventory management, and team efficiencies is crucial. Improving these aspects in the OR has a high return on investment. RAS helps accurately observe everything occurring within and around the surgical process. These new data opportunities open the opportunity to work with surgical data science (SDS).","PeriodicalId":503083,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"103 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141002316","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}

{"title":"Custom Bi-flanged Constrained Total Shoulder Revision Implants: A Novel Design and Report of Two Cases","authors":"Carter Whittemore, Kevin Setter, Timothy A. Damron","doi":"10.60118/001c.90727","DOIUrl":"https://doi.org/10.60118/001c.90727","url":null,"abstract":"Custom revision total shoulder replacements are one option for salvage of failed shoulder arthroplasty, but reports are scarce. We report two cases of revision shoulder arthroplasty using a custom constrained total shoulder (CCTS) endoprosthesis with a bi-flanged scapular (BFS) component in the setting of soft tissue, humeral, and glenoid bone loss. The CCTS with BFS is a viable salvage implant for failed reverse total shoulder arthroplasty to achieve pain reduction, but long-term follow up is needed.","PeriodicalId":503083,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141032992","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}

{"title":"Computer-based pre- and intra-operative planning modalities for Total Knee Arthroplasty: A comprehensive review","authors":"D. A. Schoenmakers, Isobel M Dorling, M. J. Heymans, N. Kort, B. Boonen, L. V. van Rhijn, M. Schotanus","doi":"10.60118/001c.89963","DOIUrl":"https://doi.org/10.60118/001c.89963","url":null,"abstract":"Since the introduction of total knee arthroplasty (TKA) into modern medicine, many types of digital pre- and intra-operative planning methods have been introduced. Due to the abundance of planning modalities for TKA, physicians are posed with the challenge of which type to implement into their daily practice. In the current fast-paced and research-driven medical environment it is important to understand the differences between the computer-based pre- and intra-operative planning modalities for TKA. The following databases were searched: MedLine, EMBASE, Web of Science, and the Cochrane Library. All articles were independently reviewed by the two reviewers (DS, ID). The following data were extracted, if available: study ID, country of conduction, type of planning modality or modalities, and the use and explanation of historical and currently employed pre- and intra-operative planning modalities for TKA. 39 studies were included into the systematic review. Computer assisted surgery (CAS) represents a surgical concept where computer technology is used for surgical planning. CAS for TKA was introduced in the late 1980s. Subsequently, three different types of CAS were developed to plan TKA. The first type of CAS, computer integrated instruments, also known as CAS navigation, provides a real-time view of anatomy and marked surgical instruments intra-operatively. For the second type of CAS, rapid prototyping, or 3D printing, was derived from CAS technology in which the development of patient specific instrumentation (PSI) for TKA followed. Furthermore, CAS aided the evolution of the third type of CAS for TKA: robotics. With a high demand for TKA surgery, the challenge to achieve more accurate alignment, improved prosthesis survival, and improved patient satisfaction rates is a very topical one. Planning modalities for TKA were developed to address this demand. This comprehensive systematic review showed that the monumental development of digital planning modalities for TKA has led to a vast amount of well-researched options that surgeons can choose from and use in daily practice.","PeriodicalId":503083,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"13 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140359954","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}