Yasmine Ghattas, Alison Grise, Mohammad Tahseen Alkaelani, Joshua Cassinat, Katherine Druskovich, Joshua Langford, Lisa K Cannada, Benjamin C Service
{"title":"Multivariate Analysis of Social Media Content by United States Orthopaedic Residency Program Directors.","authors":"Yasmine Ghattas, Alison Grise, Mohammad Tahseen Alkaelani, Joshua Cassinat, Katherine Druskovich, Joshua Langford, Lisa K Cannada, Benjamin C Service","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this cross-sectional study is to analyze how orthopaedic program directors (PDs) use their public social media accounts to connect with followers. Orthopaedic residency PDs' (n = 202) Instagram accounts were evaluated for type of account (public versus private), followers/following, and posts. The most common forms used were Doximity (98%) and LinkedIn (52.5%), followed by Instagram (33%), Facebook (14%), and Twitter (12.8%). Of the 67 (33%) PDs with personal Instagram accounts, there was a higher proportion of personal content posts 525 (55%) (p < 0.01). Educational content was identified in 19% of posts. There was a larger number of followers for PDs with public Instagram accounts (324 +/- 400) compared to those with private accounts (145 +/- 183) (p = 0.016). Social media is a way for PDs to display their program and reach a broader audience. There is significant room for growth by PDs to increase the volume of educational and academic content. Further research is needed to determine optimal social media educational and academic impact for PDs. (Journal of Surgical Orthopaedic Advances 35(2):095-097, 2026).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"35 2","pages":"95-97"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148229990","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}
Frederick Mun, Daniel Badin, David Ryu, Davis Rogers, Rachel Bronheim, Daniel George, Amiethab Aiyer
{"title":"Social Media Use by Orthopaedic Surgery Professional Societies.","authors":"Frederick Mun, Daniel Badin, David Ryu, Davis Rogers, Rachel Bronheim, Daniel George, Amiethab Aiyer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study analyzed the efficacy and patterns of social media use among the Board of Specialty orthopaedic societies. Twitter (now called X), Facebook, and Instagram profiles were identified. Twitter was most commonly utilized, and therefore the focus. Twitonomy, a social media analytics tool, was used to analyze data. Most societies (11 of 15) increased number of tweets from 2018 to 2020. AAOS had the oldest and most followed account. Although J. Robert Gladden Orthopaedic Society (JRGOS) and Ruth Jackson Orthopaedic Society (RJOS) had the least tweets, they had the greatest increase from 2018 to 2020. RJOS had the greatest percentage of tweets that were liked and retweeted. Tweets about patient advocacy and society initiatives had the most engagement, while societies focused on diversity in orthopaedics had the fastest growth. These findings may help societies develop content that yields higher engagement from stakeholders. (Journal of Surgical Orthopaedic Advances 35(1):049 - 054, 2026).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"35 1","pages":"49-54"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147439078","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":"What Effect Have Emerging Technologies Had on Distal Radius Fracture Treatment? A Cross-sectional Analysis 2002 to 2018.","authors":"Christian Ibanez, Ryan J Warth, Dean W Smith","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Since the year 2000, there have been numerous advances in the indications for surgery and technical/procedural fixation methods regarding the treatment of distal radius fractures (DRFs). The purpose of this study is to analyze the epidemiological trends surrounding their management. The authors hypothesize that the reported treatment for DRF will correlate with the advancing technologies in plating. Through cross-sectional analysis of a state healthcare hospital database from 2002 to 2018, 79,481 treated DRFs were identified. Operative management of DRFs significantly increased from 2002 to 2010. However, from 2011 to 2018, the incidence in operative treatment declined. From 2002 to 2018, a significant decline in both closed reduction percutaneous pinning (CRPP) and external fixation (Ex-Fix) was also observed. Of the operative cases, a significant trend toward plate fixation was demonstrated between 2002 and 2018. (Journal of Surgical Orthopaedic Advances 35(1):035 - 037, 2026).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"35 1","pages":"35-37"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147439094","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}
Alex Ha, Alex Yerukhimov, Jisoo Kim, Dilip Sengupta
{"title":"Biomechanical Comparison of Lumbar, Sacral and Iliac Screw Strain with the Novel Eiffel Tower Configuration Versus Conventional Pelvic Fixation in Adult Spinal Deformity Surgery.","authors":"Alex Ha, Alex Yerukhimov, Jisoo Kim, Dilip Sengupta","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A common problem in long spinal fusions is caudal end fixation failure. To address sacral screw loosening, fixation may be extended to the pelvis using iliac screws. Iliac screws provide strong anchor strength, but loosening is common due to high strain. A novel 'Eiffel Tower' (E-T) construct is introduced to reduce iliac screw strain. A saw-bone spine model was instrumented with pedicle screws and rods from T9 to S1 as native fixation. L5 and S1 screw strain was measured with application of 25Nm loading in flexion, extension, lateral bending and rotation. Strain was measured for L5, S1 and iliac screws after fixation was extended to the pelvis. The conventional model used a bridge connecting a screw in the medial iliac crest to the main rod superior to L5. The E-T fixation used two rods connected to the main rods at L1 and to two screws in the superolateral iliac crest. S1 strain is reduced by 65% by conventional fixation and 77% by E-T fixation. S1 screw strain reduction was greater with E-T fixation compared to conventional fixation in all loading directions. Iliac screw strain was decreased with E-T fixation compared to conventional fixation in all loading directions. Conventional fixation increased L5 screw strain compared to native fixation, but E-T fixation did not. Both conventional and E-T fixation reduce S1 screw strain, but E-T fixation did so to a greater extent. Terminal fixation at the iliac screw suffered a higher load with conventional fixation relative to E-T fixation. (Journal of Surgical Orthopaedic Advances 35(2):072-076, 2026).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"35 2","pages":"72-76"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148230065","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}
Nicolas Revelt, Benjamin Harsin, Carlos Garcia, Cecily Negri, Jeffrey Baker, Kamaria Coleman, Anthony Sleiman, Chris Bejcek, Kristin Delfino, Norman Y Otsuka, Sowmyanarayanan Thuppal
{"title":"The Effects of the COVID-19 Pandemic on Orthopaedic Cases in Emergency Department.","authors":"Nicolas Revelt, Benjamin Harsin, Carlos Garcia, Cecily Negri, Jeffrey Baker, Kamaria Coleman, Anthony Sleiman, Chris Bejcek, Kristin Delfino, Norman Y Otsuka, Sowmyanarayanan Thuppal","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The COVID-19 pandemic and policies transformed how people live and receive healthcare. The pandemic's effect on elective orthopaedic surgeries has been well documented. However, its effect on orthopaedic problems in the emergency department (ED) has not. A cross-sectional retrospective study of all ED patients who received an orthopaedic surgery consult between March 11, 2019, and March 11, 2021, was conducted. Characteristics of orthopaedic problems before and during the pandemic were compared to elucidate what effect the pandemic had on orthopaedic presentations to the ED. The ED documented 2,487 orthopaedic problems. During the pandemic, 15% less orthopaedic problems were reported; however, more shoulder and fall injuries and less arm injuries occurred. No significant differences in demographics, mechanism of injury, operative status, or ED and overall disposition were found. Orthopaedic surgery departments should anticipate fewer ED consults overall after pandemic-like emergencies. (Journal of Surgical Orthopaedic Advances 35(1):0031- 034, 2026).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"35 1","pages":"31-34"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147439027","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}
Noah G Thomas, Daniel Briggs, Heidi Israel, Todd Michael Hall, Lisa K Cannada
{"title":"Fascia Iliaca Blocks in Elderly with Hip Fractures: A Critical Evaluation.","authors":"Noah G Thomas, Daniel Briggs, Heidi Israel, Todd Michael Hall, Lisa K Cannada","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study was to determine the effectiveness of the fascia iliaca block (FIB) in on our geriatric hip fracture population and determine its effect on outcome. The study included hip fracture patients 65 and older in a therapeutic case control in an urban, orthopaedic hospital with attending anesthesiologist choice in administering the FIB in the preoperative holding area. Pain scores, narcotic pain usage, physical therapy parameters and discharge disposition were measured. One hundred and nine patients that did not receive the FIB served as the control group, while 80 patients received the FIB. The average patient age was 79 (62 - 100) for the control group and 82 (62 - 102) for the FIB. Postoperatively, the FIB group reported their highest pain score at an average of 30 hours compared to the non-FIB group at 17 hours after surgery (p < 0.006). In the control group, 49 (45%) were discharged home, and 40 (37%) discharged to a skilled nursing facility (SNF) and 20 discharging to a rehab facility. In comparison, only 19 (24%) FIB patients were discharging home, and 61 (55.6%) went to SNF (p < 0.005). The FIB significantly increased the time until the high pain score without decreasing pain for the expected duration of the block. A concern with the FIB use is possible delays in physical therapy due to the duration of the block. Objective physical therapy parameters were more robust for the control on postoperative day 0 and day 1 in regard to ambulation. Level of Evidence: Level III. (Journal of Surgical Orthopaedic Advances 35(2):059-062, 2026).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"35 2","pages":"59-62"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148230028","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}
Christopher H Merritt, Richard A Bidwell, Tyler Gonzalez, Yianni Bakaes, J Benjamin Jackson
{"title":"A Retrospective Comparative Analysis on the Outcomes and Complications of Ultrasound Guided Corticosteroid Injection Around the Posterior Tibial Tendon.","authors":"Christopher H Merritt, Richard A Bidwell, Tyler Gonzalez, Yianni Bakaes, J Benjamin Jackson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study aims to identify outcomes after corticosteroid injection (CSI) in the posterior tibial tendon (PTT) sheath. The authors retrospectively analyzed data from February 28, 2018 to January 14, 2020 and performed a follow-up patient phone call to assess subjective data. Of the 27 patients, 19 (70%) reported some relief from the procedure; 17 of 27 (63%) reported this pain improvement as > 5 on the pain scale. Common side effects were temporary flares of pain (11/27, 41%) and whitening of skin (3/27, 11%). No severe side effects, including tendon rupture, were observed. The phone survey occurred at an average of 10.08 months after injection (range 4.16 - 26.23 months). No patient experienced major complications, and 70% of patients experienced significant relief from a CSI in the PTT sheath. However, the median duration of pain relief was only 1.5 months, and the minor side effect rate was 41% (11/27), which may indicate treatment failure and should be considered along with a discussion with the patient about these risks. (Journal of Surgical Orthopaedic Advances 35(1):019 - 021, 2026).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"35 1","pages":"19-21"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147438949","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}
Pooria Hosseini, David E Teytelbaum, Arjun Vohra, Krishna Vangipuram Suresh, Brandon McMaster, Andrew Burcke, Thomas Revak, J Tracy Watson
{"title":"Incidence of Nonindicated and Inadequate Ankle Stress Views.","authors":"Pooria Hosseini, David E Teytelbaum, Arjun Vohra, Krishna Vangipuram Suresh, Brandon McMaster, Andrew Burcke, Thomas Revak, J Tracy Watson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ankle stress view (ASV) radiographs and medial clear space (MCS) are important components for determining operative fixation of ankle fractures but variability in the appropriate use of indications and radiograph quality has yet to be thoroughly investigated. This is a case series of 130 patients who sustained an ankle fracture between 2012 and 2019. ASV radiographs were indicated for isolated Weber B fracture types with MCS < 4 mm on mortise views. Patient demographics, appropriate indications, adequacy of radiographs, and operative management were recorded. A MCS value of 4.9 mm served as our institution's operative threshold (area under the curve: 0.60, 95% confidence interval: 0.95 - 0.79). It was found that 36 of 130 (27%) patients had an ASV that was not indicated, and 40 of 130 (30%) had an ASV that was of inadequate quality. Notably, of the 40 patients with inadequately performed stress views, 24 (60%) underwent surgical intervention. Only 51% of ASV radiographs were appropriately indicated and adequately performed. (Journal of Surgical Orthopaedic Advances 35(2):103-106, 2026).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"35 2","pages":"103-106"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148230003","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}
Cameron J Sabet, Bill Young, Ethan Lowder, Ketan Tamirisa, Michael Kessler
{"title":"Associations Between Social Determinants of Health and Cardiovascular Complications After Hand Surgery: Examining the Role of Income, Unemployment, Insurance, and Education.","authors":"Cameron J Sabet, Bill Young, Ethan Lowder, Ketan Tamirisa, Michael Kessler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study examines the impact of social determinants of health (SDoH) on cardiovascular complications after hand surgery, focusing on income, unemployment, insurance, and education. Using PearlDiver data (2011 - 2022), adult patients with Medicare Advantage, Medicaid, or private insurance were analyzed. Cardiovascular complications (e.g., cardiac arrest, deep vein thrombosis, arrhythmia, pulmonary embolism, myocardial infarction) within 90 and 365 days post-surgery were assessed via logistic regression adjusted for demographics and SDoH. Among 1,693,829 patients (mean age 66.3, 64% female), 0.9% had complications at 90 days, 2.3% at 365 days. Higher income and insurance rates reduced risk, while unemployment increased it. Education showed no significant effect. Lower income, higher unemployment, and reduced insurance coverage predict cardiovascular risks after hand surgery, highlighting the need for addressing socioeconomic disparities to improve outcomes. (Journal of Surgical Orthopaedic Advances 35(2):081-085, 2026).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"35 2","pages":"81-85"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148230030","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}
Garrett S Bullock, John S Shields, Maxwell K Langfitt
{"title":"Sex Differences in the Relationship Between Hand and Leg Dominance and Knee Osteoarthritis Laterality.","authors":"Garrett S Bullock, John S Shields, Maxwell K Langfitt","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Limited knowledge exists surrounding the relationship between hand and leg dominance and knee osteoarthritis (OA) laterality. The authors of this study characterized sex differences between hand and leg dominance and knee OA laterality in 100 adults undergoing unilateral primary total knee arthroplasty (TKA). A total of 455 electronic medical records (EMR) with primary unilateral TKA in the past 5 years at Atrium Health Wake Forest Baptist were reviewed. One hundred phone surveys were conducted to characterize self-reported hand and leg dominance preferences. Of 100 patients, there were 40 males and 60 females with a mean age of 73. There was no association between hand (p = 0.573) or leg (p = 0.121) dominance with ipsilateral TKA. Males showed contralateral associations for hand (p = 0.008) and leg (p = 0.004) dominance with TKA laterality. Females showed ipsilateral associations for both hand (p = 0.004) and leg (p < 0.001) dominance with TKA laterality. Understanding this relationship may improve the efficacy of future orthopaedic risk assessments, disease prevention recommendations, and targeted rehabilitation plans. (Journal of Surgical Orthopaedic Advances 35(2):086-090, 2026).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"35 2","pages":"86-90"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148229977","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}