Joshua J Meaike, Ike B Hasley, Jeffrey S Brault, Alexander Y Shin
{"title":"Prospective, Randomized, Intra-subject Controlled Trial Comparing Ultrasound-guided Thread and Mini-open Carpal Tunnel Release.","authors":"Joshua J Meaike, Ike B Hasley, Jeffrey S Brault, Alexander Y Shin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study was to evaluate the efficacy and safety of a minimally invasive, ultrasound-guided, incisionless thread carpal tunnel release (TCTR) compared with mini-open carpal tunnel release (MOR) in a prospective, single-institution, randomized, intrasubject controlled study of patients with bilateral carpal tunnel syndrome (CTS). Patients underwent same-day, immediately sequential bilateral carpal tunnel surgery receiving both a TCTR and an MOR, with randomization occurring in reference to the dominant versus non-dominant extremity. Eleven patients with an average age of 49.8 years were followed for 12 months. There were no clinical or statistical differences between the two procedures at multiple postoperative time periods with respect to functional outcome scores, pain, or strength. All but one patient preferred TCTR over MOR, citing quicker recovery and decreased pain. Ultrasound-guided TCTR is safe and effective with similar functional outcomes, pain, and strength compared with a more traditional MOR. (Journal of Surgical Orthopaedic Advances 34(1):031-036, 2025).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"34 1","pages":"31-36"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036983","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}
Griffin B Harris, Andrew J Sama, Nicholas C Schiller, Alina Syros, Ronald Swonger, Chester J Donnally
{"title":"Analysis of \"Local Guide\" Google Reviews for Orthopaedic Spine Surgeons.","authors":"Griffin B Harris, Andrew J Sama, Nicholas C Schiller, Alina Syros, Ronald Swonger, Chester J Donnally","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study aimed to investigate the content and trends of online reviews of orthopaedic spine surgeons in Florida, as left by \"Local Guide\" reviewers on Google Maps. The data collected were categorized and analyzed to identify patterns related to physician age, academic status, gender, practice location, and the nature of comments left by reviewers. The results showed that higher ratings were associated with comments related to shorter wait times, a competent medical staff, the physician's knowledge, and pain improvement. On the other hand, lower ratings were associated with comments related to expense of visit, poor bedside manner, worsening of pain, perceived lack of care, and unprofessional staff. This study provides unique insights into the factors that influence patients when selecting a physician online, as well as the areas that physicians can focus on to improve their online image or care delivery. (Journal of Surgical Orthopaedic Advances 34(1):037-040, 2025).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"34 1","pages":"37-40"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057003","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}
Glenn Gaston, Risa Reid, Michael Gart, Daniel Lewis, Darcy Alexander, Bryan Loeffler
{"title":"The Prevalence of PTSD and Depression in Adults with Traumatic Brachial Plexus Palsy.","authors":"Glenn Gaston, Risa Reid, Michael Gart, Daniel Lewis, Darcy Alexander, Bryan Loeffler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Brachial plexus injuries (BPIs) can cause physical and psychological disability, including posttraumatic stress disorder (PTSD) and depression, though the psychological impact of BPI has received little attention. This study hypothesizes that PTSD and depression are significant in health-related quality of life. Prospectively, BPI patients completed the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, Visual Analog Pain Scale (VAS), Primary Care PTSD Screen (PC-PTSD), and Center for Epidemiologic Studies Depression Scale (CES-D) at each clinic visit. Primary endpoints included the prevalence of PTSD and depression with DASH and VAS as secondary endpoints. Eighty-five patients met inclusion criteria (average age 46.6 years; 78.8% male). Median DASH score was 56.7; median VAS score was 5/10. PTSD prevalence was 30.6% (26/85). Depression prevalence was 45.9% (35/85). Patients with PTSD were significantly more likely to exhibit depression (p < 0.0001). Concomitant PTSD and depression were seen in 23 patients (27.1%). Traumatic BPI significantly impacts physical and psychological well-being; thus, recognizing the high prevalence of PTSD and depression is critical. (Journal of Surgical Orthopaedic Advances 34(1):015-019, 2025).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"34 1","pages":"15-19"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057290","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}
Adam M Almaguer, Kyle D Paul, Alexandra M Arguello, Aseel G Dib, Erin Katz, Achraf H Jardaly, Andrew T Ko, Monica Kogan, Gerald McGwin, Bradley W Wills, Brent A Ponce
{"title":"Shedding Sunshine on Gender Inequities in Industry Compensation to Physicians: a Centers for Medicare and Medicaid Services Open Payment Analysis.","authors":"Adam M Almaguer, Kyle D Paul, Alexandra M Arguello, Aseel G Dib, Erin Katz, Achraf H Jardaly, Andrew T Ko, Monica Kogan, Gerald McGwin, Bradley W Wills, Brent A Ponce","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study is to compare payments reported in the Centers for Medicare and Medicaid Services Open Payments Database according to gender. The authors hypothesized that women physicians would have fewer payments and lower total compensation from pharmaceutical and medical device companies as compared with men. A higher proportion of males received > $1,000,000 in compensation from industry, and a higher proportion of females received < $1,000 in compensation from industry. The largest discrepancy in compensation between genders was seen in royalties/licensing, faculty/speaking, and consulting. Review of Centers for Medicare and Medicaid Services Open Payment Database found that gender inequality exists in compensation from pharmaceutical and medical device companies. Female physicians receive less total compensation from industry. It is important to highlight this disparity between genders so that changes can be made to ensure that equal opportunities exist. (Journal of Surgical Orthopaedic Advances 34(2):102-107, 2025).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"34 2","pages":"102-107"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510252","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}
George A Shultz, Dana C Mears, C Lowry Barnes, Simon C Mears, Benjamin M Stronach, Jefferey B Stambough
{"title":"Total Hip Arthroplasty: A Surgical Revolution.","authors":"George A Shultz, Dana C Mears, C Lowry Barnes, Simon C Mears, Benjamin M Stronach, Jefferey B Stambough","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Total hip arthroplasty (THA) is one of the most successful orthopaedic procedures, offering significant improvements in pain relief, mobility, and overall quality of life for patients with hip pathology. Since its inception, continuous advancements in implant materials, fixation techniques, and surgical approaches have contributed to enhanced implant longevity and functional outcomes. THA has evolved from early designs to incorporate modern biomaterials, robotic-assisted surgery with improved precision, and three-dimensional printing for patient-specific solutions. Despite its success, challenges such as implant wear, prosthetic joint infection, and the need for revision surgeries remain critical concerns for orthopaedic surgeons. The increasing demand for THA, driven by an aging population and expanded indications, underscores its growing societal impact, including economic benefits through improved productivity and reduced healthcare costs. As research and innovation continue to shape the field, THA remains a cornerstone of orthopaedic surgery, with ongoing efforts to optimize outcomes and address the complexities associated with revision procedures. (Journal of Surgical Orthopaedic Advances 34(3):119-123, 2025).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"34 3","pages":"119-123"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145246296","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}
Jonathan Yin, Andrew J Marcantonio, Justin Koh, Paul Tornetta
{"title":"Traction Internal Rotation Radiographs Aid in the Assessment of Lateral Femoral Wall Integrity in Intertrochanteric Hip Fractures.","authors":"Jonathan Yin, Andrew J Marcantonio, Justin Koh, Paul Tornetta","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Lateral femoral wall failure may cause catastrophic collapse after fixation of intertrochanteric (IT) fractures. Traction internal rotation (TIR) radiographs may provide a more accurate fracture assessment of the lateral wall and alter the preoperative plan and fracture implant selection. Seventy-four consecutive patients with AO Foundation/Orthopaedic Trauma Association AO/OTA 31A1-2 fractures were evaluated. Intervention was fixation of IT fractures by sliding hip screw (SHS) or cephalomedullary nail (CMN). No patient treated with a SHS had lateral wall failure at final follow-up. TIR radiographs of IT fractures can optimize preoperative evaluation of fracture morphology, particularly if an SHS is being considered. (Journal of Surgical Orthopaedic Advances 34(1):020-022, 2025).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"34 1","pages":"20-22"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039700","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}
Rade R Jibawi Rivera, Ye Lin, Julio C Castillo Tafur, Asher E Lichtig, Luke Zabawa, Mark H Gonzalez
{"title":"Changes to Anticipated Disposition Prevent Timely Discharge After Total Joint Arthroplasty.","authors":"Rade R Jibawi Rivera, Ye Lin, Julio C Castillo Tafur, Asher E Lichtig, Luke Zabawa, Mark H Gonzalez","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study evaluates the impact of preoperative disposition planning on length of stay (LOS) after total joint arthroplasty (TJA). A retrospective chart review, including patients undergoing primary TJA, was performed. Demographics, social factors, Risk Assessment and Prediction Tool (RAPT) scores, and predicted and actual disposition were used to analyze patients that exceeded their expected LOS. Six hundred seventy-nine patients met the inclusion criteria. Average predicted and actual LOS were 2.4 and 2.7 days, respectively. Three hundred thirty-six patients exceeded their anticipated LOS. The most significant factor for exceeding LOS was a change in disposition (p < 0.001). Eighty-two patients had a change in disposition. Patients that required a higher (40) or lower (42) level of care had prolonged LOS (p < 0.001). A change to either higher or lower levels of care than preoperatively anticipated results in increased LOS after TJA. (Journal of Surgical Orthopaedic Advances 34(2):093-097, 2025).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"34 2","pages":"93-97"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510244","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}
Albert T Anastasio, Justin Leal, Alexis L Clifford, James A Nunley
{"title":"Diversity Within Foot and Ankle Surgery: A Systematic Review.","authors":"Albert T Anastasio, Justin Leal, Alexis L Clifford, James A Nunley","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This systematic review summarizes the state of historically underrepresented minority and gender diversity in foot and ankle surgery (FA) at multiple levels, particularly leadership and research productivity. A literature search was performed following the PRISMA (Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) guidelines. Included studies presented demographics regarding diversity within FA and provided trends in rank, leadership, or research. Ten cross-sectional studies were included and assessed for quality using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) cross-sectional study checklist. Demographics on hundreds of FA applicants, attendings, fellowship directors, and researchers/research articles were collected. Results show disparity at each level, particularly in leadership with females accounting for one (5.5%) chair, three (15.8%) program directors, five (9.8%) division chiefs, three (4.4%) fellowship directors, and one (0.9%) professor. Although there has been an increase from 12% to 14% females in FA from 2010 to 2019, parity is not met. Recognition of the lack of diversity within FA will allow for targeted approaches to an equitable workforce. (Journal of Surgical Orthopaedic Advances 34(2):062-068, 2025).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"34 2","pages":"62-68"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510246","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 Future of Artificial Intelligence in Hand and Upper Extremity Surgery.","authors":"Ashvita Ramesh, Manish Mehta, David Kalainov","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The increasing role of artificial intelligence (AI) in healthcare is largely attributed to the fact that, with continual medical advances and digitization, clinical decision-making has become more and more reliant on data. As the volume and complexity of datasets grow, it is understandably difficult for physicians to manually discern meaningful patterns that guide diagnoses and/or treatments. AI applications, with the ability to rapidly identify patterns in large datasets, are being developed to assist physicians for improvements in patient care and workflow efficiencies. This review provides a brief description of AI with a focus on existing and developing applications in hand and upper extremity surgery. Although AI demonstrates great promise, both foreseen and unforeseen challenges remain. (Journal of Surgical Orthopaedic Advances 34(2):059-061, 2025).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"34 2","pages":"59-61"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510253","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}
Justin A Magnuson, Ilda B Molloy, James Messina, Matthew J Grosso, Matthew B Sherman, John Hobbs, Yale A Fillingham, Chad A Krueger
{"title":"Complication Rates for Direct Anterior Total Hip Arthroplasty After Fellowship Compared with Switching Approaches Midcareer: A Multicenter Study of the First 100 Cases.","authors":"Justin A Magnuson, Ilda B Molloy, James Messina, Matthew J Grosso, Matthew B Sherman, John Hobbs, Yale A Fillingham, Chad A Krueger","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The rate of complications and case complexity were evaluated in the first 100 total hip arthroplasty (THA) procedures in early-career direct anterior approach (DAA)-trained adult-reconstruction surgeons and midcareer surgeons who switched to DAA from a different approach. The study is a multicenter, retrospective analysis that collected data on 500 DAA THAs performed by three early-career surgeons and two midcareer surgeons. The patients of early-career surgeons were older (66.4 vs. 64.1), had a higher body mass index (29.9 vs. 28.4), and increased Charlson Comorbidity Index (2.21 vs. 1.52) compared with midcareer surgeons (p < 0.05). There were no differences in intraoperative complications or 90-day postoperative adverse events (odds ratio 0.45, 95% confidence interval 0.17 - 1.09, p = 0.87). Operative time was significantly greater for the early-career cohort relative to midcareer surgeons (98.1 min vs. 73.8 min, respectively, p < 0.001). Early-career fellowship-trained arthroplasty surgeons have similar complication rates to experienced surgeons switching from a different approach, with higher complexity patients. (Journal of Surgical Orthopaedic Advances 34(3):138-141, 2025).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"34 3","pages":"138-141"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145246214","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}