Bulletin of the Hospital for Joint Disease (2013)最新文献

{"title":"Endoscopic spine surgery.","authors":"Jordan Lebovic, Charla Fischer, Yong Kim","doi":"10.1097/bh9.0000000000000043","DOIUrl":"10.1097/bh9.0000000000000043","url":null,"abstract":"<p><strong>Abstract: </strong>Endoscopic spine surgery (ESS) has emerged as a transformative approach in the treatment of spine pathology, offering advantages over traditional open surgical techniques. This review examines the historical development of ESS, highlighting key figures and milestones that have shaped its evolution. It explores different endoscopic techniques, including transforaminal, interlaminar, lumbar fusion, cervical, and thoracic approaches. The review also provides an overview of the ongoing debate between uniportal and biportal ESS, discussing the relative invasiveness, capabilities, costs, and learning curves. In addition, it examines the complication profiles of ESS compared with open surgery as well as the economic implications of these techniques. Finally, the review outlines future directions for ESS and the impact of enabling technology.</p>","PeriodicalId":72481,"journal":{"name":"Bulletin of the Hospital for Joint Disease (2013)","volume":" ","pages":"68-78"},"PeriodicalIF":0.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13290065/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610238","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":"Beyond the medial patellofemoral ligament: The role of concomitant bony procedures in recurrent patellar instability.","authors":"Lauren H Schoof, Abigail L Campbell","doi":"10.1097/bh9.0000000000000054","DOIUrl":"10.1097/bh9.0000000000000054","url":null,"abstract":"<p><strong>Abstract: </strong>Recurrent patellar instability is a complex condition influenced by both soft tissue insufficiency and a spectrum of bony abnormalities. Although medial patellofemoral ligament reconstruction is the cornerstone of treatment, it may not address all contributing factors-particularly in patients with malalignment, trochlear dysplasia, or abnormal patellar height. This study explores the indications, techniques, and outcomes of adjunctive bony procedures including tibial tubercle osteotomy, trochleoplasty, and derotational distal femoral osteotomies. Ultimately, the goal is to integrate soft tissue and bony procedures in a patient-specific manner to reduce recurrence and preserve long-term joint function. This synthesis aims to offer an up-to-date framework for approaching a challenging condition with growing treatment complexity.</p>","PeriodicalId":72481,"journal":{"name":"Bulletin of the Hospital for Joint Disease (2013)","volume":" ","pages":"105-109"},"PeriodicalIF":0.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13290059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044961","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":"Beyond the bunion: Trends in minimally invasive techniques in foot and ankle surgery.","authors":"Taylor Wingo, John G Kennedy","doi":"10.1097/bh9.0000000000000048","DOIUrl":"10.1097/bh9.0000000000000048","url":null,"abstract":"<p><strong>Abstract: </strong>Minimally invasive surgery (MIS) has revolutionized foot and ankle care by emphasizing delicate tissue handling, reduced postoperative pain, and faster recovery through small incisions and precise instrumentation. The evolution of MIS spans 4 distinct historical \"seasons,\" from its early development in the mid-20th century to its global resurgence in the 2010s, driven by improved techniques, education, and international collaboration. Today, MIS extends beyond hallux valgus correction to include complex procedures such as first metatarsophalangeal joint, subtalar joint, tibiotalar joint, and tibiotalocalcaneal arthrodesis, with evidence demonstrating comparable or superior outcomes to open approaches. This review details the history of MIS in foot and ankle orthopedics and how this paradigm shift continues to redefine standards and improves outcomes in foot and ankle surgery.</p>","PeriodicalId":72481,"journal":{"name":"Bulletin of the Hospital for Joint Disease (2013)","volume":" ","pages":"110-115"},"PeriodicalIF":0.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13290046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147790539","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":"The value proposition of wide-awake local anesthesia no tourniquet surgery in the upper extremity.","authors":"Hilary Campbell, Omri Ayalon","doi":"10.1097/bh9.0000000000000044","DOIUrl":"10.1097/bh9.0000000000000044","url":null,"abstract":"<p><strong>Background: </strong>Wide-awake local anesthesia no tourniquet (WALANT) surgery offers a unique clinical and economic approach to delivering high-quality upper extremity care.</p><p><strong>Purpose: </strong>This article explores the evoluation, techniques, clinical efficancy, financial advantages, and future directions of WALANT as it establishes is growing role in value-based orthopedic care. In doing so, it outlines the value proposition of WALANT for patients, providers, and the hospital system.</p><p><strong>Methods: </strong>The authors conducted a comprehensive PubMed search to identify studies evaluating the clinical and economic outcomes of WALANT surgery in upper extremity procedures. Eligible studies included prospective and retrospective research, as well as case studies and case series, comparing WALANT with traditional anesthesia. The studies examined focused on metrics such as functional outcomes, patient satisfaction, and cost savings for the patient and the hospital system.</p><p><strong>Results: </strong>Current literature shows that hand and upper extremity surgery performed under WALANT yields similar functional outcomes and even demonstrates equal or higher patient satisfaction compared with traditional anesthesia. Regarding cost savings, WALANT's minimalist approach to procedures can lead to significant waste reduction and notable financial benefits for the patient, the provider, the hospital, and the wider healthcare system.</p><p><strong>Conclusions: </strong>WALANT surgery offers a compelling value proposition for the patient, the provider, and the healthcare system at large. Through efficient use of resources focused on minimizing waste and optimizing patient experience and outcomes, WALANT offers an opportunity for value-based surgical care. Further research into more sophisticated clinical uses and large-scale cost-savings analyses is necessary for WALANT procedures to be further validated and more broadly adopted.</p><p><strong>Level of evidence: </strong>Level V.</p>","PeriodicalId":72481,"journal":{"name":"Bulletin of the Hospital for Joint Disease (2013)","volume":" ","pages":"43-46"},"PeriodicalIF":0.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13290032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367319","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":"War, what is it good for? orthopedics the evolution of orthopedic surgery through armed conflict.","authors":"Matthew L Duenes, Kenneth A Egol","doi":"10.1097/bh9.0000000000000049","DOIUrl":"10.1097/bh9.0000000000000049","url":null,"abstract":"<p><strong>Abstract: </strong>Orthopedic surgery has advanced through the demands of managing complex musculoskeletal trauma on the battlefield. The purpose of this review was to briefly summarize how successive conflicts have shaped principles and practice of orthopedic surgery-from wound management, fracture stabilization, limb salvage, prosthetics, and trauma systems-and to outline possible orthopedic input in future warfare and human exploration. From early empiricism in the Revolutionary War to organized military hospital systems in the Civil War, to the use of antibiotics and internal fixation in World War II, each armed conflict has introduced core orthopedic tenets and innovations. World War I introduced improvements in wound care and early femoral fracture stabilization (Thomas splint), dramatically reducing mortality. World War II brought on the innovation of Küntscher intramedullary nailing and the birth of hand surgery. The Korean and Vietnam wars accelerated evacuation and echeloned care, laying groundwork for damage control orthopedics. In Iraq and Afghanistan, tiered trauma systems and prospective outcomes data reframed limb salvage vs. amputation; contemporary prosthetics (targeted muscle reinnervation, myoelectric control, osseointegration) further expanded function. Future domains-remote warfare and space medicine-pose distinct challenges and research imperatives. Orthopedic surgery's evolution is inseparable from the history of war. Lessons in physiology-first care, principles of bony fixation, wound care, infection control, and multidisciplinary rehabilitation continue to inform modern civilian practice and will be essential for managing complexing injuries in emerging environments. hand, rehabilitation, spine, trauma.</p>","PeriodicalId":72481,"journal":{"name":"Bulletin of the Hospital for Joint Disease (2013)","volume":" ","pages":"59-67"},"PeriodicalIF":0.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13290041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147950335","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":"Rethinking preservation: The case for timely hip arthroplasty in young adult hip pathology.","authors":"Utkarsh Anil, Ran Schwarzkopf","doi":"10.1097/bh9.0000000000000052","DOIUrl":"10.1097/bh9.0000000000000052","url":null,"abstract":"<p><strong>Abstract: </strong>Young adults with hip pathology present a therapeutic challenge requiring careful consideration of treatment options that will affect decades of future function. Historically, the orthopedic community has maintained a strong preservation bias, often pursuing multiple preservation attempts before considering arthroplasty because of concerns about implant longevity. This narrative review critically examines current evidence regarding hip preservation surgery and total hip arthroplasty in young adults to inform evidence-based decision making. The literature reveals that successful hip preservation requires a narrow therapeutic window defined by preserved articular cartilage, accurate structural diagnosis, and appropriate patient selection. Clinical and imaging predictors, including joint space narrowing below 2 mm, Tönnis grade 2 or higher osteoarthritis, bipolar chondral damage, and mechanical symptoms, reliably identify patients unlikely to benefit from preservation. Concurrently, advances in bearing surfaces-particularly highly cross-linked polyethylene and ceramics-have dramatically improved arthroplasty outcomes, with contemporary data demonstrating 10-year survivorship exceeding 90% in patients younger than 55 years. Modern total hip arthroplasty delivers consistent pain relief and functional improvement that often exceeds preservation outcomes in appropriately indicated patients. This review proposes a decision-making framework emphasizing that treatment selection should be guided by objective disease characteristics rather than age-based algorithms, optimizing long-term outcomes while minimizing unnecessary morbidity.</p>","PeriodicalId":72481,"journal":{"name":"Bulletin of the Hospital for Joint Disease (2013)","volume":" ","pages":"28-36"},"PeriodicalIF":0.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13290047/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965810","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":"Exploring the potential of artificial intelligence and machine learning in orthopaedic surgery.","authors":"Leah J G Cohen, Jie J Yao, Claudette Lajam","doi":"10.1097/bh9.0000000000000055","DOIUrl":"10.1097/bh9.0000000000000055","url":null,"abstract":"<p><strong>Abstract: </strong>Artificial intelligence (AI) has emerged as one of the most transformative technological forces in modern medicine, with rapidly expanding applications throughout medicine including orthopaedic surgery. Recent advances in machine learning, deep learning, and natural language processing have accelerated the development of AI-enabled tools with direct relevance to orthopaedic practice. This review provides a basic overview of how AI works and current uses of AI in medicine and orthopaedics across multiple domains including documentation efficiency, patient communication, operating room optimization, imaging analysis, rehabilitation, education, and research, and briefly describes AI's limitations, ethical and legal concerns, and cost. These applications are all already being used in orthopaedics or have clear direct translation. AI holds considerable potential to augment orthopaedic care by streamlining workflows, enhancing decision-making, and improving patient outcomes. However, responsible integration requires rigorous validation, transparency, clinician oversight, and ongoing education. As AI adoption accelerates, orthopaedic surgeons must critically evaluate emerging technologies to ensure that.</p>","PeriodicalId":72481,"journal":{"name":"Bulletin of the Hospital for Joint Disease (2013)","volume":" ","pages":"47-52"},"PeriodicalIF":0.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13290034/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148260741","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":"Surgery should not hurt: A look into the ergonomics of orthopedics.","authors":"Brittany DeClouette, Ekenedilichukwu Nwakoby, Alexander Golant","doi":"10.1097/bh9.0000000000000050","DOIUrl":"10.1097/bh9.0000000000000050","url":null,"abstract":"<p><strong>Abstract: </strong>Orthopedic surgery is among the most physically demanding medical specialties, exposing surgeons to prolonged static postures, repetitive high-force movements, and heavy equipment that significantly increase the risk of musculoskeletal injury. Historical perspectives reveal that ergonomic principles have been recognized since antiquity, yet modern surgical practice continues to neglect them, resulting in high rates of pain, disability, and even premature retirement among orthopedic surgeons. Recent survey data demonstrate that musculoskeletal disorders affect surgeons across all subspecialties, with the lumbar spine, neck, and shoulders most frequently involved, and that these injuries directly influence surgical performance, career longevity, and workforce sustainability. Evidence-based strategies-including intraoperative postural awareness, optimized table and monitor positioning, ergonomic instrument design, microbreaks, targeted physical conditioning, and adoption of assistive technologies-have been shown to mitigate injury risk without compromising operative efficiency. Reframing ergonomics as a cornerstone of operative excellence is essential not only for surgeon well-being but also for ensuring high-quality, sustainable patient care in the future.</p>","PeriodicalId":72481,"journal":{"name":"Bulletin of the Hospital for Joint Disease (2013)","volume":" ","pages":"53-58"},"PeriodicalIF":0.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13290056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147790521","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":"Revision hip arthroscopy: Current concepts and considerations in diagnosis, evaluation, and management.","authors":"Nicole Rynecki Baker, Daniel J Kaplan, Spencer Stein, Thomas Youm","doi":"10.1097/bh9.0000000000000047","DOIUrl":"10.1097/bh9.0000000000000047","url":null,"abstract":"<p><strong>Abstract: </strong>Hip arthroscopy has grown exponentially over the past decade, with a parallel rise in revisions, underscoring the importance of refined patient selection and diagnostic accuracy. This review outlines the most common causes of failure after primary hip arthroscopy and provides a framework for evaluation, imaging, and management. Notably, differentiating between impingement and instability is crucial, as misclassification can worsen outcomes. Revision procedures may provide clinically meaningful improvement in patient-reported outcomes and delay total hip arthroplasty in well-selected patients. However, recognizing when to shift from preservation to replacement is key to optimizing outcomes.</p>","PeriodicalId":72481,"journal":{"name":"Bulletin of the Hospital for Joint Disease (2013)","volume":" ","pages":"96-104"},"PeriodicalIF":0.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13290055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635139","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":"Winning the arms race: optimizing upper extremity amputations and advancements in prosthetic technology: erratum.","authors":"William Neal, Megan R Donnelly, Omri B Ayalon","doi":"10.1097/bh9.0000000000000042","DOIUrl":"10.1097/bh9.0000000000000042","url":null,"abstract":"","PeriodicalId":72481,"journal":{"name":"Bulletin of the Hospital for Joint Disease (2013)","volume":" ","pages":"26"},"PeriodicalIF":0.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147357499","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}