abstract：BACKGROUND:Studies of primary total joint arthroplasty (TJA) show a correlation between hospital volume and outcomes; however, the relationship of volume to outcomes in revision TJA is not well studied. QUESTIONS/PURPOSES:We therefore asked: (1) Are 90-day readmissions more likely at low-volume hospitals relative to h...

journal_title：Clinical orthopaedics and related research

authors： Ricciardi BF,Liu AY,Qiu B,Myers TG,Thirukumaran CP

更新日期：2019-05-01 00:00:00

abstract：BACKGROUND:Bisphosphonates reduce the risk of fractures associated with osteoporosis but increase the risk of atypical subtrochanteric femur fractures. After unilateral atypical femur fracture, there is risk of contralateral fracture, but the indications for prophylactic fixation are controversial. QUESTIONS/PURPOSES:...

journal_title：Clinical orthopaedics and related research

authors： Jiang SY,Kaufman DJ,Chien BY,Longoria M,Shachter R,Bishop JA

更新日期：2019-03-01 00:00:00

abstract：BACKGROUND:Although use of nonsteroidal antiinflammatory drugs and low-dose irradiation has demonstrated efficacy in preventing heterotopic ossification (HO) after THA and surgical treatment of acetabular fractures, these modalities have not been assessed after traumatic blast amputations where HO is a common complicat...

journal_title：Clinical orthopaedics and related research

authors： Robertson AD,Chiaramonti AM,Nguyen TP,Jaffe DE,Holmes RE,Hanna EL,Rhee JG,Barfield WR,Fourney WB,Stains JP,Pellegrini VD

更新日期：2019-03-01 00:00:00

abstract：BACKGROUND:The importance of spinopelvic motion and its influence on THA stability are well recognized but poorly defined. With dynamic motion, compensatory changes in spine and pelvic positions are required to keep the necessary balance between the axial skeleton and lower extremity to maintain an erect posture. Altho...

journal_title：Clinical orthopaedics and related research

authors： Bernstein J,Charette R,Sloan M,Lee GC

更新日期：2019-02-01 00:00:00

abstract：BACKGROUND:The triangular fibrocartilage complex (TFCC) tear is a common cause of ulnar-side wrist pain; however, its natural course is not well understood. QUESTIONS/PURPOSES:We sought (1) to determine the natural course of TFCC tears without distal radioulnar joint (DRUJ) instability, and (2) to identify the factors...

journal_title：Clinical orthopaedics and related research

authors： Lee JK,Hwang JY,Lee SY,Kwon BC

更新日期：2019-02-01 00:00:00

abstract：BACKGROUND:Unicompartmental knee arthroplasty restores function and improves pain in appropriately selected patients. Scant evidence exists regarding the treatment of periprosthetic joint infection (PJI) after unicompartmental knee arthroplasty (UKA). QUESTIONS/PURPOSES:(1) What was the overall survivorship free from ...

journal_title：Clinical orthopaedics and related research

authors： Hernandez NM,Petis SM,Hanssen AD,Sierra RJ,Abdel MP,Pagnano MW

更新日期：2019-01-01 00:00:00

abstract：BACKGROUND:Prophylactic surgical treatment of the femur is commonly offered to patients with metastatic disease who have a high risk of impending pathologic fracture. Prophylactic fixation is associated with improved functional outcomes in appropriate patients selected based on established criteria, but the perioperati...

journal_title：Clinical orthopaedics and related research

authors： McLynn RP,Ondeck NT,Grauer JN,Lindskog DM

更新日期：2018-12-01 00:00:00

abstract：BACKGROUND:Although morbid obesity is considered a modifiable risk factor for periprosthetic joint infection (PJI), there is no consensus regarding an appropriate threshold for body mass index (BMI) above which a high risk for infection may outweigh the benefits of surgery. QUESTIONS/PURPOSES:(1) Is there a BMI cutoff...

journal_title：Clinical orthopaedics and related research

authors： Shohat N,Fleischman A,Tarabichi M,Tan TL,Parvizi J

更新日期：2018-10-01 00:00:00

abstract：BACKGROUND:As new Patient-Reported Outcomes Measurement Information System (PROMIS) instruments are incorporated into clinical practice, determining how large a change on these instruments represents a clinically relevant difference is important; the metric that describes this is the minimum clinically important differ...

journal_title：Clinical orthopaedics and related research

authors： Hung M,Saltzman CL,Kendall R,Bounsanga J,Voss MW,Lawrence B,Spiker R,Brodke D

更新日期：2018-10-01 00:00:00

abstract：BACKGROUND:Pasteurized autograft is regarded as a biologic reconstructive option for managing bone defects after tumor resection; however, reports on long-term outcomes from large patient series are scarce. Contrary to previous favorable reports, we have observed many patients with failures, in particular as the durati...

journal_title：Clinical orthopaedics and related research

authors： Lee SY,Jeon DG,Cho WH,Song WS,Kim BS

更新日期：2018-09-01 00:00:00

abstract：BACKGROUND:Transforming acidic coiled-coil containing protein 3 (TACC3) is expressed during the mitotic phase of nuclear division and regulates microtubules. Recently, high TACC3 expression in tumor cells of various cancers including soft tissue sarcoma has been reported. However, its role in osteosarcoma remains unkno...

journal_title：Clinical orthopaedics and related research

authors： Matsuda K,Miyoshi H,Hiraoka K,Hamada T,Nakashima K,Shiba N,Ohshima K

更新日期：2018-09-01 00:00:00

abstract：BACKGROUND:Alpha defensin was proposed as a new biomarker in synovial fluid for the diagnostic workup of failed joint prostheses. To our knowledge, no comparative study of the performance of the quantitative enzyme-linked immunosorbent assay (ELISA) and qualitative lateral flow alpha defensin test has been reported. Q...

journal_title：Clinical orthopaedics and related research

authors： Sigmund IK,Yermak K,Perka C,Trampuz A,Renz N

更新日期：2018-08-01 00:00:00

abstract：BACKGROUND:Instability is the most common complication after reverse total shoulder arthroplasty (rTSA). In the native glenohumeral joint, in addition to full dislocations, more subtle forms of instability exist. However, the incidence of more subtle forms of instability, the factors associated with instability, and th...

journal_title：Clinical orthopaedics and related research

authors： Tashjian RZ,Martin BI,Ricketts CA,Henninger HB,Granger EK,Chalmers PN

更新日期：2018-08-01 00:00:00

abstract：BACKGROUND:Large-head metal-on-metal (MoM) bearing hip replacements have been shown to have a much higher rate of revision than other bearing surfaces. However, small-head (≤ 32 mm) MoM bearing surfaces have been in use for many years with several reports of satisfactory mid- to long-term survivorship. It is unclear wh...

journal_title：Clinical orthopaedics and related research

authors： de Steiger R,Peng A,Lewis P,Graves S

更新日期：2018-06-01 00:00:00

abstract：BACKGROUND:Positive-pressure exhaust suits cost more than standard surgical gowns, and recent evidence suggests that they do not decrease infection risk. As a result, some hospitals and surgeons have abandoned positive-pressure exhaust suits in favor of less expensive alternatives. We propose that in addition to their ...

journal_title：Clinical orthopaedics and related research

authors： Makovicka JL,Bingham JS,Patel KA,Young SW,Beauchamp CP,Spangehl MJ

更新日期：2018-06-01 00:00:00

abstract：BACKGROUND:The suture-tendon interface is often the weakest link in tendon-to-tendon or tendon-to-bone repair. Genipin is an exogenous collagen crosslink agent derived from the gardenia fruit that can enhance suture force to failure of the tendon-suture interface. Viable methods for intraoperative clinical delivery of ...

journal_title：Clinical orthopaedics and related research

authors： Camenzind RS,Tondelli TO,Götschi T,Holenstein C,Snedeker JG

更新日期：2018-05-01 00:00:00

abstract：BACKGROUND:The majority of metastatic bone lesions to the femoral bone can be treated without surgery or with minimally invasive intramedullary nailing. In rare patients with extensive metastatic disease to the femur, total femur replacement may be the only surgical alternative to amputation; however, little is known a...

journal_title：Clinical orthopaedics and related research

authors： Sevelda F,Waldstein W,Panotopoulos J,Kaider A,Funovics PT,Windhager R

更新日期：2018-05-01 00:00:00

abstract：BACKGROUND:Health literacy is the ability to obtain, process, and understand health information needed to make appropriate health decisions. The proper comprehension by patients regarding a given disease, its treatment, and the physician's instructions plays an important role in shared decision-making. Studies have dis...

journal_title：Clinical orthopaedics and related research

authors： Roh YH,Koh YD,Kim JO,Noh JH,Gong HS,Baek GH

更新日期：2018-04-01 00:00:00

abstract：BACKGROUND:Although patient-reported outcome measures (PROMs) are helpful to define whether an intervention has improved a patient's status in ways the patient feels are important, they may also serve an empowering educational role; specifically, sharing a patient's scores might help the patient understand his or her p...

journal_title：Clinical orthopaedics and related research

authors： Ackermans L,Hageman MG,Bos AH,Haverkamp D,Scholtes VAB,Poolman RW

更新日期：2018-04-01 00:00:00

abstract：BACKGROUND:High-dose-rate brachytherapy (HDR-BT) and external-beam radiation therapy (EBRT) are two modalities used in the treatment of soft tissue sarcoma. Previous work at our institution showed early complications and outcomes for patients treated with HDR-BT, EBRT, or a combination of both radiation therapy modalit...

journal_title：Clinical orthopaedics and related research

authors： Klein J,Ghasem A,Huntley S,Donaldson N,Keisch M,Conway S

更新日期：2018-03-01 00:00:00

abstract：BACKGROUND:Although aortic balloon occlusion has been shown to reduce blood loss during sacral tumor resections, it has not been validated in larger sacral tumors involving the lower lumbar spine. If such an approach were shown to be associated with less blood loss, it might aid the tumor surgeon in resecting these dif...

journal_title：Clinical orthopaedics and related research

authors： Zhang Y,Guo W,Tang X,Yang R,Yan T,Dong S,Wang S,Zaphiros N

更新日期：2018-03-01 00:00:00

abstract：BACKGROUND:The choice of surgical approach for THA remains controversial. Some studies suggest that the direct anterior approach (DAA) leads to less muscle damage than the miniposterior approach (MPA), but there is little high-quality evidence indicating whether this accelerates recovery, or whether this approach-which...

journal_title：Clinical orthopaedics and related research

authors： Taunton MJ,Trousdale RT,Sierra RJ,Kaufman K,Pagnano MW

更新日期：2018-02-01 00:00:00

abstract：BACKGROUND:Revision THA to treat recurrent instability can itself be complicated by recurrent instability, and when this occurs, this problem is difficult to treat. Some patients' THAs will continue to dislocate despite use of a constrained liner. One option in this difficult-to-treat group is conversion to a dual-mobi...

journal_title：Clinical orthopaedics and related research

authors： Chalmers BP,Pallante GD,Taunton MJ,Sierra RJ,Trousdale RT

更新日期：2018-02-01 00:00:00

abstract：BACKGROUND:The notion that neutral alignment is mandatory to assure long-term durability after TKA has been based mostly on short-film studies. However, this is challenged by recent long-film studies. QUESTIONS/PURPOSES:We conducted this long-film study to know (1) whether the risk of aseptic revision for nontraumatic...

journal_title：Clinical orthopaedics and related research

authors： Lee BS,Cho HI,Bin SI,Kim JM,Jo BK

更新日期：2018-02-01 00:00:00

abstract：BACKGROUND:In 2012, a new Knee Society Knee Scoring System (KSS) was developed and validated to address the needs for a scoring system that better encompasses the expectations, satisfaction, and physical involvement of a younger, more active population of patients undergoing TKA. Revalidating this tool in a separate po...

journal_title：Clinical orthopaedics and related research

authors： Culliton SE,Bryant DM,MacDonald SJ,Hibbert KM,Chesworth BM

更新日期：2018-01-01 00:00:00

abstract：BACKGROUND:Septic arthritis is frequently associated with adjacent infections including osteomyelitis and subperiosteal and intramuscular abscesses. While often clinically indiscernible from isolated septic arthritis, the diagnosis of adjacent infections is important in determining the need for additional surgical inte...

journal_title：Clinical orthopaedics and related research

authors： Welling BD,Haruno LS,Rosenfeld SB

更新日期：2018-01-01 00:00:00

abstract：BACKGROUND:There is growing interest in value-based health care in the United States. Statistical analysis of large databases can inform us of the factors associated with and the probability of adverse events and unplanned readmissions that diminish quality and add expense. For example, increased operating time and hig...

journal_title：Clinical orthopaedics and related research

authors： Bernstein DN,Keswani A,Ring D

更新日期：2017-12-01 00:00:00

abstract：BACKGROUND:Earlier results with porous tantalum acetabular cups in revision THA generally have been favorable. Recently there has been some evidence presented that porous tantalum cups might decrease the risk of rerevision in the setting of revision hip surgery performed owing to prosthetic joint infection (PJI). As th...

journal_title：Clinical orthopaedics and related research

authors： Laaksonen I,Lorimer M,Gromov K,Rolfson O,Mäkelä KT,Graves SE,Malchau H,Mohaddes M

更新日期：2017-12-01 00:00:00

abstract：BACKGROUND:For patients with failed surgical treatment of an infected TKA, salvage operations such as arthrodesis or above-knee amputation (AKA) may be considered. Clinical and institutional factors associated with AKA and arthrodesis after a failed TKA have not been investigated in a large-scale population, and the ut...

journal_title：Clinical orthopaedics and related research

authors： Son MS,Lau E,Parvizi J,Mont MA,Bozic KJ,Kurtz S

更新日期：2017-12-01 00:00:00

abstract：BACKGROUND:Total joint arthroplasty (TJA) has been identified as a procedure with substantial variations in inpatient and postacute care payments. Most studies in this area have focused primarily on the Medicare population and rarely have characterized the younger commercially insured populations. Understanding the inp...

journal_title：Clinical orthopaedics and related research

authors： Pathak S,Ganduglia CM,Awad SS,Chan W,Swint JM,Morgan RO

更新日期：2017-11-01 00:00:00

abstract：BACKGROUND:Minor events that occur in the workplace sometimes are evaluated with MRI, which may reveal age-related changes in the symptomatic body part. These age-related changes are often ascribed to the event. However, evidence of similar or worse pathophysiology in the contralateral joint would suggest that the symp...

journal_title：Clinical orthopaedics and related research

authors： Liu TC,Leung N,Edwards L,Ring D,Bernacki E,Tonn MD

更新日期：2017-10-01 00:00:00

abstract：BACKGROUND:Anterior cruciate ligament (ACL) injures incur over USD 2 billion in annual medical costs and prevention has become a topic of interest in biomechanics. However, literature conflicts persist over how knee rotations contribute to ACL strain and ligament injury. To maximize the efficacy of ACL injury preventio...

journal_title：Clinical orthopaedics and related research

authors： Bates NA,Nesbitt RJ,Shearn JT,Myer GD,Hewett TE

更新日期：2017-10-01 00:00:00

abstract：BACKGROUND:Failure of THA or TKA to meet a patient's expectations may result in patient disappointment and litigation. However, there is little evidence to suggest that surgeons can consistently anticipate which patients will benefit from those interventions. QUESTIONS/PURPOSES:To determine the ability of surgeons to ...

journal_title：Clinical orthopaedics and related research

authors： Ghomrawi HMK,Mancuso CA,Dunning A,Gonzalez Della Valle A,Alexiades M,Cornell C,Sculco T,Bostrom M,Mayman D,Marx RG,Westrich G,O'Dell M,Mushlin AI

更新日期：2017-09-01 00:00:00

abstract：BACKGROUND:Approximately one-third of reduced pediatric distal radius fractures redisplace, resulting in further treatment. Two major modifiable risk factors for loss of reduction are reduction adequacy and cast quality. Closed reduction and immobilization of distal radius fractures is an Accreditation Council for Grad...

journal_title：Clinical orthopaedics and related research

authors： Seeley MA,Fabricant PD,Lawrence JTR

更新日期：2017-09-01 00:00:00

abstract：BACKGROUND:Outcomes after intrasynovial tendon repair are highly variable. An intense inflammatory cascade followed by a delayed healing response can cause adhesion formation and repair-site failure that severely impair the function of repaired digits. No effective remedies exist to fully address these issues. Cell- an...

journal_title：Clinical orthopaedics and related research

authors： Gelberman RH,Linderman SW,Jayaram R,Dikina AD,Sakiyama-Elbert S,Alsberg E,Thomopoulos S,Shen H

更新日期：2017-09-01 00:00:00

abstract：BACKGROUND:The Musculoskeletal Tumor Society (MSTS) scoring system developed in 1993 is a widely used disease-specific evaluation tool for assessment of physical function in patients with musculoskeletal tumors; however, only a few studies have confirmed its reliability and validity. QUESTIONS/PURPOSES:The aim of this...

journal_title：Clinical orthopaedics and related research

authors： Uehara K,Ogura K,Akiyama T,Shinoda Y,Iwata S,Kobayashi E,Tanzawa Y,Yonemoto T,Kawano H,Kawai A

更新日期：2017-09-01 00:00:00

abstract：BACKGROUND:Exchangeable neck stems, defined as those with a dual taper (that is, a modular junction between the femoral head and the femoral neck and an additional junction between the neck and the stem body), were introduced in THA to improve restoration of joint biomechanics (restoring anteversion, offset, and limb l...

journal_title：Clinical orthopaedics and related research

authors： Colas S,Allalou A,Poichotte A,Piriou P,Dray-Spira R,Zureik M

更新日期：2017-08-01 00:00:00

abstract：BACKGROUND:Above-knee amputation (AKA) is a rare but devastating complication of TKA. Although racial disparities have been previously reported in the utilization of TKA, it is unclear whether disparities exist in the rates of AKA after TKA. QUESTIONS/PURPOSES:(1) Which gender-racial group has the highest rate of AKA ...

journal_title：Clinical orthopaedics and related research

authors： George J,Navale SM,Schiltz NK,Siccha M,Klika AK,Higuera CA

更新日期：2017-07-01 00:00:00

abstract：BACKGROUND:Lisfranc (tarsometatarsal joint) injuries are relatively rare, accounting for less than 1% of all fractures, and as many as 20% of subtle Lisfranc injuries are missed at the initial patient presentation. An undiagnosed Lisfranc injury can have devastating consequences to the patient. Therefore, any factor th...

journal_title：Clinical orthopaedics and related research

authors： Podolnick JD,Donovan DS,DeBellis N,Pino A

更新日期：2017-05-01 00:00:00

abstract：BACKGROUND:Readmissions after total joint arthroplasty have become a key quality measure in elective surgery in the United States. The Affordable Care Act includes the Hospital Readmission Reduction Program, which calls for reduced payments to hospitals with excessive readmissions. This policy uses a method to determin...

journal_title：Clinical orthopaedics and related research

authors： Weinberg DS,Kraay MJ,Fitzgerald SJ,Sidagam V,Wera GD

更新日期：2017-05-01 00:00:00