Literature

Evidence based literature that is truly important to your orthopaedic clinical practice.

Every month, JBJS publishes a Specialty Update—a review of the most pertinent and impactful studies published in the orthopaedic literature during the previous year in 13 subspecialties. Click here for a collection of all OrthoBuzz Specialty Update summaries. This month, Derek Kelly, MD, co-author of the February 15, 2017 Specialty Update on Pediatric Orthopaedics, selected the five most clinically compelling findings from among the 60 studies summarized in the Specialty Update. Upper-Extremity Trauma —A systematic review of eight randomized studies comparing splinting with casting for distal radial buckle fractures confirmed that splinting was superior in function, cost, and convenience, without an increased complication rate.1 Lower-Extremity Trauma —A review of the treatment of 361 pediatric diaphyseal femoral fractures before and after the 2009 publication of AAOS clinical guidelines for treating such fractures revealed that the guidance had little impact on the treatment algorithm in one pediatric hospital.

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Anterior cruciate ligament (ACL) reconstruction is a common and predominantly successful surgical intervention.  But are there any specific preoperative patient characteristics or intraoperative surgical decisions that lead to better or worse outcomes? And can understanding brain function changes of patients after ACL reconstruction reveal how to improve postsurgical rehabilitation to further enhance outcomes? These intriguing and clinically applicable questions will be addressed on Tuesday, April 4, 2017 at 8:00 PM EDT during a complimentary* LIVE webinar, hosted jointly by The Journal of Bone & Joint Surgery (JBJS) and the Journal of Orthopaedic & Sports Physical Therapy (JOSPT).

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This monumental volume, of which K. Mohan lyer is the editor, was written by several authors. It contains more than 500 pages and provides comprehensive cover of the hip joint in 15 broad chapters. After a rather brief embryological and anatomical description, the author studies the biomechanics defining the forces applied to the femoral head in particular. Each chapter ends with a rich reference list.  

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JBJS, Inc., is pleased to announce the development ofJBJS Clinical Classroom on NEJM Knowledge+. Using research-proven, state-of-the-art adaptive learning technology developed by Area9 and employed by NEJM Knowledge+, JBJS Clinical Classroom will provide orthopaedic surgeons with a personalized learning experience at any stage in their career. Users will learn by answering case-based, short-form, and fill-in-the-blank questions based on JBJS gold-standard content, enhanced  by technology that continuously adapts to learners’ goals, pace, and knowledge gaps. JBJS Clinical Classroom on NEJM Knowledge+ will be available before the end of 2017. Share this story: FacebookLinkedInTwitter

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In the March 1, 2017 edition of The Journal, Eliezer et al. report on their experience managing femoral fractures in a major treatment center in Dar es Salaam, Tanzania, one of many low-resource locations around the world. The authors tracked one-year outcomes for 331 femoral fractures in 329 patients. The vast majority of those fractures were treated with intramedullary nails, with open reduction and without intraoperative imaging. The actual reoperation rate for nails was 3.4%, with infection being the most common reason for reoperation. Eliezer et al.

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In 2015, JBJS launched an“article exchange” collaboration with the Journal of Orthopaedic & Sports Physical Therapy (JOSPT) to support multidisciplinary integration, continuity of care, and excellent patient outcomes in orthopaedics and sports medicine. During the month of March 2017, JBJS and OrthoBuzz readers will have access to the JOSPT article titled “The Effectiveness of Manual Therapy Versus Surgery on Self-reported Function, Cervical Range of Motion, and Pinch Grip Force in Carpal Tunnel Syndrome: A Randomized Clinical Trial.” In that clinical trial of 100 women with carpal tunnel syndrome randomized to receive either manual therapy or endoscopic decompression/release, researchers found that both interventions had similar outcomes in self-reported function and pinch-tip grip force at 3, 6, and 12 months of follow-up.

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OrthoBuzz occasionally receives posts from guest bloggers. This guest post comes from Chad Krueger, MD, in response to a recent study in the Annals of Internal Medicine. Few disease processes are as prevalent within the United States as hip and knee osteoarthritis (OA).  While OA is commonly thought to be a disease of older age, the reality is that over half of all individuals with knee arthritis are younger than 65. While some of those individuals will eventually go on to have a knee arthroplasty, before that, most OA patients try various other treatments in an effort to decrease pain and increase function.

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On Thursday, February 23, 2017, at 6:00 pm EST, the Own the Bone initiative will offer a webinar titled “Atypical Fractures and Osteoporosis Medication Considerations” James Goulet, MD, from the University of Michigan, will discuss atypical fractures and other rare outcomes of the use of osteoporosis medication, including what to look for and how to treat these occurrences.  He will also address drug holidays, and how and when to continue treatment on these complex cases. The American Orthopaedic Association (AOA) developed Own the Bone as a quality improvement program to address the osteoporosis treatment gap and prevent subsequent fragility fractures.

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Every month, JBJS publishes a Specialty Update—a review of the most pertinent and impactful studies published in the orthopaedic literature during the previous year in 13 subspecialties. Click here for a collection of all OrthoBuzz Specialty Update summaries. This month, Gwo-Chin Lee, MD, author of the January 18, 2017 Specialty Update on Adult Reconstructive Knee Surgery, selected the five most clinically compelling findings from among the more than 100 studies summarized in the Specialty Update. Nonoperative Knee OA Treatment —Weight loss is one popular nonoperative recommendation for treating symptoms of knee osteoarthritis (OA). An analysis of data from  the Osteoarthritis Initiative found that delayed progression of cartilage degeneration, as revealed on MRI and clinical symptoms, positively correlated with BMI reductions >10% over 48 months.

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OrthoBuzz regularly brings you a current commentary on a “classic” article from The Journal of Bone & Joint Surgery. These articles have been selected by the Editor-in-Chief and Deputy Editors of The Journal because of their long-standing significance to the orthopaedic community and the many citations they receive in the literature. Our OrthoBuzz commentators highlight the impact that these JBJS articles have had on the practice of orthopaedics. Please feel free to join the conversation by clicking on the “Leave a Comment” button in the box to the left.

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