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In NYU Langone Orthopedics Journal Watch, orthopaedic surgeons from NYU Langone Health highlight significant studies in their subspecialty areas and provide commentary on the clinical relevance of this research to everyday practice. Journal Watch is a collaboration of the International Congress for Joint Reconstruction and the Department of Orthopedics at NYU Langone Health, with content developed exclusively for ICJR.net.

How Common Is Late Detection of DDH in Children?

A study from the UK indicates that the incidence of late-detected developmental dysplasia of the hip hasn’t changed in 50 years. Is it time to implement universal ultrasound in newborns to improve early detection and intervention?
By Neha Jejurikar MD, Pablo Castañeda MD - Posted 17 Jun 2019

Should Rotator Cuff Surgery Be Delayed In Patients Receiving Shoulder Injections?

A corticosteroid injection within 6 months of rotator cuff repair puts patients at a significantly increased risk for revision repair, according to a recently published study.
By Kirk A. Campbell MD, Jonathan D. Haskel MD - Posted 15 Apr 2019

Challenging the Lewinnek Safe Zone

Acetabular cup placement in the functional safe zone, as defined by the combined sagittal index, may be a better indicator of hip stability in total hip arthroplasty patients, according to a recently published study.
By Emilie R. C. Williamson MD, Ajit J. Deshmukh MD - Posted 18 Mar 2019

The Role of Prognostic Scoring Systems in Patients with Vertebral Metastases

A recently published study highlights the growing need for a reproducible, accurate, and broadly applicable method of identifying patients with spinal metastases who are appropriate candidates for surgical intervention.
By Timothy Rapp MD, Nicholas Shepard MD - Posted 18 Feb 2019

Comparing Treatment Options for Cervical Radiculopathy

In a recently published study, Neck Disability Index scores and short-term clinical outcomes were found to be similar among the 3 anterior cervical procedures typically used to manage patients with single-level radiculopathy.
By Peter Passias MD, Laviel Fernandez MD - Posted 24 Jan 2019

Should Hemiarthroplasty Be the Index Procedure in Younger Patients with Shoulder Pathology?

Dr. Timothy Reish and Dr. Hunter Hamilton comment on a recently published study on revision of failed hemiarthroplasty to anatomic total shoulder arthroplasty, making the case that hemiarthroplasty may actually be more beneficial than shoulder replacement as the first surgery in a younger patient population.
By D. Hunter Hamilton MD, Timothy G. Reish MD - Posted 10 Dec 2018

Why Do Some Recreational Runners Develop Overuse Injuries?

A recently published study suggests that many factors long believed to put runners at risk for overuse injury – such as flexibility, lower extremity strength, and weekly mileage – may not actually have anything to do with injury.
By Elizabeth Barchi MD, Dennis Cardone DO - Posted 15 Oct 2018

Can CAS Improve Outcomes in Knee Replacement?

A recently published study found statistically significant improvement in some patient-reported outcome measures for computer-assisted versus conventionally instrumented total knee replacement. But is that enough reason for cautious optimism?
By William J. Long MD FRCSC, William Petersen MD MPH - Posted 17 Sep 2018

What Is the Episode-of-Care Cost for a Distal Radius Fracture?

Dr. Anthony Sapienza discusses the implications of a recently published study showing wide variation in cost across 4 episode-of-care scenarios, noting that bundled payment models would help to decrease the discrepancies.
By Anthony Sapienza MD - Posted 13 Aug 2018

Is the Radiation Level a Concern During Fixation of Pediatric SCH Fractures?

A recently published study suggests that in the operating room, the radiation level children are exposed to during surgery for supracondylar humerus fractures is about the same as normal daily background radiation. Dr. Rivka Ihejirika and Dr. Alice Chu review the study.
By Alice Chu MD, Rivka C. Ihejirika MD - Posted 16 Jul 2018

Fixing the Syndesmosis: Suture Button Versus Screws

Dr. Nicole Stevens and Dr. Philipp Leucht comment on the results of a randomized controlled trial comparing anatomic reduction of the syndesmosis with these 2 methods of fixation.
By Philipp Leucht, Nicole Stevens MD, MD - Posted 18 Jun 2018

Treatment Recommendations for Chondrosarcomas of the Pelvis

A recently published study suggests that surgery with wide resection margins is the preferred option for managing conventional primary central chondrosarcoma of the pelvis, regardless of lesion grade.
By Timothy Rapp MD, Mathew J. Hamula MD - Posted 26 May 2018

Should Surgeons Debride Chondral Lesions Found During Arthroscopic Partial Meniscectomy?

Maybe not, according to a recently published study that reported no benefit at 1 year for partial meniscecomy plus debridement versus partial meniscectomy alone. And, debridement may even hamper recovery in the short term.
By Mehul R. Shah MD - Posted 21 May 2018

Comparing Costs and Complications Associated with Primary versus Conversion THA

In a study accepted for publication, conversion total hip arthroplasty (THA) was found to be associated with increased costs and more perioperative complications than primary THA. These findings suggest that the MS-DRG for THA should be reclassified to prevent the expense disparity from becoming a barrier to patient care.
By Ajit J. Deshmukh MD, Jessica M. Hooper MD - Posted 23 Apr 2018

Vertebral Body Stapling: A Novel Treatment of Moderate Idiopathic Scoliosis

Vertebral body stapling is a safe and effective method for treating moderate adolescent idiopathic scoliosis. A recent retrospective study has identified variables that could potentially determine appropriate candidates for this procedure.
By Peter G. Passias MD, Charles Wang MD, Shaleen Vira MD - Posted 19 Feb 2018

Why Do Some RTSA Patients Have Poor Outcomes?

A recently published study examines potential risk factors for poor recovery of active anterior elevation after reverse total shoulder arthroplasty. But the most valuable pearls for surgeons may be the identification of specific surgical techniques that were used in the poorly performing patient population.
By Daniel H. Wiznia MD, Timothy G. Reish MD - Posted 22 Jan 2018

More Support for Non-Operative Treatment of Achilles Tendon Rupture

A recently published study found no significant differences in functional outcome in operative versus non-operative treatment of patients with acute Achilles tendon rupture when surgeons used the same functional bracing protocol for both groups of patients.
By Kenneth J. Mroczek MD - Posted 09 Jan 2018

Examining the Link Between Concussion and Abnormal Menstruation

A recently published study showed menstrual abnormalities in adolescent and young female patients who had sustained a sport-related concussion – which could have implications for future bone health. But with the study’s strict inclusion criteria, the findings may have limited applicability.
By Elizabeth Barchi MD, Dennis Cardone DO - Posted 18 Dec 2017

Patient Selection in Outpatient Total Joint Arthroplasty

A recently published study recommends a risk stratification scoring system to determine if patients are appropriate candidates for outpatient surgery. What are the pros and cons of this scoring system?
By William J. Long MD FRCSC, Robert Borzio MD - Posted 04 Dec 2017

When Can Patients Safely Drive after Surgery for Distal Radius Fractures?

A recently published study sought to answer this question, with researchers putting patients through a series of tests on a closed driving course.
By Anthony Sapienza MD - Posted 27 Nov 2017

Comparing Methods for Correcting LLD in Pediatric Patients

In the right patients, either percutaneous physeal epiphysiodesis or 8-plate epiphysiodesis can effectively treat limb length discrepancy. But according to a recent study, in some cases, percutaneous treatment is preferred.
By Alice Chu MD, David P. Taormina MD - Posted 13 Nov 2017

Orthopaedic Trauma Patients and the Opioid Epidemic

Dr. Alexander Crespo and Dr. Philipp Leucht comment on a recently published study that quantified discharge prescriptions for opioids in an orthopaedic trauma population and defined which patients were at risk for opioid abuse months after discharge.
By Philipp Leucht MD, Alexander Crespo MD - Posted 22 Oct 2017

PRP Injections May Be an Effective Treatment for Early Knee OA

A recently published study compared outcomes of platelet-rich plasma injections with those of hyaluronic acid injections. Dr. Mehul Shah reviews the study’s key findings.
By Mehul R. Shah MD - Posted 06 Oct 2017

Comparing the Risk of Early Failure in THA by Surgical Approach

A recently published study suggests that the direct anterior approach is overall associated with more early revisions, in particular for early femoral loosening, compared with the lateral or posterior approach. Larger studies are needed to substantiate this study’s conclusions.
By Omar A. Behery MD MPH, Ajit Deshmukh MD - Posted 24 Sep 2017

A Solution for Reducing Tumor Size in Giant Cell Tumor of the Bone

A recently published paper asserts that medical therapy with the monoclonal antibody denosumab should be part of a multimodal treatment strategy for complicated giant cell tumor of the bone.
By Timothy Rapp MD, Vinay K. Aggarwal MD - Posted 11 Sep 2017

Single-Stage Revision in Shoulder Arthroplasty Patients Positive for Propionibacterium

The results of a recently published study suggest that a more-invasive 2-stage revision may not be necessary for patients with a failed shoulder arthroplasty and multiple positive cultures for a Propionibacterium infection.
By Kevin Chen MA, Samir Nayyar MD, Timothy G. Reish MD - Posted 20 Mar 2017

A Viable Option for Treating Multilevel Cervical Degenerative Disc Disease

A recently published randomized controlled trial demonstrates improved neurologic outcomes in patients treated with total disc replacement versus the gold standard of anterior cervical discectomy and fusion.
By Yuhang Sun MD, Peter Passias MD, Shaleen Vira MD - Posted 06 Mar 2017

Are There Gender Differences in Outcomes of Surgery for Chronic Ankle Instability?

The authors of a recently published study hypothesized that clinical and radiographic outcomes would be significantly different in male and female patients undergoing a modified Brostrum procedure. Were they right?
By Kenneth J. Mroczek MD - Posted 16 Jan 2017

Evaluating Outcomes of Compartment Release for CECS

A recent study of adolescents who had surgery for chronic exertional compartment syndrome provides insight into the important differences between adolescent and adult patients - including the timing of surgery following presentation - that could improve outcomes in the younger population.
By Warren K. Young MD - Posted 19 Dec 2016

Does Quantity Equal Quality? The Volume-Outcome Relationship in TKA in the Age of the Bundle

A recent study examined the effect of surgical volume on 90-day complication rates, 90-day mortality rates, and 2-year revision rates among total knee arthroplasty patients operated on in New York state – valuable information to have in the era of bundled payments.
By William J. Long MD FRCSC, Mitchell C. Weiser MD MEng - Posted 21 Nov 2016

Identifying Hand Surgery Patients At Risk for Prolonged Opioid Use

Dr. Anthony Sapienza reviews the findings of a study of more than 77,000 opioid-naïve adult patients who underwent an elective or trauma-related hand surgery procedure. Which patient factors and which procedures were associated with filling an opioid prescription months after surgery?
By Anthony Sapienza MD - Posted 24 Oct 2016

Is VDRO Alone Appropriate Treatment for Hip Dysplasia in Cerebral Palsy?

A new study shows that patient age and level of gross motor function are important factors in the effectiveness of varus derotational shortening osteotomy alone or with concomitant acetabular osteotomy.
By Olga Solovyova MD - Posted 19 Sep 2016

Weight-Bearing Following ORIF of Unstable Ankle Fractures

The results of a recently published study challenge the status quo on the timing of return to weight-bearing following open reduction and internal fixation of this common orthopaedic injury.
By Philipp Leucht MD, Nicole Stevens MD - Posted 06 Aug 2016

Are Corticosteroid Injections Too Risky for Knee Arthroscopy Patients?

A recently published study of Medicare patients undergoing knee arthroscopy found that those who received an intraoperative corticosteroid injection were at higher risk for infection. Can this finding be generalized to the typical younger, healthier knee arthroscopy patients?
By Mehul R. Shah MD - Posted 18 Jul 2016

The Link Between Hip Injections and PJI after THA

A recently published study suggests that the time period between intraarticular hip injection and total hip arthroplasty influences the possibility that the patient will develop a periprosthetic joint infection after the joint replacement procedure.
Posted 20 Jun 2016

Evaluating Fracture Risk in Metastatic Femoral Lesions

A recently published study demonstrated that CT-based structural rigidity analysis is superior to the traditional Mirels score in predicting which patients are at greatest risk for pathologic fracture.
Posted 18 May 2016

Not All Lumbar Stenosis Patients Are Candidates for Surgery

A subgroup analysis of the SPORT trial identifies patients who are more likely to have a poor outcome and require reoperation following surgical intervention for a diagnosis of lumbar spinal stenosis.
Posted 27 Apr 2016

Wound Irrigation for Open Fractures

Results of the elegantly designed, well-powered, multi-national FLOW trial provide insights into the type of irrigant and the pressure that should be used when irrigating and debriding an open fracture wound.
Posted 13 Apr 2016

Investigating a Novel Biologic to Enhance Rotator Cuff Repair

A randomized controlled trial compared healing rates in arthroscopic double-row rotator cuff repair with and without the use of leucocyte- and platelet-rich fibrin.
Posted 22 Mar 2016

Lower Risk of Death with an Ankle Fracture than with a Hip Fracture

A newly published study shows that compared with hip fracture, an ankle fracture does not appear to be a sentinel event for older patients.
Posted 17 Feb 2016

The Value of Knee Injury Prevention Programs

A systematic review and meta-analysis of RCTs adds to the literature on the usefulness of programs to prevent knee injuries in soccer players, showing that these programs most likely aid in preventing ACL injuries.
Posted 18 Jan 2016

A Surgeon’s Transition from Posterior to Direct Anterior Approach

This single-surgeon study suggests that when adopting the direct anterior approach, the use of this intraoperative imaging may help diminish errors that can occur during the learning curve.
Posted 21 Dec 2015

Outcomes of PIP Joint Arthroplasty

With advances in implant design and materials, more patients can now undergo proximal interphalangeal arthroplasty for arthritis. But more primary procedures means more revisions.
Posted 16 Nov 2015

Does Scapular Stabilization Benefit Children with Obstetric Brachial Plexus Palsy?

A retrospective review suggests scapular stabilization procedures can improve range of motion and scapular dimensions. However, the clinical significance of improved scapular dimensions is yet to be determined.
Posted 19 Oct 2015

CT-based Classification System Has Prognostic Value for Calcaneal Fractures

A long-term follow-up study by Sanders et al demonstrates that their classification system can reliably predict outcomes of displaced, intraarticular calcaneal fractures. It also raises important issues to address with further research.
Posted 23 Sep 2015

Adding Epi to Irrigation Fluid May Help Visualization in Shoulder Arthroscopy

But it is not known if this improved visualization is clinically significant. And the use of epinephrine carries the risk of cardiac events.
Posted 17 Aug 2015

Which Patients Are at Greatest Risk for Readmission after THA?

A recently published multi-center study provides guidance on modifiable risk factors orthopaedic surgeons can address prior to surgery to reduce the chances of patients being readmitted following total hip arthroplasty.
Posted 20 Jul 2015

Diluted Epinephrine Injection Helps Reduce Blood Loss in Primary TKA

In this study, patients who received topical tranexamic acid plus diluted epinephrine had a significantly lower total blood loss, hidden blood loss, and transfusion rate than patients who received topical tranexamic acid alone.
Posted 19 Jun 2015

Study Identifies Risk Factors for 30-day Readmission in Older Hip Fracture Patients

And unfortunately, many factors associated with readmission and increased length of stay are outside the healthcare provider’s control.
Posted 19 Jun 2015

Reducing PJI Can Have a Big Impact on Costs Associated with THA

With the advent of bundled payment models, the importance of finding ways to maximize outcomes while decreasing overall cost is more important than ever before.
Posted 19 Jun 2015

3D Imaging and Templating May Improve Glenoid Positoning in Anatomic TSA

This study serves as an encouraging step toward improving results and longevity of anatomic total shoulder arthroplasty in patients with osteoarthritis.
Posted 19 Jun 2015

Presoaking ACL Grafts with a Vancomycin Solution May Significantly Decrease Infection Rates

The researchers theorized that the graft would act as a reservoir of the antibiotic, which would elute into the knee over a period of time.
Posted 19 Jun 2015

Classic Article: A Treatment Option for SCFE with Good Clinical, Radiographic Outcomes

The treatment focuses on a gentle reduction maneuver with the aid of the surgeon’s finger tip plus Kirschner wire fixation in situ crossing the physis.
Posted 18 Jun 2015

Does PJI after TJA Put Patients At Risk for Another PJI after Replacement of a Different Joint?

Surgeons should use caution and thoroughly counsel patients who had a previous infected total joint arthroplasty when considering a subsequent joint replacement procedure.
Posted 18 Jun 2015

Immediate Weight-bearing in Achilles Rupture Treatment Does Not Harm Clinical Outcomes

In addition, patients who were allowed immediate weight-bearing in the first 8 weeks reported a significant health-related quality of life versus those who were on the delayed weight-bearing protocol.
Posted 18 Jun 2015

Octogenarians Can Benefit from Surgery for Lumbar Stenosis and Degenerative Spondylolisthesis

This analysis of data from the SPORT study shows surgery has the potential to significantly improve quality of life for older patients without increased surgical risk.
Posted 18 Jun 2015

In Advanced Kienbock Disease, SCA Improves Grip Strength at the Expense of Wrist ROM

The results of this study will allow hand surgeons to appropriately counsel patients and guide expectations when a scaphocapitate limited wrist fusion is being considered.
Posted 18 Jun 2015
  • SECTION EDITOR

    CONTRIBUTORS

    ADULT RECONSTRUCTIVE SURGERY

    SPORTS MEDICINE – ORTHOPAEDIC SURGERY

    SPORTS MEDICINE – PRIMARY CARE

    SHOULDER AND ELBOW SURGERY

    TRAUMA AND FRACTURE SURGERY

    FOOT AND ANKLE SURGERY

    HAND SURGERY

    SPINE SURGERY

    ORTHOPAEDIC ONCOLOGY

    PEDIATRIC ORTHOPAEDIC SURGERY