The Journal of bone and joint surgery. American volume
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J Bone Joint Surg Am · Oct 2016
Meaningful Thresholds for the Volume-Outcome Relationship in Total Knee Arthroplasty.
Increasing evidence supports the finding that patients undergoing a total knee arthroplasty with high-volume physicians and hospitals achieve better outcomes. Unfortunately, the existing definitions for high-volume surgeons and hospitals are highly variable and entirely arbitrary. The aim of this study was to identify a set of meaningful hospital and surgeon total knee arthroplasty volume thresholds. ⋯ Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
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J Bone Joint Surg Am · Oct 2016
Functional Outcomes After Operative Management of Extra-Articular Glenoid Neck and Scapular Body Fractures.
This study's purpose was to assess patient-based functional outcomes following open reduction and internal fixation (ORIF) of displaced scapular body and glenoid neck fractures. This series represents a 9-year experience at a level-I trauma center and referral destination for this injury. ⋯ Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
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J Bone Joint Surg Am · Oct 2016
ReviewPost-Interview Communication During Application to Orthopaedic Surgery Residency Programs.
Post-interview communication from residency programs to applicants is common during the U.S. residency match process. The goals of this study were to understand the frequency and type of post-interview communication, how this communication influences applicants' ranking of programs, whether programs use "second-look" visits to gauge or to encourage applicant interest, and the financial costs to applicants of second-look visits. ⋯ Orthopaedic residency programs continue to communicate with applicants in ways that violate the National Resident Matching Program's Match Communication Code of Conduct, and they continue to encourage second-look visits. To improve the integrity of the match, we suggest that programs use no-reply e-mails to minimize influence and pressure on applicants, interviewers and applicants review the Code of Conduct on interview day and provide instructions on reporting violations to the National Resident Matching Program, all post-interview communication be directed to a standardized or neutral third party, and programs actively discourage second-look visits and stop requiring second-look visits.
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J Bone Joint Surg Am · Oct 2016
The Michigan Experience with Safety and Effectiveness of Tranexamic Acid Use in Hip and Knee Arthroplasty.
The efficacy of tranexamic acid (TXA) in reducing blood loss and transfusion requirements in total hip and knee arthroplasty has been well established in small controlled clinical trials and meta-analyses. The purpose of the current study was to determine the risks and benefits of TXA use in routine orthopaedic surgical practice on the basis of data from a large, statewide arthroplasty registry. ⋯ Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.