Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Jan 2022
Representation of Women in Academic Orthopaedic Leadership: Where Are We Now?
Women have long been underrepresented in orthopaedic surgery; however, there is a lack of quantitative data on the representation of women in orthopaedic academic program leadership. ⋯ Proportional representation of women in orthopaedics is essential for quality musculoskeletal care, and proportional representation in leadership may help encourage women to apply to the specialty. Our findings suggest movement in an improving direction in this regard, though more progress is needed.
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Clin. Orthop. Relat. Res. · Dec 2021
How Did Coronavirus-19 Impact the Expenses for Medical Students Applying to An Orthopaedic Surgery Residency in 2020 to 2021?
Orthopaedic surgery is one of the most competitive specialties for residency applicants. For the 2021 residency match, the coronavirus-19 pandemic introduced complexity for programs and applicants because away rotations were limited and in-person interviews were cancelled. This may have changed the landscape in terms of expenses for candidates in important ways, but this topic has been insufficiently studied. ⋯ Level IV, economic analysis.
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Clin. Orthop. Relat. Res. · Dec 2021
Does Hypothetical Centralization of Revision THA and TKA Exacerbate Existing Geographic or Demographic Disparities in Access to Care By Increased Patient Travel Distances or Times? A Large-database Study.
Higher hospital volume is associated with lower rates of adverse outcomes after revision total joint arthroplasty (TJA). Centralizing revision TJA care to higher-volume hospitals might reduce early complication and readmission rates after revision TJA; however, the effect of centralizing revision TJA care on patient populations who are more likely to experience challenges with access to care is unknown. ⋯ Level III, prognostic study.
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Clin. Orthop. Relat. Res. · Nov 2021
Comparative Interrupted Time Series Analysis of Long-term Direct Medical Costs in Patients with Hip Fractures and a Matched Cohort: A Large-database Study.
Previous studies on medical costs in patients with hip fractures have focused on medical costs incurred for a short period after the injury. However, patients often had comorbidities before their hip fractures that would have affected medical costs even had they not sustained a fracture. Consequently, these studies may have overestimated the costs associated with hip fractures and did not characterize the duration of increased medical costs adequately. Without knowing this crucial information, it is difficult to craft thoughtful health policy to support these patients' needs. ⋯ Level II, economic analysis.
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Clin. Orthop. Relat. Res. · Nov 2021
Does the Use of Sanders Staging and Distal Radius and Ulna Classification Avoid Mismatches in Growth Assessment with Risser Staging Alone?
Although Risser stages are visible on the same radiograph of the spine, Risser staging is criticized for its insensitivity in estimating the remaining growth potential and its weak correlation with curve progression in patients with adolescent idiopathic scoliosis. Risser staging is frequently accompanied by other skeletal maturity indices to increase its precision for assessing pubertal growth. However, it remains unknown whether there is any discrepancy between various maturity parameters and the extent of this discrepancy when these indices are used concurrently to assess pubertal growth landmarks, which are important for the timing of brace initiation and weaning. ⋯ Level III, diagnostic study.