Surgery for Rotator Cuff Tears: The Better of Two Goods
We’re all familiar with the phrase “lesser of two evils,” but I’m an optimist and prefer the phrase “better of …
Vancomycin Powder May Thwart Spinal Fusion
Prompted by relatively high infection rates associated with surgical treatment of pediatric spinal conditions such as scoliosis and spinal-deformity surgery …
Who’s at Risk for Prolonged Opioid Use after THA?
Much has been written in recent years about the orthopaedist’s predilection for prescribing opioids, most of which has been aimed …
Stop Adding Antibiotics to Irrigation Solutions
The rate of adoption of knowledge gleaned from multiple well-done randomized clinical trials into medical practice is disappointingly slow. This …
Plate–Tendon Contact: How Important Is It?
There are few things more discouraging for an orthopaedic surgeon than a late postoperative complication after what was an otherwise …
Let’s Continue Improving Hip-Implant Longevity
In October 2017, JBJS published results from a 10-year randomized controlled trial by Devane et al. documenting the dramatic …
Morbidly Obese Patients Should Lose ≥20 Pounds Prior to TKA
The obesity epidemic continues throughout much of the developed world. Among the morbidly obese (BMI ≥40 kg/m2), we …
How Many X-Rays Does It Take to Treat a Distal Radial Fracture?
We orthopaedists obtain radiographs for many reasons—to diagnose an unknown problem, to determine the progress of healing, and occasionally because …
Polytrauma Patients Face Cancer Risk from Imaging Radiation
Orthopaedic surgeons work with radiation in some capacity almost every day. We would struggle to provide quality patient care if …