A new study in JBJS examines noise levels during cast removal. In this post, JBJS Editor-in-Chief Dr. Marc Swiontkowski reflects on the importance of research that explores workplace safety and occupational risks to orthopaedic personnel.
Occupational medicine as a field …
Amputation in the setting of adult brachial plexus injury (BPI) thankfully is less common than in decades past. Notable progress has been made in microvascular surgery and brachial plexus reconstruction.
For some patients with BPI, however, surgical reconstruction is not …
Total ankle arthroplasty (TAA) continues to gain favor as an alternative to ankle arthrodesis. However, periprosthetic osteolysis is a risk factor for a poor outcome. JBJS Editor-in-Chief Dr. Marc Swiontkowski offers this perspective on a new JBJS study examining osteolysis …
The opioid crisis in America has been well documented. The CDC reports that estimated deaths from drug overdoses topped 100,000 in 2021. Estimated deaths involving opioids increased to >80,000 (up from approximately 70,000 in 2020)1.
As noted in …
A new JBJS report compares arthroscopic versus open ankle arthrodesis. The authors analyzed long-term patient-reported outcomes, major complications, and reoperations. JBJS Editor-in-Chief Dr. Marc Swiontkowski shares his perspective on this investigation of ankle fusion procedures.
It was nearly 2 decades …
A new RCT provides Level I evidence for internal vs. external fixation of severe open tibial fractures. High-level data have been lacking until now.
In recent years, the standard of care for such fractures in major trauma centers has evolved …
Hip dysplasia is known to cause early joint deterioration, instability, and pain. It can be corrected with the Bernese periacetabular osteotomy (PAO). However, stability of the hip isn’t only due to osseous coverage. The soft tissues, such as the capsule, …
Hip preservation continues to be a “hot topic.” Many deformities can be addressed surgically by normalizing hip biomechanics and preventing further degeneration. Legg-Calvé-Perthes (LCP) disease presents some of the most complex deformities in reconstructive surgery. Cases may involve both intra-articular …
We want our patients involved in shared decision-making. But do patients feel they are? A report by Alokozai et al. in the May 4, 2022 issue of JBJS indicates we have work to do. And it highlights opportunities for …
