Article
Endocrinology & Metabolism
Celia L. Gregson, David J. Armstrong, Jean Bowden, Cyrus Cooper, John Edwards, Neil J. L. Gittoes, Nicholas Harvey, John Kanis, Sarah Leyland, Rebecca Low, Eugene McCloskey, Katie Moss, Jane Parker, Zoe Paskins, Kenneth Poole, David M. Reid, Mike Stone, Julia Thomson, Nic Vine, Juliet Compston
Summary: The National Osteoporosis Guideline Group (NOGG) has revised the UK guideline for the assessment and management of osteoporosis and the prevention of fragility fractures in postmenopausal women and older men. This comprehensive guideline provides recommendations based on systematic reviews, meta-analyses, and randomized controlled trials. It has been accredited by NICE and endorsed by international organizations.
ARCHIVES OF OSTEOPOROSIS
(2022)
Article
Orthopedics
Sheng Chen, Mingjue Chen, Xiaohao Wu, Sixiong Lin, Chu Tao, Huiling Cao, Zengwu Shao, Guozhi Xiao
Summary: Low back pain (LBP) remains a major global public health issue, with increasing prevalent cases and burden over the past thirty years. Prevalence rates increase with age, peaking at 45-54 years, and are higher in females than males globally. There is a positive association between age-standardized YLD rate and sociodemographic index, indicating a need for increased awareness and preventive measures to reduce the future burden of LBP.
JOURNAL OF ORTHOPAEDIC TRANSLATION
(2022)
Article
Orthopedics
K. D. Allen, L. M. Thoma, Y. M. Golightly
Summary: This narrative review summarizes the current evidence on the prevalence, incidence, and risk factors of osteoarthritis (OA) at the person-level and joint-level. The review highlights the high prevalence of OA worldwide, with older individuals, women, certain racial and ethnic groups, and individuals with lower socioeconomic status being more affected. Obesity and joint injury are identified as modifiable risk factors with the strongest evidence. Other emerging topics with potential associations with OA risk or progression include specific vitamins and diets, high blood pressure, genetic factors, metformin use, bone mineral density, abnormal joint shape and malalignment, and lower muscle strength/quality. The review also emphasizes the heterogeneity of OA and the importance of understanding and defining OA phenotypes. Overall, OA is a prevalent condition with significant global impacts on health outcomes, necessitating efforts to mitigate obesity and joint injury risks.
OSTEOARTHRITIS AND CARTILAGE
(2022)
Review
Orthopedics
J. G. Quicke, P. G. Conaghan, N. Corp, G. Peat
Summary: This article reviews research themes and individual studies in the clinical osteoarthritis field, including COVID-19, disease burden, occupational risk, prediction models, etc. Important findings include the impact of non-steroidal anti-inflammatory drugs on COVID-19 related deaths, the increasing incidence rate of OA, and the relationship between cartilage thickness loss and pain.
OSTEOARTHRITIS AND CARTILAGE
(2022)
Review
Orthopedics
Somaye Kazeminasab, Seyed Aria Nejadghaderi, Parastoo Amiri, Hojjat Pourfathi, Mostafa Araj-Khodaei, Mark J. M. Sullman, Ali-Asghar Kolahi, Saeid Safiri
Summary: This literature review provides an overview of the global epidemiology and trends of neck pain, as well as the psychological and biological risk factors associated with its initiation and progression. The study reveals that long-term stress, lack of social support, anxiety, and depression are important psychological risk factors for neck pain, while certain diseases and demographic characteristics such as age and sex can also influence its occurrence and development.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Review
Orthopedics
Wentao Zhang, Naiguo Wang, Ming Yang, Tianze Sun, Jing Zhang, Yantao Zhao, Na Huo, Zhonghai Li
Summary: The periosteum plays a significant role in bone formation and regeneration by storing progenitor cells and acting as a source of growth factors. Tissue-engineered periosteum, produced using biomimetic methods, can significantly improve the efficacy of bone grafting and scaffold engineering. The development of bionic periosteum in tissue engineering aims to accelerate bone defect repair.
JOURNAL OF ORTHOPAEDIC TRANSLATION
(2022)
Article
Orthopedics
Robert H. Brophy, Yale A. Fillingham
Summary: This article presents an evidence-based clinical practice guideline for the management of knee osteoarthritis without joint replacement surgery. The guideline includes both nonpharmacologic and pharmacologic interventions for symptomatic knee osteoarthritis. It provides 29 recommendations for healthcare professionals and information for patients. The article also emphasizes the need for further research on intra-articular corticosteroids, hyaluronic acid, and platelet-rich plasma.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2022)
Article
Orthopedics
Rosie Twomey, Jessica DeMars, Kelli Franklin, S. Nicole Culos-Reed, Jason Weatherald, James G. Wrightson
Summary: This study evaluated the severity of fatigue and postexertional malaise in people living with long COVID. The findings suggest that long COVID is characterized by clinically relevant chronic fatigue and significant challenges related to postexertional symptom exacerbation. It is important to monitor and report these symptoms in clinical practice and interventions for people with long COVID.
Article
Orthopedics
V. P. Leifer, J. N. Katz, E. Losina
Summary: Osteoarthritis is a prevalent and disabling condition worldwide, with substantial burden on individuals in terms of pain, activity limitations, and reduced quality of life. The economic impact of OA is also significant, affecting the gross national product of countries with established market economies. OA prevalence is projected to rise in regions with aging populations and increasing obesity rates, such as North America and Europe.
OSTEOARTHRITIS AND CARTILAGE
(2022)
Review
Orthopedics
Junren Zhang, Wofhatwa Solomon Ndou, Nathan Ng, Paul Gaston, Philip M. Simpson, Gavin J. Macpherson, James T. Patton, Nicholas D. Clement
Summary: This study compared the accuracy of component positioning, patient-reported outcomes, and complications of robotic-arm assisted total knee arthroplasty with manual TKA and analyzed the associated learning curve. The results showed that RATKA performed better in terms of component positioning accuracy and patient-reported outcomes.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2022)
Article
Orthopedics
Philip Winnock de Grave, Thomas Luyckx, Kurt Claeys, Thomas Tampere, Jonas Kellens, Jacobus Mueller, Paul Gunst
Summary: The purpose of this study was to compare the clinical outcomes of restricted inverse kinematic alignment (iKA) and adjusted mechanical alignment (aMA) techniques in robotic-assisted total knee arthroplasty (TKA). The results showed similar clinical outcomes between the two techniques at a 12-month follow-up, but the restricted iKA technique had better satisfaction and achieved higher OKS and satisfaction thresholds.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2022)
Article
Orthopedics
Mikhail Zusmanovich, William Haselman, Brian Serrano, Michael Banffy
Summary: The study aimed to investigate the incidence of hip arthroscopy in patients with labral pathology in the United States from 2011-2018, revealing an 85% increase in incidence. Females underwent surgery more frequently than males, and the age of patients undergoing surgery showed a bimodal distribution, with peaks at 18 and 42 years old.
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY
(2022)
Article
Endocrinology & Metabolism
Carl Willers, Nicholas Norton, Nicholas C. Harvey, Trolle Jacobson, Helena Johansson, Mattias Lorentzon, Eugene McCloskey, Fredrik Borgstrom, John A. Kanis
Summary: This report describes the epidemiology, burden, and treatment of osteoporosis in the European Union countries, Switzerland, and the UK. It highlights the high clinical and economic burden of osteoporotic fractures and the significant treatment gap. However, there has been a decrease in the use of pharmacological prevention for osteoporosis in recent years, indicating a need for a change in healthcare policy.
ARCHIVES OF OSTEOPOROSIS
(2022)
Article
Orthopedics
Hannes Vermue, Thomas Luyckx, Philip Winnock de Grave, Alexander Ryckaert, Anne-Sophie Cools, Nicolas Himpe, Jan Victor
Summary: Robot-assisted total knee arthroplasty (RA TKA) is associated with a learning curve for surgical time, but there is no learning curve for component alignment, limb alignment, and gap balancing.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2022)
Review
Orthopedics
Y. Jiang
Summary: This review on osteoarthritis biology summarizes a series of research articles published between the 2020 and 2021 Osteoarthritis Research Society International (OARSI) World Congress. It focuses on the new discoveries of osteoarthritis's cellular molecular mechanism, anatomical signatures, potential therapeutic targets, and regenerative therapy. The review highlights the recently developed potential therapeutic targets, such as TGF13 and Wnt signaling, and discusses their roles in joint tissue homeostasis, joint aging, and cartilage homeostasis. It also introduces new anatomical structures and osteoarthritis features and discusses the possibility of tissue regeneration in osteoarthritis joints. Lastly, it discusses the clinical evidence of the importance of delivery site of bone marrow stem cells for osteoarthritis treatment.
OSTEOARTHRITIS AND CARTILAGE
(2022)
Article
Orthopedics
Ormonde Mahoney, Tracey Kinsey, Nipun Sodhi, Michael A. Mont, Antonia F. Chen, Fabio Orozco, William Hozack
Summary: Robotic-arm assisted total knee arthroplasty (RATKA) demonstrates greater three-dimensional accuracy for component position compared to conventional total knee arthroplasty (TKA). Real-time intraoperative feedback and stereotactic-guided cutting, considering patient-specific bony anatomy, may contribute to these results. These findings support the use of RATKA for improved arthroplasty outcomes.
JOURNAL OF KNEE SURGERY
(2022)
Article
Orthopedics
Narendra V. Vaidya, Ajinkya N. Deshpande, Taufiq Panjwani, Rakesh Patil, Tanmay Jaysingani, Pratik Patil
Summary: The study found that the new semi-active robotic-assisted total knee arthroplasty is more accurate than conventional TKA in terms of mechanical axis deviation, joint line deviation, and coronal alignment of femoral and tibial prosthesis. However, the impact of joint line elevation difference on knee kinematics and flexion between conventional and robotic-assisted TKA requires further investigation.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2022)
Article
Clinical Neurology
Sravisht Iyer, Karim Shafi, Francis Lovecchio, Robert Turner, Todd J. Albert, Han Jo Kim, Joel Press, Yoshihiro Katsuura, Harvinder Sandhu, Frank Schwab, Sheeraz Qureshi
Summary: This article provides a structured physical examination technique based on manual motor testing principles for spine surgeons new to telemedicine. Specific maneuvers for upper and lower extremity strength testing are described, along with instructions on setting up for remote visits. Limitations of remote examination and maneuvers that cannot be performed remotely are acknowledged and discussed.
GLOBAL SPINE JOURNAL
(2022)
Article
Orthopedics
Eoghan T. Hurley, Bogdan A. Matache, Ivan Wong, Eiji Itoi, Eric J. Strauss, Ruth A. Delaney, Lionel Neyton, George S. Athwal, Leo Pauzenberger, Hannan Mullett, Laith M. Jazrawi
Summary: This study aimed to establish consensus statements on the diagnosis and treatment of anterior shoulder instability. Through a modified Delphi technique, experts from different countries reached unanimous agreement on various factors, including patient history evaluation, prognostic factors for nonoperative management, and Bankart repair. There was consensus on minimizing complications and anchor placement in Bankart repair, but no consensus on the optimal shoulder immobilization position.
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY
(2022)
Article
Clinical Neurology
Alexander M. Satin, Kartik Shenoy, Evan D. Sheha, Bryce Basques, Gregory D. Schroeder, Alexander R. Vaccaro, Isador H. Lieberman, Richard D. Guyer, Peter B. Derman
Summary: This study evaluated patient satisfaction with spine care delivered via telemedicine during the COVID-19 pandemic. The results showed that over 87% of patients were satisfied with their telemedicine visits, and 45% preferred telemedicine over in-person visits in the future. Patients who encountered technical or clinical issues and those who lived closer to their surgeon's office or were older than 60 years were more likely to prefer in-person visits.
GLOBAL SPINE JOURNAL
(2022)
