Background: Changes in the intra-articular inflammatory state during immediate period after an acute anterior cruciate ligament (ACL) rupture are not well defined. Purpose: To evaluate changes concentration of select proinflammatory and anti-inflammatory synovial fluid cytokines interval between ACL injury surgical reconstruction. Study Design: Descriptive laboratory study. Methods: In patients with injury, a sample was obtained from injured knee initial office visit within 2 weeks inciting...

Background: Significant heterogeneity in the classification and treatment of zone 3 proximal fifth metatarsal base fractures (“true Jones fractures”) exists. This study compared time to clinical radiographic healing between patients treated operatively nonoperatively. We hypothesized that nonoperatively may demonstrate a greater healing. Methods: was retrospective cohort presenting large, urban, academic medical center with “Jones” December 2012 April 2022. were defined as occurring...

Background: Changes in the joint microenvironment after an injury to articular surface of knee have been implicated pathogenesis osteoarthritis. While prior studies focused on changes this anterior cruciate ligament ruptures, few explored biomarker that occur setting meniscal injuries. Purpose: To determine whether results significant alterations synovial fluid concentrations as compared with noninjured contralateral knees. Additionally, explore relationship between biomarkers and degree...

Background: There has been a recent surge in health-care providers offering stem cell therapy (SCT) to patients with musculoskeletal disease. The purpose of this study was identify and quantify the misinformation present online direct-to-consumer (DTC) advertising SCT targeting disease U.S. It hypothesized that DTC contains substantial misinformation. Methods: A list keywords used web sites practices directly Web were evaluated determine specialties SCT, types being advertised, presented....

Hip pain due to femoroacetabular impingement (FAI) is thought adversely impact sexual satisfaction because of exacerbation symptoms with hip ROM. However, the effect FAI on and improvement after surgery treat largely absent from published studies, despite patients' apparent interest in it as registered by frequent appearance these topics online anonymous discussion platforms. In addition, details regarding its decision pursue success arthroscopy alleviating FAI-related dysfunction based...

Introduction: A tricortical iliac crest graft can be used to reconstruct the lateral proximal tibial articular surface. Methods/Surgical Technique: Anterior autograft from ipsilateral pelvis is harvested approximate contour of native plateau. locking plate fix bony construct surrounding bone. Case Report: Functionally, patients have been able return ambulation with and without an assistive device. Conclusion: Reconstruction joint surface a represents novel surgical technique that may delay...

Femoral neck fractures pose a notable health challenge globally, with projected rise in cases due to aging populations. While treatment protocols are established, the effect of surgeon training on decisions, particularly trauma versus arthroplasty fellowship training, remains less clear. This study, using data from Statewide Planning and Research Cooperative System New York State, examined 26,761 patients meeting inclusion criteria. Among 951 treating surgeons, 20.6% had no subspecialty...

Abstract Purpose: 1) To determine if patients undergoing bilateral, staged hip arthroscopy for femoroacetabular impingement syndrome (FAIS) have similar patient-reported outcomes (PROs) to age, sex, and BMI-matched unilateral at 10-year follow-up 2) evaluate in the bilateral cohort, of first are predictive second, contralateral hip. Methods: We conducted a retrospective review FAIS single institution from 2010 2013 with minimum follow-up. Each who underwent primary was propensity-matched by...

Abstract Purpose: Prior studies demonstrate hip arthroscopy is effective at improving patient-reported outcomes (PROs) after for femoracetabular impingement syndrome (FAIS) in both overweight and obese patients 5-year follow-up, but to a lesser degree than with normal body mass index (BMI). The purpose of this investigation was evaluate PROs 10-year follow-up. Methods: We conducted retrospective review 154 undergoing FAIS single institution from 2010 2013 minimum Patients were evaluated...

Study Design. Retrospective analysis of Medicare claims and procedure details from a single institution participation in the Bundled Payments for Care Improvement (BPCI) program. Objective. To analyze effects BPCI program on patient outcome metrics cost data. Summary Background Data. The was designed to improve value care provided patients, but financial consequences this system remain largely unknown. We present 2 years data lumbar spine fusion bundle at large, urban, academic institution....

Background: Resident burnout—the state of exhaustion, maladaptive detachment, and low sense accomplishment—is a widely documented phenomenon that affects between 27% 75% residents in the United States. To our knowledge, no previous study has examined relationship resident burnout performance on Orthopaedic In-Training Examination (OITE). The current investigation sought to evaluate whether an association exists indices orthopaedic surgery as assessed by Maslach Burnout Inventory (MBI) OITE....

Background: Previous studies evaluating the outcomes of hip arthroscopy for patients with global acetabular overcoverage and focal superolateral suffer from short-term follow-up inconsistent radiographic criteria when defining these subpopulations femoroacetabular impingement syndrome (FAIS). Purpose: To evaluate intermediate-term postoperative FAIS in setting overcoverage, lateral normal coverage. Study Design: Cohort study; Level evidence, 3. Methods: Patients undergoing were enrolled a...

OBJECTIVES: To quantify the rate of union and time to clinical radiographic healing in Zone 2 proximal 5 th metatarsal (MT) fractures compare these outcomes between treated operatively nonoperatively. METHODS: Design: Retrospective cohort study Setting: Academic Level I Trauma Center Patient Selection Criteria: Patients with who presented December 2012 April 2022 confirmed have (defined as entering 4-5 MT articulation on oblique view) were included analysis either operative or nonoperative...

Aims This study evaluated the effect of treating clinician speciality on management zone 2 fifth metatarsal fractures. Methods was a retrospective cohort patients with acute fractures who presented to single large, urban, academic medical centre between December 2012 and April 2022. Zone region base bordered by fourth articulation oblique radiograph. The proportion allowed bear weight as tolerated immediately after injury compared treated orthopaedic surgeons podiatrists. effects...

The gold-standard method for collecting patient-reported outcomes (PROs) is the prospective assessment of preoperative to postoperative change. However, this not always feasible because unforeseen cases or emergencies, logistical and infrastructure barriers, cost issues. In such cases, a retrospective approach serves as potential alternative, but there are conflicting conclusions regarding reliability recalled PROs after orthopaedic procedures.To assess agreement between prospectively...