Historic indications for fixation of posterior malleolus fractures- where did they come from and where are we now?

Introduction: The indications for reduction and fixation of the posterior malleolus component of rotational ankle fractures have been controversial for nearly a century. This study aims to identify the historical basis for surgical intervention and trace trends in management strategies over time.

Methods: In March 2023, a systematic review of full-text, English-language articles providing indications for surgical fixation of the posterior malleolus component of rotational ankle fractures was performed.

Range of motion measurements do not correlate with patient reported outcome measures in the early post-operative period following ankle fracture.

Background: Early mobilization following ankle fracture open reduction and internal fixation (ORIF) improves long-term patient functionality. Because of this, numerous resources have been spent to increase patient adherence to post-operative mobilization, with range of motion (ROM) measurements generally considered an important outcome in patient recovery. In this study we investigated how ankle ROM correlates to patient function, self-sufficiency in performing activities of daily living (ADLs), and pain in the early post-operative period.

Factors affecting residency selection for underrepresented minorities pursuing orthopaedic surgery.

Background: The United States is increasingly diverse and there are many benefits to an equally diverse physician workforce. Despite this, the percentage of under-represented minorities in orthopaedic surgery has remained stagnant. The purpose of this study was to describe the characteristics underrepresented minorities pursuing orthopaedic surgery value most when evaluating residency programs.

Risk of erectile dysfunction after modern radiotherapy for intact prostate cancer.

Background: Erectile dysfunction (ED) is a prevalent side effect of prostate cancer treatment. We hypothesized that the previously reported rates of ED may have improved with the advent of modern technology. The purpose of this project was to evaluate modern external beam radiotherapy and brachytherapy techniques to determine the incidence of radiotherapy (RT) induced ED.

Challenges in Reporting the Effect of Radiotherapy on Erectile Function.

Background: Erectile dysfunction (ED) is the most common side effect of prostate radiotherapy (RT), but reported rates over time and across modalities have varied widely.

Aim: To evaluate the published literature between 2002 and 2018 for high quality data utilizing prospectively gathered patient-reported ED, and to summarize the challenges in reporting of RT-induced ED (RIED).

Methods: A PubMed search and literature review was performed to identify articles describing rates of ED before and after definitive external beam RT or brachytherapy without androgen deprivation.

Time-based Assessment of Hearing Preservation Rates After Microsurgical Resection of Vestibular Schwannomas: A Systematic Review.

Objective: To determine short- and intermediate-term hearing preservation rates after microsurgical resection of vestibular schwannoma (VS).

Data Sources: Systematic review of the Ovid, Cochrane, EMBASE, and Web of Science databases.

Study Selection: This study was restricted to full-text English-language articles detailing VS resection via the middle cranial fossa or retrosigmoid approaches.