Current Practice Patterns of Fellowship-Trained Arthroplasty Surgeons: Has the Influence of Fellowship Training Been Undervalued?

Background: As the clinical and financial environments of total joint arthroplasty (TJA) have evolved over the last several decades so has the role of the surgeon in providing this care to patients. Our objective was to examine current practices and influential factors among fellowship-trained arthroplasty surgeons.

Methods: An electronic survey was sent to all surgeons who had completed one of the three high-volume adult reconstruction fellowships from the years 2007-2016.

Implant Failure Rates and Cost Analysis of Contoured Locking Versus Conventional Plate Fixation of Distal Fibula Fractures.

The authors analyzed 330 consecutive Weber B distal fibula fractures that occurred during a 3-year period and were treated with either a contoured locking plate or a conventional one-third tubular plate to compare the cost and failure rates of the 2 constructs. The primary outcomes were failure of the distal fibular implant and loss of reduction. Secondary outcomes were surgical wound infection requiring surgical debridement and/or removal of the fibular implant, and removal of the fibular plate for persistent implant-related symptoms.

Delayed Open Reduction Internal Fixation of Missed, Low-Energy Lisfranc Injuries.

Background: The aim of this study was to determine the outcome of delayed presentation (at least 6 weeks from the time of injury) of low-energy Lisfranc injuries limited to the first and second tarsometatarsal joints treated with open reduction internal fixation.

Methods: 8 patients with an average age at surgery of 39.8 years were retrospectively reviewed with a mean time to surgery from injury of 15.

Case Series Using a Novel Implant and Accelerated Rehabilitation for Patients Undergoing an Isolated Talonavicular Arthrodesis.

Unlabelled: Talonavicular (TN) arthrodeses for TN arthritis have a high rate of nonunions for an essential hindfoot joint. In this case series, 12 patients underwent an isolated TN arthrodesis using a novel implant (IO FiX) by a single surgeon with a minimum 1-year follow-up (30.1 ± 14.

Dorsal plating of low-energy Lisfranc injuries: a case report.

Unlabelled: Surgically repairing acute Lisfranc injuries remains a difficult task, and the injury remains a challenging one for the treating surgeon. Although there are many proponents of acute arthrodesis for Lisfranc injuries, there remain a proportion of patients with low-energy trauma who may be best treated with open reduction internal fixation and joint salvaging procedures. Here, the authors present a case report and technique to anatomically fix Lisfranc injuries while preventing any concomitant articular damage in the process.

Predictors of bone mineral density improvement in patients undergoing parathyroidectomy for primary hyperparathyroidism.

Introduction: Primary hyperparathyroidism (PHPT) results in increased bone turnover, resulting in bone mineral density (BMD) reduction and a predisposition towards fractures. Parathyroidectomy (PTX) is the only definitive cure.

Objective: The primary goals of this study were to investigate the impact of PTX on BMD in patients with PHPT and to identify factors associated with post-operative BMD improvement using a multivariate model.

Examining the theory of planned behavior applied to condom use: the effect-indicator vs. causal-indicator models.

The authors investigated whether a causal-indicator model or an effect-indicator model of the theory of planned behavior (TPB) is more suitable for predicting behavioral intention and for which behaviors. No previous studies have evaluated this question using the same sample and same behavior. In this study, African American adolescents ages 12-17 participating in risk reduction classes were assessed on their initial attitudes, norms, perceived control, and intention regarding condom use.

Addressing health disparities among African Americans: using the stages of change model to document attitudes and decisions about nutrition and physical activity.

Physical activity (PA) and poor fruit/vegetable intake are contributors of health disparities among African Americans (AA). In order to design effective interventions to address these behaviors, it is essential to assess where individuals are in terms of their attitudes and decisions. The aim of this study was to use the Stages of Change Model to assess AA's attitudes and decisions regarding pertinent health behaviors and provide suggestions about how to address them.

Health attitudes and behaviors of African American adolescents.

African Americans continue to die disproportionately from chronic diseases such as diabetes, hypertension and heart disease. Eating fruits and vegetables have been shown to reduce those risks yet little is known about the health attitudes of African American adolescents and their eating habits and engagement in physical activity. A survey was administered to African American adolescents in a Midwestern city to determine the health attitudes and behaviors related to dietary intake and physical activity.