What Is the Most Optimal Bearing Surface for Minimizing Instability After Revision Total Hip Arthroplasty?

Based on the results of our meta-analysis, dual mobility implants appear to have the most efficacy in preventing instability following revision total hip arthroplasty. Notwithstanding, given the relatively small sample sizes of the included studies, in conjunction with heterogeneity in study design, it is important to recognize that further large randomized controlled trials are necessary to determine the optimal bearing surface to reduce the risk of instability after revision total hip arthroplasty.

Global Trends in Patellar Resurfacing From 2004 to 2022.

Background: International rates of patellar resurfacing in primary total knee arthroplasty (TKA) are highly variable. This study sought to determine how trends in patellar resurfacing rates have changed between 2004 and 2022. In addition, we investigated how modern rates of revision have varied between resurfaced and unresurfaced patellae in primary TKA among national joint registries.

Clostridium difficile Infection Prior to Total Hip Arthroplasty Independently Increases the Risk of Periprosthetic Joint Infection.

Background: Periprosthetic joint infection (PJI) following total hip arthroplasty (THA) is associated with major morbidity. There may be a link between the gut microbiome and an individual's overall immune system. A Clostridium difficile (C.

Athletes Continue to Show Functional Performance Deficits at Return to Sport After Anterior Cruciate Ligament Reconstruction: A Systematic Review.

Purpose: To systematically review the existing literature on the functional performance of athletes at the time of return-to-sport (RTS) clearance after anterior cruciate ligament reconstruction (ACLR).

Methods: A systematic literature search of the MEDLINE, EMBASE, Scopus, and Web of Science databases was performed. The inclusion criteria were original research reports with study populations of athletes who had undergone ACLR and had undergone objective functional testing immediately after clearance to RTS.

Temporal integration of infrasound at threshold.

Infrasounds are signals with frequencies below the classical audio-frequency range, i.e., below 20 Hz.

A Bibliometric Analysis of the Top 100 Most Influential Studies on Robotic Arthroplasty.

Background: The use of robotics in arthroplasty surgery has increased substantially in recent years. The purpose of this study was to objectively identify the 100 most influential studies in the robotic arthroplasty literature and to conduct a bibliometric analysis of these studies to describe their key characteristics.

Methods: The Clarivate Analytics Web of Knowledge database was used to gather data and metrics for robotic arthroplasty research using Boolean queries.

The effect of sensorineural hearing loss on suprathreshold perception of tonal components in noise.

The present study investigates how sensorineural hearing loss affects the perception of suprathreshold tonal components in noise. Masked threshold, tonality, and loudness of the tonal content are measured for one, two, or four simultaneously presented sinusoids. The levels of the suprathreshold tonal components were chosen relative to the individual masked thresholds.

General Medical Emergencies in Athletes.

This article focuses on the management of the most common on-field medical emergencies. As with any discipline in medicine, a well-defined plan and systematic approach is the cornerstone of quality health care delivery. In addition, the team-based collaboration is necessary for the safety of the athlete and the success of the treatment plan.

Changes Over a Decade in Patient-Reported Outcome Measures and Minimal Clinically Important Difference Reporting in Total Joint Arthroplasty.

Background: When used appropriately, the minimal clinically important difference (MCID) provides a powerful tool for identifying meaningful improvements brought about by a given treatment, offering more clinically relevant information than frequentist statistical analysis. However, recent studies have shown inconsistent derivation methods and use of MCIDs. The goal of this study was to report the rate of patient-reported outcome measures (PROMs) and MCIDs use in the literature and assess how this rate has changed over time.

Routine Type and Screens Are Unnecessary in Primary Total Joint Arthroplasty: Follow-up After a Change in Practice.

Background: Routine type and screens (T&S) prior to total hip (THA) and total knee arthroplasty (TKA) are common despite low transfusion rates. Our institution implemented a practice change after previously demonstrating a transfusion rate of 1.06%.

The 50 Most Cited Papers Pertaining to American Football: Analysis of Studies From the Past 40 Years.

Background: Bibliometric citation analyses have been widely used in medicine to help researchers gain foundational knowledge about a topic and identify subtopics of popular interest for further investigations.

Purpose: To identify the 50 most cited research publications related to American football.

Study Design: Cross-sectional study.

Discordance Abounds in Minimum Clinically Important Differences in THA: A Systematic Review.

Background: The minimum clinically important difference (MCID) is intended to detect a change in a patient-reported outcome measure (PROM) large enough for a patient to appreciate. Their growing use in orthopaedic research stems from the necessity to identify a metric, other than the p value, to better assess the effect size of an outcome. Yet, given that MCIDs are population-specific and that there are multiple calculation methods, there is concern about inconsistencies.

There are Considerable Inconsistencies Among Minimum Clinically Important Differences in TKA: A Systematic Review.

Background: Patient-reported outcome measures (PROMs) are frequently used to assess the impact of total knee arthroplasty (TKA) on patients. However, mere statistical comparison of PROMs is not sufficient to assess the value of TKA to the patient, especially given the risk profile of arthroplasty. Evaluation of treatment effect sizes is important to support the use of an intervention; this is often quantified with the minimum clinically important difference (MCID).

Abnormal Spinopelvic Motion and Spine Deformity are Associated With Native Femoral Retroversion in the Setting of Total Hip Arthroplasty.

Background: The effect of spinopelvic pathology on femoral version is unclear. This study investigated variability in native femoral anteversion in patients undergoing total hip arthroplasty (THA) and its relationship to the patient's underlying spinopelvic pattern.

Methods: A retrospective chart review was performed to include in the study all patients undergoing robot-assisted THA over a 3-year period.

Modelling suppression and comodulation masking release using the dual-resonance nonlinear filter.

Although comodulation masking release (CMR) is commonly associated with across-channel processes, it was often argued that part of the effect may be explained by processing within an auditory filter. One peripheral mechanism for such within-channel process is cochlear suppression. Using the dual-resonance nonlinear filter model with different sets of model parameters, the present study shows that the simulated CMR is associated with the simulated two-tone suppression.

Robotic-Assisted Total Knee Arthroplasty Allows for Trainee Involvement and Teaching Without Lengthening Operative Time.

Background: Robot-assisted total knee arthroplasty (RA-TKA) is more accurate than mechanical total knee arthroplasty (M-TKA) and can provide real-time feedback about alignment and soft-tissue balancing that may be helpful in trainee education. However, both robotic-assist and trainee involvement potentially increase the surgical time. This study sought to evaluate whether RA-TKA procedures were longer than M-TKA procedures and whether trainee participation added additional surgical time.

Prevalence, Biomechanics, and Pathologies of the Meniscofemoral Ligaments: A Systematic Review.

Purpose: To systematically review the literature to examine current understanding of the meniscofemoral ligaments (MFLs), their function, their importance in clinical management, and known anatomical variants.

Methods: A systematic review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines using PubMed, EMBASE, and Cochrane databases. Studies were included if they reported on the biomechanical, radiographic, or arthroscopic evaluation of human MFLs, or if they reported on an anatomical variant.

Temporal loudness weights: Primacy effects, loudness dominance and their interaction.

Loudness judgments of sounds varying in level across time show a non-uniform temporal weighting, with increased weights assigned to the beginning of the sound (primacy effect). In addition, higher weights are observed for temporal components that are higher in level than the remaining components (loudness dominance). In three experiments, sounds consisting of 100- or 475-ms Gaussian wideband noise segments with random level variations were presented and either none, the first, or a central temporal segment was amplified or attenuated.

A novel meniscofemoral ligament variant intra-substance to the PCL.

While much detail is known about each anatomic structure of the knee and its contributory effect on biomechanics, our understanding is still evolving. In particular, the function of the meniscofemoral ligaments and their anatomical variants have yet to be fully described. In this report, a never-before-described anatomical meniscofemoral ligament variant intra-substance to the PCL is presented.

Robotic-assisted total knee arthroplasty improves accuracy and precision compared to conventional techniques.

Aims: Robotic-assisted total knee arthroplasty (RA-TKA) is theoretically more accurate for component positioning than TKA performed with mechanical instruments (M-TKA). Furthermore, the ability to incorporate soft-tissue laxity data into the plan prior to bone resection should reduce variability between the planned polyethylene thickness and the final implanted polyethylene. The purpose of this study was to compare accuracy to plan for component positioning and precision, as demonstrated by deviation from plan for polyethylene insert thickness in measured-resection RA-TKA versus M-TKA.

Temporal Loudness Weights Are Frequency Specific.

Previous work showed that the beginning of a sound is more important for the perception of loudness than later parts. When a short silent gap of sufficient duration is inserted into a sound, this primacy effect reoccurs in the second sound part after the gap. The present study investigates whether this temporal weighting occurs independently for different frequency bands.