Joint Surgeons Research Articles

CORR Insights®: Have Surgery and Implant Modifications Been Associated With Reduction in Soft Tissue Complications in Transfemoral Bone-anchored Prostheses?

1Uniformed Services University — Walter Reed Department of Surgery, Bethesda, MD, USA B. K. Potter, Norman M. Rich Professor and Chair, Uniformed Services University of Health Sciences, 4310 Jones Bridge Road, A3011-SUR, Bethesda, MD 20814, USA, Email: [email protected] This CORR Insights® is a commentary on the article “Have Surgery and Implant Modifications Been Associated With Reduction in Soft Tissue Complications in Transfemoral Bone-anchored Prostheses?” by Atallah and colleagues available at: DOI: 10.1097/CORR.0000000000002535. The author certifies that there are no funding or commercial associations (consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article related to the author or any immediate family members. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research® editors and board members are on file with the publication and can be viewed on request. The opinions expressed are those of the writer, and do not reflect the opinion or policy of CORR® or The Association of Bone and Joint Surgeons®.

Equity360: Gender, Race, and Ethnicity-All Orthopaedic Surgeon Burnout Is Not Created Equal.

1Professor of Orthopedic Surgery, NYU Langone Grossman School of Medicine, NYU Langone Orthopedics, New York, NY, USA 2Co-founder and Chief Medical Officer, Vori Health, Jacksonville Beach, FL, USA 3Professor Emerita of Orthopedic Surgery, Mayo Clinic, Jacksonville, FL, USA M. I. O’Connor ✉, Vori Health, Jacksonville Beach, FL 32250, USA, Email: [email protected] A note from the Editor-in-Chief: I am pleased to present the next installment of “Equity360: Gender, Race, and Ethnicity” written by Mary I. O’Connor MD, FAOA, FAAHKS, FAAOS. Dr. O’Connor is Chair of Movement is Life, a non-profit multistakeholder corporation committed to health equity, co-founder and Chief Medical Officer at Vori Health, Professor Emerita of Orthopedics at Mayo Clinic, and Past Professor of Orthopaedics and Rehabilitation at Yale School of Medicine. She has written extensively on increasing the number of women and underrepresented minorities in orthopaedics and about other social issues. Her column unravels the complex and controversial motives behind disparities in musculoskeletal medicine across sex, gender, race, and ethnicity. The authors certify that there are no funding or commercial associations (consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article related to the author or any immediate family members. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research® editors and board members are on file with the publication and can be viewed on request. The opinions expressed are those of the writer, and do not reflect the opinion or policy of CORR® or The Association of Bone and Joint Surgeons®.

CORR Synthesis: How Have Film Review and Motion Analysis Been Used to Enhance Orthopaedic Surgical Performance?

1Division of Orthopaedics, Warren Alpert Medical School of Brown University, Providence, RI, USA J. C. Casey ✉, Division of Orthopaedics, Warren Alpert Medical School of Brown University, 1 Kettle Point Avenue, East Providence, RI 02914, USA, Email: [email protected] Each author certifies that there are no funding or commercial associations (consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article related to the author or any immediate family members. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research® editors and board members are on file with the publication and can be viewed on request. The opinions expressed are those of the writer, and do not reflect the opinion or policy of CORR® or The Association of Bone and Joint Surgeons®. This work was performed at the Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, University Orthopedics, Providence, RI, USA.

CORR Insights®: How Does a Novel In Situ Fixed-bearing Implant Design Perform in Revision Ankle Arthroplasty in the Short Term? A Survival, Clinical, and Radiologic Analysis.

1Assistant Professor of Orthopaedic Surgery, Rothman Orthopaedic Institute at Jefferson University, Media, PA, USA R. J. Shakked, Rothman Orthopaedic Institute at Jefferson University, Orthopaedic Surgery, 1118 West Baltimore Pike, 3rd Floor, Media, PA 19063, USA, Email: [email protected] This CORR Insights® is a commentary on the article “How Does a Novel In Situ Fixed-bearing Implant Design Perform in Revision Ankle Arthroplasty in the Short Term? A Survival, Clinical, and Radiologic Analysis” by Kvarda and colleagues available at: 10.1097/CORR.0000000000002515. The author certifies that there are no funding or commercial associations (consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article related to the author or any immediate family members. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research® editors and board members are on file with the publication and can be viewed on request. The opinions expressed are those of the writer, and do not reflect the opinion or policy of CORR® or The Association of Bone and Joint Surgeons®.

CORR Insights®: There is Little or No Association Between Independently Assessed Communication Strategies and Patient Ratings of Clinician Empathy.

1Associate Professor, University of Washington, Seattle, WA, USA S. A. Kennedy, University of Washington, Associate Professor, Department of Orthopaedics and Sports Medicine, University of Washington, Harborview Medical Center, 325 Ninth Avenue, MS 359798, Seattle, WA 98104, USA, Email: [email protected] This CORR Insights® is a commentary on the article “There is Little or No Association Between Independently Assessed Communication Strategies and Patient Ratings of Clinician Empathy” by Brown and colleagues available at: DOI: 10.1097/CORR.0000000000002482. The author certifies that there are no funding or commercial associations (consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article related to the author or any immediate family members. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research® editors and board members are on file with the publication and can be viewed on request. The opinions expressed are those of the writer, and do not reflect the opinion or policy of CORR® or The Association of Bone and Joint Surgeons®.

Reply to Letter to the Editor: Editor's Spotlight/Take 5: Has Arthroscopic Meniscectomy Use Changed in Response to the Evidence? A Large-database Study From Spain.

1Editor-in-Chief, Clinical Orthopaedics and Related Research®, Park Ridge, IL, USA S. S. Leopold, Clinical Orthopaedics and Related Research®, 300 S. Northwest Highway, Suite 203, Park Ridge, IL, USA, Email: [email protected] (RE: Bellemans J. Letter to the editor: Editor’s Spotlight/Take 5: Has arthroscopic meniscectomy use changed in response to the evidence? A large-database study from Spain. Clin Orthop Relat Res. 2023. DOI: 10.1097/CORR.0000000000002562). The author certifies that there are no funding or commercial associations (consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article related to the author or any immediate family members. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research® editors and board members are on file with the publication and can be viewed on request. The opinions expressed are those of the writer, and do not reflect the opinion or policy of CORR® or The Association of Bone and Joint Surgeons®.

Letter to the Editor: Editor's Spotlight/Take 5: Has Arthroscopic Meniscectomy Use Changed in Response to the Evidence? A Large-database Study From Spain.

1Professor of Orthopedics, Ziekenhuis Oost-Limburg, Genk, Belgium J. Bellemans, ZOL Genk, Ziekenhuis Oost-Limburg, Schiepse Bos 6, 3600 Genk, Belgium, Email: [email protected] (RE: Leopold SS. Editor’s Spotlight/Take 5: Has arthroscopic meniscectomy use changed in response to the evidence? A large-database study from Spain. Clin Orthop Relat Res. 2023;481:2-6.) The author certifies that there are no funding or commercial associations (consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article related to the author or any immediate family members. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research® editors and board members are on file with the publication and can be viewed on request. The opinions expressed are those of the writer, and do not reflect the opinion or policy of CORR® or The Association of Bone and Joint Surgeons®.

CORR Insights®: Are Observational Studies on Distal Radius Fracture Treatment Robust? An E-value Approach to Analysis.

1Associate Dean for Comprehensive Care, Department of Surgery and Perioperative Care, Dell Medical School, Austin, TX, USA D. C. Ring, Dell Medical School, Department of Surgery and Perioperative Care, Health Discovery Building 6.706, 1507 Newning Avenue, Austin, TX 78704, USA, Email: [email protected] This CORR Insights® is a commentary on the article “Are Observational Studies on Distal Radius Fracture Treatment Robust? An E-value Approach to Analysis” by Wang and colleagues available at: DOI: 10.1097/CORR.0000000000002528. The author certifies that there are no funding or commercial associations (consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article related to the author or any immediate family members. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research® editors and board members are on file with the publication and can be viewed on request. The opinions expressed are those of the writer, and do not reflect the opinion or policy of CORR® or The Association of Bone and Joint Surgeons®.

CORR ® Curriculum-Orthopaedic Education: What Does Institutional Oversight Mean, Anyway?

1Professor and Chairman, Department of Orthopaedic Surgery, University of Florida, Jacksonville, FL, USA P. J. Dougherty, Department of Orthopaedic Surgery, 655 W 8th Street, 2nd Floor ACC, Jacksonville, FL 32209, USA, Email: [email protected] A note from the Editor-in-Chief: We are pleased to offer the next installment of “CORR® Curriculum—Orthopaedic Education,” a quarterly column. The goal of this column is to focus on aspects of resident education. We welcome reader feedback on all of our columns and articles; please send your comments to[email protected]. The author certifies that there are no funding or commercial associations (consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article related to the author or any immediate family members. All ICMJE Conflict of Interest Forms for the author and Clinical Orthopaedics and Related Research®editors and board members are on file with the publication and can be viewed on request. The opinions expressed are those of the writer, and do not reflect the opinion or policy of CORR®or The Association of Bone and Joint Surgeons®.

CORR Insights®: What Are the Minimum Clinically Important Difference Values for the PROMIS and QuickDASH After Carpal Tunnel Release? A Prospective Cohort Study.

1Department of Orthopedic Surgery, Scripps Clinic, San Diego, CA, USA K. N. Shah, 2205 Vista Way, Suite 210, Oceanside, CA 92054, USA, Email: [email protected] This CORR Insights® is a commentary on the article “What Are the Minimum Clinically Important Difference Values for the PROMIS and QuickDASH After Carpal Tunnel Release? A Prospective Cohort Study” by Jiang and colleagues available at: DOI: 10.1097/CORR.0000000000002437. The author certifies that there are no funding or commercial associations (consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article related to the author or any immediate family members. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research® editors and board members are on file with the publication and can be viewed on request. The opinions expressed are those of the writer, and do not reflect the opinion or policy of CORR® or The Association of Bone and Joint Surgeons®.

CORR Insights®: Surgeons Receiving Information About Patient Language Reflecting Unhelpful Thoughts or Distress About Their Symptoms Identify Such Language More Often Than Those Who Do Not Receive This Information.

1Leni and Peter W. May Department of Orthopaedics; Institute for Healthcare Delivery Science, Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, USA B. Z. Stern, Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, Box 1077, New York, NY 10029, USA, Email: [email protected] This CORR Insights® is a commentary on the article “Surgeons Receiving Information About Patient Language Reflecting Unhelpful Thoughts or Distress About Their Symptoms Identify Such Language More Often Than Those Who Do Not Receive This Information” Brinkman and colleagues available at: DOI: 10.1097/CORR.0000000000002496. The author certifies that there are no funding or commercial associations (consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article related to the author or any immediate family members. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research® editors and board members are on file with the publication and can be viewed on request. The opinions expressed are those of the writer, and do not reflect the opinion or policy of CORR® or The Association of Bone and Joint Surgeons®.

CORR Insights®: Is the Lifetime Malignancy Risk in United States Military Personnel Sustaining Combat-related Trauma Increased Because of Radiation Exposure From Diagnostic Imaging?

1Chief of the Division of Hand Surgery, Department of Orthopedics and Rehabilitation, Penn State Milton S. Hershey Medical Center, Hershey, PA, USA K. Taylor, Penn State Milton S. Hershey Medical Center, Dept. of Orthopedics and Rehabilitation, 30 Hope Drive, P.O. Box 859, Hershey, PA 17033, USA, Email: [email protected] This CORR Insights® is a commentary on the article “Is the Lifetime Malignancy Risk in United States Military Personnel Sustaining Combat-related Trauma Increased Because of Radiation Exposure from Diagnostic Imaging?” by Anderson and colleagues available at: DOI: 10.1097/CORR.0000000000002488. The author certifies that there are no funding or commercial associations (consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article related to the author or any immediate family members. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research® editors and board members are on file with the publication and can be viewed on request. The opinions expressed are those of the writer, and do not reflect the opinion or policy of CORR® or The Association of Bone and Joint Surgeons®.

CORR Insights®: Are Detailed, Patient-level Social Determinant of Health Factors Associated With Physical Function and Mental Health at Presentation Among New Patients With Orthopaedic Conditions?

1Associate Professor Emeritus, Orthopaedics, University of Colorado Health Science Center, Denver, CO, USA R. C. Fisher, University of Colorado Health Science Center, Orthopaedics, 12631 East 17th Avenue, Aurora, CO 80045, USA, Email: [email protected] This CORR Insights® is a commentary on the article “Are Detailed, Patient-level Social Determinant of Health Factors Associated With Physical Function and Mental Health at Presentation Among New Patients With Orthopaedic Conditions?” by Bernstein and colleagues available at: DOI: 10.1097/CORR.0000000000002446. The author certifies that there are no funding or commercial associations (consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article related to the author or any immediate family members. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research® editors and board members are on file with the publication and can be viewed on request. The opinions expressed are those of the writer, and do not reflect the opinion or policy of CORR® or The Association of Bone and Joint Surgeons®.

On Patient Safety: Combating Antibiotic Resistance With Effective Hand Hygiene.

1President, The Society for Patient Centered Orthopedics, Bloomington, IN, USA J. Rickert, IU Health Southern Indiana Physicians, 583 S. Clarizz Boulevard, Bloomington, IN 47401, USA, Email: [email protected] A note from the Editor-in-Chief: We are pleased to present our next installment of “On Patient Safety.” Dr. Rickert is on the clinical faculty at Indiana University School of Medicine and serves as President of The Society for Patient Centered Orthopedics. The goal of this quarterly column is to explore the relationships among patient safety, value, and clinical efficacy by engaging with diverse perspectives, including those of orthopaedic surgeons, patients, consumer and patient advocates, and medical insurers. We welcome reader feedback on all of our columns and articles; please send your comments to[email protected]. The author certifies that there are no funding or commercial associations (consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article related to the author or any immediate family members. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research® editors and board members are on file with the publication and can be viewed on request. The opinions expressed are those of the writers, and do not reflect the opinion or policy of CORR® or The Association of Bone and Joint Surgeons®.

CORR Insights®: High-volume Arthroplasty Centers Are Associated With Lower Hospital Costs When Performing Primary THA and TKA: A Database Study of 288,909 Medicare Claims for Procedures Performed in 2019.

1Leni and Peter W. May Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai. New York, NY, USA J. Poeran, Leni and Peter W. May Department of Orthopedic Surgery, Institute for Healthcare Delivery Science; Department of Population Health Science and Policy, Department of Medicine, Icahn School of Medicine at Mount Sinai; 1450 Madison Avenue, Box 1077, New York, NY 10029, USA, Email: [email protected] This CORR Insights® is a commentary on the article “High-volume Arthroplasty Centers Are Associated With Lower Hospital Costs When Performing Primary THA and TKA: A Database Study of 288,909 Medicare Claims for Procedures Performed in 2019” Blackburn and colleagues available at: DOI: 10.1097/CORR.0000000000002470. The author certifies that there are no funding or commercial associations (consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article related to the author or any immediate family members. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research® editors and board members are on file with the publication and can be viewed on request. The opinions expressed are those of the writer, and do not reflect the opinion or policy of CORR® or The Association of Bone and Joint Surgeons®.

CORR Insights®: Reverse Total Shoulder Arthroplasty Demonstrates Better Outcomes Than Angular Stable Plate in the Treatment of Three-part and Four-part Proximal Humerus Fractures in Patients Older Than 70 Years.

1Assistant Professor, University of Minnesota Medical Center: University of Minnesota Health, Orthopaedic Surgery and Rehabilitation, Minneapolis, MN, USA M.P. Nguyen, University of Minnesota Medical Center, Orthopaedic Surgery and Rehabilitation, 2450 Riverside Avenue, Suite R200, Minneapolis, MN 55454, USA, Email: [email protected] This CORR Insights® is a commentary on the article “Reverse Total Shoulder Arthroplasty Demonstrates Better Outcomes Than Angular Stable Plate in the Treatment of Three-part and Four-part Proximal Humerus Fractures in Patients Older Than 70 Years” by Lanzetti and colleagues available at: DOI: 10.1097/CORR.0000000000002480. The author certifies that there are no funding or commercial associations (consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article related to the author or any immediate family members. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research® editors and board members are on file with the publication and can be viewed on request. The opinions expressed are those of the writer, and do not reflect the opinion or policy of CORR® or The Association of Bone and Joint Surgeons®.

Not the Last Word: Primum Non Nocere Is Harmful. Primum Noce Apte May Help.

1Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA, USA J. Bernstein, University of Pennsylvania, 424 Stemmler Hall, Philadelphia, PA 19104, USA, Email: [email protected] A note from the Editor-in-Chief: We are pleased to present to readers of Clinical Orthopaedics and Related Research®the next “Not the Last Word.” The goal of this section is to explore timely and controversial issues that affect how orthopaedic surgery is taught, learned, and practiced. We welcome reader feedback on all of our columns and articles; please send your comments to[email protected]. The author certifies that there are no funding or commercial associations (consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article related to the author or any immediate family members. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research® editors and board members are on file with the publication and can be viewed on request. The opinions expressed are those of the writer, and do not reflect the opinion or policy of CORR® or The Association of Bone and Joint Surgeons®.

CORR Insights®: A Radiographic Abdominal Pannus Sign is Associated With Postoperative Complications in Anterior THA.

1Associate Professor, Orthopedic Surgery, NYU Langone Health, New York, NY, USA M. S. Hepinstall, NYU Langone Health, 301 East 17th Street, Suite 1402, New York, NY 10003, USA, Email: [email protected] This CORR Insights® is a commentary on the article “A Radiographic Abdominal Pannus Sign is Associated With Postoperative Complications in Anterior THA” by Saini and colleagues available at: DOI: 10.1097/CORR.0000000000002447. The author certifies that there are no funding or commercial associations (consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article related to the author or any immediate family members. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research® editors and board members are on file with the publication and can be viewed on request. The opinions expressed are those of the writer, and do not reflect the opinion or policy of CORR® or The Association of Bone and Joint Surgeons®.

Behind the Mask: Do Current Residency Programs Produce Attentive, Invested Attendings?

1Orthopaedic Resident, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA S. E. Zhang, University of Pennsylvania Perelman School of Medicine, 3737 Market Street, Philadelphia, PA 19104, USA, Email: [email protected] A Note from the Editor-in-Chief: In this quarterly column, fourth-year resident Steven Zhang MD takes us inside his intense training environment at the University of Pennsylvania, where at the end of the busy day, he is often left with more questions than answers. We welcome reader feedback on all of our columns and articles; please send your comments to [email protected] The author certifies that there are no funding or commercial associations (consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article related to the author or any immediate family members. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research® editors and board members are on file with the publication and can be viewed on request. The opinions expressed are those of the writer, and do not reflect the opinion or policy of CORR® or The Association of Bone and Joint Surgeons®.

CORR Insights®: Is There an Association Between Femoral Head Collapse and Acetabular Coverage in Patients With Osteonecrosis?

1Orthopaedic Surgeon, Prince Charles Hospital, Merthyr Tydfil, United Kingdom K. S. R. K. Prasad, Prince Charles Hospital, Orthopaedics, Gurnos Estate, Merthyr Tydfil CF47 9DT, United Kingdom, Email: [email protected] This CORR Insights® is a commentary on the article “Is There an Association Between Femoral Head Collapse and Acetabular Coverage in Patients With Osteonecrosis?” by Iwasa and colleagues available at: DOI: 10.1097/CORR.0000000000002363. The author certifies that there are no funding or commercial associations (consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article related to the author or any immediate family members. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research® editors and board members are on file with the publication and can be viewed on request. The opinions expressed are those of the writer, and do not reflect the opinion or policy of CORR® or The Association of Bone and Joint Surgeons®.