Article
Surgery
Sara Khor, David R. Flum, Lisa L. Strate, Mariam N. Hantouli, Heather M. Harris, Danielle C. Lavallee, Brennan M. R. Spiegel, Giana H. Davidson
Summary: This study established the minimal clinically important difference (MCID) and patient acceptable symptom state (PASS) for DV-QOL, providing crucial thresholds for measuring the impact of diverticular disease and evaluating treatment effectiveness.
JOURNAL OF SURGICAL RESEARCH
(2021)
Article
Orthopedics
Yining Lu, Avinesh Agarwalla, Ophelie Lavoie-Gagne, Bhavik H. Patel, Alexander Beletsky, Benedict U. Nwachukwu, Nikhil N. Verma, Brian J. Cole, Brian Forsythe
Summary: After isolated biceps tenodesis (BT), patients can expect to achieve clinically significant outcomes (CSOs) within 13 months postoperatively, with most patients achieving this between 5 and 8 months. Patients tend to take longer to achieve Patient Acceptable Symptom State (PASS) compared to achieving minimal clinically important difference (MCID) and substantial clinical benefit (SCB).
ORTHOPAEDIC JOURNAL OF SPORTS MEDICINE
(2022)
Article
Orthopedics
Eric D. Haunschild, Nolan B. Condron, Ron Gilat, Michael C. Fu, Theodore Wolfson, Grant E. Garrigues, Gregory Nicholson, Brian Forsythe, Nikhil Verma, Brian J. Cole
Summary: This study aimed to determine clinically significant outcomes of the PROMIS UE assessment in patients undergoing primary RTSA and identify significant baseline patient factors associated with achievement of these measures. The majority of patients achieved meaningful outcome improvement at 12 months after surgery, with values helping in assessing the outcomes and extent of functional improvement following RTSA.
JOURNAL OF SHOULDER AND ELBOW SURGERY
(2021)
Article
Orthopedics
Marisa N. Ulrich, Gregory L. Cvetanovich, Brett D. Meeks, Grant L. Jones
Summary: The study found that gymnasts who underwent biceps tenodesis for SLAP tears had satisfactory patient-reported outcomes and return to sport rates.
ORTHOPAEDIC JOURNAL OF SPORTS MEDICINE
(2023)
Review
Medicine, General & Internal
Jules Descamps, Elliott Kierszbaum, Marie Protais, Blandine Marion, Pierre-Alban Bouche, Florence Aim
Summary: Irreparable large to massive rotator cuff tears (MIRCTs) are a common cause of shoulder pain and dysfunction. This study reviewed the clinical and functional outcomes of biceps tenotomy/tenodesis (BT) and arthroscopic partial repair with associated biceps tenotomy/tenodesis (PCR-BT) in MIRCT patients. The results showed that both BT and PCR-BT improved functional outcomes and reduced pain at midterm follow-up for MIRCT.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Orthopedics
Adam B. Yanke, Hailey P. Huddleston, Enrico M. Forlenza, Nabil Mehta, Devin Laux, Kevin C. Parvaresh, Brian J. Cole, Nikhil N. Verma, Brian Forsythe
Summary: The purpose of this study was to evaluate the clinical outcomes and survivorship of isolated biceps tenodesis (BT) at a minimum of 2 years, and to identify patient-specific factors associated with these outcomes. The results showed that BT provided significant clinical improvement and high rates of survivorship at 2 years post-operatively. However, Workers' Compensation patients had a decreased likelihood of achieving patient-acceptable symptom state (PASS).
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY
(2022)
Article
Orthopedics
Clare K. Green, John P. Scanaliato, Alexis B. Sandler, Cole M. Patrick, John C. Dunn, Nata Parnes
Summary: This study aimed to evaluate the outcomes of military patients younger than 40 years who underwent simultaneous biceps tenodesis and labral repair, and compare them with those who underwent isolated labral repair. The results showed significant improvements in outcome scores and range of motion in both groups after surgery, with no significant differences in failure rates, revision surgeries, or discharge rates from the military.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2023)
Review
Orthopedics
Samuel S. Rudisill, Matthew J. Best, Evan A. O'Donnell
Summary: This study reviewed the indications, modes of failure, and clinical outcomes of revision biceps tenodesis after failed primary surgery, showing that revision procedures led to good functional results and high patient satisfaction with improvements in pain scores.
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY
(2021)
Article
Oncology
Isamme AlFayyad, Mohamad Al-Tannir, Amjad AlShammari
Summary: The study revealed that breast cancer, colon cancer, and leukemia patients undergoing chemotherapy often experience multiple distressing clinically significant symptoms. Fatigue, pain, and loss of appetite were identified as the most distressing symptoms across the three types of cancer.
SUPPORTIVE CARE IN CANCER
(2022)
Review
Oncology
Jiaping Tao, Yeping Zheng, Qingmei Huang, Fengyan Pu, Qianqian Shen, Yuanmin Hu
Summary: The purpose of this study was to evaluate the use of the Patient-Reported Outcomes Measurement Information System in patients with gastrointestinal cancer and provide references for analyzing treatment outcomes and assessing clinical symptoms and function. A total of 30 studies published from 2012 to 2022 were reviewed, including observational studies, interventional studies, and mixed studies. The Patient-Reported Outcomes Measurement Information System accurately captures patients' symptoms and quality of life, providing valuable insights into their health status.
SUPPORTIVE CARE IN CANCER
(2023)
Article
Orthopedics
Jasper Most, Thomay-Claire A. Hoelen, Anneke Spekenbrink-Spooren, Martijn G. M. Schotanus, Bert Boonen
Summary: This study aimed to define clinically meaningful thresholds associated with patient satisfaction for primary knee arthroplasties. The study analyzed patient-reported outcome measures and found that changes in pain, quality of life, knee functionality, and other factors were related to satisfaction. Patients with more severe preoperative symptoms required larger changes to report satisfaction.
JOURNAL OF ARTHROPLASTY
(2022)
Editorial Material
Orthopedics
Chih-Kai Hong, Wei-Ren Su
Summary: Patients in both Eastern and Western countries, regardless of age, prefer biceps tenodesis over a tenotomy. The use of all-suture anchors for biceps tenodesis is supported by previous studies due to their comparable biomechanical properties and lower risk of humerus fractures. Recent research has shown satisfactory clinical outcomes for subpectoral biceps tenodesis using all-suture anchors, making it an attractive technique in clinical practice.
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY
(2022)
Review
Orthopedics
Robert N. Matar, Nihar S. Shah, Brian M. Grawe
Summary: The systematic review evaluated the correlation between PROMIS instruments and legacy PROMs measures in shoulder care, finding varying degrees of correlation in different conditions. PROMIS instruments measure clinical outcomes faster, with fewer questions, and have lower rates of floor and ceiling effects compared to legacy PROMs.
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY
(2021)
Article
Pediatrics
Elizabeth D. Cox, Sarah K. Dobrozsi, Christopher B. Forrest, Wendy E. Gerhardt, Harald Kliems, Bryce B. Reeve, Nan E. Rothrock, Jin-Shei Lai, Jacob M. Svenson, Lindsay A. Thompson, Thuy Dan N. Tran, Carole A. Tucker
Summary: Through interviews with health system leaders, measurement implementers, and pediatric clinicians, challenges in using PROMIS Pediatric measures were identified, including issues related to measure selection, administration methods, and score interpretation. Efforts to disseminate information about integrating PROMIS measures in clinical care are crucial in addressing these challenges and improving children's health.
JOURNAL OF PEDIATRICS
(2021)
Article
Orthopedics
Yining Lu, Alexander Beletsky, Jorge Chahla, Bhavik H. Patel, Nikhil N. Verma, Brian J. Cole, Brian Forsythe
Summary: This study aimed to define the clinical significance of VAS pain scores after biceps tenodesis, identifying thresholds for MCID, PASS, and SCB, as well as predictive preoperative factors for achieving these outcomes. The results showed that a decrease in pain score of 12.9 was considered a clinically important improvement, and both modifiable and nonmodifiable factors predicted levels of postoperative pain improvement.
JOURNAL OF SHOULDER AND ELBOW SURGERY
(2021)
Article
Orthopedics
Enrico M. Forlenza, Kevin C. Parvaresh, Matthew R. Cohn, Ophelie Lavoie-Gagne, Zain M. Khazi, Yining Lu, William Cregar, Brian Forsythe
Summary: The incidence of symptomatic postoperative VTE following ACL reconstruction is low, with the majority of cases occurring within 90 days of surgery. Risk factors include age >= 45, inpatient surgery, COPD, tobacco use, and concurrent procedures such as PCL reconstruction, meniscal transplant, or osteochondral allograft.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2022)
Review
Orthopedics
Connor C. Diaz, Ophelie Z. Lavoie-Gagne, Derrick M. Knapik, Avinaash Korrapati, Jorge Chahla, Brian Forsythe
Summary: Both closing wedge and opening wedge DFO techniques are associated with good to excellent clinical outcomes in patients with valgus knee deformity, with no significant differences in patient-reported outcome measures based on technique. The most common complication in both techniques is pain requiring hardware removal. Surgical technique does not significantly affect long-term survival rate, while patient follow-up time is significantly correlated with knee survival.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2023)
Review
Orthopedics
Allison K. Perry, Ophelie Lavoie-Gagne, Derrick M. Knapik, Bhargavi Maheshwer, Alexander Hodakowski, Safa Gursoy, Robert F. LaPrade, Jorge Chahla
Summary: MMPR repair generally improves biomechanical outcomes and leads to improved patient-reported outcomes, especially in patients undergoing concomitant HTO. However, the improvement in meniscal extrusion after repair is not significant, and the proportion of patients progressing to low-grade osteoarthritis is low.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2023)
Review
Orthopedics
Ophelie Lavoie-Gagne, Matthew S. Fury, Nabil Mehta, William E. Harkin, David N. Bernstein, Elyse J. Berlinberg, Kevin Parvaresh, Evan O'Donnell, Brian Forsythe
Summary: This study compares different interventions for the surgical treatment of small and medium complete rotator cuff tears. The findings suggest that arthroscopic repair, open repair, and physical therapy are effective in improving clinical outcomes and quality of life for patients.
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY
(2022)
Article
Orthopedics
James D. Baker, Arash J. Sayari, Youping Tao, Philip K. Louie, Bryce A. Basques, Fabio Galbusera, Frank Niemeyer, Hans-Joachim Wilke, Howard S. An, Dino Samartzis
Summary: Modic changes (MC) and endplate abnormalities (EA) may have a negative impact on cervical alignment. This study found that patients with MC and endplate pathologies such as the Modic-Endplate-Complex (MEC) had worse cervical alignment compared to those without these phenotypes.
JOURNAL OF ORTHOPAEDIC RESEARCH
(2023)
Article
Primary Health Care
Sumit Patel, Ophelie Lavoie-Gagne, Nabil Mehta, Ghassan Farah, Avinaash Korrapati, Brian Forsythe
Summary: This study investigated the return to play (RTP) rate, time to RTP, and effect on player performance following patellar fracture in professional soccer players. Results showed that approximately 71% of players were able to RTP after an average absence of 7 months and missing 17 games. Overall, there was no significant decline in injured players' performance in the season following the injury.
PHYSICIAN AND SPORTSMEDICINE
(2023)
Review
Orthopedics
Enrico M. Forlenza, Ophelie Lavoie-Gagne, Kevin C. Parvaresh, Elyse J. Berlinberg, Avinesh Agarwalla, Brian Forsythe
Summary: The aim of this study was to compare the failure strength, maximum strength, stiffness, and displacement of available constructs for distal biceps repair using a systematic review and network meta-analysis. The results showed that the extramedullary cortical button and two intramedullary cortical buttons demonstrated comparable or better biomechanical properties compared to native tendon. No construct demonstrated displacement beyond standard definitions for clinical failure.
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY
(2023)
Article
Orthopedics
Yining Lu, Jacob F. Oeding, Chad Parkes, Harsh Patel, Elyse Berlinberg, Brian Forsythe, Christopher L. Camp, Joaquin Sanchez-Sotelo
Summary: The number of shoulder arthroplasty procedures has increased, and same-day discharge is considered beneficial. However, unexpected readmissions may affect the benefits of same-day discharge. Therefore, it is important to analyze readmission rates after primary shoulder arthroplasty.
JOURNAL OF SHOULDER AND ELBOW SURGERY
(2023)
Article
Orthopedics
Elyse J. Berlinberg, Hasani Swindell, Harsh H. Patel, Michelle Zabat, Enrico M. Forlenza, Jourdan Cancienne, Brian Forsythe
Summary: The usage of orthopaedic PRP injections has significantly increased over the past decade, with a rise in the number of injections, reimbursement charges, and the median age of recipients. Injections to the elbow and foot/ankle have decreased, while injections to the hip, knee, and spine have increased. PRP injections by sports medicine orthopaedic surgeons have increased, while those by general orthopaedic surgeons have decreased.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2023)
Article
Orthopedics
Hailey P. Huddleston, Nabil Mehta, Ophelie Z. Lavoie-Gagne, Bhargavi Maheshwer, Michael C. Fu, Brian J. Cole, Nikhil N. Verma, Brian Forsythe, Adam B. Yanke
Summary: The study found that VR-12 Mental scores were moderately associated with American Shoulder and Elbow Surgeons scores at 6 months and 1 year postoperatively, while PROMIS depression scores were not. VR-12 Mental had broader coverage of mental outlook and better model fit in Rasch modeling compared to PROMIS depression.
Article
Orthopedics
Brian J. J. Cole, Joshua T. T. Kaiser, Kyle R. R. Wagner, Lakshmanan Sivasundaram, R. Stephen Otte, Tracy M. M. Tauro, Gregory M. M. White, Michael L. L. Ralls, Adam B. B. Yanke, Brian Forsythe, Anthony A. Romeo, Nikhil N. N. Verma
Summary: This study compared the outcomes of arthroscopic rotator cuff repair (aRCR) with and without concentrated bone marrow aspirate (cBMA) augmentation. It was found that cBMA augmentation resulted in a structurally superior repair but did not significantly improve treatment failure rates and patient-reported clinical outcomes.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2023)
Editorial Material
Orthopedics
Yining Lu, Vikranth Mirle, Brian Forsythe
Summary: As artificial intelligence is increasingly used in orthopedic surgery research, responsible use becomes more necessary. Research in this field should report algorithmic error rates clearly. Recent studies indicate that factors such as preoperative opioid use, male sex, and higher body mass index are associated with extended postoperative opioid use, but may also have high false positive rates. Therefore, to be used clinically, these screening tools require input from physicians and patients, as well as nuanced interpretation. Machine learning and artificial intelligence should be seen as tools that facilitate human conversations among patients, orthopedic surgeons, and healthcare providers.
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY
(2023)
Article
Orthopedics
Hashim J. F. Shaikh, Sayyida S. Hasan, Joshua J. Woo, Ophelie Lavoie-Gagne, William J. Long, Prem N. Ramkumar
Summary: This review critically details recent developments surrounding XR in the field of hip and knee arthroplasty and discusses potential future applications related to AI. XR, as a stand-alone software-infused service, optimizes technical education, execution, and expertise in orthopaedic surgery.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Orthopedics
Brian Forsythe, Harsh H. Patel, Elyse J. Berlinberg, Enrico M. Forlenza, Kelechi R. Okoroha, Brady T. Williams, Adam B. Yanke, Brian J. Cole, Nikhil N. Verma
Summary: This study aims to quantify the postoperative migration of the biceps tendon construct between arthroscopic suprapectoral BT and open subpectoral BT techniques using radiostereometric analysis. The results suggest that similar clinical outcomes can be achieved with both arthroscopic and open techniques, regardless of the type of fixation used.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2023)
Article
Orthopedics
Hailey P. Huddleston, Ophelie Lavoie-Gagne, Nabil Mehta, Justin M. Walsh, Michael C. Fu, Brian Forsythe, Nikhil N. Verma, Brian J. Cole, Adam B. Yanke
Summary: This study assessed the validity, floor and ceiling effects, and dimensionality of PROMIS Physical Function and Pain questionnaires in patients undergoing MPFL reconstruction. The results showed fair to good psychometric performance of these questionnaires in this patient population.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2023)