Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Online First™


Moving Forward Through Consensus: A Modified Delphi Approach to Determine the Top Research Priorities in Orthopaedic Oncology

Patricia Jacqueline Schneider BSc, Nathan Evaniew MD, PhD, Paula McKay BSc, Michelle Ghert MD
30th August 2017, Clinical Research

Several challenges presently impede the conduct of prospective clinical studies in orthopaedic oncology, including limited financial resources to support their associated costs and inadequate patient volume at most single institutions. This study was conducted to prioritize research questions within the field so that the Musculoskeletal Tumor Society (MSTS), and other relevant professional societies, can direct the limited human and fiscal resources available to address the priorities that the stakeholders involved believe will have the most meaningful impact on orthopaedic oncology patient care.

What is the Rate of Revision Discectomies After Primary Discectomy on a National Scale?

Sohrab S. Virk MD, MBA, Ashish Diwan PhD, FRACS, FAOrthA, Frank M. Phillips MD, Harvinder Sandhu MD, Safdar N. Khan MD
28th August 2017, Clinical Research

Lumbar discectomy has been shown to be clinically beneficial in numerous studies for appropriately selected patients. Some patients, however, undergo revision discectomy, with previously reported estimates of revisions ranging from 5.1% to 7.9%. No study to date has been able to precisely quantify the rate of revision surgery over numerous years on a national scale.

Revision to Reverse Total Shoulder Arthroplasty Restores Stability for Patients With Unstable Shoulder Prostheses

Nicholas M. Hernandez MD, Brian P. Chalmers MD, Eric R. Wagner MD, John W. Sperling MD, Robert H. Cofield MD, Joaquin Sanchez-Sotelo MD, PhD
28th August 2017, Clinical Research

Instability after shoulder arthroplasty remains a complication with limited salvage options. Reoperation for instability with anatomic designs has led to high rates of persistent instability, therefore we aimed to evaluate the use of RSA for treatment of prosthetic instability.

A Novel Transitional Care Service Strives to Improve Patient Experience and Outcomes

Thomas R. Vetter MD, MPH, Lauren M. Uhler MPH, Kevin J. Bozic MD, MBA
24th August 2017, Value-based Healthcare

PROMIS Pain Interference and Physical Function Scores Correlate With the Foot and Ankle Ability Measure (FAAM) in Patients With Hallux Valgus

Devon C. Nixon MD, Jeremy J. McCormick MD, Jeffrey E. Johnson MD, Sandra E. Klein MD
23rd August 2017, Clinical Research

Traditional patient-reported outcome instruments like the Foot and Ankle Ability Measure (FAAM) quantify patient disability but often are limited by responder burden and incomplete questionnaires. The Patient-Reported Outcome Measurement Information System (PROMIS) overcomes such obstacles through computer-adaptive technology and can capture outcome data from various domains including physical and psychosocial function. Prior work has compared the FAAM with PROMIS physical function; however, there is little evidence comparing the association between foot and ankle-specific tools like the FAAM with more general outcomes measures of PROMIS pain interference and depression in foot and ankle conditions.

Not the Last Word: Rethinking the Resident Research Requirement

Joseph Bernstein MD
19th August 2017, Reply to the Letter to the Editor

Polyethylene Damage Increases With Varus Implant Alignment in Posterior-stabilized and Constrained Condylar Knee Arthroplasty

Zhichang Li MD, Christina I. Esposito PhD, Chelsea N. Koch BS, Yuo-yu Lee MS, Douglas E. Padgett MD, Timothy M. Wright PhD
18th August 2017, Clinical Research

Implant malalignment in primary TKA has been reported to increase stresses placed on the bearing surfaces of implant components. We used a longitudinally maintained registry coupled with an implant retrieval program to consider whether preoperative, postoperative, or prerevision malalignment was associated with increased risk of revision surgery after TKA.