The Effect of Sex, Race/Ethnicity, and Neighborhood Socioeconomic Disadvantage on Total Hip Arthroplasty Utilization: A Multicenter Cohort Study.

Introduction: Disparities in the management of hip osteoarthritis (OA) exist across sex, race/ethnicity, and socioeconomic status, but their combined effect on total hip arthroplasty (THA) utilization remains unclear. This study evaluates differences in presentation, nonsurgical treatments, and THA rates across two academic centers.

Methods: Patients with primary hip OA seen in 2002 at two tertiary academic centers were included.

Adaptive Sports Exposure Impacts Pediatric Orthopaedic Surgeon Comfort in Treating Patients With Disabilities.

Background: Pediatric patients with physical disabilities often have difficulty accessing providers who are comfortable treating this unique patient population. The purpose of the study is to identify factors associated with increased pediatric orthopaedic surgeon familiarity in treating patients with disabilities and to assess whether involvement with adaptive sports (AS) improves their comfort level in treating these patients.

Methods: An anonymous 36-question survey was administered from May to June 2024 to members of the Pediatric Orthopaedic Society of North America (POSNA).

Frugal Innovations in Orthopaedics.

Purpose Of Review: Frugal innovations prioritize low-cost interventions, while keeping in mind efficacy, accessibility and scalability. Despite a scientific culture that often celebrates major financial investment and cutting-edge technologies, frugal innovations can be just as important in both low-income countries where resources are scarce as they are high income countries where the health needs of aging populations may be outpacing economic growth. We sought to comprehensively review the current state of frugal innovations in orthopaedic surgery, as well as to identify next steps as the importance of these low-cost interventions continues to grow.

Neoadjuvant Chemotherapy Is Associated With Reduced Amputation Risk in Synovial Sarcoma of the Lower Extremity.

Background And Objectives: The combination of radiation and surgical resection represents the current standard of care for primary synovial sarcoma (SS). However, controversy remains regarding the role of chemotherapy. We sought to evaluate the impact of neoadjuvant chemotherapy on the likelihood of undergoing amputation for patients with lower extremity SS.

Poor Clinical Outcomes Following Total Knee Arthroplasty-Associated Revisions of Extensor Mechanism Allograft Reconstructions.

Background: Extensor mechanism rupture following total knee arthroplasty is a formidable complication frequently limiting limb function. Multiple reconstruction techniques are described, but the extensor mechanism allograft (EMA) that is utilized for complex reconstruction has notable failure rates. Rarer is a second attempt at EMA reconstruction.

Income and Insurance-Based Disparities in Primary Soft Tissue Sarcoma of the Extremities.

Background And Objectives: Soft tissue sarcomas (STSs) are rare but can be devastating. Paradigm shifts in adjuvant treatment have expanded the availability of limb salvage; however, a subset of patients still require amputation. The aim of this study was to examine the impact of patient, disease, and practice-related factors on rates of amputation in STS.

Utility of Adult-Based Discoid Lateral Meniscus Diagnostic Criteria in a Pediatric Population.

Background: Commonly cited discoid lateral meniscus (DLM) imaging definitions are based on adult magnetic resonance imaging (MRI) measurements. This pathology commonly presents in pediatric populations; however, whether accepted adult measurements reliably apply to children and adolescents is unknown.

Purpose/hypothesis: This purposes of the study were to determine (1) the utility of applying adult-accepted MRI definitions of DLM to pediatric patients, (2) whether sex differences affect the applicability of the criteria, and (3) whether MRI magnet strength and/or tear presence affect MRI measurements for diagnosing DLM in pediatric patients.