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Article ; Online: Multi-investigator collaboration in orthopedic surgery research compared to other medical fields: Update comparing 2021-2009.

Kuhn, Andrew W / Rund, Joseph M / Wolf, Brian R / Brophy, Robert H

Journal of orthopaedic research : official publication of the Orthopaedic Research Society

2023 Volume 42, Issue 4, Page(s) 873–877

Abstract: The purpose of this study was to assess the prevalence of multicenter studies in the orthopedic literature compared to general medicine and other surgical subspecialty studies as an update to a previous study. The number of multicenter research studies ... ...

Abstract	The purpose of this study was to assess the prevalence of multicenter studies in the orthopedic literature compared to general medicine and other surgical subspecialty studies as an update to a previous study. The number of multicenter research studies across three orthopedic surgery journals was higher in 2021 compared to 2009 (7.2% [95% CI: 5.1%-9.4%, χ
MeSH term(s)	Humans ; Orthopedics ; Orthopedic Procedures
Language	English
Publishing date	2023-10-17
Publishing country	United States
Document type	Multicenter Study ; Journal Article
ZDB-ID	605542-4
ISSN	1554-527X ; 0736-0266
ISSN (online)	1554-527X
ISSN	0736-0266
DOI	10.1002/jor.25703
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Article ; Online: Editorial Commentary: Trends in Cartilage Surgery-Who Is Steering the Ship?

Duchman, Kyle R / Wolf, Brian R

Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association

2019 Volume 35, Issue 1, Page(s) 179–181

Abstract: With myriad cartilage surgery techniques available, including marrow stimulation, autologous osteochondral transfer, osteochondral allograft transplantation, and autologous chondrocyte implantation, treatment of knee articular cartilage injuries has ... ...

Abstract	With myriad cartilage surgery techniques available, including marrow stimulation, autologous osteochondral transfer, osteochondral allograft transplantation, and autologous chondrocyte implantation, treatment of knee articular cartilage injuries has become increasingly complex. Recent evidence suggests that advanced cartilage restoration procedures may provide improved outcomes and durability when compared with marrow stimulation techniques. When investigating orthopaedic surgeons early in practice, it appears that utilization of marrow stimulation techniques has decreased, an encouraging trend that is in line with recent evidence. However, it is important to consider how other factors not investigated, including insurance approval and payor reimbursement, may influence these trends moving forward.
MeSH term(s)	Cartilage, Articular ; Humans ; Incidence ; Knee Injuries ; Orthopedics ; Ships ; United States
Language	English
Publishing date	2019-01-04
Publishing country	United States
Document type	Editorial ; Comment
ZDB-ID	632528-2
ISSN	1526-3231 ; 0749-8063
ISSN (online)	1526-3231
ISSN	0749-8063
DOI	10.1016/j.arthro.2018.10.007
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Article ; Online: Degenerative Meniscus Tear in Older Athletes.

Wolf, Brian R / Gulbrandsen, Trevor R

Clinics in sports medicine

2019 Volume 39, Issue 1, Page(s) 197–209

Abstract: Older athletes consist of a relatively healthier population with a high desire for return to sport despite knee injury. A meniscal tear is a common injury that has lasting impacts on joint function and activity level. Lower extremity loading from ... ...

Abstract	Older athletes consist of a relatively healthier population with a high desire for return to sport despite knee injury. A meniscal tear is a common injury that has lasting impacts on joint function and activity level. Lower extremity loading from sporting activity in conjunction with degenerative meniscal changes increases the risk of meniscal tear in older athletes. Optimal treatment of degenerative meniscal tears is often debated with varying studies reporting the benefits of strictly nonoperative treatment or the value of surgery. Postoperative rehabilitation is crucial to enhance the possibility of return to sport.
MeSH term(s)	Arthroscopy/methods ; Athletic Injuries/diagnosis ; Athletic Injuries/surgery ; Clinical Decision-Making ; Humans ; Knee Joint/diagnostic imaging ; Osteoarthritis, Knee/diagnosis ; Postoperative Care ; Tibial Meniscus Injuries/diagnosis ; Tibial Meniscus Injuries/surgery
Language	English
Publishing date	2019-11-25
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	779944-5
ISSN	1556-228X ; 0278-5919
ISSN (online)	1556-228X
ISSN	0278-5919
DOI	10.1016/j.csm.2019.08.005
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Article ; Online: Medial Opening-Wedge High Tibial Osteotomy for Medial Compartment Arthrosis/Overload.

Day, Molly / Wolf, Brian R

Clinics in sports medicine

2019 Volume 38, Issue 3, Page(s) 331–349

Abstract: Medial opening-wedge high tibial osteotomy has become increasingly popular for treating isolated, medial compartment arthrosis in younger, more active patients. Relative indications include age younger than 55 to 60 years, normal weight, preserved range ... ...

Abstract	Medial opening-wedge high tibial osteotomy has become increasingly popular for treating isolated, medial compartment arthrosis in younger, more active patients. Relative indications include age younger than 55 to 60 years, normal weight, preserved range of motion, and isolated medial compartment osteoarthritis or overload. Several surgical techniques exist for stabilization of the osteotomy with similar outcomes. Complication rates after medial opening-wedge high tibial osteotomy vary from 29% to 37%, with highest risk of nonunion, fracture, stiffness, and loss of correction. Good long-term outcomes can be achieved, with 5- and 10-year survivorship rates ranging from 75% to 98.7% and 51% to 97.6%, respectively.
MeSH term(s)	Humans ; Knee Joint/diagnostic imaging ; Knee Joint/surgery ; Osteoarthritis, Knee/surgery ; Osteotomy/methods ; Preoperative Period ; Radiography ; Tibia/surgery
Language	English
Publishing date	2019-06-14
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	779944-5
ISSN	1556-228X ; 0278-5919
ISSN (online)	1556-228X
ISSN	0278-5919
DOI	10.1016/j.csm.2019.02.003
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Article ; Online: Postoperative Bracing after Medial Patellofemoral Ligament Reconstruction.

Schaver, Andrew L / Tranovich, Meaghan A / O'Reilly, Olivia C / Bollier, Matthew J / Duchman, Kyle R / Wolf, Brian R / Westermann, Robert W

The journal of knee surgery

2024

Abstract: It is unclear if bracing is necessary after isolated medial patellofemoral ligament reconstruction (MPFLr) for recurrent patellar instability. We hypothesize that patients who did not use a brace will have similar outcomes to those who were braced ... ...

Abstract	It is unclear if bracing is necessary after isolated medial patellofemoral ligament reconstruction (MPFLr) for recurrent patellar instability. We hypothesize that patients who did not use a brace will have similar outcomes to those who were braced postoperatively. A retrospective review of patients who underwent isolated MPFLr from January 2015 to September 2020 at a single institution was performed. Those with less than 6 weeks of follow-up were excluded. The braced group was provided a hinged-knee brace postoperatively until the return of quadriceps function, which was determined by the treating physical therapist (brace, "B"; no brace, "NB"). Time to straight leg raise (SLR) without lag, recurrent instability, and total re-operations were determined. Univariate analysis and logistic regression were used to evaluate outcomes (statistical significance,
Language	English
Publishing date	2024-02-07
Publishing country	Germany
Document type	Journal Article
ZDB-ID	2075354-8
ISSN	1938-2480 ; 1538-8506 ; 0899-7403
ISSN (online)	1938-2480
ISSN	1538-8506 ; 0899-7403
DOI	10.1055/a-2232-4856
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Article ; Online: Rotator cuff disease is fascinating: Commentary on an article by Robert D. Russell, MD, et al.: "Structural integrity after rotator cuff repair does not correlate with patient function and pain. A meta-analysis".

Wolf, Brian R

The Journal of bone and joint surgery. American volume

2014 Volume 96, Issue 4, Page(s) e32

MeSH term(s)	Arthroscopy/methods ; Humans ; Pain/diagnosis ; Range of Motion, Articular/physiology ; Rotator Cuff/surgery ; Tendon Injuries/surgery
Language	English
Publishing date	2014-02-19
Publishing country	United States
Document type	Comment ; Journal Article
ZDB-ID	220625-0
ISSN	1535-1386 ; 0021-9355
ISSN (online)	1535-1386
ISSN	0021-9355
DOI	10.2106/JBJS.M.01146
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Article ; Online: PROMIS is a Valid Patient-Reported Outcome Measure for Patients undergoing ACL Reconstruction with Multi-ligament Knee Reconstruction and Repair Procedures.

Baron, Jacqueline E / Duchman, Kyle R / Wolf, Brian R / Westermann, Robert W

The Knee

2021 Volume 28, Page(s) 294–299

Abstract: Background: This study aimed to (1) compare PROMIS with previously validated legacy instruments and (2) to assess between group differences of PROMIS PF-CAT [Physical Function Computer Adaptive Test] for patients undergoing isolated primary ACL ... ...

Abstract	Background: This study aimed to (1) compare PROMIS with previously validated legacy instruments and (2) to assess between group differences of PROMIS PF-CAT [Physical Function Computer Adaptive Test] for patients undergoing isolated primary ACL reconstruction [ACLR] vs. primary ACL reconstruction with additional ligamentous intervention [MLIK]. Level of evidence: II; Prospective Cohort Study. Methods: At a single preoperative timepoint, 42 [MLIK] and 73[ACLR] patients completed: Short Form 36 Health Survey (SF-36) Mental (MCS) and Physical Component Summary (PCS), Knee Injury and Osteoarthritis Outcome Score (KOOS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), EuroQol-5 dimensions (EQ-5D) and Marx Knee Scale. Spearman correlation coefficients (non-parametric data) assessed correlations between PROMIS PF-CAT and legacy PROs [Patient-Reported Outcome instruments]. Floor and ceiling effects were assessed using chi-square tests. Between group differences were assessed (Wilcoxon Rank sum test). Results: PROMIS PF-CAT for the MLIK cohort [Table 2] demonstrated an excellent-good correlation with SF-36 Physical Function (PCS; r = 0.64, p < 0.01), EQ-5D (r = 0.68, p < 0.01), and KOOS Quality of Life (QOL) (r = 0.68, p < 0.01); good correlation with KOOS ADL (r = 0.52, p = 0.01), KOOS Sports (r = 0.44, p < 0.01), KOOS Pain (r = 0.44, p < 0.01) and WOMAC Function (r = 0.52,p = 0.01). PROMIS PF-CAT scores differed for ACL vs. MLIK cohorts (41.9 ± 6.6 vs. 37.6 ± 9.0, p < 0.01). PROMIS PF-CAT demonstrated the fewest floor and ceiling effects [Table 4] versus legacy PRO instruments. Conclusion: PROMIS PF-CAT demonstrated strong correlations with previously validated PRO instruments and offers a favorable alternative for patients undergoing ACLR with MLIK repair/reconstruction procedures. Preoperative PROMIS PF-CAT scores were greater for patients undergoing primary ACLR versus MLIK intervention.
MeSH term(s)	Adolescent ; Adult ; Anterior Cruciate Ligament/surgery ; Anterior Cruciate Ligament Injuries/surgery ; Anterior Cruciate Ligament Reconstruction/methods ; Cohort Studies ; Female ; Humans ; Knee Joint/surgery ; Male ; Middle Aged ; Patient Reported Outcome Measures ; Prospective Studies ; Quality of Life ; Young Adult
Language	English
Publishing date	2021-01-14
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	1200476-5
ISSN	1873-5800 ; 0968-0160
ISSN (online)	1873-5800
ISSN	0968-0160
DOI	10.1016/j.knee.2020.12.012
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Article ; Online: Posterolateral Rotary Instability of the Elbow in Adolescents: A Report of 2 Cases and Review of the Literature.

Baron, Jacqueline E / Shamrock, Alan G / Wolf, Brian R

JBJS case connector

2019 Volume 9, Issue 4, Page(s) e0504

Abstract: Cases: The authors present 2 cases of chronic posterolateral rotatory instability (PLRI) of pediatric elbows successfully treated with lateral collateral ligament (LCL) reconstruction using semitendinosus tendon allograft, including the first documented ...

Abstract	Cases: The authors present 2 cases of chronic posterolateral rotatory instability (PLRI) of pediatric elbows successfully treated with lateral collateral ligament (LCL) reconstruction using semitendinosus tendon allograft, including the first documented case of LCL reconstruction in the setting of an Osborne-Cotterill lesion in a pediatric patient. Full resolution of PLRI was achieved, and the patients returned to preinjury full-contact sports at 5 months postoperatively. Conclusions: Few studies have reported LCL reconstruction in the setting of chronic PLRI in pediatric patients. The purpose of this report is to aid in the diagnosis and treatment of elbow PLRI and to describe a surgical option for recurrent PLRI in pediatric patients.
MeSH term(s)	Accidental Falls ; Child ; Collateral Ligament, Ulnar/diagnostic imaging ; Collateral Ligament, Ulnar/injuries ; Collateral Ligament, Ulnar/surgery ; Elbow Joint/diagnostic imaging ; Elbow Joint/surgery ; Football/injuries ; Humans ; Joint Instability/etiology ; Joint Instability/surgery ; Magnetic Resonance Imaging ; Male ; Radiography ; Wrestling/injuries
Language	English
Publishing date	2019-11-09
Publishing country	United States
Document type	Case Reports ; Journal Article ; Review
ISSN	2160-3251
ISSN (online)	2160-3251
DOI	10.2106/JBJS.CC.18.00504
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Article ; Online: Modified Outpatient Physical Therapy Improvement in Movement Assessment Log (mOPTIMAL): A Responsive and Reliable Tool for Patients with Non-Operative Shoulder Pain.

Shaffer, Michael A / Kestel, Lisabeth L / Wolf, Brian R / Shields, Richard K

The Iowa orthopaedic journal

2020 Volume 40, Issue 1, Page(s) 91–99

Abstract: Background: Medicare regulations require that physical therapists report functional limitations and severity modifiers utilizing a claims-based data collection tool. The Modified Outpatient Physical Therapy Improvement in Movement Assessment Log ( ... ...

Abstract	Background: Medicare regulations require that physical therapists report functional limitations and severity modifiers utilizing a claims-based data collection tool. The Modified Outpatient Physical Therapy Improvement in Movement Assessment Log (mOPTIMAL) captures key constructs about patient confidence and difficulty but has not been evaluated for responsiveness/ reliability during a routine clinical encounter with patients who have shoulder pathology. The purposes of this retrospective study are to 1) explore if mOPTIMAL changes after a single session with a physical therapist, and 2) determine if the tool is reliable among people with non-operative shoulder pain. Methods: We included 106 individuals (58% female; mean age 45.8; range: 18-94 yrs.) with "non-operative" shoulder pathology who were seen in outpatient physical therapy from 2011 to 2012. Subjects completed a mOPTIMAL survey and a pain scale before and immediately after the initial physical therapy visit. The mOPTIMAL is a patient-centered instrument that assesses how much "Difficulty" and "Confidence" a client has in performing a battery of functional tasks. T-tests, Cronbach's Alpha, and Intra-class Correlations were used to assess responsiveness, internal consistency, and reliability, respectively. Results: After a single visit, participants reported improved Confidence with sleeping, dressing/ bathing, throwing, carrying, and lifting (adjusted for ceiling effects; p<0.002) but no change in pain. Cronbach's Alpha and Intra-class Correlations were excellent (0.821-0.923; 0.967, respectively). Conclusions: mOPTIMAL is a reliable and responsive tool with excellent internal consistency. This observational study revealed that patient Confidence may change independent of Pain after a single physical therapy visit. Taken together, the mOPTIMAL appears to be an excellent tool to report severity modifiers in compliance with Medicare regulations.
MeSH term(s)	Adolescent ; Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Male ; Middle Aged ; Outcome Assessment, Health Care/standards ; Outpatients ; Pain Measurement ; Physical Therapy Modalities ; Psychometrics ; Reproducibility of Results ; Retrospective Studies ; Shoulder Pain/physiopathology ; Shoulder Pain/therapy ; Surveys and Questionnaires ; United States ; Young Adult
Language	English
Publishing date	2020-07-31
Publishing country	United States
Document type	Journal Article ; Observational Study
ZDB-ID	1204065-4
ISSN	1555-1377 ; 1541-5457
ISSN (online)	1555-1377
ISSN	1541-5457
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Article ; Online: Periarticular Local Infiltrative Anesthesia and Regional Adductor Canal Block Provide Equivalent Pain Relief After Anterior Cruciate Ligament Reconstruction.

Schaver, Andrew L / Glass, Natalie A / Duchman, Kyle R / Wolf, Brian R / Westermann, Robert W

Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association

2021 Volume 38, Issue 4, Page(s) 1217–1223

Abstract: Purpose: To compare postoperative pain and recovery after anterior cruciate ligament reconstruction (ACLR) in patients who received an adductor canal block (ACB) or periarticular local infiltrative anesthesia (LIA).: Methods: A retrospective review ... ...

Abstract	Purpose: To compare postoperative pain and recovery after anterior cruciate ligament reconstruction (ACLR) in patients who received an adductor canal block (ACB) or periarticular local infiltrative anesthesia (LIA). Methods: A retrospective review of a prospectively collected ACL registry was performed. Patients underwent ACLR at a single institution between January 2015 and September 2020 and received long-acting local anesthesia with a preoperative ultrasound-guided ACB or periarticular LIA after surgery. Visual analog scale (VAS) pain scores, milligram morphine equivalents (MME) consumed in the post-anesthesia care unit (PACU), and total hospital recovery time were compared. Univariate analysis was used to compare VAS pain and MME totals between overall groups and groups propensity score matched for age, sex, body mass index, graft type, and meniscal treatment. Results are presented as mean (95%CI) unless otherwise indicated. Results: There were 265 knees (253 patients) included (LIA, 157 knees; ACB, 108 knees). Overall, VAS pain scores before hospital discharge (LIA: 2.6 [2.4-2.8] vs ACB: 2.4 [2.1-2.7]; P = .334) and total MMEs were similar (LIA: 17.6 [16.4-18.8] vs ACB: 18.5 [17.2-19.8] (MME); P =.134). Median time to discharge also did not significantly differ (LIA: 137.5 [IQR: 116-178] vs. ACB: 147 [IQR: 123-183] (min); P = .118). Matched subanalysis (LIA and ACB; n = 94) did not reveal significant differences in VAS pain before discharge (LIA: 2.4 [2.1-2.7] vs ACB: 2.7 [2.4-3.0]; P = .134) or total MMEs (LIA: 18.6 (17.2-20.0) vs ACB: 17.9 (16.4-19.4); P = .520). Conclusion: The use of ACB or LIA resulted in similar early pain levels, opioid consumption, and hospital recovery times after ACLR surgery. Level of evidence: III, retrospective comparison study.
MeSH term(s)	Analgesics, Opioid ; Anesthesia, Local ; Anesthetics, Local ; Anterior Cruciate Ligament Reconstruction/methods ; Humans ; Nerve Block/methods ; Pain, Postoperative/drug therapy ; Retrospective Studies
Chemical Substances	Analgesics, Opioid ; Anesthetics, Local
Language	English
Publishing date	2021-11-19
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	632528-2
ISSN	1526-3231 ; 0749-8063
ISSN (online)	1526-3231
ISSN	0749-8063
DOI	10.1016/j.arthro.2021.10.031
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