Acta Orthopaedica

Measurement of acute postoperative pain intensity in orthopedic trials: a qualitative concept elicitation study
Bjørnholdt KT and Andersen CWG
Pain intensity is an important outcome in clinical trials of surgery because pain relief is important to patients. Currently, recommended scales are the numeric rating scale 0-10 and visual analogue scale. However, these scales allow for considerable influence of individual imagination, previous experience, and coping skills, limiting proficiency in comparative clinical trials. We aimed to explore postoperative expressions of "how much it hurts"-the first step to improve pain intensity measurement.
The completeness of national hip and knee replacement registers
French JMR, Deere K, Whitehouse MR, Pegg DJ, Ciminello E, Valentini R, Torre M, Mäkelä K, Lübbeke A, Bohm ER, Fenstad AM, Furnes O, Hallan G, Willis J, Overgaard S, Rolfson O and Sayers A
 National joint replacement registries were developed for prospective monitoring of outcomes and post-market surveillance of implants. Increasingly registry data informs practice. However, analysis of a registry can only be as good as the data it captures on the population of interest. We aimed to analyze completeness of reporting of hip and knee replacement procedures for all national registries worldwide.
Patient-reported outcome was close to the Danish background population 6 months after non-surgical treatment of Neer 2-part surgical neck fractures: a prospective cohort study in patients aged 60 or above
Brorson S, Borg SA, Houkjær LL, Holtz KB and Issa Z
 Neer 2-part surgical neck fractures are the most common displaced proximal humerus fractures. We aimed to evaluate patient-reported outcome in a consecutive series of older people receiving nonoperative treatment.
Erratum: Regional variation in low-value musculoskeletal surgery: a nationwide study from the Finnish Care Register
Ponkilainen V, Laurema A, Mattila VM and Karjalainen T
We would like to inform of an error in the reported incidences in our published article, Regional variation in low-value musculoskeletal surgery: a nationwide study from the Finnish Care Register. Specifically, the incidences for rotator cuff repair, partial meniscectomy, ankle arthroscopy, distal radius fracture fixation, and wrist arthroscopy surgeries were calculated using a too small population size. Accordingly, corrected calculations resulted in higher incidence values for these surgeries, impacting Table 3 and Figure 3, which now show accurate incidence rates. We have also updated Figure 6 and the corresponding sections of the results accordingly. These corrections did not affect any other figures or tables, not the overall conclusions, and the text in the discussion section remains unchanged. The correct data further emphasizes the findings in our original article. We apologize for any confusion caused by these errors and appreciate the opportunity to correct the publication.
Can KOOS-PS be replaced with a simple anchor question in patients after total knee arthroplasty?: an agreement study of 2,478 primary surgeries
Bjørgen Winther S, Sjøstrøm A, Liabakk-Selli S, Foss OA, Wik TS and Klaksvik J
 Physical function and pain are the most important outcomes following total knee arthroplasty (TKA). These can be evaluated by patient-reported outcome measures (PROMs), or by an anchor question. The primary aim of the study was to evaluate whether a simple anchor question can replace KOOS-PS in assessing postoperative knee function until 1-year follow-up, evaluated by analyzing the agreement between the 2 methods using the diagnostic odds ratio (DOR). Secondary aims were pain (NRS) at rest and during mobilization.
Incidence and risk factors of adverse events after distal radius fracture fixation with volar locking plates: retrospective analysis of 2,790 cases
Vasara H, Stenroos A, Tarkiainen P, Aavikko A, Nordback PH, Anttila T, Kosola J and Aspinen S
 12-18% of patients encounter adverse events after distal radius fracture (DRF) surgery with volar locking plates (VLPs). Risk factors for which preventive measures could be administered are currently scarce. We aimed to examine the incidence of postoperative adverse events and assess the causes and risk factors for the adverse events after VLP fixation of DRFs.
Acute treatment of elderly patients with acetabular fractures by open reduction, internal fixation, and total hip arthroplasty: a 1-10-year follow-up of 48 patients
Kirkeboe RL, Madsen JE, Nordsletten L and Clarke-Jenssen J
 Acetabular fractures in osteoporotic bone are associated with substantial joint impaction and comminution, previously shown to be prognostic for a poor result. A combined procedure of open reduction, internal fixation (ORIF), and total hip arthroplasty (THA) can be a good option, allowing for immediate weightbearing as tolerated. We report short- to medium-term outcome and complications of the results of patients treated with this combined procedure.
Bado type III Monteggia fractures have a high injury- and treatment-related complication rate: a single center study of 73 fractures
Zilliacus K, Nietosvaara Y, Helenius I, Kämppä N, Vuorimies I and Grahn P
 Monteggia fractures can be problematic injuries. The aim of this population-based study is to evaluate the risk of complications according to the Bado types, clinical outcome, and incidence.
Factors associated with arthrofibrosis-related revision following 14,325 total or unicompartmental knee arthro-plasties: an analysis from the Dutch Arthroplasty Registry
Van de Ven MPF, Bongers J, Spekenbrink-Spooren A and Koëter S
 Arthrofibrosis is a fibrotic joint disorder that can impair the results of knee arthroplasty surgery by limiting the range of motion, functionality, and quality of life. We aimed to investigate whether patient and procedural characteristics are associated with arthrofibrosis-related revision following unicompartmental and total knee arthroplasty (UKA and TKA).
Relationship between histological findings of vastus lateralis muscle and function after total hip arthroplasty in patients with hip fracture: a prospective cohort study
Song SK, Hwang JH, Bae JW, Oh HK and Cho MR
 We aimed to examine the histological characteristics of vastus lateralis muscles in patients undergoing total hip arthroplasty (THA) following femoral neck fractures and to explore the correlation between muscle fiber types and postoperative functional recovery.
Are some neutral liners more neutral than others? An ex vivo morphological analysis of acetabular liners classified as "neutral"
Ochoa JÁ, Neuvonen PS, Hyttinen J, Viik J and Eskelinen AP
 In contemporary total hip replacement (THR), dislocation is one of the most common complications. At our institution, the cause of an increase in the dislocation rate was recently reported to be reduced head coverage of a newly introduced neutral liner. We therefore aimed to ascertain whether differences exist in articulating head coverage between the various neutral liners used in contemporary THR. A secondary aim was to utilize coverage measurements to develop a new liner coverage classification.
Metabolic syndrome increases the length of stay and medical complications after hip and knee arthroplasty: results from a prospective cohort study of 2,901 patients
Reinholdt Sørensen R, Timm S, Rasmussen LE, Brasen CL and Varnum C
 Metabolic syndrome (MetS) affects more than 60% of the patients having a hip or knee arthroplasty due to osteoarthritis. As it is debated whether metabolic syndrome increases the risk of complications, we aimed to investigate the length of stay (LOS) and risk of readmission at 30 and 90 days after surgery, including causes of readmission.
Risk of second revision and mortality following first-time revision due to prosthetic joint infection after primary total hip arthroplasty: results on 1,669 patients from the Danish Hip Arthroplasty Register
Joanroy R, Gubbels S, Møller JK, Overgaard S and Varnum C
 Prosthetic joint infection (PJI) following total hip arthroplasty (THA) has a severe impact on patients. We investigated the risk of second revision and mortality following first-time revision due to PJI.
A systematic review of crosswalks for converting patient-reported outcome measure scores in hip, knee, and shoulder replacement surgery
Ackerman IN, Soh SE, Hallstrom BR, Fang YY, Franklin P, Lützner J, Ingelsrud LH and
 We aimed to systematically review studies of crosswalks for converting patient-reported outcome measure (PROM) scores used in joint replacement, and develop a database of published crosswalks.
Association of osteotomy, age, and component fixation with the outcomes of total hip arthroplasty in patients with hip dysplasia: a Dutch population-based registry study
Hüsken MFT, Magré J, Willemsen K, Van Steenbergen LN, Van Veghel MHW, Weinans H, Sakkers RJB, Bekkers JEJ and Van der Wal BCH
 Hip dysplasia can present challenges for total hip arthroplasty (THA) due to anatomic abnormalities. We aimed to assess the association of age, sex, osteotomies prior to THA, and fixation method on 5- and 10-year revision-free implant survival and patient-reported outcome measures (PROMs) of THAs in patients with hip dysplasia.
Measuring total hip arthroplasty liner wear using the EOS Imaging System: experimental and clinical results
Kjærgaard K, Yilmaz S, Kaptein B, Overgaard S and Ding M
The low-dose EOS Imaging System is an emerging tool for 3-dimensional measurements in orthopedics. The clinical feasibility for measuring total hip arthroplasty (THA) liner wear has not yet been investigated. We aimed to evaluate the feasibility of using EOS to measure THA liner wear by examining the experimental accuracy using a THA phantom and clinical precision of patients with THA, considering a clinically relevant precision at the 95% repeatability limit to be 0.2 mm.
Prognostic model development for risk of curve progression in adolescent idiopathic scoliosis: a prospective cohort study of 127 patients
Dufvenberg M, Charalampidis A, Diarbakerli E, Öberg B, Tropp H, Ahl AA, Wezenberg D, Hedevik H, Möller H, Gerdhem P, Abbott A and
 The study's purpose was to develop and internally validate a prognostic survival model exploring baseline variables for adolescent idiopathic scoliosis curve progression.
Regional variation in low-value musculoskeletal surgery: a nationwide study from the Finnish Care Register
Ponkilainen V, Laurema A, Mattila VM and Karjalainen T
Healthcare systems globally are grappling with resource constraints and rising costs. Concerns have been raised about "low-value" care, which consumes healthcare resources without benefiting patients. We aimed to examine regional differences in common low-value musculoskeletal surgeries in Finland and explore explanatory factors behind the variation.
Can pin-site inflammation be detected with thermographic imaging? A cross-sectional study from the USA and Denmark of patients treated with external fixators
Fridberg M, Rahbek O, Husum HC, Anirejuoritse B, Duch K, Iobst C and Kold S
 Patients with external fixators are at risk of pin-site infection. A tool for objective monitoring of pin sites for evolving signs of infection is warranted. We aimed to investigate the temperature (MaxTp) difference between clean and visually inflamed pin sites using thermography and to establish the optimal cut-off value of MaxTp using thermography as a screening tool for inflammation detection.
Fracture-related infections after osteosynthesis for hip fracture are associated with higher mortality: A retrospective single-center cohort study
Khalili P, Brüggemann A, Tevell S, Fischer P, Hailer NP and Wolf O
 Fracture-related infections (FRIs) after osteosynthesis for hip fractures have not been thoroughly investigated. Our primary aim was to assess the association between FRIs and mortality after osteosynthesis for hip fracture. Secondary aims were to investigate the incidence, microbiology, and general epidemiological aspects of these FRIs.
Polyethylene wear and cup migration of cemented total hip arthroplasty with femoral heads made of oxidized zirconium, steel, or cobalt chromium: a 10-year secondary analysis from a randomized trial using radiostereometry
Johannessen HG, Hallan G, Kadar T, Fenstad AM, Lygre SHL, Haugan K, Høl PJ, Badawy M, Jonsson B, Indrekvam K, Aamodt A and Furnes O
We aimed to evaluate polyethylene (PE) wear, cup migration, and clinical outcome over 10 years in total hip arthroplasties (THA) using different articulations.