Rothman Orthopaedics

Performance of AI Chatbots in Adult Reconstruction Education: A Comparative Evaluation Using AAOS ResStudy Questions.

BACKGROUND: Artificial intelligence (AI) chatbots are increasingly incorporated into orthopedic education, yet their ability to handle complex, clinically oriented questions remains unclear. This study evaluates the accuracy, response time, and citation reliability of contemporar...

Is the surgeon or hospital a larger cost driver for lumbar fusion? A hierarchical Bayesian approach using time-driven activity-based costing

OBJECTIVE Considerable variability exists in lumbar fusion outcomes, with prior studies demonstrating significant differences across both surgeons and hospitals. However, similar analyses for cost are lacking, making it unclear whether surgeons or hospitals are larger cost driver...

Neurosurgical software device safety in the US: analysis of 2017–2025 FDA Recall and Adverse Event Data

OBJECTIVE Neurosurgeons rely on multiple software applications for surgical planning, intraoperative navigation, and neurophysiological monitoring. Combined with the proliferation of AI-based clinical adjuncts, software as a medical device (SaMD) represents an evolving frontier w...

Impact of broadly targeted enhanced recovery after surgery protocols in hysterectomy versus other gynecologic surgeries

Introduction The opioid epidemic in the United States poses a major public health challenge, with postoperative prescribing recognized as a significant source of initial opioid exposure. Midwestern states, including Iowa, have experienced substantial opioid-related morbidity and...

Subsequent Knee Arthroplasty Does Not Influence Patient-Reported Outcomes Following Lumbar Fusion

Study Design Retrospective Cohort Study. Objectives The impact of knee arthritis and early total knee arthroplasty (TKA) on lumbar fusion recovery remains underexplored. This study aimed to identify demographic differences between lumbar fusion patients that had subsequent TKA an...

Timing Matters: Preoperative Lumbar Epidural Steroid Injection and Long-Term Outcomes Following Single-Level Posterior Lumbar Fusion

Study Design Retrospective Cohort Analysis. Objective CESIs are a mainstay of nonoperative treatment for degenerative lumbar spine disease. As increasing numbers of patients undergo sPLF after receiving CESIs, understanding their impact on surgical outcomes is essential. The obje...

Preoperative Antibiotic Administration Before Distal Radius Fracture ORIF and Postoperative Outcomes: A Propensity-Matched Cohort Study

Purpose Surgical site infections following certain hand surgery procedures are inherently low; however, the utility of prophylactic antibiotics in such scenarios remains a point of controversy. This study aimed to evaluate postoperative infection rates among patients who were pre...

Evaluating the Reliability, Accuracy, and Readability of ChatGPT-3.5 and GPT-4 in Providing Patient Education Related to Glenohumeral Joint Osteoarthritis.

OBJECTIVES: Chatbots have been increasingly recognized as modern tools that provide patients with reliable health-related information. This study aimed to evaluate and compare ChatGPT-3.5 and GPT-4's ability to answer glenohumeral osteoarthritis-related questions. METHODS: Fiftee...

Reducing Postoperative Opioid Use in Orthopaedics: A Review of Multimodal Analgesia Strategies, Patient Outcomes, and Implementation into Practice

The opioid crisis has underscored the urgent need for safer, more effective postoperative pain management strategies in orthopaedic surgery. Traditionally, opioids have played a central role in post-surgical analgesia. Still, emerging evidence supports the use of multimodal analg...

How to set up an Office-based Surgical Suite: A Case Study Guide

Surgeries continue to move from more expensive, high-acuity facilities to less expensive, low-acuity facilities, prioritizing outpatient surgical care over inpatient care whenever possible for elective surgeries. Following the spirit of surgical cases moving from high-cost to low...

Safety and Complications of Open Trigger Finger Release in Patients Over 90 Years Old: A Retrospective Analysis

Background Although open trigger finger release is widely regarded as a safe and effective procedure, existing literature primarily focuses on younger populations, with limited evidence addressing outcomes in nonagenarian patients. This study aimed to evaluate safety, patient-rep...

Myocardial Infarction Within 6 Months Before Arthroscopic Rotator Cuff Repair Is Associated With Significantly Increased Risk of Postoperative Myocardial Infarction

Purpose To evaluate the association between myocardial infarction (MI) timing within 2 years prior to arthroscopic rotator cuff repair (aRCR) and postoperative cardiac, medical, and surgical complications. Methods The PearlDiver Mariner Database (2010‐2022) was queried to identif...

The Effect of Post-Traumatic Stress Disorder on Total Shoulder Arthroplasty Outcomes: A Retrospective Cohort Study

Background: Total shoulder arthroplasty (TSA) continues to have increased use, and about 6 out of every 100 individuals are diagnosed with post-traumatic stress disorder (PTSD). Previous studies have shown that PTSD affects bone health and joint arthroplasty outcomes. Although bo...

National Utilization of Navigation and Robotics in Inpatient Spinal Fusion Remains Low but is Increasing, 2016–2022

Study Design Retrospective cohort study. Objectives Adoption patterns in spinal fusion remain poorly defined at the national level. This study aimed to evaluate national adoption trends of navigation and robotics in spine fusion from 2016 to 2022. Methods The National Inpatient S...

Early Radiographic Changes Predict Radiographic Stability in Distal Radius Fractures: Development and Validation of an Explainable Predictive Model

Purpose To determine whether early radiographic trajectory data can predict the timing of stability in conservatively managed distal radius fractures (DRFs) and to identify which clinical and radiographic features most influence stabilization timing. Methods This retrospective co...

Distal Radius Morphology and Bone Mineral Density Show Significant Sex‐ and Age‐Based Differences With Implications for Allograft Glenoid Reconstruction

Purpose To assess variations in distal radius morphology to identify factors that may influence optimal graft selection in glenoid reconstruction. Methods A single‐institution, retrospective database of wrist computed tomography scans was reviewed to identify patients with intact...

Obesity Is Associated With Earlier Mechanical Failure Following Total Ankle Arthroplasty Independent of Tibial Stem or Keel Augmentation

Background: Obesity and elevated body mass have been associated with increased rates of aseptic loosening and implant failure following total ankle arthroplasty (TAA). The purpose of this study was to investigate the role for primary stemmed or keeled tibial implants as a protect...