Junya Yoshitani MD PhD

Orthopaedic surgeon in Japan

[Arthroscopy Journal @ArthroscopyJ]

Arthroscopy-assisted Reduction and Fixation of Valgus-Impacted Femoral Neck Fractures with Joystick Technique: https://t.co/XJ3TyGNygI #FemoralFracture #Orthopedics #SurgeryTechnique

[J Bone & Joint Surg @jbjs]

"The PENG Block in Elective Primary Anterior Total Hip Arthroplasty Is Associated with Reduced Length of Stay" Hanauer et al.

Read online at: https://t.co/PCmAV2GqWT

[The Journal of Arthroplasty @JArthroplasty]

Use of TM cups and augments is an effective mgt of Paprosky type III defects wo pelvic discontinuity. This technique provides anatomical reconstruction of the defect, restoration of the hip center, good clinical and radiographic outcomes in the midterm.

https://t.co/Z5bOni3ekY

[The Bone & Joint Journal @BoneJointJ]

The association between the weather and musculoskeletal pain has been difficult to characterize, with 62% to 97% of people believing that the weather influences their joint pain.

#JointPain #Weather #Arthroplasty #Pain

https://t.co/ZePdmtrbPF

[J Bone & Joint Surg @jbjs]

"Does Replication of Native Acetabular Anatomy Satisfy Recommended Hip-Spine Targets for Cup Orientation?" Sevick et al.

Read online at https://t.co/vNsTpJE5Rz

[J Bone & Joint Surg @jbjs]

"The Trend to Use the Word “Trend” to Describe Nonsignificant Results in Orthopaedic Literature" Massey et al.

Read online at https://t.co/4tFyvaA6tM

[JAMA Network Open @JAMANetworkOpen]

Surgeon age was not linked to patient-reported outcomes 1 year after spine surgery, although patients treated by younger surgeons (<60y) reported higher levels of satisfaction and expectation fulfillment. https://t.co/DnOjMvFC2p

[The Journal of Arthroplasty @JArthroplasty]

Oral carbohydrates at 2-4hr before TKA are safe and can significantly alleviate preop hunger while mitigating postop insulin resistance and improving glycemic control in patients who have non–insulin-dependent type 2 diabetes mellitus.

https://t.co/FFEPQ3ognn

[Arthroscopy Journal @ArthroscopyJ]

Check out this 3-part series on basic hip arthroscopy. 🎥🎥PART 1: Patient position & portal placement https://t.co/plYowwGsQ4 @shanenhomd @mor_docs #hip #arthroscopy

[Junya Yoshitani MD PhD @junyahipjptocam]

Comparison of Implant Placement Accuracy Between Manual,... : JBJS Reviews https://t.co/7QKjL42Oih

[The Bone & Joint Journal @BoneJointJ]

By current standards, the MCIDs for most joint-specific outcome measures would probably result in the conclusion that there was no clinically meaningful difference for a TKA or THA – an illogical conclusion.

#BJJ #OrthoTwitter #Research @bjjeditor

https://t.co/4yTpmQScbU

[The Journal of Arthroplasty @JArthroplasty]

Postero-central slice osteotomy of the proximal tibia is an effective and safe alternative to overcoming tight extension during TKA after femoral-end capsular release, instead of capsular release from the tibial end or midcapsular region.

https://t.co/tywZedi0MF

[J Bone & Joint Surg @jbjs]

JBJS Current Concepts Review: The Alpha Angle

https://t.co/8oMJFDphvh

[The Bone & Joint Journal @BoneJointJ]

Adequate culture methods reduce the prevalence of culture-negative periprosthetic joint infections.

#BJJ #Infection #OrthoTwitter

https://t.co/9qCAPfNVrt

[BBC Health News @bbchealth]

New hip replacement tool could transform surgery https://t.co/CSYrdwZB0j

[The Journal of Arthroplasty @JArthroplasty]

Dental dx within 12mo of THA are associated with increased medical complications and greater implant-related complications, including PJIs. Delaying invasive dental procedures for 12mo after THA may be advisable.

https://t.co/10LwaTthDl

#VA by Dr. David Deckey

[The Journal of Arthroplasty @JArthroplasty]

Obese patients who underwent bariatric surgery prior to THA experienced reduced medical complications at all time points and reduced rates of revision at 72 months relative to a matched cohort who did not undergo bariatric surgery.

https://t.co/DspYIWEdSM

[The Bone & Joint Journal @BoneJointJ]

While the level of dissatisfaction after TKA is estimated at just 10%, this still means that more than 8,000 patients annually in the UK & more than 70,000 in the USA remain unhappy after TKA.

#BJJ #Knee #Arthroplasty @orthofabioman @AFontalis @bjjeditor

https://t.co/PM4SGYxHzc

[OrthoEvidence @OrthoEvidence]

Cemented vs. Uncemented Hemiarthroplasty for Displaced Intracapsular Hip Fractures: An RCT
Published in @BoneJointJ

Research Question
In elderly patients with intracapsular hip fractures, how do cemented and uncemented hemiarthroplasty compare with respect to pain, mobility, and mortality?

Results
Mobility: the cemented group demonstrated significantly greater improvement in mobility during the first year post-operation. No differences were observed at 3 years follow-up.

Pain: the severity of pain was similar in both groups, up to 3 years follow-up.

Mortality: the rate of mortality at both 2 and 3 years was higher in the uncemented group, trending towards statistical significance (p=0.053, p=0.060, respectively).

Takeaway
Cemented hemiarthroplasty appears to provide greater improvement in mobility in the short term, and a lower mortality rate 3 years post-operation compared to uncemented hemiarthroplasty!

[Bone & Joint Open @BoneJointOpen]

Patients suffering from a trochanteric hip fracture may benefit from a preoperative CT. Preoperative CT increases the orthopaedic surgeon’s ability to detect unstable trochanteric hip fractures.

#BJO #Hip #Fracture #Trauma

https://t.co/6xrT7ad3vA