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JBJS Podcast

68. Facing the Evidence: IM Nails vs Sliding Hip Screws and the Microbiome of Arthritic Joints

In this episode, Marc and Mo discuss 2 recent studies that caught their eye, including (1) an OrthoEvidence ACE report focusing on the INSITE trial comparing IM nails with sliding screws for trochanteric fractures and (2) a recent JBJS article focusing on the microbiome of osteoarthritic joints. Links: • OrthoEvidence. The INSITE Trial: Intramedullary Nailing vs Sliding Hip Screw in Trochanteric Fracture Management. ACE Report. 2023;303(6):9. Available from: • Goswami K et al. The Microbiome of Osteoarthritic Hip and Knee Joints: A Prospective Multicenter Investigation. J Bone Joint Surg Am. 2023 May 16. doi: 10.2106/JBJS.22.00594. Epub ahead of print. PMID: 37192280. • Robilotti EV, Henry MW, Miller AO. Osteoarthritis and the Microbiome: Knock, Knock, Anybody Home?: Commentary on an article by Karan Goswami, MD, et al.: “The Microbiome of Osteoarthritic Hip and Knee Joints. A Prospective Multicenter Investigation”. The Journal of Bone and Joint Surgery 105(11):p e26, June 7, 2023. doi: 10.2106/JBJS.23.00107. Subspecialties: • Hip • Knee • Orthopaedic Essentials • Infection • Trauma Keywords: Orthopaedics, orthopedics, JBJS, OrthoEvidence, OE, ACE Report, IM nail, sliding hip screw, trochanteric fracture, EuroQol-5D, RCT, meta-analysis, training, residency, cost, remuneration, RVU, relative value unit, Medicare database, blood loss, return to function, education, industry, guidelines, negative results, Emil Schemitsch, Javad Parvizi, microbe detection, infection, PJI, periprosthetic joint infection, multinational collaboration, practice change

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