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Commentary & Perspective
Commentary & Perspective articles are solicited by JBJS from authorities in the ﬁeld, who provide an expert analysis of the study design,
evidence, and conclusions in selected JBJS scientiﬁc papers.
Platelet-Rich Plasma: Is It Ready for Prime Time?
Commentary on an article by Stefano Gumina, MD, PhD, et al.: ‘‘Use of Platelet-Leukocyte Membrane in Arthroscopic Repair of Large Rotator
Cuff Tears. A Prospective Randomized Study’’
Donald H. Lee, MD
Platelet-rich plasma (PRP) has been used clinically for its potentially enhanced soft-tissue healing properties. These healing properties, which stem
from its derivation from autologous blood, have been attributed to the increased concentrations of growth factors and secretory proteins. PRP
thereby hopefully enhances the recruitment, proliferation, and differentiation of cells involved...
Epidural Steroids for Lumbar Disc Herniation: What Can SPORT Tell Us?
Commentary on an article by Kristen Radcliff, MD, et al.: ‘‘The Impact of Epidural Steroid Injections on the Outcomes of Patients Treated for Lumbar
Disc Herniation. A Subgroup Analysis of the SPORT Trial’’
Theodore J. Choma, MD
The search for value in health care goes on. As we continue to grapple with what should or should not be done to treat disease, rather than what can
or cannot be done, we look to rigorous prospective randomized controlled trials to lead us out of the wilderness. In the last decade, such was the
case with the proposal, funding, and execution of the Spine Patient Outcomes Research Trial (SPORT). This proved to be a very...
A Wake-up Call on the Hazards of Regulatory Mandates in Orthopaedic Surgery
Commentary on an article by Zhong Wang, PhD, MPH, et al.: ‘‘Compliance with Surgical Care Improvement Project Measures
and Hospital-Associated Infections Following Hip Arthroplasty’’
B. Sonny Bal, MD, JD, MBA
Dr. Wang and colleagues have addressed a timely topic that is of interest to orthopaedic surgeons, i.e., the impact of compliance with SCIP
(Surgical Care Improvement Project) performance guidelines relating to infection prevention and venous thromboembolism (VTE) prophylaxis
after arthroplasty. The authors examined data on 17,714 total hip arthroplasties at 128 New York state hospitals...
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