e was found in 6-month adverse event rates. HRA patients also had a significantly shorter mean hospital stay, a higher rate of discharge to home, and a lower incidence of a "significant" limp after surgery.
 
  HRA may provide a functional benefit in sports and recreation and greater satisfaction in patients who meet the current criteria for HRA. Because these benefits may be small, pre-operative counseling should focus on balancing the possible functional benefits against the longer-term risks associated with metal-on-metal bearings.
 HRA may provide a functional benefit in sports and recreation and greater satisfaction in patients who meet the current criteria for HRA. Because these benefits may be small, pre-operative counseling should focus on balancing the possible functional benefits against the longer-term risks associated with metal-on-metal bearings.
  Patient-reported outcome measures (PROMs) are an important resource for clinicians wishing to provide high-quality, patient-centered care. Finding PROMs to use in a pediatric clinical practice that are reliable, age appropriate, succinct, and not redundant is challenging.
 
  We sought to determine the degree of correlation between two pediatric PROMs, the Hospital for Special Surgery Pediatric Functional Activity Brief Scale (HSS Pedi-FABS) and the PROMIS Pediatric Mobility (PROMIS PM) instrument, when administered at patients' initial visit. We hypothesized that there would be a positive correlation between the two questionnaires because of their focus on physical function.
 
  We conducted a retrospective cross-sectional review of 294 pediatric patients (mean age, 13.7 years) with localized lower-extremity joint pathologies at our high-volume urban pediatric sports practice. The patients had been asked to complete both PROMs on a computerized platform.
 
  We found a positive and statistically significant-albeit modest-correlation between the scores obtained on the HSS Pedi-FABS and the PROMIS PM. Neither instrument significantly correlated with patient age, nor were floor and ceiling effects observed.
 
  The study shows that although both PROM instruments provide valuable information about pediatric physical function, they are not redundant because they measure slightly different constructs. Future studies should further investigate the correlation between these questionnaires in specific subpopulations of pediatric patients with lower-extremity pathology.
 The study shows that although both PROM instruments provide valuable information about pediatric physical function, they are not redundant because they measure slightly different constructs. Future studies should further investigate the correlation between these questionnaires in specific subpopulations of pediatric patients with lower-extremity pathology.
  Nearly 44% of practicing physicians in the USA report symptoms of burnout. Psychological distress and loss of joy in medicine are associated with malpractice lawsuits and attrition from medical practice and may correlate with the rate of perceived medical errors.
 
  We sought to answer two questions (1) What physician factors are associated with the number of perceived medical errors among practicing surgeons in the prior 3 months? (2) What characteristics are associated with symptoms of burnout among practicing surgeons?
 
  We created a cross-sectional survey and invited members of the Science of Variation Group to respond between December 2018 and January 2019. Participating surgeons completed the Abbreviated Maslach Burnout Inventory, the two-item Patient Health Questionnaire (PHQ-2), and information about practice characteristics and demographics. We created a negative binomial and a multivariable linear regression model to seek factors independently associated with the number of perceived medical errors and symptoms of burnout.
 
  A greater level of emotional exhaustion was associated with a greater number of perceived medical errors, while practice location in Europe was associated with fewer perceived errors.  https://www.selleckchem.com/products/PP242.html  A higher PHQ-2 score was independently associated with symptoms of burnout.
 
  It is possible that symptoms of burnout cause surgeons to be more likely to perceive an imperfection as an error or that burnout distracts surgeons, contributing to a greater likelihood of a verifiable error. Additional studies are merited to investigate a potential causal relationship between symptoms of burnout and medical errors.
 It is possible that symptoms of burnout cause surgeons to be more likely to perceive an imperfection as an error or that burnout distracts surgeons, contributing to a greater likelihood of a verifiable error. Additional studies are merited to investigate a potential causal relationship between symptoms of burnout and medical errors.
  In total ankle replacement (TAR), correct positioning of the implant is crucial. Malposition of the components may increase contact pressures and diminish prosthesis survival. The effect of sagittal tibiotalar alignment on functional outcomes after fixed-bearing TAR remains unclear, however, and nostudies havecompared fixed-bearing implants with respect to the anteroposterior (AP) position of the talar component.
 
  The purposes of this study were (1) to evaluate the effect of sagittal tibiotalar alignment on functional outcomes in fixed-bearing TAR and (2) to compare post-operative sagittal tibiotalar alignment in two types of fixed-bearing implants.
 
  In a retrospective analysis of 71 primary TARs performed at a single center, we studied the INBONE™ II Total Ankle System and the Salto Talaris
  Ankle. Radiographic measurements of the tibial axis-talus (T-T) ratio and the AP offset ratio were performed before and after surgery, respectively, and we evaluated Foot and Ankle Outcome Scores (FAOSs) and the 12- functional outcomes in the long term.
 At the 2-year follow-up, no correlation between the post-operative AP offset ratio and functional outcome scores was observed between the two fixed-bearing-implant groups. Further studies with longer follow-up are needed to determine whether the difference in sagittal alignment has an effect on functional outcomes in the long term.