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The Hospital for the Ruptured and Crippled renamed the Hospital for Special Surgery 1940; the war years 1941-1945.

ABSTRACT: In 1939, the 75th anniversary program marking the founding of the Hospital for the Ruptured and Crippled (R & C), the oldest orthopaedic hospital in the nation, was held at the hospital site in New York City. Dr. Philip D. Wilson, Surgeon-in-Chief since 1935, used this event to mark the return of the hospital to its leadership role in the country. When the Hospital for the Ruptured and Crippled first opened its doors on May 1, 1863, the name of the hospital was not unusual; it described the type of patients treated. In 1940, the Board of Managers with guidance from Dr. Wilson changed the name to the Hospital for Special Surgery (HSS). In 1941, with Britain engaged in a European war, Dr. Wilson felt there was a need for the Americans to support the British. He personally organized the American Hospital in Britain, a privately funded voluntary unit, to help care for the wounded. After the United States actually entered World War II in December 1941, HSS quickly organized support at all levels with a significant number of professional and auxiliary staff, eventually enlisting in the military. Even with such staff turnover, the hospital continued to function under Dr. Wilson's leadership. After the war ended in 1945, Wilson forged ahead to further restore HSS as a leader in musculoskeletal medicine and surgery.

SUBMITTER: Levine DB

PROVIDER: S-EPMC2642546 | biostudies-other | 2009 Feb

REPOSITORIES: biostudies-other

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Project description:Anterior cruciate ligament (ACL) injuries are among the most common knee injuries. Patient outcomes, rate of subsequent operations, and rate of subsequent ACL reconstruction following primary ACL reconstruction need to be evaluated.This study was designed to answer the following questions: (1) What is the return to surgery (OR) rate following primary ACL reconstruction and (2) what is the revision ACL reconstruction rate?Data was drawn from the Hospital for Special Surgery (HSS) ACL Registry. International Knee Documentation Committee (IKDC) Subjective Knee Evaluation, Lysholm-Tegner Scales, Marx Activity Scale, and SF12 were completed by patients at baseline, 1-, and 2-year follow-up. Clinical data and intraoperative data were registered by surgeons on an intraoperative form. Subsequent surgery rates were determined by evaluating the medical records for subsequent surgery, laterality, surgeon, procedure description, and type of anesthesia.The majority of the ACL reconstructions performed were autograft (76.6%) with the most common graft being bone-patellar tendon-bone (BTB) autograft (47.2%), hamstring autograft (21.9%), and Achilles allograft (18.2%). Average IKDC score improved from 51.9 (SD 16.1) at baseline to 83.5 (SD 14.2) at 2-year follow-up. Females had a 2.5-point lower IKDC and 1.4-point Marx scores compared to males. Of the enrolled patients, 7.3% had revision ACL surgery with 70.4% being ipsilateral ACL surgery. Of the enrolled patients, 10.3% had subsequent knee surgery with 72.3% being ipsilateral knee surgery. Multivariable logistic regression analysis showed that patients less than 18 years of age at the time of their index surgery were over three times more likely to undergo a revision ACL reconstruction compared to older patients and were at four times higher risk than older patients for any subsequent knee surgery.Understanding ACL surgery, patient outcomes, and risk factors for revision ACL surgery and subsequent knee surgery after primary ACL reconstruction is essential. Patients less than 18 years of age have a higher risk of subsequent knee surgery and subsequent ACL surgery than older patients.

Project description:BackgroundThere is a need for a validated simple Dutch paediatric activity scale. The purpose was to translate and transculturally validate the Dutch Hospital for Special Surgery Paediatric Functional Activity Brief Scale (HSS Pedi-FABS) questionnaire in healthy children and adolescents.MethodsThe original HSS Pedi-FABS was translated forward and backward and was transculturally adapted after performing a pilot study among children and professionals. The final version of the Dutch HSS Pedi-FABS was validated in healthy children and adolescents aged 10 to 18 years old. Children who had any condition or injury limiting their normal physical activity were excluded. The interval between the first questionnaire T0 (HSS Pedi-FABS, Physical Activity Questionnaire for children or adolescents (PAQ-C/A) and Tegner activity scale) and the second questionnaire T1 (HSS Pedi-FABS) was 2 weeks. Construct validity, interpretability and reliability were evaluated. Content validity was evaluated through cognitive interviews among a smaller group of children and through a questionnaire among professionals.ResultsTo evaluate content validity, 9 children and adolescents were interviewed, and 30 professionals were consulted. Content validity among professionals showed a relevance of less than 85% for most items on construct. However, content validity among children was good with a 92% score for item relevance. Readability was scored at a reading level of 11- to 12-year-olds. The validation group consisted of 110 healthy children and adolescents (mean age of 13.9 years ±2.6). Construct validity was considered good as 8 out of 10 hypotheses were confirmed. The Dutch HSS Pedi-FABS showed no floor or ceiling effect. Analysis of the internal consistency in the validation group resulted in a Cronbach's alpha of 0.82. Test-retest reliability was evaluated among 69 children and adolescents and revealed an Intraclass Correlation Coefficient (ICC) of 0.76.ConclusionThe Dutch HSS Pedi-FABS showed good psychometric properties in a healthy Dutch paediatric and adolescent population. Limitations of the current Dutch HSS Pedi-FABS are content validity on construct of items reported by professionals.

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The Hospital for the Ruptured and Crippled renamed the Hospital for Special Surgery 1940; the war years 1941-1945.

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