JAAOS: Global Research and Reviews最新文献

Trends in Open Versus Endoscopic Carpal Tunnel Release From 2010 to 2021 2010 至 2021 年开放式与内窥镜腕管松解术的发展趋势

JAAOS: Global Research and Reviews Pub Date : 2024-06-01 DOI: 10.5435/JAAOSGlobal-D-24-00077

Philip P. Ratnasamy, Katelyn E. Rudisill, Peter Y Joo, Lisa L. Lattanza, Jonathan N. Grauer

{"title":"Trends in Open Versus Endoscopic Carpal Tunnel Release From 2010 to 2021","authors":"Philip P. Ratnasamy, Katelyn E. Rudisill, Peter Y Joo, Lisa L. Lattanza, Jonathan N. Grauer","doi":"10.5435/JAAOSGlobal-D-24-00077","DOIUrl":"https://doi.org/10.5435/JAAOSGlobal-D-24-00077","url":null,"abstract":"Background: This study compared trends in use, predictive factors, and reimbursement of endoscopic carpal tunnel release (ECTR) withthose of open carpal tunnel release (OCTR) from 2010 to 2021 using a national administrative database. Methods: ECTR and OCTR patients were identified in the PearlDiver M151Ortho data set. Numeric and proportional utilization of these procedures was characterized for each year of study. Multivariate analysis was conducted to identify predictive factors for having ECTR performed. The average 90-day reimbursement of ECTR and OCTR was determined. Results: From 2010 through 2021, 441,023 ECTR and 1,767,820 OCTR procedures were identified. The proportional use of ECTR compared with OCTR rose from 2010 (15.7% of procedures) to 2021 (26.1%). Independent predictors of having ECTR performed rather than OCTR included geographic variation (compared with having surgery in the Midwest, Northeast odds ratio [OR], 1.53; West OR, 1.62; and South OR, 1.66), having Medicare or commercial insurance (compared with commercial, Medicare OR, 0.94, and Medicaid OR, 0.69), female sex, and fewer comorbidities. The average 90-day reimbursement for ECTR was $3,114.82, compared with $3,087.62 for OCTR. Discussion: As of 2021, over one-fourth of carpal tunnel releases are done endoscopically. Several factors independently predict whether patients receive ECTR or OCTR.","PeriodicalId":120051,"journal":{"name":"JAAOS: Global Research and Reviews","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141411790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patient-Reported Outcomes After Intramedullary Nailing of Oncologic Impending or Pathologic Fractures With Carbon Fiber or Titanium Implant 使用碳纤维或钛植入物髓内钉治疗肿瘤性或病理性骨折后的患者报告结果

JAAOS: Global Research and Reviews Pub Date : 2024-06-01 DOI: 10.5435/JAAOSGlobal-D-23-00222

Marcos R. Gonzalez, Raylin F. Xu, Alisha Sodhi, Vincent Fang, Chaewon Kim, Tom M de Groot, Joseph H. Schwab, S. Lozano-Calderon

{"title":"Patient-Reported Outcomes After Intramedullary Nailing of Oncologic Impending or Pathologic Fractures With Carbon Fiber or Titanium Implant","authors":"Marcos R. Gonzalez, Raylin F. Xu, Alisha Sodhi, Vincent Fang, Chaewon Kim, Tom M de Groot, Joseph H. Schwab, S. Lozano-Calderon","doi":"10.5435/JAAOSGlobal-D-23-00222","DOIUrl":"https://doi.org/10.5435/JAAOSGlobal-D-23-00222","url":null,"abstract":"Introduction: Despite the benefits of intramedullary nailing (IMN) of impending or pathologic fractures in oncologic patients, literature on patient-reported outcomes (PROs) is scarce in patients treated with carbon fiber (CF) nails. Our study compared postoperative PROs after IMN with CF or titanium implants. Methods: We conducted a retrospective propensity score–matched cohort study of patients treated at our institution with CF or titanium nails for impending or pathologic fractures from metastatic bone disease. Patient-Reported Outcomes Measurement Information System (PROMIS) Global Health Short Form (SF) Physical, Mental, and Physical Function 10a scores were collected. Pain was assessed using visual analog scale (VAS). Absolute and differential scores were compared between groups. Results: We included 207 patients, 51 treated with CF and 156 with titanium nails. One month postoperatively, patients had a one-point decrease in the pain VAS score while PROMIS scores did not improve. At 3 months, PROMIS SF Physical and SF 10a scores improved from preoperative values. Six months postoperatively, median PROMIS SF Physical, SF Mental, and SF 10a scores were higher than preoperative scores. Absolute and differential PROMIS and pain VAS scores were similar between groups at the 6-month and 1-year marks. Conclusion: Patient-reported outcomes were similar after intramedullary nailing with either CF or titanium implants.","PeriodicalId":120051,"journal":{"name":"JAAOS: Global Research and Reviews","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141416182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effect of Metallic Instrumentation on Patient and Surgical Team Scatter Radiation Exposure Utilizing Mini-C Arm in a Simulated Forearm Fracture Fixation Model: Erratum 金属器械对模拟前臂骨折固定模型中使用Mini-C臂的患者和外科团队散射辐射暴露的影响:勘误

JAAOS: Global Research and Reviews Pub Date : 2019-11-01 DOI: 10.5435/jaaosglobal-d-19-00157

引用次数: 0

Technical Obstacles in Total Knee Arthroplasty Learning—A Steps Breakdown Evaluation: Erratum 全膝关节置换术学习中的技术障碍-步骤分解评估:勘误

JAAOS: Global Research and Reviews Pub Date : 2019-11-01 DOI: 10.5435/jaaosglobal-d-19-00158

引用次数: 0