Journal of surgical orthopaedic advances最新文献_第4页

Orthopaedic Trauma Never Sleeps: Resource Allocation Even During a Non-trauma Crisis. 骨科创伤不眠不休：即使在非创伤危机期间资源分配。

Journal of surgical orthopaedic advances Pub Date : 2023-01-01

Risa Reid, Tamar Roomian, Madhav Karunakar, Samuel Posey, Alexander Hysong, Rachel B Seymour, Joseph R Hsu

引用次数: 0

028 028

Journal of surgical orthopaedic advances Pub Date : 2023-01-01 DOI: 10.3113/jsoa.2023.0028

Walaa Abdelfadeel, M. A. Ahmed, Arjun Saxena, A. Star

引用次数: 0

A Physician-led Care Redesign Blunts Predictors of Length of Stay after Total Hip and Knee Arthroplasty. 一项由医生主导的护理重新设计削弱了全髋关节和膝关节置换术后住院时间的预测因子。

Journal of surgical orthopaedic advances Pub Date : 2023-01-01

Arnold J Silverberg, Hari K Parvataneni, Hernan A Prieto, Justin T Deen, Terrie Vasilopoulos, MaryBeth Horodyski, Chancellor F Gray

{"title":"A Physician-led Care Redesign Blunts Predictors of Length of Stay after Total Hip and Knee Arthroplasty.","authors":"Arnold J Silverberg, Hari K Parvataneni, Hernan A Prieto, Justin T Deen, Terrie Vasilopoulos, MaryBeth Horodyski, Chancellor F Gray","doi":"","DOIUrl":"","url":null,"abstract":"We questioned to what extent traditional predictors of care team burden (via increased length of stay [LOS] after total joint arthroplasty [TJA]) were able to be mitigated through alteration of the care pathway. The impact on LOS of traditional patient risk factors, as well as encounter variables, were analyzed for a consecutive set of patients undergoing surgery before and after a physician-initiated arthroplasty care pathway redesign. We analyzed the impact of these variables on LOS, discharge disposition, and 90-day readmission; separate analyses were performed pre- and post-redesign for LOS. Several patient factors (Risk Assessment and Prediction Tool, body mass index, age, insurance type, smoking) predicted longer LOS in the pre-redesign cohort; post-redesign, only ambulation on the day of surgery and anticoagulation type were predictive. The redesign also lessened the aggregate impact of the patient-specific risk factors, resulting in reduced variation in LOS. Physician leadership of care pathways can reduce the impact of factors that have portended longer LOS, thereby reducing variability in LOS and costs for disparate patient populations while driving improvements in value-based care indices. (Journal of Surgical Orthopaedic Advances 32(2):097-101, 2023).","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"32 2","pages":"97-101"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10515167","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

017 017

Journal of surgical orthopaedic advances Pub Date : 2023-01-01 DOI: 10.3113/jsoa.2023.0017

Andrew J. Mitchelson, Elshaday S. Belay, James S. Lieber, Jianjun Ma, S. Scaife, Y. Bitar

引用次数: 0

107 107

Journal of surgical orthopaedic advances Pub Date : 2023-01-01 DOI: 10.3113/jsoa.2023.0107

Erin K. Haggerty, Harin B. Parikh, Zachary A. Rockov, David M. Hampton, Milton T.M. Little, Charles N. Moon, Carol A. Lin

引用次数: 0

111 111

Journal of surgical orthopaedic advances Pub Date : 2023-01-01 DOI: 10.3113/jsoa.2023.0111

Michael Merz, Anil Thomas, Carl Talmo, Sumon Nandi

引用次数: 0

Pediatric Upper Extremity Trauma Secondary to All-terrain Vehicle Use 儿童上肢外伤继发于全地形车辆使用

Journal of surgical orthopaedic advances Pub Date : 2023-01-01 DOI: 10.3113/jsoa.2023.0088

Derek B Asserson, Steven F Shannon, Todd A Milbrandt, Alexander Y Shin

{"title":"Pediatric Upper Extremity Trauma Secondary to All-terrain Vehicle Use","authors":"Derek B Asserson, Steven F Shannon, Todd A Milbrandt, Alexander Y Shin","doi":"10.3113/jsoa.2023.0088","DOIUrl":"https://doi.org/10.3113/jsoa.2023.0088","url":null,"abstract":"All-terrain vehicles (ATVs) have become popular with respect to recreational activities. Multiple orthopaedic and pediatric organizations currently recommend limiting use of ATVs to older age groups of children with supervision. These recommendations have not generally been adhered to, resulting in a disproportionate number of pediatric orthopaedic trauma, specifically of the upper extremities. A retrospective review of patients 18-years-old and younger who presented to a single, Level I Trauma Center with ATV-related upper extremity trauma between 1996 and 2006 was undertaken to determine the impact of ATV use on the upper extremities of children. A total of 65 patients were identified with an average age of 12.3. Only 29.2% wore helmets and 73.8% were drivers. The hand and elbow were the most common injury sites in patients under age 12, elbow for those between ages 12 and 16, and wrist for those over age 16 (p = 0.031). Fractures/Dislocations were the most common injury in all age groups (p = 0.0077). The most performed surgical procedure was open reduction internal fixation of fractures, and patients required an average of 4.8 total operations. Patients who had non-isolated upper extremity injuries were associated with longer hospital stays (p = 0.011) but not ICU stays (p = 0.10). In order to reduce pediatric upper extremity injuries from ATVs, restrictions must be more stringent and safety education made a priority. (Journal of Surgical Orthopaedic Advances 32(2):088-091, 2023).","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"67 44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134887264","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

Critical Risk Factors for Opioid Demand after Pelvic and Acetabular Fracture Surgery. 骨盆和髋臼骨折术后阿片类药物需求的关键危险因素。

Journal of surgical orthopaedic advances Pub Date : 2023-01-01

Daniel Cunningham, Micaela LaRose, Patton Robinette, Michael A Maceroli, Steven A Olson, Mark J Gage

{"title":"Critical Risk Factors for Opioid Demand after Pelvic and Acetabular Fracture Surgery.","authors":"Daniel Cunningham, Micaela LaRose, Patton Robinette, Michael A Maceroli, Steven A Olson, Mark J Gage","doi":"","DOIUrl":"","url":null,"abstract":"The characteristics that contribute to opioid demand in pelvic and acetabular fracture surgery are not well understood. We hypothesize that fracture pattern and psychiatric comorbidities will be associated with increased opioid demand. This study evaluated perioperative opioid prescription filling in 743 patients undergoing operative fixation of pelvic and acetabular injuries. Multivariable linear and logistic regression models were used to evaluate associations between baseline factors and opioid outcomes. Patients filled prescriptions for 111.2, 89.3, and 200.3 oxycodone 5-mg pills at the 1-month preop to 90-days postop, 3-months postop to 1-year postop, and 1-month preop to 1-year postop timeframes. Operatively treated wall, transverse and two-column acetabular fractures were associated with the highest opioid demand. Drug abuse and pre-injury opioid use were the primary non-surgical drivers of opioid demand. Acetabular fractures, pre-injury opioid filling, and drug abuse were the main risk factors for increased perioperative opioid prescription filling. Level of Evidence: Level III, retrospective, prognostic cohort study. (Journal of Surgical Orthopaedic Advances 32(1):041-046, 2023).","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"32 1","pages":"41-46"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9529403","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

2023 2023

Journal of surgical orthopaedic advances Pub Date : 2023-01-01 DOI: 10.3113/jsoa.2023.0005

Ethan L. Plotsker, John P. Scanaliato, L. Cohen, Michael G. Rizzo, W. Cade, S. Dodds

引用次数: 0

A Novel Technique for Obtaining Neutral Entrance Angle During Suprapatellar Nailing of Tibial Shaft Fractures 胫骨干骨折髌上钉治疗中获得中性入角的新技术

Journal of surgical orthopaedic advances Pub Date : 2023-01-01 DOI: 10.3113/jsoa.2023.0130

Julianne M. Forlizzi, Daniel C. Mascarenhas, Matthew H. Nasra, Carlos A. Sagebien

引用次数: 0