Orthopedics最新文献

{"title":"An Analysis of the Complication Reports of Expandable Lumbar Interbody Cages in the Food and Drug Administration Manufacturer and User Facility Device Experience Database.","authors":"William ElNemer, Andrew Kim, Juan Silva-Aponte, Micheal Raad, Tej Azad, Wesley M Durand, Hamid Hassanzadeh, Khaled Kebaish, Amit Jain","doi":"10.3928/01477447-20241104-02","DOIUrl":"10.3928/01477447-20241104-02","url":null,"abstract":"<p><strong>Background: </strong>Expandable lumbar interbody cages (ELICs) are commonly used for interbody fusion and provide lordotic correction by lengthening the anterior column of the vertebral spine. We sought to identify unique failure mechanisms and significant differences in the types of complications associated with ELICs as reported to the Food and Drug Administration (FDA) Manufacturer and User Facility Device Experience (MAUDE) Database.</p><p><strong>Materials and methods: </strong>The MAUDE Database was analyzed for complication reports submitted for ELIC systems between January 2013 and July 2023. Reports were categorized by manufacturer, brand name, type of expandable cage, type of complication, year of complication, and reporter identity. Reports that were duplicated or had insufficient information were excluded from analysis. The top 5 manufacturers with the most implant-related complications were independently analyzed and compared.</p><p><strong>Results: </strong>A total of 821 reports were analyzed. The top 5 complications reported across all manufacturers were cage breakage during insertion (25.7%), postoperative migration without collapse (16.0%), postoperative collapse (15.6%), inserter breakage (11.1%), and tubing problems (3.0%). A significant difference was detected in complication type between manufacturers (<i>χ</i>²=557, <i>P</i><.001). The largest number of reports (120, 14.6%) was in 2016.</p><p><strong>Conclusion: </strong>With FDA approval of novel ELIC systems and the adoption of newer surgical techniques, understanding the range of potential complications is paramount in ensuring patient safety. This study of the MAUDE Database provides a comprehensive summary of adverse reported events associated with ELICs during the past decade. [<i>Orthopedics</i>. 2025;48(1):e7-e14.].</p>","PeriodicalId":19631,"journal":{"name":"Orthopedics","volume":" ","pages":"e7-e14"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142603528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Upper Extremity Mass as First Presentation of Metastatic Urothelial Carcinoma.","authors":"Lauren E Tagliero, Taylor L Jones, Courtney E Sherman, Keith T Aziz","doi":"10.3928/01477447-20241213-01","DOIUrl":"10.3928/01477447-20241213-01","url":null,"abstract":"<p><p>A 77-year-old woman presented with metastatic urothelial carcinoma as an elbow mass. To our knowledge, this is only the third reported case of urothelial carcinoma metastasizing to the upper extremity. The presence of metastatic disease at the time of diagnosis of urothelial carcinoma is rare, with metastases to the upper extremities even less common. This case is interesting given that the mass occurred after a direct trauma, causing a delay in diagnosis. It highlights the importance of a multidisciplinary oncology approach, and the need for more research to understand the biology of metastases. [<i>Orthopedics</i>. 2025;48(1):e52-e55.].</p>","PeriodicalId":19631,"journal":{"name":"Orthopedics","volume":" ","pages":"e52-e55"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differences in Volume, Reimbursement, Practice Styles, and Patient Characteristics Between Male and Female Surgeons for Open and Endoscopic Carpal Tunnel Release.","authors":"Alejandro M Holle, Vikram S Gill, Eugenia Lin, Alexandra M Cancio-Bello, Jose M Iturregui, Jack M Haglin, Kevin J Renfree","doi":"10.3928/01477447-20241127-03","DOIUrl":"10.3928/01477447-20241127-03","url":null,"abstract":"<p><strong>Background: </strong>The goal of this study was to evaluate differences in carpal tunnel release volume, reimbursement, practice styles, and patient populations between male and female surgeons from 2013 to 2021.</p><p><strong>Materials and methods: </strong>The Medicare Physician & Other Practitioners database was queried from 2013 to 2021. Procedure volume, reimbursement, surgeon information, and patient demographic characteristics were collected for any surgeon who performed at least 10 open carpal tunnel release (OCTR) or endoscopic carpal tunnel release (ECTR) procedures that year. The Welch <i>t</i> test, the Kruskal-Wallis test, and multivariable linear regressions were conducted to compare male and female surgeons and analyze geographic and annual differences.</p><p><strong>Results: </strong>From 2013 to 2021, the proportion of carpal tunnel releases performed by female surgeons increased for OCTR by 4.5% (7.1% to 11.6%) and for ECTR by 3.3% (4.8% to 8.1%). Female OCTR surgeons on average had fewer beneficiaries per surgeon (443.37 vs 354.20, <i>P</i><.001), performed fewer billable services per beneficiary (6.37 vs 5.35, <i>P</i>=.03), and performed fewer unique billable services (91.13 vs 77.79, <i>P</i><.001) compared with male surgeons. Female OCTR surgeons also saw a lower percentage of White patients (88.14 vs 86.48, <i>P</i>=.003) and a higher percentage of female patients (60.06 vs 61.70, <i>P</i><.001) and dual-enrolled Medicare-Medicaid patients (10.54 vs 11.22, <i>P</i>=.046).</p><p><strong>Conclusion: </strong>Female representation among OCTR and ECTR surgeons increased across the country. Male OCTR surgeons billed for more services and performed more services per beneficiary and also treated a higher proportion of White patients and dual Medicare-Medicaid enrollees compared with female surgeons. Future studies are required to identify reasons for and ways to address these disparities. [<i>Orthopedics</i>. 2025;48(1):57-63.].</p>","PeriodicalId":19631,"journal":{"name":"Orthopedics","volume":" ","pages":"57-63"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142771147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship Between Surgeon Volume and Major Surgical Complications After Total Shoulder Arthroplasty: An Evaluation of 3177 US Orthopedic Surgeons.","authors":"Kevin C Liu, Cory K Mayfield, Mary K Richardson, Ioanna K Bolia, Jacob L Kotlier, Nathanael D Heckmann, Seth C Gamradt, Alexander E Weber, Joseph N Liu, Frank A Petrigliano","doi":"10.3928/01477447-20241028-03","DOIUrl":"10.3928/01477447-20241028-03","url":null,"abstract":"<p><strong>Background: </strong>Total shoulder arthroplasty (TSA), which includes anatomic total shoulder arthroplasty (aTSA) and reverse total shoulder arthroplasty (rTSA), is a technically demanding procedure and limited data exist on the relationship between case volume and complications. We sought to identify volume thresholds for TSA, aTSA, and rTSA at which risk of a major surgical complication decreased and to compare complications of patients treated by high-volume surgeons with those of patients treated by low-volume surgeons.</p><p><strong>Materials and methods: </strong>Primary, elective TSAs (aTSA and rTSA) from January 1, 2016, to December 31, 2019, were identified in the Premier Healthcare Database. Multivariable logistic regression with restricted cubic splines modeled the relationship between annual TSA, aTSA, and rTSA surgeon volume and 90-day risk of major surgical complications. The 90-day complications of patients treated by high- and low-volume surgeons were compared.</p><p><strong>Results: </strong>From 2016 to 2019, 3177 surgeons performed 78,639 TSAs. Increasing annual volume was associated with decreasing major surgical complication risk (thresholds: 50 TSAs, 25 aTSAs, and 36 rTSAs). High- and low-volume surgeons performed 24,595 and 54,044 TSAs, respectively. Patients of high-volume surgeons had lower risk of major surgical complications (adjusted odds ratio [aOR], 0.69; 95% CI, 0.56-0.84), myocardial infarction (aOR, 0.59; 95% CI, 0.36-0.97), and readmission (aOR, 0.71; 95% CI, 0.62-0.81). Importantly, 74.9% of high-volume and 93.0% of low-volume surgeon-year units had major surgical complication rates below the mean of all recorded surgeons.</p><p><strong>Conclusion: </strong>While most high- and low-volume surgeons had major surgical complication rates below the cohort average, increasing TSA volume was associated with a decreased risk of complications. [<i>Orthopedics</i>. 2025;48(1):e15-e21.].</p>","PeriodicalId":19631,"journal":{"name":"Orthopedics","volume":" ","pages":"e15-e21"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142568567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Associations Between Individual Anthropometric Measurements and Fracture Risk: A Mendelian Randomization Study.","authors":"Yucheng Song, Jun Zhou, Guanghua Tang","doi":"10.3928/01477447-20241213-05","DOIUrl":"10.3928/01477447-20241213-05","url":null,"abstract":"<p><strong>Background: </strong>The primary objective of this study was to investigate and substantiate the possible causal connections between measurements of body dimensions and the likelihood of experiencing fractures.</p><p><strong>Materials and methods: </strong>We employed a two-sample Mendelian randomization (MR) analysis to examine the associations between anthropometric measurements and two specific traits-bone mineral density and fracture risk. To ensure the credibility of our causal conclusions, we used the inverse variance weighted (IVW) method along with various sensitivity analyses.</p><p><strong>Results: </strong>Our findings suggest a notable link between increased height and the likelihood of fractures. Specifically, employing the IVW method revealed that for every 10-cm increase in height, there was a 6.0% rise in fracture risk (odds ratio [OR], 1.06; 95% CI, 1.06-1.13; <i>P</i>=.0001). This outcome was further supported by both the weighted-median method and the MR-Egger method, with an OR of 1.10 (95% CI, 1.03-1.16; <i>P</i>=.0003) and an OR of 1.11 (95% CI, 1.08-1.17; <i>P</i>=.0020), respectively. No statistically significant associations were observed between other measurements, such as body mass index (BMI), waist-to-hip ratio adjusted for BMI, hip circumference adjusted for BMI, and waist circumference adjusted for BMI, and fracture risk. Sensitivity analyses, including MR-Egger regression's intercept test and multivariate testing, indicated no substantial presence of directional pleiotropy in instrumental variables, ensuring the stability and reliability of our analysis results.</p><p><strong>Conclusion: </strong>Our study used MR to present genetic evidence supporting height as a distinct causal factor in fracture susceptibility. Our findings underscore the importance of incorporating anthropometric measurements into the development of strategies for preventing and treating osteoporosis. [<i>Orthopedics</i>. 2025;48(1):25-29.].</p>","PeriodicalId":19631,"journal":{"name":"Orthopedics","volume":" ","pages":"25-29"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the References of Insurance Policies for Computer-Assisted Navigation in Total Knee Arthroplasty Compared With the American Academy of Orthopaedic Surgeons Clinical Practice Guideline.","authors":"Eric H Lin, Jacob L Kotlier, Amir Fathi, Cailan L Feingold, Nathanael D Heckmann, Joseph N Liu, Frank A Petrigliano","doi":"10.3928/01477447-20241104-03","DOIUrl":"10.3928/01477447-20241104-03","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to investigate the quality and quantity of sources cited by insurance payers for computer-assisted navigation (CAN) in total knee arthroplasty (TKA) and to compare these sources with those cited by the American Academy of Orthopaedic Surgeons (AAOS) Clinical Practice Guideline (CPG).</p><p><strong>Materials and methods: </strong>References were included from insurance payer policies on CAN that discussed the use of CAN in TKA, while every reference from the AAOS CPG for surgical navigation in TKA was included.</p><p><strong>Results: </strong>Fifty-four unique articles from insurance payers met criteria, with 68.5% being primary journal articles and 18.5% being reviews. The quality of cited studies was relatively evenly distributed between level of evidence (LOE) I/II (42.6%) and LOE III and below (50.0%). The 14 references cited in the AAOS CPG were 100% primary articles and 100% LOE I/II. Only 16.3% of cited insurance references were AAOS CPG articles. Nine of the 14 AAOS CPG studies were not cited by any of the insurance payer policies.</p><p><strong>Conclusion: </strong>Compared with the AAOS CPG, insurance policies cited older articles with lower LOE. We recommend continued updating of the AAOS CPG and insurance policies as more research into the use of CAN in TKA is published. [<i>Orthopedics</i>. 2025;48(1):8-11.].</p>","PeriodicalId":19631,"journal":{"name":"Orthopedics","volume":" ","pages":"8-11"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142604306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the Accuracy and Reliability of the Fluoroscopic Ruler for Comminuted Femur Fractures: A Cadaveric Study.","authors":"Brian D Wahlig, Nicolas P Kuttner, Frank A Kouzel-Martinez, Samuel E Broida, Stephen A Sems, Krystin A Hidden, Brandon J Yuan","doi":"10.3928/01477447-20240918-03","DOIUrl":"10.3928/01477447-20240918-03","url":null,"abstract":"<p><strong>Background: </strong>Fixation of comminuted femur fractures may result in limb length discrepancy. Intraoperative fluoroscopic measurement of the contralateral femur with a ruler is commonly performed to establish a reference for femoral length. No evidence regarding the reliability and accuracy of this technique exists. This study aimed to assess the accuracy and interrater reliability of a fluoroscopic ruler in obtaining correct femoral length in a comminuted femoral shaft fracture model.</p><p><strong>Materials and methods: </strong>Approximately 5 cm of bone was removed from the left femoral diaphyses of 8 cadavers. Seven orthopedic surgery residents and 2 attendings measured the length of the intact contralateral femur using a ruler under fluoroscopy. The ruler was then applied to the \"fractured\" femur with manual traction applied until femoral length matched the measured length of the contralateral femur. The resulting gap in the \"fractured\" femur was compared with the length of bone that had been resected. Data were analyzed using means, SDs, and intraclass correlation coefficients (ICCs).</p><p><strong>Results: </strong>Fifty-seven measurements were collected. The mean difference between the measured fracture gap and the length of bone removed was 8.0±5.8 mm (range, 0-22 mm). Femoral length was accurate to 5 mm in 40% of cases, 10 mm in 70%, 15 mm in 81%, 20 mm in 98%, and 25 mm in 100%. The overall interrater reliability was poor (ICC, 0.11; 95% CI, 0.001-0.44).</p><p><strong>Conclusion: </strong>Despite poor interrater reliability, the fluoroscopic ruler resulted in a mean leg length discrepancy of 8.0±5.8 mm in this cadaveric study. [<i>Orthopedics</i>. 2024;47(6):327-331.].</p>","PeriodicalId":19631,"journal":{"name":"Orthopedics","volume":" ","pages":"327-331"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142308259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative Mental Health Disorders Affect Opioid Consumption and Perioperative Complications After Total Shoulder Arthroplasty.","authors":"Cory K Mayfield, Maya S Abu-Zahra, Ioanna K Bolia, Jacob L Kotlier, Eric H Lin, Seth C Gamradt, Alexander E Weber, Joseph N Liu, Frank A Petrigliano","doi":"10.3928/01477447-20240918-01","DOIUrl":"10.3928/01477447-20240918-01","url":null,"abstract":"<p><strong>Background: </strong>Limited evidence exists regarding the influence of mental health disorders (MHDs) on opioid use and complications after total shoulder arthroplasty (TSA). We aimed to identify the prevalence of common MHDs among patients undergoing anatomic TSA (aTSA) and reverse TSA (rTSA).</p><p><strong>Materials and methods: </strong>The Premier Healthcare Database was queried for patients undergoing primary aTSA and rTSA from 2016 to 2020. <i>International Classification of Diseases, Tenth Revision,</i> diagnosis codes were used to identify MHDs. Primary outcomes included the prevalence of MHDs, perioperative opioid consumption, and 90-day risk of postoperative complications, revision, and readmission. Bivariate and multivariate regression analyses were performed to assess 90-day risk of primary endpoints while controlling for potential confounders. Statistical significance was defined as <i>P</i><.05.</p><p><strong>Results: </strong>From 2016 to 2020, 49,997 of 144,725 (34.55%) patients undergoing primary TSA had at least one diagnosed MHD. The most prevalent were depression (17.03%), anxiety (16.75%), and substance use disorder (10.20%). Patients with a MHD had higher mean hospital costs ($75,984±$43,129 vs $73,316±$39,046, <i>P</i><.0001), longer mean length of stay (1.95±2.25 days vs 1.61±1.51 days, <i>P</i><.0001), and higher mean total postoperative opioid use (72.00±231.55 morphine milligram equivalents [MMEs] vs 59.32±127.31 MMEs, <i>P</i><.0001). Periprosthetic fractures (odds ratio, 1.20; <i>P</i>=.041), dislocation (odds ratio, 1.12; <i>P</i>=.042), and 90-day readmission rates (odds ratio, 1.26; <i>P</i><.001) were significantly higher among patients with a MHD.</p><p><strong>Conclusion: </strong>This study found that MHDs are associated with significantly increased perioperative opioid consumption, medical and surgical complication rates, and risk of readmission after TSA. Recognition and optimization of MHDs is critical to minimizing complications and opioid consumption after TSA. [<i>Orthopedics</i>. 2024;47(6):e303-e310.].</p>","PeriodicalId":19631,"journal":{"name":"Orthopedics","volume":" ","pages":"e303-e310"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142308261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biologic Augmentation of Rotator Cuff Repair: Current Concepts Review.","authors":"Colin L Uyeki, Brian T Ford, Matthew E Shuman, Benjamin C Hawthorne, Ian J Wellington, Augustus D Mazzocca","doi":"10.3928/01477447-20241028-01","DOIUrl":"10.3928/01477447-20241028-01","url":null,"abstract":"<p><p>Rotator cuff tears are common in an aging population. Thus far, primary repairs have shown high re-tear rates suggesting the need for improved healing modalities. Current augmentations of rotator cuff repairs include synthetic and biological scaffolds, surgical bone marrow venting, and infusing the repair with a variety of stem cells and growth factors aimed at restoring the native cellular structure and function of the repaired tissue. This current concepts review discusses the anatomy, physical presentation, diagnosis, and treatment of rotator cuff tears; biological adjuvants for rotator cuff repairs; and the current literature on outcomes after biologically augmented rotator cuff repairs. [<i>Orthopedics</i>. 2024;47(6):e282-e286.].</p>","PeriodicalId":19631,"journal":{"name":"Orthopedics","volume":" ","pages":"e282-e286"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142568624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Use of Telehealth to Improve Office Efficiency and Health Care Access Among Patients Being Evaluated for Revision Total Joint Arthroplasty.","authors":"Rex W Lutz, Tia N Alexander, Joseph A S McCahon, Adam J Lencer, Harrison A Patrizio, P Maxwell Courtney, Gregory K Deirmengian","doi":"10.3928/01477447-20240826-02","DOIUrl":"10.3928/01477447-20240826-02","url":null,"abstract":"<p><strong>Background: </strong>Patients being evaluated for revision total joint arthroplasty (RTJA) are often referred to tertiary care centers, which may decrease their access to adequate health care and overburden these health care systems. The purpose of this study was to evaluate the feasibility and effectiveness of RTJA patient evaluation via telehealth.</p><p><strong>Materials and methods: </strong>We identified a consecutive series of patients newly evaluated for a symptomatic TJA by two academic surgeons during a 1-year period. Clinical records, radiographs, and laboratory values were reviewed to determine whether the patient was indicated for RTJA. Efficiency was determined by calculating the percentage of patients who could have been adequately evaluated with telehealth. We then used the modalities required for diagnosis in each RTJA case to determine the feasibility of evaluating such patients through telehealth.</p><p><strong>Results: </strong>Of the 381 patients evaluated for RTJA candidacy, 154 (40.4%) were indicated for revision surgery. All 152 patients evaluated for possible hip revision could have been evaluated and diagnosed via telehealth, demonstrating a telehealth efficiency of 100%. Of 229 patients evaluated for possible knee revision, 183 were able to be evaluated and diagnosed via telehealth. The 46 remaining patients were indicated for revision secondary to instability, which would require an in-office examination for diagnosis. The efficiency of telehealth for potential knee revision patients was 79.9%.</p><p><strong>Conclusion: </strong>Telehealth may be useful in evaluating patients with symptomatic TJA. It may increase the efficiency of in-office evaluations and reduce potential barriers to health care access. [<i>Orthopedics</i>. 2024;47(6):372-376.].</p>","PeriodicalId":19631,"journal":{"name":"Orthopedics","volume":" ","pages":"372-376"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142110503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}