Journal of Orthopaedic Experience & Innovation最新文献_第2页

"In My Experience…the InSpace Balloon "我的经验......太空气球

Journal of Orthopaedic Experience & Innovation Pub Date : 2024-03-01 DOI: 10.60118/001c.93077

Joseph Abboud, MD

引用次数: 0

Leave it Alone: Ulnar Nerve Management in Distal Humerus Fracture Fixation – A Large Database Study 别管它：肱骨远端骨折固定术中的尺神经处理--一项大型数据库研究

Journal of Orthopaedic Experience & Innovation Pub Date : 2024-02-17 DOI: 10.60118/001c.89077

Bijan Dehghani, Thompson Zhuang, R. DeAngelis, Mitchell Hallman, Kelsey Young, Derek J Donegan, Samir Mehta

{"title":"Leave it Alone: Ulnar Nerve Management in Distal Humerus Fracture Fixation – A Large Database Study","authors":"Bijan Dehghani, Thompson Zhuang, R. DeAngelis, Mitchell Hallman, Kelsey Young, Derek J Donegan, Samir Mehta","doi":"10.60118/001c.89077","DOIUrl":"https://doi.org/10.60118/001c.89077","url":null,"abstract":"ABSTRACT Objectives: To determine the impact of intra-operative ulnar nerve manipulation during distal humerus open reduction internal fixation (ORIF) on post-operative ulnar neuritis. Methods: This study was a retrospective cohort analysis using the PearlDiver Mariner Database. Patients undergoing ORIF of distal humerus fractures were identified using Current Procedure Terminology (CPT) codes. Concurrent ulnar nerve transposition, neuroplasty, or neurolysis was defined using CPT-64718, occurring on the same day as the index procedure. Patients with pre-existing ulnar neuropathy within one year prior to the index procedure were excluded. The incidence of delayed ulnar neuropathy, occurring at least 2 weeks post-operatively, was compared at 3, 6, 9, and 12 months. Multivariable logistic regression models were employed to evaluate the association between ulnar nerve transposition, neuroplasty, or neurolysis and the development of delayed ulnar neuropathy, adjusting for the effects of age, sex, insurance type, and Elixhauser comorbidity index. Results: 16,881 patients who underwent distal humerus ORIF were identified, of which 2,016 (11.9%) received concurrent ulnar nerve transposition, neuroplasty, or neurolysis. The cohorts differed by age and insurance type (p<0.001). Ulnar neuropathy between 2 weeks and 1 year occurred in 191/2,016 (9.5%) patients who received ulnar nerve transposition, neuroplasty, or neurolysis and 742/14,865 (5.0%) patients who did not (p < 0.001). Ulnar nerve transposition, neuroplasty, or neurolysis was associated with increased odds of delayed ulnar neuropathy at all time points (p<0.001). Conclusion: Ulnar nerve transposition, neuroplasty, or neurolysis at the time of distal humerus ORIF was associated with an increased incidence of delayed post-operative ulnar neuritis.","PeriodicalId":298624,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"61 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139960241","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

“In My Experience…Personalized Hip and Knee Arthroplasty” "我的经验......个性化髋关节和膝关节置换术"

Journal of Orthopaedic Experience & Innovation Pub Date : 2024-02-08 DOI: 10.60118/001c.91633

Gregory Martin, MD

引用次数: 0

“In My Experience…Personalized Hip and Knee Arthroplasty” "我的经验......个性化髋关节和膝关节置换术"

Journal of Orthopaedic Experience & Innovation Pub Date : 2024-02-08 DOI: 10.60118/001c.91633

Gregory Martin, MD

引用次数: 0

Smart Sterilization Container Technology: Blue Wrap Innovation 智能消毒容器技术：蓝色包装创新

Journal of Orthopaedic Experience & Innovation Pub Date : 2024-02-03 DOI: 10.60118/001c.87966

Michael S. Bahk

{"title":"Smart Sterilization Container Technology: Blue Wrap Innovation","authors":"Michael S. Bahk","doi":"10.60118/001c.87966","DOIUrl":"https://doi.org/10.60118/001c.87966","url":null,"abstract":"Steam sterilization is the basis of modern surgical instrument sterilization. It is a highly effective, safe, cost-effective heat transfer method that is closely monitored and regulated. The autoclave time is typically 1 hour for sterilization and requires direct steam contact with surgical tray contents. A porous barrier, typically blue polypropylene wrap or filter, is required around or on the walls of the sterilized tray to allow steam to enter and escape. This barrier can require up to 2 hours of cooling without touching after autoclave sterilization to prevent moisture condensation and bacterial wicking. The porous barrier is fragile and can tear or develop holes which can lead to OR challenges. It is also moisture sensitive and may be an underappreciated source of surgical site infections. Porous barrier technologies create inherent inefficiencies in sterile processing and OR turnover. Electronic container technology may possibly forego the porous barrier limitations and inefficiencies by capturing a sterile vacuum seal in the autoclave. A verifiable vacuum sealed container may eliminate limited handling while cooling and may increase sterile department efficiency and reduce operating room turnover. If the technology is reliable and consistent, it may offer a safer and more durable, transportable, monitorable, sustainable sterile processing alternative than current porous barrier technologies.","PeriodicalId":298624,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"370 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139807859","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

Smart Sterilization Container Technology: Blue Wrap Innovation 智能消毒容器技术：蓝色包装创新

Journal of Orthopaedic Experience & Innovation Pub Date : 2024-02-03 DOI: 10.60118/001c.87966

Michael S. Bahk

{"title":"Smart Sterilization Container Technology: Blue Wrap Innovation","authors":"Michael S. Bahk","doi":"10.60118/001c.87966","DOIUrl":"https://doi.org/10.60118/001c.87966","url":null,"abstract":"Steam sterilization is the basis of modern surgical instrument sterilization. It is a highly effective, safe, cost-effective heat transfer method that is closely monitored and regulated. The autoclave time is typically 1 hour for sterilization and requires direct steam contact with surgical tray contents. A porous barrier, typically blue polypropylene wrap or filter, is required around or on the walls of the sterilized tray to allow steam to enter and escape. This barrier can require up to 2 hours of cooling without touching after autoclave sterilization to prevent moisture condensation and bacterial wicking. The porous barrier is fragile and can tear or develop holes which can lead to OR challenges. It is also moisture sensitive and may be an underappreciated source of surgical site infections. Porous barrier technologies create inherent inefficiencies in sterile processing and OR turnover. Electronic container technology may possibly forego the porous barrier limitations and inefficiencies by capturing a sterile vacuum seal in the autoclave. A verifiable vacuum sealed container may eliminate limited handling while cooling and may increase sterile department efficiency and reduce operating room turnover. If the technology is reliable and consistent, it may offer a safer and more durable, transportable, monitorable, sustainable sterile processing alternative than current porous barrier technologies.","PeriodicalId":298624,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"49 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139867721","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

In My Experience…Cementless Total Knee Arthroplasty 我的经验......无骨水泥全膝关节置换术

Journal of Orthopaedic Experience & Innovation Pub Date : 2024-01-28 DOI: 10.60118/001c.91556

Antonia F. Chen

引用次数: 0

Use of a Novel, Extended-Release, Dual-Acting, Local Anesthetic in Total Knee Arthroplasty and Total Hip Arthroplasty: Application Technique and Experiences with ZYNRELEF 新型缓释双效局麻药在全膝关节置换术和全髋关节置换术中的应用：ZYNRELEF 的应用技术和经验

Journal of Orthopaedic Experience & Innovation Pub Date : 2024-01-25 DOI: 10.60118/001c.90728

Michael J. Langworthy

{"title":"Use of a Novel, Extended-Release, Dual-Acting, Local Anesthetic in Total Knee Arthroplasty and Total Hip Arthroplasty: Application Technique and Experiences with ZYNRELEF","authors":"Michael J. Langworthy","doi":"10.60118/001c.90728","DOIUrl":"https://doi.org/10.60118/001c.90728","url":null,"abstract":"Total knee arthroplasty (TKA) and total hip arthroplasty (THA) provide many benefits to patients including improved functioning and quality of life. However, postoperative pain can be significant, and is a factor in extending hospitalizations, readmissions, and poor outcomes. HTX-011 (ZYNRELEF™) is an extended-release, dual-acting, local anesthetic consisting of bupivacaine and low-dose meloxicam within a tri(ethylene glycol) poly(orthoester) (TEG-POE) based technology Biochronomer™ polymer for drug delivery. Due to its semi-viscous solution, ZYNRELEF is applied directly onto the pain-generating tissue within the surgical site and stays in the location where it is applied. As a result of dissatisfaction with standard of care injections of ropivacaine, epinephrine, clonidine, ketorolac (RECK), as well as a need to perform more TKAs and THAs in an outpatient setting because of the COVID-19 pandemic, the author began using ZYNRELEF to explore its use in a real-world setting based on positive clinical trial data. A retrospective review was conducted of TKA and THA procedures performed at a single hospital in the United States between February and July of 2022. A standard multimodal pain protocol was used in addition to ZYNRELEF during the surgical procedure. Several patient outcomes were assessed including pain, infection rates, readmission, and acute renal injury. Of the 100 TKAs and 57 THAs performed, most patients (81%) experienced mild pain postoperatively. There were no cases of infection or acute renal injury. Few (3%) patients were readmitted (for any reason). When used as part of a multimodal pain protocol, ZYNRELEF is safe and effective in a real-world, outpatient setting.","PeriodicalId":298624,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"85 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139596649","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

Human Factors Usability Analysis of the ArthroFree Wireless Surgical Camera ArthroFree 无线手术相机的人为因素可用性分析

Journal of Orthopaedic Experience & Innovation Pub Date : 2024-01-21 DOI: 10.60118/001c.87965

Pearl Griffin, Patrick Polito, Leah Brownlee, Jeff Ustin, Kipum Lee, Craig Conner

{"title":"Human Factors Usability Analysis of the ArthroFree Wireless Surgical Camera","authors":"Pearl Griffin, Patrick Polito, Leah Brownlee, Jeff Ustin, Kipum Lee, Craig Conner","doi":"10.60118/001c.87965","DOIUrl":"https://doi.org/10.60118/001c.87965","url":null,"abstract":"Conventional arthroscopy is performed with a narrow tube, the arthroscope, attached to a camera and two cables - one for power and one for fiber-optic light. The cables can be cumbersome, routed across or around the patient, and risk bridging the sterile and nonsterile fields. ArthroFree®, a wireless surgical camera for arthroscopy, features wireless communication and battery power and was designed to eliminate cable-associated burdens. An iterative product development process established the usability of ArthroFree. Feedback on ArthroFree’s design was received from 88 participants (82 surgeons and 6 other medical professionals) on ergonomics, ease of use, image quality, and patient experience following design validation testing (pre-FDA clearance; 76 participants) or clinical evaluation (post-FDA clearance; 12 participants). Participants were trained on the use of ArthroFree and then used the device in a surgical procedure performed on a cadaver, simulated model, or patient. Their experience was evaluated in a 13-statement human factors survey scored using a 5-point Likert scale. ArthroFree scored well in all survey statements, scoring “good” or “excellent” (4.5 mean score), suggesting users’ needs were satisfied in 91.30% of participants. Additionally, one-on-one interviews with surgeons gathered qualitative feedback on their independent experience with the ArthroFree device, providing key support for its introduction to the operating room.","PeriodicalId":298624,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"12 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139609878","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

PROXIMAL MEDIAN NERVE COMPRESSION DUE TO GIANT LIPOMA. SURGICAL TREATMENT UNDER WALANT. 巨大脂肪瘤压迫近端正中神经。在 Walant 的指导下进行手术治疗。

Journal of Orthopaedic Experience & Innovation Pub Date : 2024-01-14 DOI: 10.60118/001c.89076

Cátia Coelho Nunes, Marcelo Alves, Maria Inês Rocha, Sofia Madeira, Susana Rodrigues, Rui Lino

引用次数: 0

Journal of Orthopaedic Experience &amp; Innovation最新文献

Journal of Orthopaedic Experience & Innovation最新文献