Hss Journal最新文献_第10页

Arthritis Foundation/HSS Workshop on Hip Osteoarthritis, Part 4: Nonoperative Options, Machine Learning in Predicting Total Hip Arthroplasty, Robotics, and Phenotyping to Guide Precision Rehabilitation. 关节炎基金会/HSS髋关节骨性关节炎研讨会，第4部分：非手术选项、预测全髋关节置换术的机器学习、机器人和表型以指导精确康复。

IF 1.6 4区医学

Hss Journal Pub Date : 2023-11-01 Epub Date: 2023-08-17 DOI: 10.1177/15563316231193367

Michelle M McLeod, Jason S Kim, Peter Moley, Mark A Fontana, Jason Blevins, Brian Chalmers, Marcus Bamman, Mathias P Bostrom

引用次数: 0

Methods for the Clinical Translation of Quantitative MRI for the Evaluation of Patients With Femoroacetabular Impingement. 定量MRI评估股骨髋臼撞击患者的临床转换方法。

IF 1.6 4区医学

Hss Journal Pub Date : 2023-11-01 Epub Date: 2023-08-23 DOI: 10.1177/15563316231193404

Riccardo Lattanzi

引用次数: 0

Revealing a Natural Model of Pre-Osteoarthritis of the Hip Through Study of Femoroacetabular Impingement. 通过股骨髋臼撞击的研究揭示了髋关节前骨性关节炎的自然模型。

IF 1.6 4区医学

Hss Journal Pub Date : 2023-11-01 Epub Date: 2023-08-09 DOI: 10.1177/15563316231190084

Cecilia Pascual-Garrido, Kenichi Kikuchi, John C Clohisy, Regis J O'Keefe, Tomoyuki Kamenaga

{"title":"Revealing a Natural Model of Pre-Osteoarthritis of the Hip Through Study of Femoroacetabular Impingement.","authors":"Cecilia Pascual-Garrido, Kenichi Kikuchi, John C Clohisy, Regis J O'Keefe, Tomoyuki Kamenaga","doi":"10.1177/15563316231190084","DOIUrl":"10.1177/15563316231190084","url":null,"abstract":"<p><p>Femoroacetabular impingement (FAI) is considered the mechanical cause of hip osteoarthritis (OA). Surgical intervention involves labrum repair and osteochondroplasty to remove the impingement, alleviating symptoms. Nevertheless, some patients progress to hip OA after surgery, indicating that factors other than mechanical abnormality are contributing to hip OA progression. This review article discusses our laboratory's studies on hip FAI and OA, undertaken to identify key molecular players in the progression of hip OA. Transcriptome analysis identified peroxisome proliferator activated receptor gamma (PPARγ) as a crucial molecule in early hip OA. PPARγ, widely expressed in chondrocytes, has a protective role in preventing OA, but its true mechanism remains unknown. We observed a dysregulation of DNA methyltransferase (DNMT) in the progression of hip OA, with high expression of DNMT1 and 3A and downregulation of DNMT3B. Moreover, we established that DNMT3A is the main molecule that is binding to PPARγ promoter CpG area, and hypermethylation of this area occurs during disease progression. This suggests that epigenetic changes are a main mechanism that regulates PPARγ expression. Finally, we developed a novel rabbit model of hip FAI and OA and are currently performing studies to validate our small-animal model to human FAI.</p>","PeriodicalId":35357,"journal":{"name":"Hss Journal","volume":"19 4","pages":"434-441"},"PeriodicalIF":1.6,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71486793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preoperative Education and Prehabilitation in Total Hip Arthroplasty Patients: A Commentary. 全髋关节置换术患者的术前教育和预适应：综述。

IF 2.5 4区医学

Hss Journal Pub Date : 2023-11-01 Epub Date: 2023-08-20 DOI: 10.1177/15563316231193394

Cecelia Lawrence

引用次数: 0

Arthritis Foundation/HSS Workshop on Hip Osteoarthritis, Part 1: Epidemiology, Early Development, and Cohorts From Around the World. 关节炎基金会/HSS髋关节骨性关节炎研讨会，第1部分：世界各地的流行病学、早期发展和队列。

IF 1.6 4区医学

Hss Journal Pub Date : 2023-11-01 Epub Date: 2023-08-06 DOI: 10.1177/15563316231189748

Jason S Kim, Rintje Agricola, Young-Jo Kim, Nancy E Lane, Michael B Millis, Amanda E Nelson, Jos Runhaar, Sandra J Shefelbine, Mathias P Bostrom

引用次数: 0

Does Participation in Virtual or In-Person Preoperative Education Relate to Reduced Length of Stay After Total Joint Arthroplasty? 参加虚拟或面对面的术前教育与全关节置换术后住院时间的缩短有关吗?

4区医学

Hss Journal Pub Date : 2023-10-28 DOI: 10.1177/15563316231208454

Susan Camillieri

{"title":"Does Participation in Virtual or In-Person Preoperative Education Relate to Reduced Length of Stay After Total Joint Arthroplasty?","authors":"Susan Camillieri","doi":"10.1177/15563316231208454","DOIUrl":"https://doi.org/10.1177/15563316231208454","url":null,"abstract":"Background: Advancements in surgical procedures for total joint arthroplasty (TJA) have resulted in more effective procedures with more rapid recovery. To prepare patients for surgery, many organizations offer a preoperative “joint class,” which has been associated with reduced length of stay (LOS). Virtual modes of education are increasingly favored for those having TJA. Purpose: To determine whether participation in an individually administered preoperative educational session (“Prehab”) relates to reduced LOS or increased likelihood of same-day discharge (SDD) for those undergoing TJA. Additionally, to establish whether and the virtual mode of education provision is superior or inferior to the in-person mode with regards to LOS benefits. Methods: The author conducted a case-control study of 2532 patients who had a primary or revision TJA between January 2022 and August 2022 at a single institution. Data were obtained from the electronic medical record. A total of 1118 patients attended Prehab; 1414 patients did not. Patients were included if they were over the age of 18 and had a total hip arthroplasty (THA) or total knee arthroplasty (TKA) during the study period. T-tests, chi-square χ 2 tests, and binomial logistic regression were used to evaluate the LOS and SDD outcomes for those who participated in Prehab compared with those who did not. Results: Those receiving Prehab in any form had shorter LOS than those who had not. Those receiving virtual Prehab had the shortest LOS. There was no difference in the rate of SDD for outpatient-class patients. Conclusion: Preoperative education is associated with LOS benefits to patients undergoing TJA. The virtual mode of education provision is at minimum non-inferior, and may be superior, to the in-person mode. The lack of statistically significant between-group differences for SDD outcomes may be explained by a lack of SDD-specific educational content provided during Prehab.","PeriodicalId":35357,"journal":{"name":"Hss Journal","volume":"28 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136159030","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}

引用次数: 0

Outpatient Hip and Knee Arthroplasty Can be Safe in Patients With Multiple Medical Comorbidities via Use of Evidence-Based Perioperative Protocols 通过循证围手术期协议，门诊髋关节和膝关节置换术对有多种合并症的患者是安全的

4区医学

Hss Journal Pub Date : 2023-10-28 DOI: 10.1177/15563316231208431

Sohum Patel, Leonard T. Buller

引用次数: 0

Social Risk Determinants for Successful Same Calendar Day Discharge in Total Joint Arthroplasty 全关节置换术成功当日出院的社会风险决定因素

4区医学

Hss Journal Pub Date : 2023-10-28 DOI: 10.1177/15563316231204231

Rex W. Lutz, Danielle Y. Ponzio, Hope S. Thalody, Harrison A. Patrizio, Miranda M. Czymek, Michael Ast, Zachary D. Post, Alvin C. Ong

{"title":"Social Risk Determinants for Successful Same Calendar Day Discharge in Total Joint Arthroplasty","authors":"Rex W. Lutz, Danielle Y. Ponzio, Hope S. Thalody, Harrison A. Patrizio, Miranda M. Czymek, Michael Ast, Zachary D. Post, Alvin C. Ong","doi":"10.1177/15563316231204231","DOIUrl":"https://doi.org/10.1177/15563316231204231","url":null,"abstract":"Background: While many studies have examined the impact of comorbidities on the success of same calendar day discharge (SCDD) in total joint arthroplasty (TJA), literature surrounding the impact of social determinants is lacking. Purpose: We sought to investigate the relationship between various social determinants and success of SCDD after primary total hip arthroplasty (THA) and total knee arthroplasty (TKA). Methods: We conducted a retrospective review of 1160 THA and 1813 TKA performed at a single academic institution between November 2020 and August 2022. Social factors including substance use, occupation, marital status, income, and participation in physical exercise were included. In addition, aspects of discharge planning were reviewed such as living situation and transportation details. Results: Overall, 952 (32%) patients had successful SCDD, whereas 2021 (68%) patients were discharged on postoperative day 1 (POD1) or greater. Successful SCDD patients were more likely to have health care (4.8% vs 2.5%) and active (5.4% vs 4.6%) rather than sedentary occupations, be married (79.6% vs 67.4%), have access to transportation (95.6% vs 92.9%), live in a higher median income area ($64,044 [16,183] vs $61,572 [14,594]), and exercise weekly (62.6% vs 23.9%). Interestingly, the successful patients had more stories in their homes (1.62 [0.56] vs 1.43 [0.53]), more stairs to enter their homes (5.19 [5.22] vs 4.60 [5.24]), lived farther from the hospital (43.3 [138.0] vs 32.0 [75.9] miles), and a higher prevalence of alcohol use (60.7% vs 44.7%) and tobacco use (19.3% vs 17.3%). Conclusion: These findings may help arthroplasty surgeons to better understand the social factors that contribute to successful SCDD in TJA patients, ultimately aiding in patient selection and preoperative counseling.","PeriodicalId":35357,"journal":{"name":"Hss Journal","volume":"293 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136158473","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}

引用次数: 0

Perioperative Acupuncture: A Novel and Necessary Addition to ERAS Pathways for Total Joint Arthroplasty 围手术期针灸:全关节置换术中ERAS通路的一种新的必要补充

4区医学

Hss Journal Pub Date : 2023-10-26 DOI: 10.1177/15563316231204308

Stephanie I. Cheng, Cephas P. Swamidoss, Ellen M. Soffin

引用次数: 0

Trends and Themes in the Study of Value in Orthopedic Surgery: A Systematic Review 骨科外科价值研究的趋势和主题:系统综述

4区医学

Hss Journal Pub Date : 2023-10-24 DOI: 10.1177/15563316231204040

Hassaan Abdel Khalik, Manraj S. Nijjar, Jack Soeder, Darius L. Lameire, Herman Johal

{"title":"Trends and Themes in the Study of Value in Orthopedic Surgery: A Systematic Review","authors":"Hassaan Abdel Khalik, Manraj S. Nijjar, Jack Soeder, Darius L. Lameire, Herman Johal","doi":"10.1177/15563316231204040","DOIUrl":"https://doi.org/10.1177/15563316231204040","url":null,"abstract":"Background: The study of value in orthopedic surgery aims to maximize health outcomes gained per unit cost through various health economic tools but is fragmented across various subspecialties and geographies. Therefore, it is difficult to ascertain whether this research methodology is being used to its full potential across all orthopedic subspecialties and geographies. Purpose: We sought to assess the distribution of prior health economics literature in orthopedic surgery across subspecialties and geographies. The secondary aim was to identify pertinent methodologic trends that may affect the conclusions drawn. Methods: A systematic review utilizing 3 electronic databases (Medline, Embase, and Web of Science) was performed. Inclusion criteria included prior systematic reviews assessing economic analyses across all orthopedic surgery subspecialities published between 2010 and April 24, 2021. The quality of evidence was assessed using the Assessment of Multiple Systematic Review tool. Data were qualitatively analyzed. Results: In the 44 studies included, arthroplasty (36.4%) and spine (31.8%) were the most represented subspecialties. Almost half of studies originated from the United States (45.5%), followed by the United Kingdom (18.2%). Health economic models were most commonly from the perspective of the health care or hospital system (40.5%), followed by the societal perspective (23.5%), and the payer perspective (14.8%). Conclusions: The study of value in orthopedic surgery is not uniformly leveraged across all subspecialties and geographies. Methodologically, the societal perspective was inadequately represented, despite orthopedic pathologies often incurring significant indirect costs (eg, time off work, rehabilitation expenses).","PeriodicalId":35357,"journal":{"name":"Hss Journal","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135316215","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}

引用次数: 0