Hss Journal最新文献_第4页

Ambulatory Surgery Total Joint Arthroplasty: The Transition of an Inpatient Orthopedic Nursing Unit 门诊手术全关节置换术:住院骨科护理单元的转型

4区医学

Hss Journal Pub Date : 2023-11-14 DOI: 10.1177/15563316231210869

Jake White

引用次数: 0

Factors Associated With Higher Utilization of Outpatient Physical Therapy for Patients Who Have Undergone Primary Total Joint Arthroplasty: A Retrospective Cohort Study 原发性全关节置换术患者门诊物理治疗使用率较高的相关因素:一项回顾性队列研究

4区医学

Hss Journal Pub Date : 2023-11-14 DOI: 10.1177/15563316231210556

Curtis Wu, Ashleigh McAdam, Scott Siverling, Joseph Nguyen, Danielle Edwards

{"title":"Factors Associated With Higher Utilization of Outpatient Physical Therapy for Patients Who Have Undergone Primary Total Joint Arthroplasty: A Retrospective Cohort Study","authors":"Curtis Wu, Ashleigh McAdam, Scott Siverling, Joseph Nguyen, Danielle Edwards","doi":"10.1177/15563316231210556","DOIUrl":"https://doi.org/10.1177/15563316231210556","url":null,"abstract":"Background: Research has identified predictive factors for inpatient complications and short-term recovery following total knee arthroplasty (TKA) and total hip arthroplasty (THA). Predictors that may influence length of care in outpatient physical therapy (PT) have yet to be examined. Doing so may improve the quality and efficiency of PT care following TKA and THA. Purpose: The aim of this study was to determine factors associated with a higher utilization of outpatient PT visits for patients who have had primary THA or TKA. Methods: A retrospective cohort study was performed using a population of 5147 patients who underwent THA and TKA between January 2017 and October 2022. Demographic and clinical factors were analyzed to determine which factors influenced PT utilization. Results: Our multivariable linear regression model revealed that female sex, need for inpatient PT visits, and TKA as opposed to THA were significantly associated with an increase in outpatient PT visits. Older age, number of telerehabilitation visits, and history of depression were associated with fewer outpatient PT visits while accounting for all other variables. Conclusions: The results of this retrospective analysis may help to identify some potential factors including TKA vs THA, patient age, and a history of depression that can be evaluated prospectively in future studies to determine whether they predict subsequent outpatient PT utilization.","PeriodicalId":35357,"journal":{"name":"Hss Journal","volume":"52 19","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134901866","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

Older Age, Male Sex, and Early Start Time Lengthen the Recovery Room Stay Following Total Joint Arthroplasty in an Ambulatory Surgical Center 老年、男性和较早的开始时间延长了门诊外科中心全关节置换术后的康复室时间

4区医学

Hss Journal Pub Date : 2023-11-09 DOI: 10.1177/15563316231208977

Matthew J. Schultz, Hope S. Thalody, Rex W. Lutz, Quincy T. Cheesman, Alvin C. Ong, Zachary D. Post, Danielle Y. Ponzio

{"title":"Older Age, Male Sex, and Early Start Time Lengthen the Recovery Room Stay Following Total Joint Arthroplasty in an Ambulatory Surgical Center","authors":"Matthew J. Schultz, Hope S. Thalody, Rex W. Lutz, Quincy T. Cheesman, Alvin C. Ong, Zachary D. Post, Danielle Y. Ponzio","doi":"10.1177/15563316231208977","DOIUrl":"https://doi.org/10.1177/15563316231208977","url":null,"abstract":"Background: Total joint arthroplasty (TJA) performed in the ambulatory surgical center (ASC) has been shown to be safe and cost-effective for an expanding cohort of patients. As criteria for TJA in the ASC become less restrictive, data guiding the efficient use of ASC resources are crucial. Purpose: We sought to identify factors associated with length of stay in the recovery room after primary total hip arthroplasty (THA) and total knee arthroplasty (TKA) performed in the ASC. Methods: We conducted a retrospective review of 411 patients who underwent primary THA or TKA at our institution’s ASC between November 2020 and March 2022. We collected patient demographics, perioperative factors, success of same-day discharge (SDD), and length of time in the recovery room. Results: Of 411 patients, 100% had successful SDD. The average length of time spent in recovery was 207 minutes (SD: 73.9 minutes). Predictors of longer time in recovery were increased age, male sex, and operative start time before 9:59 am. Body mass index, preoperative opioid use, Charlson Comorbidity Index, type of surgery (THA vs TKA), urinary retention risk, and type of anesthesia (spinal vs general) were not significant predictors of length of time in the recovery room. Conclusion: In this retrospective study, factors associated with increased length of time in the recovery room included older age, male sex, and operative start time before 9:59 am. Such factors may guide surgeons in determining the optimal order of cases for each day at the ASC, but further prospective studies should seek to confirm these observations.","PeriodicalId":35357,"journal":{"name":"Hss Journal","volume":" 9","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135241942","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

Preoperative Education Prior to Hip or Knee Arthroplasty Is Associated With Home Discharge but Not Reduced Length of Stay 髋关节或膝关节置换术前的术前教育与家庭出院有关，但不减少住院时间

4区医学

Hss Journal Pub Date : 2023-11-08 DOI: 10.1177/15563316231208423

Monika Brossier, Jessica Schwartz-Dillard, Danielle McInerney, Jerome Brent Smith, Joseph Nguyen, Mary Murray-Weir, Danielle Edwards

{"title":"Preoperative Education Prior to Hip or Knee Arthroplasty Is Associated With Home Discharge but Not Reduced Length of Stay","authors":"Monika Brossier, Jessica Schwartz-Dillard, Danielle McInerney, Jerome Brent Smith, Joseph Nguyen, Mary Murray-Weir, Danielle Edwards","doi":"10.1177/15563316231208423","DOIUrl":"https://doi.org/10.1177/15563316231208423","url":null,"abstract":"Background: Increasing numbers of patients are undergoing total joint arthroplasty as a treatment for osteoarthritis, which can be an anxiety-provoking experience. Setting expectations through a preoperative physical therapy (pre-op PT) session can alleviate some of these stressors, potentially decrease hospital length of stay (LOS), and promote home discharge. Purpose: We sought to determine whether attending a pre-op PT session is associated with decreased hospital LOS and home discharge in total hip arthroplasty (THA) and total knee arthroplasty (TKA) patients. Methods: A retrospective cohort study was performed of 20,822 patients who underwent THA or TKA between January 2020 and December 2023. Pre-op PT attendance and covariates, including patient demographics and clinical data, were collected and analyzed for association with LOS and discharge disposition. Results: Unadjusted univariate analysis revealed that THA and TKA patients who received pre-op PT had a significantly lower average LOS and were more likely to be discharged home. Our multivariate regression model showed that pre-op PT was not significantly associated with LOS in both groups but was significantly associated with home discharge among THA patients. Conclusions: Our retrospective study of the effect of pre-op PT education on LOS and discharge disposition for elective THA and TKA patients found different results in univariate and multivariate analysis. Further study is needed to confirm the association found on multivariate analysis between pre-op PT and home discharge in THA patients.","PeriodicalId":35357,"journal":{"name":"Hss Journal","volume":"2 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135390616","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

Leveraging Technology Across the Patient Care Journey to Reduce Length of Stay After Total Joint Surgery 利用技术在整个患者护理过程中减少全关节手术后的住院时间

4区医学

Hss Journal Pub Date : 2023-11-06 DOI: 10.1177/15563316231209027

Christine Carey

引用次数: 0

The Efficacy and Safety of Tranexamic Acid in Total Hip and Knee Arthroplasty: A Literature Review 氨甲环酸在全髋关节和膝关节置换术中的疗效和安全性:文献综述

4区医学

Hss Journal Pub Date : 2023-11-02 DOI: 10.1177/15563316231208716

Tracy M. Borsinger, Sonia K. Chandi, Simarjeet Puri, Eytan M. Debbi, Elizabeth B. Gausden, Brian P. Chalmers

引用次数: 0

Arthritis Foundation/HSS Workshop on Hip Osteoarthritis, Part 2: Detecting Hips at Risk: Early Biomechanical and Structural Mechanisms. 关节炎基金会/HSS髋关节骨性关节炎研讨会，第2部分：检测危险髋关节：早期生物力学和结构机制。

IF 1.6 4区医学

Hss Journal Pub Date : 2023-11-01 Epub Date: 2023-08-30 DOI: 10.1177/15563316231192097

Maria T Vassileva, Jason S Kim, Alejandro Gonzalez Della Valle, Michael D Harris, Valentina Pedoia, Riccardo Lattanzi, Virginia Byers Kraus, Cecilia Pascual-Garrido, Mathias P Bostrom

引用次数: 0

Hipology 2023: Science, Philosophy, and Craft. 嬉皮士2023：科学、哲学和工艺。

IF 1.6 4区医学

Hss Journal Pub Date : 2023-11-01 Epub Date: 2023-09-07 DOI: 10.1177/15563316231192095

Michael B Millis

引用次数: 0

Rehabilitation Phases, Precautions, and Mobility Goals Following Total Hip Arthroplasty. 全髋关节置换术后的康复阶段、预防措施和活动目标。

IF 1.6 4区医学

Hss Journal Pub Date : 2023-11-01 Epub Date: 2023-08-15 DOI: 10.1177/15563316231192980

Lauren K Sara, Cara L Lewis

引用次数: 0

Correcting Hip Dysplasia in Young Adults: Intraoperative Navigation and Outcomes. 年轻人髋关节发育不良的矫正：术中导航和结果。

IF 1.6 4区医学

Hss Journal Pub Date : 2023-11-01 Epub Date: 2023-09-22 DOI: 10.1177/15563316231193003

Nathaniel T Ondeck, Tracy M Borsinger, Brian P Chalmers, Jason L Blevins

{"title":"Correcting Hip Dysplasia in Young Adults: Intraoperative Navigation and Outcomes.","authors":"Nathaniel T Ondeck, Tracy M Borsinger, Brian P Chalmers, Jason L Blevins","doi":"10.1177/15563316231193003","DOIUrl":"10.1177/15563316231193003","url":null,"abstract":"<p><p>Developmental dysplasia of the hip (DDH) often leads to characteristic acetabular dysplasia and typical femoral anomalies. There are numerous treatments for skeletally mature patients with DDH including hip arthroscopy, pelvic and femoral osteotomies, as well as total hip arthroplasty. Before proceeding to an arthroplasty procedure, it can be helpful to obtain an opinion of a hip preservation specialist to ascertain if alternative surgical treatments could contribute to the patient's care. In general, the use of robotic navigation has been associated with a higher proportion of cups placed in the Lewinnek safe zone, larger improvements in Harris Hip Scores, and no difference in overall complication rates in comparison to manual total hip arthroplasty. The use of robotic navigation allows for both 2-dimensional and 3-dimensional preoperative templating, enabling the surgeon to plan the position of the construct such that it achieves maximum bony purchase and hip stability. In complex DDH cases, surgeons can work with a biomechanics department to complete a fit check assessment, which utilizes 3-dimensional templating software to ascertain the appropriateness of the implant's geometry with the patient's anatomy. Furthermore, a 3-dimensional printed plastic model of the pelvis and/or femur can be constructed in order to complete a rehearsal procedure, which may be particularly helpful for those cases involving osteotomies. The literature on the use of robotic-assisted total hip arthroplasty in patients with DDH demonstrates improved component positioning in comparison to navigated as well as manual methods; however, studies with long-term follow-up in this patient population are lacking.</p>","PeriodicalId":35357,"journal":{"name":"Hss Journal","volume":"19 4","pages":"501-506"},"PeriodicalIF":1.6,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71486833","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