Orthopaedics and Trauma最新文献_第4页

Management of haematogenous bone and joint infection in developing countries 发展中国家血源性骨与关节感染的管理

Orthopaedics and Trauma Pub Date : 2024-06-01 DOI: 10.1016/j.mporth.2024.03.005

Myung-Sang Moon

引用次数: 0

The Scottish Arthroplasty Project: Scotland's approach to a National Joint Registry 苏格兰关节成形术项目：苏格兰建立国家关节登记处的方法

Orthopaedics and Trauma Pub Date : 2024-06-01 DOI: 10.1016/j.mporth.2024.03.003

Justine Burt, Andrew Brunt, Andrew J. Hall, Jon V. Clarke, Phil Walmsley

{"title":"The Scottish Arthroplasty Project: Scotland's approach to a National Joint Registry","authors":"Justine Burt, Andrew Brunt, Andrew J. Hall, Jon V. Clarke, Phil Walmsley","doi":"10.1016/j.mporth.2024.03.003","DOIUrl":"10.1016/j.mporth.2024.03.003","url":null,"abstract":"<div><p>The core function of joint registries is to collect, collate, and present data about patients who undergo joint replacement surgery, and afford clinicians and administrators a range of analytic functions to monitor service performance. This article describes the development, evolution, and future of arthroplasty registries, drawing particularly from the experience of the Scottish Arthroplasty Project (SAP). The SAP was established in 1999 and is one of the oldest arthroplasty registries in the world. It collects information on patients undergoing hip, knee, ankle, shoulder, and elbow arthroplasty. The primary aim is to encourage continual improvement in the quality of care provided for arthroplasty patients in Scotland. It is distinct in terms of administration and methodology from the National Joint Registry (NJR) of England, Wales, and Northern Ireland as it monitors patients rather than implants. Since its inception, its work has contributed to a reduction in overall complication rates and a significant decrease in hospital length of stay for the growing number of patients undergoing arthroplasty. It continues to provide a robust database that is used to underpin national guidance through data-driven research. The research carried out by dedicated SAP fellows has enhanced the research portfolio of the SAP and raised its profile through high quality peer-reviewed publications. The SAP continues to evolve and by collaborating with other Scottish registries it will provide larger datasets containing greater diversity and granularity of information. These developments as well as ongoing analysis of existing areas ensure that the SAP continues to maintain and improve standards in arthroplasty across Scotland.</p></div>","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"38 3","pages":"Pages 130-136"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141044852","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

Skeletal muscle structure, function and pathology 骨骼肌结构、功能和病理

Orthopaedics and Trauma Pub Date : 2024-06-01 DOI: 10.1016/j.mporth.2024.03.004

James Allen, Mark Ramsden, Sohail Nisar

引用次数: 0

Reducing morbidity and mortality in the hip fracture patient group 降低髋部骨折患者群体的发病率和死亡率

Orthopaedics and Trauma Pub Date : 2024-02-20 DOI: 10.1016/j.mporth.2024.01.004

Martyn J Parker

{"title":"Reducing morbidity and mortality in the hip fracture patient group","authors":"Martyn J Parker","doi":"10.1016/j.mporth.2024.01.004","DOIUrl":"https://doi.org/10.1016/j.mporth.2024.01.004","url":null,"abstract":"<div><p>A review of the literature was undertaken to determine which amenable factors could be identified that would potentially improve the morbidity or mortality after hip fracture. Only four factors were identified that have been clearly reported to be associated with a reduction in mortality or morbidity, these were early surgery, cemented arthroplasty and experience of the surgeon and peri-operative antibiotics. Five interventions were identified that may reduce mortality or morbidity: nerve blocks, nutritional support, pharmacological thromboembolic prophylaxis, mechanical intermittent pneumatic compression and nail fixation of extracapsular fractures. Several other factors were identified for which it remains uncertain if they will reduce mortality or morbidity: preoperative assessment, β-blockers, blood transfusion, anti-embolism stockings, choice of surgical implant, cardiac output monitoring during surgery, choice of anaesthesia, prevention of intraoperative hypotension, anabolic steroids, multidisciplinary care, and rehabilitation. Continuing research is required to define which interventions are clearly effective and to further identify any adverse effects.</p></div>","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"38 2","pages":"Pages 89-94"},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140290529","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

Sub-trochanteric femoral fractures: challenges and solutions 股骨转子下骨折：挑战与解决方案

Orthopaedics and Trauma Pub Date : 2024-02-20 DOI: 10.1016/j.mporth.2024.01.002

James Edward Dixon, Jun Wei Lim, Iain McWilliam Stevenson

引用次数: 0

What's new in the management of osteoporosis and prevention of fragility fractures? 骨质疏松症的治疗和脆性骨折的预防有何新进展？

Orthopaedics and Trauma Pub Date : 2024-02-20 DOI: 10.1016/j.mporth.2024.01.006

Gillian Fordyce, Rosemary Hollick, Alison Black

引用次数: 0

The National Hip Fracture Database: lessons learned and future horizons 国家髋部骨折数据库：经验教训与未来展望

Orthopaedics and Trauma Pub Date : 2024-02-20 DOI: 10.1016/j.mporth.2024.01.007

Will Eardley, Antony Johansen

引用次数: 0

The management of intertrochanteric hip fractures: an update 髋关节转子间骨折的治疗：最新进展

Orthopaedics and Trauma Pub Date : 2024-02-20 DOI: 10.1016/j.mporth.2024.01.001

Sophia M. Wakefield, Paul L. Rodham, Peter V. Giannoudis

引用次数: 0

Techniques for cemented hemiarthroplasty 骨水泥半关节成形术的技术

Orthopaedics and Trauma Pub Date : 2024-02-19 DOI: 10.1016/j.mporth.2024.01.005

Joel Lim Wei-An, John AF Charity

引用次数: 0

The multidisciplinary management of hip fractures in older patients: an update 老年髋部骨折的多学科管理：最新进展

Orthopaedics and Trauma Pub Date : 2024-02-18 DOI: 10.1016/j.mporth.2024.01.003

Jun Wei Lim, Peter Hutchison, Anna HK Riemen, James D Hutchison

引用次数: 0