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Operative Techniques in Orthopaedics最新文献

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Editorial Board (pick up from previous issue w/updates) 编辑委员会（接续上期内容并进行更新）
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2024-09-01 DOI: 10.1053/S1048-6666(24)00048-X
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引用次数: 0
Hyperglycemia in Orthopaedic Trauma Patients: Implications, Management, and Future Directions 骨科创伤患者的高血糖症：影响、管理和未来方向
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2024-09-01 DOI: 10.1016/j.oto.2024.101132
Anthony Belmonte, Logan Roebke, Humza S. Shaikh
{"title":"Hyperglycemia in Orthopaedic Trauma Patients: Implications, Management, and Future Directions","authors":"Anthony Belmonte,&nbsp;Logan Roebke,&nbsp;Humza S. Shaikh","doi":"10.1016/j.oto.2024.101132","DOIUrl":"10.1016/j.oto.2024.101132","url":null,"abstract":"<div><div>Physiologic stress-induced hyperglycemia (SIH) significantly impacts patient outcomes in both nondiabetic and diabetic individuals following orthopaedic trauma. This review synthesizes current literature on SIH's effects, highlighting its association with increased surgical site infections (SSI), extended hospital stays, wound complications, nonunion, need for revision surgery, and mortality. Nondiabetic patients with SIH face worse outcomes compared to euglycemic patients, including a higher risk of deep infections and systemic complications. Diabetic patients experience exacerbated hyperglycemia during trauma, leading to poor wound healing and heightened infection risk. Effective glycemic control, through preoperative optimization, intraoperative monitoring, and postoperative management, is crucial for improving outcomes. Special considerations are discussed for the geriatric population, who are particularly vulnerable to SIH-induced morbidity and mortality. Future directions emphasize developing tailored glycemia management algorithms, utilizing continuous monitoring systems, and fostering multidisciplinary collaboration to optimize care for orthopaedic trauma patients.</div></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 3","pages":"Article 101132"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417291","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
Nutritional Prehabilitation in the Orthopaedic Trauma Patient 骨科创伤患者的营养预康复治疗
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2024-09-01 DOI: 10.1016/j.oto.2024.101133
Katherine L. Shumate , Ivan S. Tarkin
{"title":"Nutritional Prehabilitation in the Orthopaedic Trauma Patient","authors":"Katherine L. Shumate ,&nbsp;Ivan S. Tarkin","doi":"10.1016/j.oto.2024.101133","DOIUrl":"10.1016/j.oto.2024.101133","url":null,"abstract":"<div><div>Nutrition is a modifiable factor which should be optimized in the surgical patient. Peri-operative programs, such as “Strong for Surgery”, identify patients with protein malnutrition and provide resources for adequate feeding in the peri-operative period. The Orthopaedic Trauma patient benefits from this approach to encourage surgical wound healing, avoidance of septic complication, uneventful bone union, and successful rehabilitation. Acute Orthopaedic injuries requiring prompt intervention should be assessed for protein malnutrition and receive supplementation when necessary postoperatively. Patients with peri-articular fracture managed staged or for post-traumatic cases, nutrition should be assessed preoperatively and addressed prior to definitive surgical reconstruction.</div></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 3","pages":"Article 101133"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417289","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
Special Considerations in the Orthopaedic Trauma Patient: Curbing Negative Social Behaviors 骨科创伤患者的特殊考虑因素：遏制负面社交行为
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2024-09-01 DOI: 10.1016/j.oto.2024.101130
Kasey-Jean Bramlett, Andrew J. Marcantonio
{"title":"Special Considerations in the Orthopaedic Trauma Patient: Curbing Negative Social Behaviors","authors":"Kasey-Jean Bramlett,&nbsp;Andrew J. Marcantonio","doi":"10.1016/j.oto.2024.101130","DOIUrl":"10.1016/j.oto.2024.101130","url":null,"abstract":"<div><div>Optimizing the orthopaedic trauma patient for surgical intervention presents unique challenges. Due to the acute nature of musculoskeletal injuries and time constraints for treatment, there is a limited window for overall patient comorbidity optimization prior to surgical fracture repair. Certain social behaviors including tobacco use, excessive alcohol consumption, and inappropriate opioid medication usage can have a negative impact on wound and fracture healing. Curbing such negative social behaviors can have a positive outcome on patients who are affected by musculoskeletal trauma. Addressing these challenging issues, via available resources, can have a significant impact on recovery after sustaining orthopaedic trauma. A tactical approach focused on relationship building with patients and their families as well as highlighting strategies to curb negative social behaviors is presented involving a patient with an infected tibial nonunion.</div></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 3","pages":"Article 101130"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417292","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
Perioperative Blood Glucose Optimization in Orthopaedic Trauma Patients 骨科创伤患者围手术期血糖优化
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2024-09-01 DOI: 10.1016/j.oto.2024.101128
Segal K , Okewunmi J , Mujahid N , Tong I , Fernandes A , Evans AR
{"title":"Perioperative Blood Glucose Optimization in Orthopaedic Trauma Patients","authors":"Segal K ,&nbsp;Okewunmi J ,&nbsp;Mujahid N ,&nbsp;Tong I ,&nbsp;Fernandes A ,&nbsp;Evans AR","doi":"10.1016/j.oto.2024.101128","DOIUrl":"10.1016/j.oto.2024.101128","url":null,"abstract":"","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 3","pages":"Article 101128"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417290","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
Endocrine Abnormalities and Optimization in Patients with a Fracture Nonunion 骨折未愈合患者的内分泌异常与优化治疗
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2024-09-01 DOI: 10.1016/j.oto.2024.101131
Tyler L. McGee, Peter N. Mittwede
{"title":"Endocrine Abnormalities and Optimization in Patients with a Fracture Nonunion","authors":"Tyler L. McGee,&nbsp;Peter N. Mittwede","doi":"10.1016/j.oto.2024.101131","DOIUrl":"10.1016/j.oto.2024.101131","url":null,"abstract":"<div><div>Significant advancements have been made in the management and understanding of fracture nonunions. Recently, there has been an interest in identifying modifiable risk factors in patients with nonunions. Endocrine and metabolic abnormalities have been studied for their association with the development of nonunion. Identifying these abnormalities and correcting them requires a multidisciplinary approach involving the orthopaedic surgeon, primary care provider, and endocrinologist. This article discusses the various endocrine abnormalities and their association with fracture nonunion, and highlights studies that have focused on methods of endocrine optimization of patients with a nonunion.</div></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 3","pages":"Article 101131"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417294","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
Introduction- Optimizing the Orthopaedic Trauma Patient 导言--优化创伤骨科患者
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2024-09-01 DOI: 10.1016/j.oto.2024.101129
Ivan S. Tarkin
{"title":"Introduction- Optimizing the Orthopaedic Trauma Patient","authors":"Ivan S. Tarkin","doi":"10.1016/j.oto.2024.101129","DOIUrl":"10.1016/j.oto.2024.101129","url":null,"abstract":"","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 3","pages":"Article 101129"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417287","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
Optimizing the Geriatric Host for Fracture Surgery 优化骨折手术中的老年病人宿主
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2024-09-01 DOI: 10.1016/j.oto.2024.101134
Naoko Onizuka MD, PhD , Rebekah Kleinsmith MD , Julie Switzer MD
{"title":"Optimizing the Geriatric Host for Fracture Surgery","authors":"Naoko Onizuka MD, PhD ,&nbsp;Rebekah Kleinsmith MD ,&nbsp;Julie Switzer MD","doi":"10.1016/j.oto.2024.101134","DOIUrl":"10.1016/j.oto.2024.101134","url":null,"abstract":"<div><div>Fractures represent a significant health concern among the elderly population, leading to functional decline, loss of independence, and increased morbidity and mortality. The management of geriatric patients undergoing fracture surgery requires a comprehensive approach that addresses their specific physiological, psychological, and social needs. This article aims to elucidate the various strategies for optimizing the geriatric host for fracture surgery by addressing preoperative assessment, intraoperative management, and postoperative care.</div></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 3","pages":"Article 101134"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417293","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
Contributors (pick up from previous issue w/updates) 投稿人（接上期内容/更新）
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2024-09-01 DOI: 10.1053/S1048-6666(24)00050-8
{"title":"Contributors (pick up from previous issue w/updates)","authors":"","doi":"10.1053/S1048-6666(24)00050-8","DOIUrl":"10.1053/S1048-6666(24)00050-8","url":null,"abstract":"","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 3","pages":"Article 101141"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417286","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
Table of Contents (pick up from previous issue w/updates) 目录（接上一期/更新内容）
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2024-09-01 DOI: 10.1053/S1048-6666(24)00049-1
{"title":"Table of Contents (pick up from previous issue w/updates)","authors":"","doi":"10.1053/S1048-6666(24)00049-1","DOIUrl":"10.1053/S1048-6666(24)00049-1","url":null,"abstract":"","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 3","pages":"Article 101140"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417285","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
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