Operative Techniques in Orthopaedics最新文献_第6页

Contributors (pick up from previous issue w/updates) 投稿人（接上期内容/更新）

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Operative Techniques in Orthopaedics Pub Date : 2023-12-01 DOI: 10.1053/S1048-6666(23)00066-6

引用次数: 0

Using the Implicit Association Test to Address Healthcare Disparities in Minority Patients: Initiating the Discussion in an Orthopedic Surgery Cohort 利用内隐关联测试解决少数民族患者的医疗保健差异问题：在矫形外科队列中发起讨论

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Operative Techniques in Orthopaedics Pub Date : 2023-12-01 DOI: 10.1016/j.oto.2023.101069

Brittany DeClouette , Molly Hulbert , Dikran Nalbandian , Charla Fischer

{"title":"Using the Implicit Association Test to Address Healthcare Disparities in Minority Patients: Initiating the Discussion in an Orthopedic Surgery Cohort","authors":"Brittany DeClouette , Molly Hulbert , Dikran Nalbandian , Charla Fischer","doi":"10.1016/j.oto.2023.101069","DOIUrl":"10.1016/j.oto.2023.101069","url":null,"abstract":"<div><p>Healthcare disparities<span> have become a notable topic of research in the last decade. Within orthopedics<span>, minority patients experience these disparities via increased lengths of stay, higher 30-day hospital readmission rates, and poor patient reported outcomes. One possible cause for these disparities is implicit bias held by providers. The aims of this study were to assess the current state of implicit racial biases among orthopedic surgeons at various stages of training and to review the current literature involving effects of implicit bias on healthcare and patient outcomes. Orthopedic surgery medical student subinterns, residents, and attendings at an urban academic medical center were provided an anonymous, voluntary survey to document the results of an online Implicit Association Test (IAT) specifically focusing on race. These results were compared among the three groups and to that of the general population. Our results demonstrated that medical students and residents mirror the general population with an inherent preference for White over Black people. Attendings differed significantly from the general population with the most common result being little to no preference for either race. This small pilot study demonstrated varied IAT results, with both medical students and residents showing a preference for White over Black people, as compared to attendings who showed no preference for either race. Given the small cohort, it is difficult to generalize this data. Regardless, implicit racial biases are prevalent and can lead to poor patient interactions and worse clinical outcomes. The IAT provides a reliable assessment tool for implicit bias and can help guide interventions. Initiating this discussion is invaluable within orthopedics, but more research with larger cohorts is needed to evaluate feasibility of assessing bias and identify successful methods of reducing it.</span></span></p></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"33 4","pages":"Article 101069"},"PeriodicalIF":0.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135387782","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}

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Partial Hand Amputation: Digital and Transmetacarpal Amputation 部分手部截肢:指和经掌骨截肢

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Operative Techniques in Orthopaedics Pub Date : 2023-09-01 DOI: 10.1016/j.oto.2023.101059

Nicholas Munaretto, Bryan J. Loeffler

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Considerations and Surgical Techniques in Upper Extremity Amputation: An Introduction 上肢截肢的注意事项和手术技术:介绍

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Operative Techniques in Orthopaedics Pub Date : 2023-09-01 DOI: 10.1016/j.oto.2023.101055

Omri B. Ayalon

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Prosthesis Options and Management in Upper Extremity Amputation 上肢截肢的假体选择与处理

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Operative Techniques in Orthopaedics Pub Date : 2023-09-01 DOI: 10.1016/j.oto.2023.101061

Christopher Fink , Yoni Diamond

{"title":"Prosthesis Options and Management in Upper Extremity Amputation","authors":"Christopher Fink , Yoni Diamond","doi":"10.1016/j.oto.2023.101061","DOIUrl":"https://doi.org/10.1016/j.oto.2023.101061","url":null,"abstract":"<div><p>Amputation surgery is a life-altering experience, profoundly impacting an individual's ability to perform daily tasks and engage in their chosen activities. Upper extremity prostheses have advanced remarkably, offering diverse solutions to restore functionality and enhance the quality of life for amputees. This article provides a comprehensive examination of the various types of upper extremity prostheses available today, highlighting their unique features, advantages, and limitations. This article categorizes upper extremity prostheses into three main types: body-powered prostheses, myoelectric prostheses, and advanced prosthetic technologies. Passive prostheses are generally designed to replicate the appearance of the missing limb. Body-powered prostheses rely on cables and harnesses for control, offering affordability and durability. Myoelectric prostheses employ electromyography (EMG) signals from residual muscles for intuitive and precise control. Advanced prosthetic technologies, including neural interfaces and 3D printing, are pushing the boundaries of what is possible in terms of functionality and customization. This article aims to serve as a valuable resource for upper extremity surgeons to help guide options and even optimize surgical plans to allow individuals to maximize the use of upper extremity prostheses.</p></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"33 3","pages":"Article 101061"},"PeriodicalIF":0.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71769720","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

Pain Management in Limb Loss 肢体丧失的疼痛管理

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Operative Techniques in Orthopaedics Pub Date : 2023-09-01 DOI: 10.1016/j.oto.2023.101060

Paulinder Rai

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Contributors (pick up from previous issue w/updates) 贡献者(从以前的问题和更新中挑选)

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Operative Techniques in Orthopaedics Pub Date : 2023-09-01 DOI: 10.1053/S1048-6666(23)00054-X

引用次数: 0

Shoulder Level Amputation: Forequarter and Brachial Plexus-Level Amputation 肩水平截肢:前肢和臂丛水平截肢

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Operative Techniques in Orthopaedics Pub Date : 2023-09-01 DOI: 10.1016/j.oto.2023.101056

Megan R. Donnelly , Jacques H. Hacquebord

引用次数: 0

Therapy and Rehabilitation in Maximizing Upper Extremity Amputation 最大限度上肢截肢的治疗和康复

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Operative Techniques in Orthopaedics Pub Date : 2023-09-01 DOI: 10.1016/j.oto.2023.101062

Elaine Crerar

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Transradial Amputation and Wrist Disarticulation 经桡骨截肢和腕部脱臼

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Operative Techniques in Orthopaedics Pub Date : 2023-09-01 DOI: 10.1016/j.oto.2023.101058

Ian Chow, Raymond Glenn Gaston

{"title":"Transradial Amputation and Wrist Disarticulation","authors":"Ian Chow, Raymond Glenn Gaston","doi":"10.1016/j.oto.2023.101058","DOIUrl":"https://doi.org/10.1016/j.oto.2023.101058","url":null,"abstract":"<div><p><span>Transradial amputations represent the most common level of amputation in the upper extremity proximal to the fingers. While patients following forearm-level amputations have a high rate of phantom limb pain<span> and utilization of neuropathic medications, they are also the most likely upper extremity amputees to utilize a prosthesis and remain in the work-force. The advent and evolution of active nerve management strategies such as targeted </span></span>muscle reinnervation<span><span> (TMR) and regenerative peripheral nerve<span> interfaces (RPNI) have revolutionized amputation surgery. Initially developed to facilitate prosthetic control, TMR and by extension, RPNI have been shown to significantly mitigate neuroma<span> pain and phantom limb pain. The use of these techniques should be considered in most patients undergoing major limb amputation. The continuous development of improved prosthetic technologies has led to a refinement of paradigms for amputation throughout the body, and forearm-level amputation is no different. In this chapter, we will outline the conceptual framework for TMR/RPNI, discuss its role in forearm-level amputations, review pearls and pitfalls for the surgeon performing these procedures, and outline our algorithm and approach in performing transradial amputation and wrist </span></span></span>disarticulation.</span></p></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"33 3","pages":"Article 101058"},"PeriodicalIF":0.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71769723","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