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Does the Order of Lumbar Surgery and Total Joint Replacement Impact Total Joint Replacement Outcomes? 腰椎手术和全关节置换术的顺序会影响全关节置换术的结果吗？
Journal of surgical orthopaedic advances Pub Date : 2025-01-01
Anthony M Steinle, Andrew J Croft, Alexander J Volkmar, Eric S Dilbone, Hui Nian, Jeffrey W Chen, Hani Chanbour, Emil Varas-Rodriguez, Wilson E Vaughan, Scott L Zuckerman, Byron F Stephens, J Ryan Martin, Amir M Abtahi
{"title":"Does the Order of Lumbar Surgery and Total Joint Replacement Impact Total Joint Replacement Outcomes?","authors":"Anthony M Steinle, Andrew J Croft, Alexander J Volkmar, Eric S Dilbone, Hui Nian, Jeffrey W Chen, Hani Chanbour, Emil Varas-Rodriguez, Wilson E Vaughan, Scott L Zuckerman, Byron F Stephens, J Ryan Martin, Amir M Abtahi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>For patients requiring both total joint replacement (TJR) and lumbar spine surgery, it is unknown whether surgical order influences TJR outcomes. The authors sought to determine if total knee (TKA) or total hip (THA) arthroplasty outcomes differed between patients who underwent TKA/THA before versus after lumbar surgery. A prospectively collected registry was queried for patients who underwent TKA or THA within 3 years of lumbar spine surgery. Patients were divided into TKA before versus after lumbar surgery, and THA before versus after lumbar surgery. Statistical analysis was performed to compare postoperative outcomes. In both the TKA and THA cohorts, no differences could be detected between before and after groups in any postoperative outcome, including knee/hip pain, complications, and reoperations. The order of lumbar and TJR surgeries does not appear to influence TJR outcomes. The severity of symptoms, patient preference, and surgeon discretion should dictate surgical order. (Journal of Surgical Orthopaedic Advances 34(2):098-101, 2025).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"34 2","pages":"98-101"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510247","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
How the Reputation of Orthopaedic Residency Programs Influences the Spine Surgery Fellowship Match Results. 骨科住院医师项目的声誉如何影响脊柱外科奖学金匹配结果。
Journal of surgical orthopaedic advances Pub Date : 2025-01-01
Andrew J Sama, Joshua T Kaiser, Chester J Donnally, Lisa K Cannada, Alan S Hilibrand, Chad A Krueger
{"title":"How the Reputation of Orthopaedic Residency Programs Influences the Spine Surgery Fellowship Match Results.","authors":"Andrew J Sama, Joshua T Kaiser, Chester J Donnally, Lisa K Cannada, Alan S Hilibrand, Chad A Krueger","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study sought to evaluate recent orthopaedic spine fellowship match results as it relates to the reputation of the respective applicants' residency programs. Applicant's residency program, fellowship match, number of fellowship positions available per program, where each fellowship ranked each applicant, and where each applicant ranked each fellowship program were included. Residency programs were divided into five tiers using the 2018 Doximity orthopaedic residency reputation rankings. Applicants from tier-1 Doximity-ranked residency programs were more likely to be offered interviews, applied to fewer programs, and matched to their first or second ranked fellowship program much more frequently than applicants from all other tiers (p < 0.01). This study suggests that applicants can be more targeted in terms of choosing the number of interviews to attend, and fellowship programs can be more selective with interview strategy. (Journal of Surgical Orthopaedic Advances 34(1):090-092, 2025).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"34 2","pages":"90-92"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510250","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
Occupational Hazards and Injuries in Total Joint Arthroplasty: Identification and Prevention. 全关节置换术中的职业危害与伤害：识别与预防。
Journal of surgical orthopaedic advances Pub Date : 2025-01-01
Jamie C Heimroth, Patrick M Pallitto, Brian A Klatt, Alan E Wilson, Malcolm E Dombrowski, Michael J O'Malley, Kenneth L Urish, Johannes F Plate
{"title":"Occupational Hazards and Injuries in Total Joint Arthroplasty: Identification and Prevention.","authors":"Jamie C Heimroth, Patrick M Pallitto, Brian A Klatt, Alan E Wilson, Malcolm E Dombrowski, Michael J O'Malley, Kenneth L Urish, Johannes F Plate","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Joint replacements are demanding surgeries that take physical and mental tolls on arthroplasty surgeons. Occupational hazards of joint replacement surgery include musculoskeletal injuries, blood-borne diseases, radiation exposure, noxious chemical exposure, noise exposure, and emotional stress. This article is a review of the available literature surrounding occupational hazards that arthroplasty surgeons face and how they can be prevented. The goal is to address adult reconstruction occupational hazards in order to increase the longevity of arthroplasty surgeons. (Journal of Surgical Orthopaedic Advances 34(3):130-133, 2025).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"34 3","pages":"130-133"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145246202","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
Early Clinical Outcomes of the DePuy ACTIS Total Hip Arthroplasty Femoral Implant. DePuy ACTIS全髋关节置换术股骨假体的早期临床结果。
Journal of surgical orthopaedic advances Pub Date : 2025-01-01
Robert J Teasdall, Hunter B Yancey, Shane C Tipton, Maxwell K Langfitt
{"title":"Early Clinical Outcomes of the DePuy ACTIS Total Hip Arthroplasty Femoral Implant.","authors":"Robert J Teasdall, Hunter B Yancey, Shane C Tipton, Maxwell K Langfitt","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Early clinical outcomes were assessed for patients who underwent total hip arthroplasty (THA) with the recently released DePuy ACTIS femoral stem for primary osteoarthritis performed through a direct anterior approach. From 2017 to 2018, 226 THAs were retrospectively reviewed on patients with at least one year of postoperative follow-up (average follow-up time was 2.63 years [+/- 0.83]). The primary outcome measure was all-cause revision rate (1.91%), observing for failures related to dislocation (0.48%), aseptic loosening (0.48%), pain (0.48%), infection (0.0%), and fracture (0.48%). Mean preoperative Visual Analogue Scale scores were 6.07 (+/- 2.37) compared with 0.62 (+/- 1.5) postoperatively (p < 0.001). The DePuy ACTIS THA femoral implant demonstrated encouraging early clinical outcomes. Further follow-up and surveillance will evaluate how this stem compares with others in the market, but this study demonstrates reliability in evaluation of short-term outcomes. (Journal of Surgical Orthopaedic Advances 34(3):128-129, 2025).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"34 3","pages":"128-129"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145246229","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
Infection Risk Following Contaminated Cases. 感染病例后的感染风险。
Journal of surgical orthopaedic advances Pub Date : 2025-01-01
Sean Baran, Rishikesan Ramaesh, Alexander Y Shin, Sanjeev Kakar
{"title":"Infection Risk Following Contaminated Cases.","authors":"Sean Baran, Rishikesan Ramaesh, Alexander Y Shin, Sanjeev Kakar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Controversy exists whether one can perform a clean case subsequent to a dirty case in the same operating room predisposed to infection. A retrospective review of all orthopaedic surgical patients between 2003 and 2010 with a type I surgical wound whose case had been performed immediately after type a IV wound was undertaken. Six hundred seventy-four pairs of type IV wounds immediately followed by type I wounds were identified. Of the type I wounds, 3.3% subsequently developed surgical site infection. The bacterial profile of the infections in type I cases was not identical to the associated type IV cases in any instance. This finding suggests that direct cross-contamination is not a reason for infection in clean cases that are performed immediately subsequent to dirty cases. (Journal of Surgical Orthopaedic Advances 34(1):026-030, 2025).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"34 1","pages":"26-30"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056844","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
Decreased Complication Rate with Surgical Arthroscopy Compared with Arthrotomy for Treatment of Septic Arthritis of the Knee. 与关节切开术相比，手术关节镜治疗脓毒性膝关节炎的并发症发生率降低。
Journal of surgical orthopaedic advances Pub Date : 2025-01-01
John M Tarazi, Alain E Sherman, Matthew J Partan, Andrew D Goodwillie, Randy M Cohn
{"title":"Decreased Complication Rate with Surgical Arthroscopy Compared with Arthrotomy for Treatment of Septic Arthritis of the Knee.","authors":"John M Tarazi, Alain E Sherman, Matthew J Partan, Andrew D Goodwillie, Randy M Cohn","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study is to compare surgical arthroscopy versus arthrotomy for septic arthritis of the knee. The American College of Surgeons National Surgical Quality Improvement Program database was queried for all patients who underwent arthroscopy or arthrotomy for native septic knee arthritis between 2010 and 2019. Demographic, lifestyle, and comorbidity variables were recorded, and 30-day outcome variables were analyzed appropriately. Multiple logistic regression modeling was performed to compare cohorts while controlling for covariates. A sample size of 983 patients were identified. Open irrigation and debridement with arthrotomy was associated with significantly longer mean operative time and hospital stay. Patients who underwent open treatment were less likely to be discharged home and had significantly increased odds of transfusion (OR = 1.31), developing pneumonia (OR = 2.89), and sepsis (OR = 1.55). Arthroscopic irrigation and debridement for septic arthritis of the knee is associated with shorter operative time, decreased length of stay, and increased rate of home discharge. Patients who underwent arthrotomy had an increased risk of transfusion, pneumonia, and sepsis. (Journal of Surgical Orthopaedic Advances 34(2):073-077, 2025).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"34 2","pages":"73-77"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510245","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
Fasciocutaneous Advancement Flap for Anterior Open Wounds After Primary and Revision Total Knee Arthroplasty. 筋膜皮推进瓣在初次和翻修全膝关节置换术后前开放性伤口中的应用。
Journal of surgical orthopaedic advances Pub Date : 2025-01-01
Daniel Y Hong, Nicholas C Danford, Chia H Wu, R Kumar Kadiyala
{"title":"Fasciocutaneous Advancement Flap for Anterior Open Wounds After Primary and Revision Total Knee Arthroplasty.","authors":"Daniel Y Hong, Nicholas C Danford, Chia H Wu, R Kumar Kadiyala","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Large wounds after total knee arthroplasty (TKA) may not be amenable to primary closure and may require soft tissue coverage. A bipedicle fasciocutaneous advancement flap for anterior wounds after TKA that can be achieved without need for a trained microsurgeon is proposed. Retrospective chart review was performed. Sixteen adult patients who had non-closable primary wounds after both primary and revision TKA and received the bipedicle fasciocutaneous advancement flap were included. On average, patients were older than 65 years and had multiple comorbidities. All patients had healed wounds by final follow up, including four who received the flap after revision TKA. The surgical technique for the flap is included. In conclusion, the bipedicle fasciocutaneous advancement flap is a viable coverage option for wounds not amenable to primary closure after TKA, both primary and revision. No microsurgery training or tools are necessary to perform this procedure. (Journal of Surgical Orthopaedic Advances 34(2):086-089, 2025).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"34 2","pages":"86-89"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510249","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
Even When Bracing Fails to Prevent Surgery, It May Improve the Lumbar Curve in Patients with Adolescent Idiopathic Scoliosis. 即使支具不能预防手术，它也可以改善青少年特发性脊柱侧凸患者的腰椎曲线。
Journal of surgical orthopaedic advances Pub Date : 2025-01-01
Adam Margalit, Daniel Badin, Paul D Sponseller
{"title":"Even When Bracing Fails to Prevent Surgery, It May Improve the Lumbar Curve in Patients with Adolescent Idiopathic Scoliosis.","authors":"Adam Margalit, Daniel Badin, Paul D Sponseller","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Bracing decreases curve progression in adolescent idiopathic scoliosis (AIS). However, many curves still progress to a surgical range. The purpose of this study was to evaluate the effects of bracing on the lumbar curve in AIS patients who required posterior spinal fusion (PSF) for thoracic curves that progressed. The records of 432 patients with AIS who underwent PSF from 2005 to 2015 were reviewed. Braced/unbraced patients were matched 1:1 for age, Lenke type, and preoperative thoracic major curve. The unbraced group had a mean lumbar curve (44°) that was greater than the braced group (34°) (p < 0.001), the proportion of Lenke 1A curves was higher in the braced group (81% vs. 39%, p < 0.001), and the unbraced group had greater odds (odds ratio [OR] = 2.3; confidence interval [CI]: 1.2 - 4.5) of spinal fusion caudal to L1. Patients in the braced group had more favorable Lenke lumbar modifiers (type A), smaller preoperative lumbar curves, and fewer fused lumbar vertebrae compared with the unbraced group. (Journal of Surgical Orthopaedic Advances 34(2):082-085, 2025).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"34 2","pages":"82-85"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510248","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
Tailored to Fit: A Review of the Role of Custom Implants in Total Knee Arthroplasty. 量身定制：定制假体在全膝关节置换术中的作用综述。
Journal of surgical orthopaedic advances Pub Date : 2025-01-01
Matthew Stein, David G Deckey, Crystal Jing, Thorsten M Seyler
{"title":"Tailored to Fit: A Review of the Role of Custom Implants in Total Knee Arthroplasty.","authors":"Matthew Stein, David G Deckey, Crystal Jing, Thorsten M Seyler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Total knee arthroplasty (TKA) can be performed using either conventional off-the-shelf (OTS) implants or customized individually made (CIM) implants. This study aims to review existing literature and compare clinical outcomes between patients receiving CIM and OTS implants, specifically in terms of satisfaction, radiographic/alignment outcomes, revision rates, and costs. A review of literature was conducted using Medline, Cochrane, and Embase to identify articles comparing CIM and OTS implants in TKA patients. Data and outcomes were described qualitatively. Overall, based on the current evidence, custom implants have been shown to yield comparable to improved patient-reported and clinical outcomes, anatomic match, and excellent registry survival outcomes as compared with conventional OTS implants for the general population undergoing TKA. (Journal of Surgical Orthopaedic Advances 34(3):114-118, 2025).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"34 3","pages":"114-118"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145246325","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
Hyponatremia and Acute Kidney Injury Following Spine Surgery. 脊柱手术后低钠血症与急性肾损伤。
Journal of surgical orthopaedic advances Pub Date : 2025-01-01
Tommy Pan, William Hennrikus, Matthew Bierowski, Kathryn Carlisle, Erik Lehman, Mark Knaub, Eileen Hennrikus
{"title":"Hyponatremia and Acute Kidney Injury Following Spine Surgery.","authors":"Tommy Pan, William Hennrikus, Matthew Bierowski, Kathryn Carlisle, Erik Lehman, Mark Knaub, Eileen Hennrikus","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The rates and risk factors of postoperative hyponatremia and acute kidney injury (AKI) were examined in spine surgery patients. A 2-year retrospective review of 348 patients was performed. Patients were instructed to take their routine nonsteroidal anti-inflammatory drugs and antihypertensive medications the morning of surgery. Postoperative hyponatremia and AKI were studied. Statistical analysis included bivariate and multivariable logistic regression analysis with odds ratio and quantile regression model. Thirty-eight percent of patients (133/348) had postoperative hyponatremia (serum sodium < 135 mEq/L). Seven percent (24/348) had AKI (0.3 mg/dL or > 50% increase in baseline serum creatinine). On the multivariable logistic regression model, two factors remained significant for hyponatremia: preoperative sodium level and operative time. Body mass index and use of preoperative angiotensin blocking medications were significant for AKI. Patients with hyponatremia and AKI demonstrated a longer length of hospital stay. In conclusion, postoperative hyponatremia (38%) and AKI (7%) are common following spine surgery. (Journal of Surgical Orthopaedic Advances 34(1):041-045, 2025).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"34 1","pages":"41-45"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059555","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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