Journal of surgical orthopaedic advances最新文献_第3页

Postoperative Length of Stay: Comparing Kinematic and Mechanical Knee Alignments in Knee Arthroplasties. 术后停留时间：膝关节置换术中运动学和机械膝关节对齐的比较。

Journal of surgical orthopaedic advances Pub Date : 2025-01-01

Mckenna Brownell, Callie Fernandez, Grace Knoer, Kamran Sadr, Evan Argintar

{"title":"Postoperative Length of Stay: Comparing Kinematic and Mechanical Knee Alignments in Knee Arthroplasties.","authors":"Mckenna Brownell, Callie Fernandez, Grace Knoer, Kamran Sadr, Evan Argintar","doi":"","DOIUrl":"","url":null,"abstract":"Unicompartmental knee arthroplasty (UKA) and total knee arthroplasty (TKA) can be technically accomplished by either traditional mechanical alignment or by an alternative kinematic alignment. The purpose of this study is to compare post-operative length of hospital stay between these two approaches. A retrospective study at Medstar Washington Hospital Center from 2015 - 2024 identified 167 cases of UKAs, of which 69 were kinematic and 98 were mechanical. During the same period, 420 TKAs were identified where 244 were kinematic and 176 were mechanical. Postoperative length of hospitalization and physical therapy recommendations was then compared with two-sample T-tests and Chi-square tests. Patients undergoing a UKA kinematic procedure were discharged a half day earlier than their mechanical counterparts (p = 0.029), and TKA kinematic patients were discharged nearly a full day earlier (p = 0.0001). Additionally, TKA kinematic patients were more likely to be discharged home with home services rather than to a rehabilitation facility for physical therapy (p < 0.00001). UKA patients of both kinematic and mechanical alignment were recommended to be discharged home (p = 0.312) Postoperative length of stay is significantly decreased by up to a day in patients receiving a knee arthroplasty by kinematic alignment approach. TKA kinematic patients also benefit from a discharge recommendation to home for physical therapy, rather than requiring transfer to a rehabilitative facility. These findings highlight how kinematic alignment may contribute to early improved patient satisfaction, restore early functionality, and decrease disease burden. (Journal of Surgical Orthopaedic Advances 34(3):124-127, 2025).","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"34 3","pages":"124-127"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145246262","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

What Is the Impact of Anti-Estrogen Therapy on Total Joint Arthroplasty Outcomes? A View into Women's Health After Breast Cancer. 抗雌激素治疗对全关节置换术疗效有何影响？乳腺癌后妇女的健康状况

Journal of surgical orthopaedic advances Pub Date : 2025-01-01

Marcus DiLallo, Justin Leal, Thorsten M Seyler, William A Jiranek, Samuel S Wellman, Michael P Bolognesi, Sean P Ryan

{"title":"What Is the Impact of Anti-Estrogen Therapy on Total Joint Arthroplasty Outcomes? A View into Women's Health After Breast Cancer.","authors":"Marcus DiLallo, Justin Leal, Thorsten M Seyler, William A Jiranek, Samuel S Wellman, Michael P Bolognesi, Sean P Ryan","doi":"","DOIUrl":"","url":null,"abstract":"The purpose of this study is to determine if differences exist in patient-reported outcome measures (PROMs), revision rates, and postoperative health care utilization between individuals that have a history of taking anti-estrogen medication prior to total joint arthroplasty (TJA) and those who have not in matched cohorts. Patients undergoing primary TJA from 2015 to 2023 were reviewed retrospectively. Demographics, history of medication use, PROMs pre- and post-TJA, revision TJA history, and post-TJA hospital utilization were extracted from medical records. Propensity score matching was then performed at 10:1 control to patients with a history of taking anti-estrogen medication prior to TJA accounting for age, race, American Society of Anesthesiologists physical status classification, and body mass index. Patient PROMs, revision rate, and post-TJA hospital utilization were then compared. After applying exclusion criteria, stratifying the groups into total hip arthroplasty (THA) and total knee arthroplasty (TKA), and propensity score matching, the outcomes of 345 THAs and 549 TKAs were analyzed. Patients taking anti-estrogen medications who underwent THA had significantly higher Patient-Reported Outcome Measures Information System (PROMIS) Pain Interference scores; PROMIS Physical Function scores at 6 weeks, lower PROMIS Physical Function at 1 year; and higher rates of readmission at 90 days. There was no difference in PROMs or hospital utilization between groups in patients that underwent TKA. Patients with a history of taking anti-estrogen medications had meaningful improvement after THA and TKA. Although PROMs were similar between groups after TKA, PROMs suggest that patients taking anti-estrogen medication may have worse pain early after THA as well as worse overall function. (Journal of Surgical Orthopaedic Advances 34(3):142-151, 2025).","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"34 3","pages":"142-151"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145246270","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

Patients Requiring Manipulation Under Anesthesia After Total Knee Arthroplasty Have Higher Rates of Preoperative Depression. 全膝关节置换术后需要麻醉下操作的患者术前抑郁率较高。

Journal of surgical orthopaedic advances Pub Date : 2025-01-01

Sean S Rajaee, Kevin T Rezzadeh, Anderson Lee, Caleb R Durst, Eytan M Debbi, Guy Paiement

引用次数: 0

Spinal Anesthesia Administered in Preoperative Holding for Total Joint Arthroplasty Is Safe and Improves Operating Room Efficiency. 全关节置换术术前保持腰麻安全，提高手术室效率。

Journal of surgical orthopaedic advances Pub Date : 2025-01-01

Spencer S Schulte, Joshua E Simson, Richard L Purcell, James Esposito, Sarah Rabin, Gens P Goodman

引用次数: 0

Investigating Short-term Outcomes and Healthcare Utilization After Traditional Versus Computer-assisted Total Knee Arthroplasty. 调查传统与计算机辅助全膝关节置换术后的短期疗效和医疗保健利用。

Journal of surgical orthopaedic advances Pub Date : 2025-01-01

Mark A Plantz, Steven Kurapaty, Michael P Foy, Erik B Gerlach, Kevin Hardt

{"title":"Investigating Short-term Outcomes and Healthcare Utilization After Traditional Versus Computer-assisted Total Knee Arthroplasty.","authors":"Mark A Plantz, Steven Kurapaty, Michael P Foy, Erik B Gerlach, Kevin Hardt","doi":"","DOIUrl":"","url":null,"abstract":"The purpose of this study was to compare the incidence of various short-term complications and healthcare utilization between traditional and computer-assisted total knee arthroplasty (CA-TKA). Traditional TKA and CA-TKA cases were extracted from the American College of Surgeons' National Surgical Quality Improvement Program. Patients were matched using patient and demographic variables. Outcomes were compared between the two patient groups after exact matching. Multivariate logistic regression was performed to identify independent risk factors for various outcome measures. The authors identified 159,521 patients that underwent traditional TKA and 3,464 patients that underwent CA-TKA. After matching, CA-TKA patients were more likely to have a nonhome discharge and a hospital length of stay greater than 2 days. Other outcome measures-readmission, reoperation, mortality, and surgical/medical complications-were comparable between groups. Patients undergoing computer-assisted TKA were more likely to have a nonhome discharge and a hospital length of stay greater than 2 days. (Journal of Surgical Orthopaedic Advances 34(3):156-160, 2025).","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"34 3","pages":"156-160"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145246188","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

Avascular Necrosis of the Metacarpal Head in Skeletally Immature Patients Treated with Osteochondral Autograft Transfer System. 自体骨软骨移植系统治疗骨未成熟患者掌骨头缺血性坏死。

Journal of surgical orthopaedic advances Pub Date : 2025-01-01

Corina C Brown, Jessica Cohen-Brown, Zhongyu Li

{"title":"Avascular Necrosis of the Metacarpal Head in Skeletally Immature Patients Treated with Osteochondral Autograft Transfer System.","authors":"Corina C Brown, Jessica Cohen-Brown, Zhongyu Li","doi":"","DOIUrl":"","url":null,"abstract":"Avascular necrosis of the metacarpal head, or Dietrich's disease, is a rare entity with approximately 40 reported cases in the literature since the original description. No consensus exists on optimal treatment. The purpose of this case series is to report the presentation and outcome of avascular necrosis (AVN) of the metacarpal head in skeletally immature patients treated with osteochondral autograft system. The authors prospectively assessed two male skeletally immature patients and three metacarpal heads who underwent osteochondral autograft transfer systems (OATS) from the ipsilateral knee for avascular necrosis of metacarpal heads after failure of conservative treatment. Outcome measures included patient-reported pain, metacarpophalangeal joint (MPJ) range of motion (ROM) and Disability of the Arm, Shoulder, and Hand (DASH) questionnaire. Two years after surgery, both patients returned to sporting activities with pain-free finger motion. Mean MPJ ROM improved from a range of 0 - 60 degrees to a range of 5 degrees of hyperextension to 75 degrees of flexion postoperatively. Mean DASH score improved from 27 preoperatively to 1.25 postoperatively. Radiographs revealed consolidation of osteochondral graft without signs of arthritis. OATS is a viable treatment option for young, high-demand patients presenting with avascular necrosis of the metacarpal head. (Journal of Surgical Orthopaedic Advances 34(2):069-072, 2025).","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"34 2","pages":"69-72"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510242","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

Significantly Lower Incidence of Patellar Clunk Syndrome Using a Highly Congruent Tibial Insert. 使用高度一致的胫骨插入物可显著降低髌骨粘连综合征的发生率。

Journal of surgical orthopaedic advances Pub Date : 2025-01-01

Ian M Duensing, Benjamin H Dalkin, John Taliaferro, Nicole Natarelli, Haryoung Lee, Wendy M Novicoff, James A Browne

{"title":"Significantly Lower Incidence of Patellar Clunk Syndrome Using a Highly Congruent Tibial Insert.","authors":"Ian M Duensing, Benjamin H Dalkin, John Taliaferro, Nicole Natarelli, Haryoung Lee, Wendy M Novicoff, James A Browne","doi":"","DOIUrl":"","url":null,"abstract":"Patellar crepitus and patellar clunk syndrome are potential complications seen in patients undergoing total knee arthroplasty (TKA). The etiology of this phenomenon is incompletely understood. A retrospective chart review was performed to identify a consecutive series of patients who underwent primary TKA with either a traditional posterior-stabilized implant (group 1, 728 TKAs) or a cruciate substituting implant (group 2, 393 TKAs). All surgical procedures were performed by a single surgeon at the same institution using the same surgical technique, including selective patellar resurfacing and release of the posterior cruciate ligament. The incidence of patellar clunk requiring arthroscopic debridement was recorded. Statistical analysis was performed. The incidence of patellar clunk requiring arthroscopic debridement was significantly higher in group 1 versus group 2 (6.6% vs. 0% respectively, p < 0.001) with standardization of surgeon and technique factors, suggesting implant design is a critical variable in the development of this complication. (Journal of Surgical Orthopaedic Advances 34(1):046-049, 2025).","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"34 1","pages":"46-49"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049744","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

Limiting Narcotic Utilization Following Ankle Fracture Surgery. 踝关节骨折手术后限制麻醉的使用。

Journal of surgical orthopaedic advances Pub Date : 2025-01-01

Theresa Pak, John Schlechter

引用次数: 0

Sleep Disturbance in Orthopaedic Surgery: A Review of the Literature. 骨科手术中的睡眠障碍：文献综述。

Journal of surgical orthopaedic advances Pub Date : 2025-01-01

Joshua R Giordano, Matthew J Partan, Matthew T Geiselmann, Adam D Bitterman

引用次数: 0

The Role of Preoperative Magnetic Resonance Imaging in Surgical Decision-making for Total Versus Medial Unicompartmental Knee Arthroplasty. 术前磁共振成像在全单室膝关节置换术与内侧单室膝关节置换术手术决策中的作用。

Journal of surgical orthopaedic advances Pub Date : 2025-01-01

Maddison A McLellan, Shane M Davis, Christopher S Lee

引用次数: 0