Journal of surgical orthopaedic advances最新文献_第4页

Efficacy of Liposomal Bupivacaine Versus a Traditional Local Anesthetic in Periarticular Injections during Total Hip Arthroplasty: A Systematic Review and Meta-analysis. 在全髋关节置换术中进行关节周围注射时，脂质体布比卡因与传统局麻药的疗效对比：系统回顾与元分析》。

Journal of surgical orthopaedic advances Pub Date : 2024-01-01

Samantha Harrer, Michael Yayac, Gregory R Toci, Eric Levicoff, P Maxwell Courtney, Andrew M Star, Arjun Saxena

引用次数: 0

Who Benefits from Manipulation under Anesthesia Following Total Knee Arthroplasty? 全膝关节置换术后麻醉下操作对哪些人有益？

Journal of surgical orthopaedic advances Pub Date : 2024-01-01

Matthew L Brown, Kenneth M Vaz, Julie C McCauley, Laura May, Clifford W Colwell

{"title":"Who Benefits from Manipulation under Anesthesia Following Total Knee Arthroplasty?","authors":"Matthew L Brown, Kenneth M Vaz, Julie C McCauley, Laura May, Clifford W Colwell","doi":"","DOIUrl":"","url":null,"abstract":"Arthrofibrosis is a multifactorial process that results in decreased knee range of motion (ROM). Manipulation under anesthesia (MUA) is commonly regarded as the preferred initial treatment of arthrofibrosis following total knee arthroplasty (TKA). There have been no well-controlled studies demonstrating that MUA effectively increases ROM in patients who develop arthrofibrosis after TKA when compared with routine care. The purpose of this study was to determine whether MUA had any advantage over routine care in the treatment of patients who developed arthrofibrosis following TKA. The authors identified patients who underwent primary TKA at the authors' institution between 2010 and 2014 and had flexion ≤ 100 degrees at early follow-up. Knees were grouped based on how the arthrofibrosis was treated: those who underwent MUA and those who received routine care. Knee flexion was captured preoperatively (prior to TKA), at early follow-up (prior to MUA or routine care), and at 1-year follow up. Flexion change from early follow-up to 1 year was calculated. The average flexion at 1-year follow-up was not significantly different between the two groups (106.1 ± 11.7 degrees in the routine care group versus 106.3 ± 12.8 degrees in the MUA group). The MUA group had a greater proportion of patients with flexion gains > 20 degrees at final follow-up when compared with patients who underwent routine care (56% vs. 8%, p < 0.0001). This study demonstrates that patients with decreased ROM at early follow-up after primary TKA can expect greater ROM increase at 1-year follow-up if they undergo MUA compared with patients who undergo routine care. (Journal of Surgical Orthopaedic Advances 33(1):033-036, 2024).","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141181714","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

Incidence of Urinary Retention Following Posterior Spinal Fusion for Adolescent and Pediatric Scoliosis at a Single Academic Center: Is There a Role for Prophylactic Tamsulosin? 单个学术中心青少年和儿童脊柱侧凸后路脊柱融合术后尿潴留的发生率：预防性坦索罗辛的作用？

Journal of surgical orthopaedic advances Pub Date : 2024-01-01

Georges Abdelahad, Alejandro Marquez-Lara, Kathleen Marsh, Alexander Jinnah, John Frino

{"title":"Incidence of Urinary Retention Following Posterior Spinal Fusion for Adolescent and Pediatric Scoliosis at a Single Academic Center: Is There a Role for Prophylactic Tamsulosin?","authors":"Georges Abdelahad, Alejandro Marquez-Lara, Kathleen Marsh, Alexander Jinnah, John Frino","doi":"","DOIUrl":"","url":null,"abstract":"The purpose of this study is to better characterize patient- and surgery-specific parameters associated with postoperative urinary retention (POUR) and assess the impact of prophylactic Tamsulosin following posterior spinal fusion (PSF) for the management of scoliosis in pediatric and adolescent patients. All patients who underwent PSF for surgical correction of adolescent idiopathic scoliosis (AIS) and neuromuscular scoliosis (NMS) between 2015 and 2019 were retrospectively reviewed. Patients were stratified based on whether they received prophylactic Tamsulosin. Overall, POUR was reported in 3.7% (n = 10) of all patients in the study, although Tamsulosin was associated with a lower rate of POUR, and this did not reach statistical significance. Longer fusion constructs were identified as a risk factor for POUR and could help surgeons counsel families prior to surgery. This is the first study to assess the rate of POUR on AIS and NMS patients following PSF without epidural analgesia. (Journal of Surgical Orthopaedic Advances 33(1):010-013, 2024).","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141181615","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

Proximal Femur Guided Growth: A Systematic Review. 股骨近端引导生长：系统回顾

Journal of surgical orthopaedic advances Pub Date : 2024-01-01

Joshua C Tadlock, Michael D Eckhoff, Hunter R Graver, Tyler H Doty, Tyler C Nicholson, EStephan J Garcia

引用次数: 0

Posttraumatic Arthritis Is More Common in Patients Undergoing Total Knee Arthroplasty Before Age 50. 创伤后关节炎在 50 岁前接受全膝关节置换术的患者中更为常见。

Journal of surgical orthopaedic advances Pub Date : 2024-01-01

Lcdr Aaron A Olsen, Lt Jonathan K Kallevang, Cdr George C Balazs, Lcdr Ashton H Goldman

引用次数: 0

Reuse of Surgical Masks During the COVID-19 Shortage: Association with the Incidence of Surgical Site Infections. 在 COVID-19 短缺期间重复使用手术面罩：与手术部位感染发生率的关系。

Journal of surgical orthopaedic advances Pub Date : 2024-01-01

Zsombor T Gal, Ashley Y Albano, David C Landy, Arun Aneja, Arjun Srinath

{"title":"Reuse of Surgical Masks During the COVID-19 Shortage: Association with the Incidence of Surgical Site Infections.","authors":"Zsombor T Gal, Ashley Y Albano, David C Landy, Arun Aneja, Arjun Srinath","doi":"","DOIUrl":"","url":null,"abstract":"The association between the reuse of surgical masks (SMs) for multiple procedures and rates of surgical site infections (SSIs) is unclear. Hence, the purpose of this study was to determine whether a policy mandating the reuse of SMs was associated with increased SSI incidence. It was hypothesized the rate of SSIs would be significantly greater during the postimplementation period compared with the preimplementation period. Retrospective chart review of patients who underwent orthopaedic and general surgery during the 60 days before and after policy implementation was performed. Focus was on consecutive procedures performed by the same surgeon on the same day. An assessment of SSI risk factors suggested the postimplementation group was at higher risk. However, the daily use of a single SM across multiple procedures was not associated with a clinically significant increase in SSIs. Because future pandemics and public health crises may be accompanied by similar shortages, it may be possible to reuse masks in these situations without concern for increased SSI. (Journal of Surgical Orthopaedic Advances 33(2):097-102, 2024).","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592571","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

Adolescent Compressive Epiphysitis of the Spine: A Diagnosis for Adolescent Back Pain. 青少年脊柱压缩性骺炎：青少年背痛的诊断方法。

Journal of surgical orthopaedic advances Pub Date : 2024-01-01

Alexander H Jinnah, Rosser McCallie, Georges A Abdelahad, Alejandro Marquez-Lara, Michael S Hughes, John Frino

引用次数: 0

Surgical Scissors: The Core Surgical Instrument. 手术剪：核心手术器械。

Journal of surgical orthopaedic advances Pub Date : 2024-01-01

Anil Agarwal, Ankit Jain, Ankur Upadhyay, Nitish Deo

引用次数: 0

Robotic Arm-assisted Total Hip Arthroplasty Reduces Postoperative Trochanteric Bursitis and Changes in Hip Offset. 机器人手臂辅助全髋关节置换术可减少术后转子滑囊炎和髋关节偏移的变化。

Journal of surgical orthopaedic advances Pub Date : 2024-01-01

Connor A King, Ye Joon Kim, Alexander T Bradley, Kenneth S Chakour, John M Martell, Hue H Luu

引用次数: 0

Comparison of Lateral versus Medial Entry Femoral Traction Pin Complication Rates. 股骨牵引针外侧入路与内侧入路并发症发生率的比较

Journal of surgical orthopaedic advances Pub Date : 2023-01-01

T David Luo, S Hanif Hussaini, Nicholas A Andring, Erin A Kelly, Eben A Carroll, Jason J Halvorson

{"title":"Comparison of Lateral versus Medial Entry Femoral Traction Pin Complication Rates.","authors":"T David Luo, S Hanif Hussaini, Nicholas A Andring, Erin A Kelly, Eben A Carroll, Jason J Halvorson","doi":"","DOIUrl":"","url":null,"abstract":"Distal femoral skeletal traction is a common procedure for the stabilization of fractures of the pelvis, acetabulum, and femur following trauma. Femoral traction pins are traditionally inserted via medial-to-lateral (MTL) entry to accurately direct the pin away from the medial neurovascular bundle. Alternatively, cadaveric studies have demonstrated low risk to the neurovascular bundle using a lateral-to-medial (LTM) approach. The purpose of this study was to compare the incidence of complications of LTM and MTL femoral traction pin placement at a single institution. This was a retrospective review of patients from the orthopaedic consult registry at a academic Level I Trauma Center. We identified 233 LTM femoral traction pin procedures in 231 patients and 29 MTL pin procedures in 29 patients. The two pin placement techniques were compared with respect to complications, specifically the incidence of neurovascular injury, cellulitis, septic arthritis, osteomyelitis, and heterotopic ossification after femoral traction pin placement. Two complications were reported. One patient developed heterotopic ossification along the pin tract after LTM traction pin placement. Another patient developed septic arthritis after LTM pin placement, likely attributable to retrograde intramedullary nailing of his open femur fracture rather than his traction pin. There were no reports of neurovascular injury, cellulitis, or osteomyelitis associated with pin placement. The complication rate was 0.9% for LTM group and 0.0% for MTL group (p = 0.616). LTM femoral traction pin placement is a safe procedure with a similarly low complication rate compared with traditional MTL placement when the limb is positioned in neutral alignment. (Journal of Surgical Orthopaedic Advances 32(4):259-262, 2023).","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140320328","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