Journal of surgical orthopaedic advances最新文献

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Axillary Approach for Pectoralis Major Transfer in the Treatment of Scapular Winging. 腋窝入路胸大肌转移治疗肩胛骨翅。
William Yetter, Tara Nagaraja, Zhongyu Li
{"title":"Axillary Approach for Pectoralis Major Transfer in the Treatment of Scapular Winging.","authors":"William Yetter, Tara Nagaraja, Zhongyu Li","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Transfer of the sternal head of the pectoralis major tendon to the inferior pole of the scapula is a well-known intervention for symptomatic medial scapular winging. Axillary approach has not been well represented in the literature but offers similar functional outcomes with improved cosmetics. In this retrospective review, seven patients with chronic medial scapular winging underwent pectoralis major tendon via axillary approach at a single academic institution. Six of the seven patients had improved function, range of motion, and scapular winging. Transfer of the sternal head of the pectoralis major tendon to the inferior pole of the scapula via an axillary approach is a safe and effective option for scapular winging reconstruction with the advantage of direct visualization of neurovascular structures and improved cosmesis. (Journal of Surgical Orthopaedic Advances 34(2):055-058, 2025).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"34 2","pages":"55-58"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510243","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
Manipulation and Injection after Total Knee Arthroplasty: Incidence and Outcomes. 全膝关节置换术后手法和注射:发生率和结果。
Maxwell J Rakutt, Stephen T Duncan, Mark A Haimes, Nathaniel J Nelms, Michael Blankstein, David C Landy
{"title":"Manipulation and Injection after Total Knee Arthroplasty: Incidence and Outcomes.","authors":"Maxwell J Rakutt, Stephen T Duncan, Mark A Haimes, Nathaniel J Nelms, Michael Blankstein, David C Landy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Following total knee arthroplasty (TKA), stiffness can lead to poor outcomes. Manipulation under anesthesia (MUA) is sometimes combined with corticosteroid injection (CSI). This study sought to describe the incidence of CSI with MUA after TKA, as well as the odds of prosthetic joint infection (PJI). A database was queried to identify 754,421 primary TKA patients. The incidences of MUA, injection, revision, and PJI were investigated, along with patient characteristics before and after matching. Overall, 22,015 (2.9%) underwent MUA alone, and 3,272 (14.9% of MUA procedures) underwent MUA with injection. The odds of all-cause revision (1.0, p = 1.0) and revision with PJI (1.1, p = 0.83) were not significantly higher following injection, even after matching (0.9, p = 0.29 and 0.9, p = 0.77, respectively). Overall, the incidence of MUA following TKA within 90 days of index surgery was low and one in seven underwent injection. Injection during MUA did not increase odds of PJI. (Journal of Surgical Orthopaedic Advances 34(3):134-137, 2025).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"34 3","pages":"134-137"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145246225","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
Racial Differences in Perioperative Pain Management After Total Knee Arthroplasty. 全膝关节置换术后围手术期疼痛处理的种族差异。
Kevin Purcell, Taylor Stauffer, Christopher Holland, Danielle Chun, Nicholas Scarcella, Michael Bolognesi, Samuel Wellman, Thorsten Seyler, Paul F Lachiewicz
{"title":"Racial Differences in Perioperative Pain Management After Total Knee Arthroplasty.","authors":"Kevin Purcell, Taylor Stauffer, Christopher Holland, Danielle Chun, Nicholas Scarcella, Michael Bolognesi, Samuel Wellman, Thorsten Seyler, Paul F Lachiewicz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Racial differences have been reported in the utilization of total knee arthroplasty (TKA), and there exists differences in pain management between African American and Caucasian patients. There are insufficient data concerning racial differences in perioperative pain management for patients after TKA for osteoarthritis of the knee. This is a retrospective study of 804 African American patients who had primary TKA between 2013 and 2022 at a single academic medical center. Patients were matched, 2:1, to Caucasian patients having TKA using American Society of Anesthesiologists score, age, gender, and body mass index. Demographic data and perioperative variables, including pain scores, morphine equivalents required at multiple time points, operative time, length of stay, and opioid refills were evaluated. A significantly higher proportion of African American than Caucasian patients had opioid medication prescribed within 90 days preoperatively (38% African American vs. 22% Caucasian patients). African American patients had significantly higher preoperative pain scores (3.28 vs. 2.26) than Caucasian patients and received significantly higher doses of morphine equivalents both preoperatively and postoperatively. The proportion of African American patients with opioid medication refills within 90 days postoperatively was significantly higher than Caucasian patients (73% vs. 33%). However, African American patients received significantly less intraoperative morphine equivalents. The reasons for the racial differences in perioperative pain management after TKA at one medical center are unknown and require additional study. However, these results suggest that pain management protocols, including standardized opioid medication, be implemented for patients of all races after primary TKA. (Journal of Surgical Orthopaedic Advances 34(3):152-155, 2025).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"34 3","pages":"152-155"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145246328","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
Patient Language Does Not Impact Need for Manipulation Following Total Knee Arthroplasty. 患者语言并不影响全膝关节置换术后的操作需求
David M Ramsden, Nicholas R Pagani, Jordan A Santiago, Mariano E Menendez, Michael D Baratz, Matthew J Salzler
{"title":"Patient Language Does Not Impact Need for Manipulation Following Total Knee Arthroplasty.","authors":"David M Ramsden, Nicholas R Pagani, Jordan A Santiago, Mariano E Menendez, Michael D Baratz, Matthew J Salzler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Socioeconomic factors have been associated with an increased need for manipulation under anesthesia (MUA) following total knee arthroplasty (TKA). The purpose of this study was to compare the rate of MUA and range of motion (ROM) following primary TKA in English and non-English-speaking patients. The authors conducted a retrospective cohort study of all primary TKAs performed at their institution between 2010 and 2017. A total of 1,099 English-speaking and 163 non-English-speaking patients were included. There was no significant difference in rate of MUA (3.5 vs. 4.9%, p = 0.392) or postoperative ROM (102.2 vs. 100°, p = 0.142) between English and non-English-speaking patients. Younger age (p = 0.001) and female sex (p = 0.005), but not patient language, were associated with need for MUA. Patient language does not appear to impact the rate of MUA or ROM following TKA. (Journal of Surgical Orthopaedic Advances 33(3):158-161, 2024).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"33 3","pages":"158-161"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142550002","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
Angina Pectoris Is Associated with Cervical Disc Disease: A Cross-Sectional, Population-Based Study Using the Medicare Expenditure Panel Survey (MEPS). 心绞痛与颈椎间盘疾病有关:利用医疗保险支出面板调查 (MEPS) 进行的一项基于人群的横断面研究。
Peter Ahorukomeye, Jerry Du, Amit K Bhandutia, Charles C Yu, Douglas S Weinberg, Nicholas U Ahn
{"title":"Angina Pectoris Is Associated with Cervical Disc Disease: A Cross-Sectional, Population-Based Study Using the Medicare Expenditure Panel Survey (MEPS).","authors":"Peter Ahorukomeye, Jerry Du, Amit K Bhandutia, Charles C Yu, Douglas S Weinberg, Nicholas U Ahn","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Atherosclerotic disease in the vessels that supply the cervical spine may lead to degenerative disease. In angina pectoris (AP), atherosclerotic disease leads to coronary vessel occlusion and resulting symptoms. This study aims to determine the relationship between AP and neck pain. Analysis was focused on respondents who had a history of cervical pain disorders, adjusting for demographic, education, and mental health confounders. A total of 30,461 participated in the survey. Of 1,049 respondents, 21% reported neck pain. Mean age of the respondents was 62.6 ± 16.1 years. Nonwhite race, current everyday smokers, lower family income, hypertension, and diabetes had higher prevalence of neck pain (p < 0.05). On multivariate analysis, AP was associated with increased odds of neck pain (odds ratio [OR] = 1.42 [95% confidence interval (CI) 1.04 to 1.92], p = 0.026). AP was independently associated with 42% increased odds of having neck pain. Further study into the association of cardiovascular disease with degenerative disc disease pain should be performed. (Journal of Surgical Orthopaedic Advances 33(2):093-096, 2024).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"33 2","pages":"93-96"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592562","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
Fluoroscopy and Radiographs for Detecting Retained Surgical Needles in the Hand. 用于检测手部残留手术针头的荧光透视和 X 光片。
David Woodard, Ian Ridge, Allie Blackburn, S Craig Morris, Montri Daniel Wongworawat, Jason Solomon
{"title":"Fluoroscopy and Radiographs for Detecting Retained Surgical Needles in the Hand.","authors":"David Woodard, Ian Ridge, Allie Blackburn, S Craig Morris, Montri Daniel Wongworawat, Jason Solomon","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>When a surgical needle is lost, the protocol is to explore the surgical field and to obtain a plain radiograph if the needle cannot be located. The size of the needle that can be detected with imaging is debated. Plain-film radiographs, C-arm, and mini C-arm fluoroscopy imaging was obtained of a cadaveric hand with retained needle of varying lengths (suture sizes 4-0 - 10-0). The authors performed analyses to determine the sensitivity and specificity of the imaging modalities. There were no differences in diagnostic area under the receiver operating characteristic curve between the three modalities. For plain film, optimal cutoff for needle size was 5.2 mm (sensitivity 0.87, specificity 0.75), for C-arm 6.8 mm (sensitivity 0.84, specificity 0.87), and for mini C-arm 5.9 mm (sensitivity 0.82, specificity 0.86). In the hand, the use of C-arm fluoroscopy is as sensitive as plain-film radiography at detecting retained needles greater than 5.9 mm. (Journal of Surgical Orthopaedic Advances 33(1):026-028, 2024).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"33 1","pages":"26-28"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141181648","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
The Perceived Value of Same-Sex or Same-Race Mentors and Role Models in Academic Medicine. 同性或同族导师和榜样在医学学术界的感知价值》(The Perceived Value of Same-Sex or Same-Race Mentors and Role Models in Academic Medicine)。
Kryls Ong Sitco Domalaon, Lydia Jeannette Henderson, Soo Kyoung Kim, Holly Leshikar, Sandra L Taylor, Yueju Li, Robert M Szabo
{"title":"The Perceived Value of Same-Sex or Same-Race Mentors and Role Models in Academic Medicine.","authors":"Kryls Ong Sitco Domalaon, Lydia Jeannette Henderson, Soo Kyoung Kim, Holly Leshikar, Sandra L Taylor, Yueju Li, Robert M Szabo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study aims to describe the perception of need for same-sex and same-race mentorship and role models at evolving stages of a medical career and to explore whether these differences affect career choices within the field of medicine. A total of 326 medical students, 309 resident physicians, and 200 faculty attending physicians at the University of California, Davis School of Medicine completed an online survey focused on their perceived value of same-sex and same-race mentorship throughout their stages of medical training and practice. The top three factors influencing specialty choice were lifestyle, time commitment, and supportive department. Although most respondents did not believe same-sex or same-race mentors or role models influenced their specialty choice, there were significant differences in the perceived importance and value of gender or race concordance between male versus female and white versus nonwhite populations. (Journal of Surgical Orthopaedic Advances 33(1):041-048, 2024).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"33 1","pages":"41-48"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141181711","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
Handling of Sharps in the Operating Room: A Single Institution Review. 手术室中利器的处理:单一机构回顾。
Bryanna Vesely, Madeline Fram, Matthew King, Lindsay LeSavage, Dekarlos Dial, Ashleigh Medda
{"title":"Handling of Sharps in the Operating Room: A Single Institution Review.","authors":"Bryanna Vesely, Madeline Fram, Matthew King, Lindsay LeSavage, Dekarlos Dial, Ashleigh Medda","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Operating room (OR) personnel are at a high risk for sharp injuries, which can cause serious side effects. The goals of this study are to analyze OR nurses and surgical technologists' experiences and their current level of sharps education. An anonymous survey was sent to a single institution asking whether the participants have been stuck by a sharp, when they were stuck, and their perspective on sharp safety. Forty-two participants responded to the survey. The authors found 69% had sustained a sharp injury, 58.6% being stuck while handling sharps alone. The majority (90.5%) believed handing back sharps protected was the safest. Forty-five percent reported never attending continuing medication education (CME) regarding sharps. Only 59.4% of those who had CME found it helpful. This is the first study the authors know of that looked at OR personnel's perspectives on sharps handling and CME. The authors recommend re-evaluation of current CME. (Journal of Surgical Orthopaedic Advances 33(4):216-218, 2024).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"33 4","pages":"216-218"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792935","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
Public Knowledge and Perception of Outpatient Shoulder Arthroplasty. 公众对门诊肩关节置换术的认识和认知。
Jay M Levin, Aman Chopra, Daniel E Goltz, John Wickman, Thorsten Seyler, Tally Lassiter, Oke Anakwenze, Christopher S Klifto
{"title":"Public Knowledge and Perception of Outpatient Shoulder Arthroplasty.","authors":"Jay M Levin, Aman Chopra, Daniel E Goltz, John Wickman, Thorsten Seyler, Tally Lassiter, Oke Anakwenze, Christopher S Klifto","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There is a growing trend in performing outpatient total shoulder arthroplasty (TSA). The purpose of this study was to analyze the public perception of outpatient TSA by querying a validated online market research platform regarding the public's knowledge, expectations, and beliefs on outpatient TSA. One thousand eighty respondents completed the survey in 2021. Simple and multivariable logistic regressions were performed to determine factors that were associated with an expected prolonged (2+ days) length of stay (LOS) after TSA. The mean expected LOS was 1.7 ± 1.5 days, with 48% of respondents expecting a prolonged LOS. Increasing age (p = 0.005) and unfamiliarity with outpatient TSA (p = 0.004) were significant predictors for expecting a prolonged LOS following TSA. The highest perceived risk of outpatient TSA was experiencing an avoidable complication (23%), whereas perceived benefits included reduced cost (38%) and quicker recovery (27%). Although outpatient TSA is becoming increasingly popular, a gap in public knowledge and expectations is evident. (Journal of Surgical Orthopaedic Advances 33(4):228-232, 2024).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"33 4","pages":"228-232"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142793004","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
Impact of Tourniquet Use During Intramedullary Tibial Nailing on Clinical Outcomes. 胫骨髓内钉术中使用止血带对临床结果的影响
Lindsay Luce, William Barfield, Charles Cody White, Weston McDonald, Kristoff Reid, Langdon Hartsock
{"title":"Impact of Tourniquet Use During Intramedullary Tibial Nailing on Clinical Outcomes.","authors":"Lindsay Luce, William Barfield, Charles Cody White, Weston McDonald, Kristoff Reid, Langdon Hartsock","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The objective of this retrospective study was to investigate the impact of tourniquet use during intramedullary tibial nailing on clinical outcomes at a regional Level I Trauma Center. One hundred ninety-four patients with intramedullary tibial fixation over a 5-year period at a single institution were studied following Institutional Review Board (IRB) approval. Patients were stratified into 81 polytrauma patients and 113 patients with isolated tibial shaft injuries. Patients were then stratified within these two groups according to whether or not a tourniquet was used intraoperatively (including during reaming). Postoperative narcotic use, length of stay, operating room (OR) time, tourniquet time, estimated blood loss, units of blood utilized, infection rate, and age were the outcome variables. No significant differences were found for any outcome measure (p ≥ 0.05), including age, narcotic use, OR time, postoperative inpatient days, estimated blood loss, and units of blood used between tourniquet and nontourniquet patients. Statistically significant differences were found between isolated and nonisolated fracture patients for postanesthesia care unit (PACU) morphine dose equivalents (MDEs), with isolated tibia fracture patients requiring more MDEs (13.80 vs. 9.92 units; p = 0.025). Nonisolated tibia patients had more inpatient days (14.88 vs. 3.16 days; p = 0.001), greater estimated blood loss (252.44 vs. 128.07 mL; p = 0.001), and more units of blood (5.07 vs. 2.29 units; p = 0.017). Thermal necrosis of the tibia was not seen in any patient within any group. Tourniquet use did not significantly affect clinical outcomes. This provides surgeons with updated data on the impact of tourniquet use on clinical outcomes given the modernization of techniques for tibial intramedullary nailing. There were statistically significant differences between isolated tibia fractures and polytrauma patients for postoperative length of stay, estimated blood loss, and units of blood; however, this was unrelated to tourniquet use and would be expected for polytraumatic patients who commonly have a longer postoperative recovery. (Journal of Surgical Orthopaedic Advances 33(3):181-183, 2024).</p>","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"33 3","pages":"181-183"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142550000","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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