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

Time and State Opioid Legislation Have Reduced Opioid Filling in Elective Shoulder Surgery. 时间和州阿片类药物立法减少了选择性肩部手术中的阿片类药物填充。

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

Daniel J Cunningham, Jay Levin, Jeffrey O'Donnell, Joshua Helmkamp, Oke Anakwenze, Tally Lassiter, Mark J Gage, Christopher S Klifto

{"title":"Time and State Opioid Legislation Have Reduced Opioid Filling in Elective Shoulder Surgery.","authors":"Daniel J Cunningham, Jay Levin, Jeffrey O'Donnell, Joshua Helmkamp, Oke Anakwenze, Tally Lassiter, Mark J Gage, Christopher S Klifto","doi":"","DOIUrl":"","url":null,"abstract":"Opioid-limiting legislation has been enacted in response to the opioid epidemic in the United States. However, the impact of this legislation on perioperative opioid prescribing in elective shoulder surgery is not well understood. This is an observational review of 90-day perioperative opioid-prescription filling by patients undergoing shoulder surgery using a national insurance database (n = 231,634 patients) between 2010 and 2019. Statistics evaluated the impact of the year and opioid-limiting legislation on first prescription and cumulative 90-day opioid filling. Initial and cumulative opioid-prescription volume decreased significantly from 2010 to 2019 (49 to 44.4 initial oxycodone 5-mg equivalents, 132.8 to 72.3 cumulative oxycodone 5-mg equivalents; all p < 0.001). States with opioid-limiting legislation had larger reductions in initial and cumulative opioid-prescription filling over similar time frames (p < 0.001). Perioperative opioid prescribing has decreased significantly in shoulder surgery with time and state legislation. Individual prescribers and state and national legislators should continue to seek ways to reduce opioid overprescribing. (Journal of Surgical Orthopaedic Advances 33(3):152-157, 2024).","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"33 3","pages":"152-157"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142550005","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

Liposomal Bupivacaine Use During Adolescent Idiopathic Scoliosis Surgery Decreases Postoperative Narcotic Usage. 青少年特发性脊柱侧凸手术中脂质体布比卡因的使用减少了术后麻醉剂的使用。

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

Alexander H Jinnah, Rosser McCallie, Alejandro Marquez-Lara, Nicholas Tully, Michael S Hughes, John Frino

引用次数: 0

Comparing Severity of Knee Arthritis at an Urban Center by Insurance Type Prior to Total Knee Arthroplasty. 比较城市中心全膝关节置换术前不同保险类型膝关节炎的严重程度。

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

Salvador G Ayala, Abhishek Deshpande, Michael J Patetta, Julio C Castillo Tafur, Ye Lin, Diego Barragan Echenique, Mark H Gonzalez

{"title":"Comparing Severity of Knee Arthritis at an Urban Center by Insurance Type Prior to Total Knee Arthroplasty.","authors":"Salvador G Ayala, Abhishek Deshpande, Michael J Patetta, Julio C Castillo Tafur, Ye Lin, Diego Barragan Echenique, Mark H Gonzalez","doi":"","DOIUrl":"","url":null,"abstract":"This study compares radiographic osteoarthritis severity prior with total knee arthroplasty (TKA) by payer type. Five hundred and three primary TKAs were included. Preoperative radiographs were scored by Ahlback, Kellgren-Lawrence (KL), and International Knee Documentation Committee (IKDC) classifications. Osteoarthritis severity by age and insurance type (private, Medicare, and Medicaid) were compared using Mann Whitney U and Kruskal-Wallis testing. Three hundred and two (60%) subjects were under 65 years old, and 201 (40%) were 65 years and older. Younger subjects had no differences in radiographic severity in KL (p = 0.268), Ahlback (p = 1), or IKDC (p = 0.948) classification by insurance. Older subjects also had no differences in osteoarthritis severity for KL (p = 0.282), Ahlback (p = 0.354), or IKDC (p = 0.735) classifications by insurance. Three osteoarthritis classification systems found no difference in preoperative radiographic changes by payor type, suggesting that, in the study's population, there is no delay in appropriate surgical treatment by payer. Future studies should compare preoperative clinical symptoms. (Journal of Surgical Orthopaedic Advances 33(3):184-188, 2024).","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"33 3","pages":"184-188"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549997","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

Risk Factors for Postoperative Deep Venous Thrombosis and Pulmonary Embolism Following Primary Total Hip Arthroplasty and Primary Total Knee Arthroplasty. 原发性全髋关节置换术和原发性全膝关节置换术术后深静脉血栓形成和肺栓塞的风险因素。

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

Catherine Raquel, Michael Zebold, Michael Foy, Anshum Sood, Mark Gonzalez

{"title":"Risk Factors for Postoperative Deep Venous Thrombosis and Pulmonary Embolism Following Primary Total Hip Arthroplasty and Primary Total Knee Arthroplasty.","authors":"Catherine Raquel, Michael Zebold, Michael Foy, Anshum Sood, Mark Gonzalez","doi":"","DOIUrl":"","url":null,"abstract":"Pulmonary embolism (PE) and deep vein thrombosis (DVT) are common postoperative complications. This study retrospectively analyzes preoperative attributes as risk factors for DVT or PE following primary total hip arthroplasty (THA) and total knee arthroplasty (TKA). Preoperative transfusion, age 65+, dyspnea with moderate exertion, body mass index (BMI) 24.9+ were independent risk factors for PE following THA. Cardiac comorbidities were related with reduced risk. Bleeding disorder, operative time > 110 minutes, perioperative transfusion, age 65+, dyspnea at rest, and BMI < 18.5 were independent risk factors for DVT following THA. Perioperative transfusion, age 57+, dyspnea at rest and with moderate exertion, and BMI 24.9+ were independent risk factors for PE following TKA. Smoking status was related to reduced risk. Perioperative transfusion, age 65+, dyspnea with moderate exertion, and male sex were independent risk factors for DVT following TKA. Cardiac comorbidities were related with reduced risk. Identifying risk factors helps prevent DVT and PE after THA or TKA. (Journal of Surgical Orthopaedic Advances 33(3):138-142, 2024).","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"33 3","pages":"138-142"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142550003","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

Assessment of Prophylactic Antibiotic Coverage in Culture-positive Traumatic Open Fractures. 评估培养阳性外伤性开放骨折的预防性抗生素覆盖率。

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

Rachel LaBianca Toler, Susan E Hamblin, Lauren E Mangan, J Myles Keck, Austin Ing, Matthew Felbinger, Cory Collinge, Bradley M Dennis

{"title":"Assessment of Prophylactic Antibiotic Coverage in Culture-positive Traumatic Open Fractures.","authors":"Rachel LaBianca Toler, Susan E Hamblin, Lauren E Mangan, J Myles Keck, Austin Ing, Matthew Felbinger, Cory Collinge, Bradley M Dennis","doi":"","DOIUrl":"","url":null,"abstract":"Guidelines provide varying recommendations for the prophylactic antimicrobial treatment of open fractures. This single-center, retrospective cohort study was conducted to determine how well an institutional prophylactic antibiotic protocol covered pathogens associated with open fractures. The authors included adult trauma patients with one or more open fractures and a positive culture from the site of the open fracture, and compared outcomes between patients who were covered by prophylactic antibiotics with patients not covered by prophylactic antibiotics. Of 957 patients evaluated, 75 were included, with 40 patients (53%) covered by the prophylactic antibiotics received. Multidrug-resistant pathogens were isolated in 23 (58%) patients covered versus 26 (74%) patients not covered (p = 0.128). The median time to positive culture was less in patients not covered by initial antibiotics compared with those who were covered (30.2 vs. 102.1 days; p = 0.003). Over half of the patients developed cultures with pathogens that were covered by their initial antibiotic prophylaxis. (Journal of Surgical Orthopaedic Advances 33(2):084-087, 2024).","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"33 2","pages":"84-87"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592563","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

Outcomes of Total Hip Arthroplasty With and Without a History of Hip Arthroscopy. 有无髋关节镜检查史的全髋关节置换术结果

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

Laura A Stock, Andrea H Johnson, Jane C Brennan, Justin J Turcotte, Benjamin M Petre, Paul J King

引用次数: 0

The Fate of Orthopaedic Surgery Applicants from Medical Schools Without an Orthopaedic Surgery Residency. 没有矫形外科住院医生的医学院的矫形外科申请者的命运。

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

Joshua R Eskew, Jonathan J Light, Amelia J Weingart, Jacob R Jackowski, Natalie M Marenghi, Lisa Cannada

{"title":"The Fate of Orthopaedic Surgery Applicants from Medical Schools Without an Orthopaedic Surgery Residency.","authors":"Joshua R Eskew, Jonathan J Light, Amelia J Weingart, Jacob R Jackowski, Natalie M Marenghi, Lisa Cannada","doi":"","DOIUrl":"","url":null,"abstract":"The purpose of this study was to analyze and assess students from medical schools without a home orthopaedic residency program when applying for a residency position in orthopaedic surgery in terms of metrics utilized by program directors in the Match. An anonymous survey consisting of 23 questions was distributed to graduates of six different medical schools without a home orthopaedic residency program who successfully matched into orthopaedic residency over the past 6 years. Forty-three total responses were received. The number of honors achieved in the junior clerkship phase, mean United States Medical Licensing Examination (USMLE) step 1 and step 2 clinical knowledge (CK) exam scores, number of away rotations, and number of orthopaedic research publications in surgery and total publications overall at the time of application were determined. Graduates of medical schools without a home orthopaedic residency program who successfully matched performed at a higher level across all metrics compared with national match data and the orthopaedic literature. (Journal of Surgical Orthopaedic Advances 33(3):172-177, 2024).","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"33 3","pages":"172-177"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142550004","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

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":"33 1","pages":"33-36"},"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":"33 1","pages":"10-13"},"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