Journal of surgical orthopaedic advances最新文献_第5页

Heterotopic Ossification Prophylaxis in Acetabular Fracture Surgery: A Systematic Review. 髋臼骨折手术中的异位骨化预防：系统回顾

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

Colin K Cantrell, Erik B Gerlach, Gregory H Versteeg, Michael D Stover, Bennet A Butler

{"title":"Heterotopic Ossification Prophylaxis in Acetabular Fracture Surgery: A Systematic Review.","authors":"Colin K Cantrell, Erik B Gerlach, Gregory H Versteeg, Michael D Stover, Bennet A Butler","doi":"","DOIUrl":"","url":null,"abstract":"Heterotopic ossification (HO) following acetabular fracture surgery is relatively common. The purpose of this study was to perform a systematic review of the literature regarding HO rates following acetabular surgery and the effectiveness of the various prophylactic measures taken to prevent its occurrence. A search of PubMed, MEDLINE, and Cochrane Database of Systematic Reviews was performed using the search terms (\"Acetabular\" OR \"Acetabulum\") AND (\"Heterotopic Ossification\" OR \"HO\" OR \"Ectopic Ossification\"). Inclusion criteria included articles published in English reporting on HO in acetabular fracture surgery. Descriptive statistics were calculated with categorical data presented as frequency with percentages and continuous data as means. Standard weighted means were calculated for all parameters. Sixty-six articles were included in this study with a total of 5,028 patients. HO was identified in 1,511 (30%) of fractures. Indomethacin (27%) and radiation therapy (24%) demonstrated decreased rates of HO formation versus no prophylaxis (36%). In particular, rates of severe HO formation were substantially decreased with radiation therapy (3%) and indomethacin (7%) compared to no prophylaxis (18%). Indomethacin and radiation therapy both appear to decrease HO formation and severity without substantially increasing surgical morbidity. (Journal of Surgical Orthopaedic Advances 32(4):217-224, 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":"140320264","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

High Variability in Type and Indications for Bone Void Filler in Tibial Plateau Fracture Repair. 胫骨平台骨折修复中骨空隙填充物的类型和适应症差异很大。

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

Michael F Githens, Cesar Cardenas, Reza Firoozabadi

引用次数: 0

Proximal Tibial Osteotomies: Indications, Techniques, and Outcomes. 胫骨近端截骨术：适应症、技术和结果。

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

Sohail Qazi, Stephen Martinkovich, Patrick DeMeo, Brian Mosier, Gary Schmidt, Jon Hammarstedt

引用次数: 0

Does Surgeon Compensation Differ by Implant Choice for the Treatment of Femoral Neck Fractures? 治疗股骨颈骨折的植入物选择不同，外科医生的报酬也不同吗？

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

Erik Gerlach, John Carney, Mark Plantz, Colin K Cantrell, Jeremy Marx, Peter Swiatek, Rusheel Nayak, Bennet Butler

{"title":"Does Surgeon Compensation Differ by Implant Choice for the Treatment of Femoral Neck Fractures?","authors":"Erik Gerlach, John Carney, Mark Plantz, Colin K Cantrell, Jeremy Marx, Peter Swiatek, Rusheel Nayak, Bennet Butler","doi":"","DOIUrl":"","url":null,"abstract":"The objective of this study was to determine if physicians are compensated equally for the treatment of femoral neck fractures based on fixation method in a propensity score matched cohort of patients. The American College of Surgeons' National Surgical Quality Improvement Project (ACS NSQIP) database was queried for patients undergoing open reduction internal fixation (ORIF), hemiarthroplasty (HA), and total hip arthroplasty (THA) for femoral neck fractures. Exact matching was used to account for differences in patient-specific variables and underlying medical comorbidities. Total relative value units (RVU), operative time, RVU/minute, and reimbursement/minute were compared between the three procedures after exact matching to assess relative valuation. Propensity score matching resulted in a total of 4,581 patients eligible for final data analysis (1,527 patients in each treatment group). The groups were very well matched for age, sex, BMI, comorbidities, and American Society of Anesthesiologists (ASA) class (p > 0.99 for all). When dividing compensation by case duration, ORIF generated the most RVUs per minute (0.31 ± 0.19 or $11.01 ± 7.02) followed by THA (0.27 ± 0.14 or $9.86 ± 5.15) and HA (0.25 ± 0.1 or $8.99 ± 3.75; p<0.001 for all). This study shows that orthopaedic surgeons are compensated the most for ORIF followed by THA and HA for fixation of femoral neck fractures. (Journal of Surgical Orthopaedic Advances 32(3):164-168, 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":"139522205","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

Rate of Tibiotalocalcaneal (TTC) Fusion Using the Surgical Implant Generation Network (SIGN) Intramedullary Nail in Developing Countries. 发展中国家使用外科植入物生成网络（SIGN）髓内钉进行胫骨-踝骨（TTC）融合的比例。

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

James S MacKenzie, Krishna V Suresh, Adam Margalit, Babar Shafiq, Lewis Zirkle, James Ficke

引用次数: 0

Outcomes of Iliac Wing Fractures: A Systematic Review of the Literature. 髂骨翼骨折的预后：文献系统回顾

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

Jacquelyn P Cruz, Colin K Cantrell, Daniel J Johnson, Erik B Gerlach, Bennet A Butler

引用次数: 0

Transitioning to Outpatient Shoulder Arthroplasty: Safety, Efficiency, and Cost in a Diverse Payer Mix. 向门诊肩关节置换术过渡：不同付款人组合中的安全、效率和成本。

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

Daniel E Goltz, Jay M Levin, John R Wickman, Jeffrey A O'Donnell, Barrie S Sugarman, Colleen M Wixted, Jocelyn R Wittstein, Tally E Lassiter

{"title":"Transitioning to Outpatient Shoulder Arthroplasty: Safety, Efficiency, and Cost in a Diverse Payer Mix.","authors":"Daniel E Goltz, Jay M Levin, John R Wickman, Jeffrey A O'Donnell, Barrie S Sugarman, Colleen M Wixted, Jocelyn R Wittstein, Tally E Lassiter","doi":"","DOIUrl":"","url":null,"abstract":"Outpatient shoulder arthroplasty presents potential clinical benefits but also risk without perioperative optimization. Length of stay depends largely on surgeon preferences, and a large single-surgeon cohort may provide insight into optimal strategies and costs for outpatient shoulder arthroplasty. A single-surgeon cohort of 472 anatomic and reverse shoulder arthroplasties performed between 2017 and 2020 was retrospectively reviewed. Cases were stratified by those who did or did not undergo same-day discharge. The 90-day readmission, discharge to post-acute care, cost, and 45 patient/case factors were examined. Two hundred fifty (53%) underwent same-day discharge, with the proportion of outpatient cases increasing over time to nearly 80%, with no significant difference in 90-day readmissions. Revision cases often underwent same-day discharge, whereas fractures were typically admitted. The cost was significantly higher for inpatients, with implants accounting for 52%. Surgeons may safely transition a substantial proportion of shoulder arthroplasties to same-day discharge with some reassurance regarding cost savings and 90-day readmissions. (Journal of Surgical Orthopaedic Advances 32(4):263-269, 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":"140320271","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

Circumventing Acute Compartment Syndrome: Outcomes from a Cadaver-based Course in Fasciotomy Procedural Skills. 避免急性室间隔综合症：以尸体为基础的筋膜切开术手术技巧课程的成果。

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

Christopher H Renninger, Christopher S Smith, Jennifer A Sanville, Mark W Bowyer, Pamela B Andreatta

{"title":"Circumventing Acute Compartment Syndrome: Outcomes from a Cadaver-based Course in Fasciotomy Procedural Skills.","authors":"Christopher H Renninger, Christopher S Smith, Jennifer A Sanville, Mark W Bowyer, Pamela B Andreatta","doi":"","DOIUrl":"","url":null,"abstract":"Acute compartment syndrome (ACS) represents a surgical emergency requiring effective, complete fasciotomy. The purpose of this study is to evaluate cadaver-based training on the ability of practicing general surgeons to effectively perform upper extremity, thigh, and leg fasciotomies. One hundred seventeen general surgeons underwent a 2-day, cadaver-based course with formative and summative assessments based on validated scoring tools. Overall performance and critical item scores were recorded and compared utilizing analysis of variance with repeated measures and eta-squared values to evaluate effect size. For all three procedures, post-training scores were significantly improved when compared with pre-training scores (p < 0.001). Mean pre-training score for lower leg fasciotomy met the standard for competent performance of the procedure (total score > 80), whereas neither thigh nor upper extremity performance scores met this standard before training. This 2-day, cadaver-based course improves the ability of practicing general surgeons to effectively and independently perform upper extremity, thigh, and lower leg fasciotomies. (Journal of Surgical Orthopaedic Advances 32(4):238-241, 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":"140320327","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

Body Mass Index and American Society of Anesthesiologists Score Predict Perioperative Delays in Different Phases for Total Hip Arthroplasty. 体重指数和美国麻醉医师协会评分可预测全髋关节置换术不同阶段的围手术期延迟。

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

Zoe W Hinton, Sean P Ryan, Christine J Wu, Nicholas M Hernandez, Michael P Bolognesi, Thorsten M Seyler

{"title":"Body Mass Index and American Society of Anesthesiologists Score Predict Perioperative Delays in Different Phases for Total Hip Arthroplasty.","authors":"Zoe W Hinton, Sean P Ryan, Christine J Wu, Nicholas M Hernandez, Michael P Bolognesi, Thorsten M Seyler","doi":"","DOIUrl":"","url":null,"abstract":"Perioperative efficiency has become increasingly important with cost constraints and expanding indications for total hip arthroplasty (THA). We chose to analyze body mass index (BMI) and American Society of Anesthesiologists (ASA) score, in predicting perioperative efficiency. We retrospectively reviewed the institutional database for primary THAs from July 2015 to January 2018. Patient demographics and perioperative times lines were collected. A multivariable model was utilized to evaluate BMI (< 30, ≥ 30) and ASA (< 3, ≥ 3) for all outcomes. A total of 2,934 patients were included with mean age 62.0 (12.2) years, and 1,599 (54.5%) were female. A BMI ≥ 30 was associated with prolonged operative time (p < 0.001) while an ASA ≥ 3 was predictive of post-anesthesia care unit time (p < 0.001), physical therapy hours (p < 0.001), and length of stay (p < 0.001). Both BMI (p = 0.004) and ASA (p < 0.001) were associated with skilled nursing/rehabilitation dispositions. While BMI predicts prolonged operative time, ASA predicts perioperative delays for anesthesia, nursing, and physical therapy. (Journal of Surgical Orthopaedic Advances 32(3):169-172, 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":"139522132","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

Repair of Chronic Patellar Tendon Rupture with Extensor Mechanism Allograft Augmentation. 用外展机制同种异体移植物增强技术修复慢性髌腱断裂。

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

Ldcr Hicks C Manson, W Michael Pullen, Robert O Boatwright, Patrick W Joyner

引用次数: 0