Journal of surgical orthopaedic advances最新文献_第7页

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":"32 3","pages":"169-172"},"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

How Feasible Are Digital Intraoperative Plain Radiographs in Orthopaedic Trauma Surgery? 数字术中平片在创伤骨科手术中的可行性有多大？

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

J Benjamin Allis, Devon M Jeffcoat, Eric D Farrell

{"title":"How Feasible Are Digital Intraoperative Plain Radiographs in Orthopaedic Trauma Surgery?","authors":"J Benjamin Allis, Devon M Jeffcoat, Eric D Farrell","doi":"","DOIUrl":"","url":null,"abstract":"The purpose of this study is to evaluate the feasibility and outcomes of obtaining routine intraoperative plain radiographs during orthopaedic trauma surgery. Seventy consecutive orthopaedic trauma patients in which intraoperative plain films were obtained in addition to fluoroscopy were reviewed. For each patient the time it took to obtain intraoperative plain radiographs was prospectively measured, in addition to the number of images taken, and quality of image. Then relative imaging times based on fracture locations were compared and the need for revision surgery based on mal-reduction or implant mal-positioning assessed. The average time required for intraoperative plain films to be obtained and reviewed by the surgeon was 3 minutes and 45 seconds. On average, 2.8 images were taken during each surgery. Proximal images took on average 44 seconds longer than distal images to obtain (p = 0.047). There was no significant difference in imaging times for upper versus lower extremities (p = 0.448). High quality images were obtained on all patients. There were no re-operations required in this series for mal-reduction of fracture, mal-positioning of implants or infection. In this study, there were no re-operations or perioperative complications when intraoperative plain films were obtained. Intraoperative plain films are a valuable tool for complex periarticular surgery or other cases where fracture reduction or implant location may be in question. (Journal of Surgical Orthopaedic Advances 32(3):160-163, 2023).","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"32 3","pages":"160-163"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139522230","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

Orthopaedic Injuries from All-Terrain Vehicles: An Epidemiological Account and Review of Legislation. 全地形车造成的骨科伤害：流行病学说明和立法回顾》。

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

Alexis Sandler, John Dunn, Adam Adler, Austin Fares, John Scanaliato

引用次数: 0

Outcomes Following Intramedullary Nailing of Select Periarticular Distal Tibia Fractures. 选择性胫骨远端关节周围骨折髓内钉治疗后的疗效

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

Anokha A Padubidri, Anthony T Sorkin, Andrew Gudeman, Roman M Natoli, Greg E Gaski

{"title":"Outcomes Following Intramedullary Nailing of Select Periarticular Distal Tibia Fractures.","authors":"Anokha A Padubidri, Anthony T Sorkin, Andrew Gudeman, Roman M Natoli, Greg E Gaski","doi":"","DOIUrl":"","url":null,"abstract":"Intramedullary nailing (IMN) of periarticular distal tibia fractures may offer advantages compared to plating. This study aims to report on the outcomes of select periarticular distal tibia fractures treated with IMN. Patients over 17 years of age that underwent IMN for extraarticular distal tibia fractures (Osteosynthesefragen/Orthopaedic Trauma Association [AO/OTA] 43-A), partial articular with associated segmental shaft component (43-B), and simple intraarticular (43-C1/2) at a Level I trauma center were included. The primary outcome was physical function (PF) and pain interference (PI) assessed via Patient-Reported Outcomes Measurement Information System (PROMIS). Secondary outcomes included reoperation, nonunion, infection, and malalignment. Eighty-four patients with > 12 months follow up were included. Mean PROMIS PI and PF scores were 55.5 and 45.0, respectively. The rate of nonunion and deep infection each were 8%. Eighty-four percent of patients achieved normal alignment. There were no differences detected in clinical outcomes between patients with intraarticular injuries compared with those with extraarticular fractures. Satisfactory clinical, radiographic, and patient-reported outcomes can be expected following treatment of extraarticular and simple intraarticular distal tibia fractures with IMN. (Journal of Surgical Orthopaedic Advances 32(4):246-251, 2023).","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"32 4","pages":"246-251"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140320269","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

Machine Learning to Predict Discharge Destination After Total Knee Arthroplasty and Total Hip Arthroplasty. 通过机器学习预测全膝关节置换术和全髋关节置换术后的出院去向。

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

Gregory J Booth, Jacob Cole, Phil Geiger, George C Balazs, Scott Hughey, Natalie Nepa, Ashton Goldman

{"title":"Machine Learning to Predict Discharge Destination After Total Knee Arthroplasty and Total Hip Arthroplasty.","authors":"Gregory J Booth, Jacob Cole, Phil Geiger, George C Balazs, Scott Hughey, Natalie Nepa, Ashton Goldman","doi":"","DOIUrl":"","url":null,"abstract":"Discharge destination impacts costs and perioperative planning for primary total knee (TKA) or hip arthroplasty (THA). The purpose of this study was to create a tool to predict discharge destination in contemporary patients. Models were developed using more than 400,000 patients from the National Surgical Quality Improvement Program database. Models were compared with a previously published model using area under the receiver operating characteristic curve (AUC) and decision curve analysis (DCA). AUC on patients with TKA was 0.729 (95% confidence interval [CI]: 0.719 to 0.738) and 0.688 (95% CI: 0.678 to 0.697) using the new and previous models, respectively. AUC on patients with THA was 0.768 (95% CI: 0.758 to 0.778) and 0.726 (95% CI: 0.714 to 0.737) using the new and previous models, respectively. DCA showed substantially improved net clinical benefit. The new models were integrated into a web-based application. This tool enhances clinical decision making for predicting discharge destination following primary TKA and THA. (Journal of Surgical Orthopaedic Advances 32(4):252-258, 2023).","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"32 4","pages":"252-258"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140320265","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

Radiographic Prediction of Soft Tissue Injury Associated with Tibial Plateau Fractures: The Direction of Articular Depression Matters. 胫骨平台骨折相关软组织损伤的影像学预测：关节凹陷的方向很重要。

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

Matthew P Lunati, Jesse Seilern Und Aspang, J'Lynn L Baker, Jacob M Wilson, Thomas J Moore

{"title":"Radiographic Prediction of Soft Tissue Injury Associated with Tibial Plateau Fractures: The Direction of Articular Depression Matters.","authors":"Matthew P Lunati, Jesse Seilern Und Aspang, J'Lynn L Baker, Jacob M Wilson, Thomas J Moore","doi":"","DOIUrl":"","url":null,"abstract":"This investigation aimed to evaluate the impact of coronal articular fragment displacement of Schatzker type II tibial plateau fractures on concomitant soft tissue knee injuries. One hundred consecutively treated patients were included. Depression depth and coronal articular fragment displacement were measured radiographically, and medial collateral ligament (MCL) and lateral meniscus (LM) injury, and pain and range of motion (ROM) on final follow up, were recorded. Multivariable regression was then performed. Coronal articular fragment displacement was medially and laterally hinged in 74% and 26% of patients, respectively. MCL injuries were significantly higher in the lateral hinge group (odds ratio [OR]: 3.25; confidence interval [CI]: 1.07 to 9.84; p = 0.03). No difference was found in LM injury incidence and amount of articular depression between groups. At final follow-up, average pain and ROM was similar between groups. Findings demonstrate a significant correlation between laterally hinged articular depression in Schatzker II tibial plateau fractures and concomitant MCL injury. (Journal of Surgical Orthopaedic Advances 32(4):270-275, 2023).","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"32 4","pages":"270-275"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140320270","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

Characterization of Opioid Prescribing Tendencies Among Orthopaedic Surgeons: A National Perspective. 骨科外科医生阿片类药物处方倾向的特点：全国视角。

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

Kamil Amer, Michael Metrione, Sirjanhar Singh, Jay Patel, Kathleen Beebea

引用次数: 0

Minimally Invasive Cubital Tunnel Release Utilizing Lighted Retractors: A Study of Residents Novel to this Technique Utilizing a Cadaveric Model. 利用照明牵引器的微创肘隧道松解术：利用尸体模型对初次使用该技术的住院医师进行的研究。

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

Kenneth F Taylor, M Daniel Hatch, Kavita T Vakharia, Randy M Hauck

引用次数: 0

Pes Planovalgus Is Associated with Increased Comorbidities and Poor Outcomes After Total Knee Arthroplasty. 膝内翻与全膝关节置换术后并发症增加和疗效不佳有关。

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

Allison R Mitchell, Kingsley A Oladeji, John C Bonano, Abiram Bala, Derek F Amanatullah

{"title":"Pes Planovalgus Is Associated with Increased Comorbidities and Poor Outcomes After Total Knee Arthroplasty.","authors":"Allison R Mitchell, Kingsley A Oladeji, John C Bonano, Abiram Bala, Derek F Amanatullah","doi":"","DOIUrl":"","url":null,"abstract":"Pes planovalgus affects knee biomechanics but there are no studies describing its impact on total knee arthroplasty (TKA). We aim to characterize the demographics, medical, and surgical complications of patients with pes planovalgus undergoing TKA. A Medicare database was queried using ICD-9 codes to identify 5,750 patients with and 23,000 patients without pes planovalgus who underwent TKA from 2005 to 2014. Standard descriptive statistics were used to compare medical and surgical complications at 90 days and 2 years, with alpha < 0.003 after a Bonferroni Correction. Patients with pes planovalgus had an elevated incidence of hypertension (80%, p < 0.001), pulmonary disease (31%, p < 0.001), hypothyroidism (28%, p < 0.001), diabetes (30%, p < 0.001), vascular disease (20%, p < 0.001), obesity (26%, p < 0.001), and depression (23%, p < 0.001). They also had increased odds of deep vein thrombosis (DVT) (odds ratio [OR] 1.3, p < 0.001), stiffness (OR 1.3, p < 0.003) and revision (OR 1.59, p < 0.003) at 90 days. At 2 years, odds of stiffness had increased (OR 1.34, p < 0.001) with similar rates of revision and medical complications. Pes planovaglus is associated with increased medical comorbidities and this patient population may be at an increased risk for postoperative stiffness, early revisions, and DVT after TKA. Arthroplasty surgeons should be conscious of these risks when considering TKA in a patient with pes planovalgus and counsel them appropriately. (Journal of Surgical Orthopaedic Advances 32(3):202-206, 2023).","PeriodicalId":516534,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"32 3","pages":"202-206"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139522348","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