Acta orthopaedica Belgica最新文献_第10页

Outcomes of the Dual Mobility Trapeziometacarpal Prosthesis versus Retentive Cup Prosthesis: Review of 118 Cases. 双活动腕斜方假体与保留杯假体的疗效：118例回顾。

IF 0.7 4区医学

Acta orthopaedica Belgica Pub Date : 2025-09-01 DOI: 10.52628/91.3.14109

O Raskin, L Lambot, J Boquet, P Tromme, X Libouton, C Detrembleur

{"title":"Outcomes of the Dual Mobility Trapeziometacarpal Prosthesis versus Retentive Cup Prosthesis: Review of 118 Cases.","authors":"O Raskin, L Lambot, J Boquet, P Tromme, X Libouton, C Detrembleur","doi":"10.52628/91.3.14109","DOIUrl":"10.52628/91.3.14109","url":null,"abstract":"Since its invention, the ball-and-socket prosthesis has played a significant role in treating carpometacarpal osteoarthritis of the thumb. One of the main postoperative complications remains prosthetic dislocation. To reduce this risk, engineers developed new designs - primarily the retentive cup and the dual-mobility cup. The aim of this study was to compare the stability and outcomes of these two designs, focusing specifically on dislocation as the primary variable. All Maia prostheses (n=118) implanted between 2019 and 2023 at a single institution by two surgeons using the same surgical technique were retrospectively reviewed. The type of implant, dislocation and complication rates, functional outcomes, and patient satisfaction were analyzed. Although the overall complication rates did not differ significantly between groups, the retentive cup group had a slightly higher rate of dislocation (n=2; 3%) compared to the dual-mobility group (n=0; 0%) (p = 0.55). Satisfaction rates, functional scores, QuickDASH results, and range of motion were similar between the two groups and comparable to those of the general age-matched population at midterm follow-up. This study found a low postoperative dislocation rate in both groups, with no dislocations in the dual-mobility group. Although the difference was not statistically significant, the dual-mobility design may demonstrate superior stability in larger cohorts. Both implant types showed reliable performance and high survival rates at midterm follow-up.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"91 3","pages":"309-317"},"PeriodicalIF":0.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147324409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Longitudinal incision vs bikini incision for anterior total hip arthroplasty: A systematic review and meta-analysis from the FP-UCBM Hip Study Group. 前路全髋关节置换术的纵向切口与比基尼切口：FP-UCBM髋关节研究组的系统回顾和荟萃分析。

IF 0.7 4区医学

Acta orthopaedica Belgica Pub Date : 2025-09-01 DOI: 10.52628/91.3.14375

A Ferrini, G F Papalia, B Zampogna, F R Parisi, A Zampoli, P Za, G Giurazza, R Papalia

{"title":"Longitudinal incision vs bikini incision for anterior total hip arthroplasty: A systematic review and meta-analysis from the FP-UCBM Hip Study Group.","authors":"A Ferrini, G F Papalia, B Zampogna, F R Parisi, A Zampoli, P Za, G Giurazza, R Papalia","doi":"10.52628/91.3.14375","DOIUrl":"10.52628/91.3.14375","url":null,"abstract":"The direct anterior approach (DAA) for total hip arthroplasty (THA) with two distinct skin incisions has gained popularity due to its muscle-sparing benefits. This systematic review and meta-analysis aimed to compare postoperative outcomes and complications associated with these incisions in DAA THA. A systematic literature search was conducted using PubMed and Scopus to identify studies comparing the bikini and longitudinal incisions in DAA THA. Studies were included if they reported postoperative outcomes, complications such as lateral femoral cutaneous nerve (LFCN) injury, wound healing issues, infections, and functional scores. Meta-analysis was performed using Review Manager (RevMan 5.4), with perioperative outcomes and complications analyzed as mean differences (MD) or odds ratios (OR) with 95% confidence intervals (CI). Nine studies comprising 2,292 patients were included. No significant differences were found in clinical outcomes, including Harris Hip Score (HHS) and Oxford Hip Score (OHS) (p > 0.05). LFCN injury rates were comparable between groups (OR 0.92, p = 0.82), and revision rates showed no significant differences (OR 0.58, p = 0.20). While the bikini incision resulted in improved scar aesthetics and slightly shorter hospital stays, it was associated with a potentially higher risk of wound complications. Both bikini and longitudinal incisions demonstrated similar safety and efficacy in DAA THA. The choice of incision should be tailored to patient-specific factors, with further research needed to assess long-term outcomes, including chronic nerve dysfunction and implant longevity.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"91 3","pages":"265-275"},"PeriodicalIF":0.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147324462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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 the Outcomes of the Intra-articular Abdominal Adipose- Derived Mesenchymal Stem Cell Therapy in Knee Osteoarthritis Patients. 膝关节骨性关节炎患者关节内腹腔脂肪源性间充质干细胞治疗的疗效评估。

IF 0.7 4区医学

Acta orthopaedica Belgica Pub Date : 2025-09-01 DOI: 10.52628/91.3.10897

F Ege, M Akbaş, R Isik

{"title":"Assessment of the Outcomes of the Intra-articular Abdominal Adipose- Derived Mesenchymal Stem Cell Therapy in Knee Osteoarthritis Patients.","authors":"F Ege, M Akbaş, R Isik","doi":"10.52628/91.3.10897","DOIUrl":"10.52628/91.3.10897","url":null,"abstract":"Objective: The aim of this study was to evaluate the effectiveness of Intra-articular abdominal adipose-derived mesenchymal stem cell (AD-MSC) therapy in patients diagnosed with knee osteoarthritis and to compare its effectiveness in patients with grade 2 and grade 3 osteoarthritis.Material and method: The study group comprised 48 patients over the age of 18 that were diagnosed with Grade II or Grade III (Kellgren-Lawrence) primary knee osteoarthritis. Two-way comparative knee radiography was performed for all patients before the procedure. Intra-articular abdominal adipose-derived mesenchymal stem cell (AD-MSC) therapy was applied to all patients. The patients were evaluated with the VAS and WOMAC index before the treatment and 3 months and 6 months after the treatment.Results: A statistically significant decrease was found in the six-month follow-up WOMAC and VAS scores compared to the pre-treatment scores regardless of the grade of their osteoarthritis (p <0.001).Conclusion: In conclusion, it was observed that the intra-articular injection of the AD-MSCs provided satisfactory functional recovery and pain relief for patients with knee osteoarthritis at six-month follow-up. No procedure-related adverse events were observed during the follow-up period.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"91 3","pages":"257-264"},"PeriodicalIF":0.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147324352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical evaluation of occlusive dressing in fingertip reconstruction. 封闭敷料在指端重建术中的临床评价。

IF 0.7 4区医学

Acta orthopaedica Belgica Pub Date : 2025-09-01 DOI: 10.52628/91.3.14789

A Sidiropoulos, C Detrembleur, L Athlani, O Cornu, A Tsolias

{"title":"Clinical evaluation of occlusive dressing in fingertip reconstruction.","authors":"A Sidiropoulos, C Detrembleur, L Athlani, O Cornu, A Tsolias","doi":"10.52628/91.3.14789","DOIUrl":"10.52628/91.3.14789","url":null,"abstract":"Purpose: Evaluation of the clinical outcomes of occlusive dressings after fingertip amputations.Methods: We conducted a prospective single-center clinical research involving 101 patients representing 112 fingertip amputations who were treated with occlusive dressings from October 2017 to October 2022. Patients were evaluated with the QuickDASH test scores, in relation to their symptoms as to their ability to perform certain activities, the cold intolerance and a two-point discrimination Weber test, allowing the assessment of the innervation of skin area at different time points (at 1, 8, 12 weeks, and at 1 year). The average wound closure, the number of dressings, the finger's trophicity and the adverse effects of the treatment were also analyzed. Data analysis was then conducted by an independent surgeon.Result: The average wound closure time for the 112 fingertip amputations treated with occlusive dressing was 2.6 weeks (18 days). Aesthetic outcomes were excellent in 69,6% and good in 30.4%. The Weber test showed a two-point discrimination of 3.3mm on the injured fingertip and 2.7mm on the contralateral, healthy side. The rate of complication was estimated at 11%. Amputation zone 3 (p<0.001) and number of cigarettes smoked per day (p=0.007) were identified is independent factors of complications.Conclusion: Occlusive dressing treatment is a viable option for fingertip amputation in zones 1, 2 and even 3 offering clinically favorable outcomes with minimal inconvenience.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"91 3","pages":"289-297"},"PeriodicalIF":0.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147324362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation Of Comfort And User-Friendliness Of Immobilizing Internal Rotation-Adduction Shoulder Braces. 固定化内旋内收肩托的舒适性和使用友好性评价。

IF 0.7 4区医学

Acta orthopaedica Belgica Pub Date : 2025-09-01 DOI: 10.52628/91.3.14577

T Coucke, A VAN Bladel, H VAN DER Bracht, T VAN Isacker, B Berghs, A VAN Tongel

{"title":"Evaluation Of Comfort And User-Friendliness Of Immobilizing Internal Rotation-Adduction Shoulder Braces.","authors":"T Coucke, A VAN Bladel, H VAN DER Bracht, T VAN Isacker, B Berghs, A VAN Tongel","doi":"10.52628/91.3.14577","DOIUrl":"10.52628/91.3.14577","url":null,"abstract":"Internal rotation-adduction shoulder braces are commonly used to immobilize the shoulder following surgery. This prospective, interventional study aimed to evaluate the comfort and user-friendliness of four such braces frequently employed in postoperative care. Four braces-Shoulder Support®, Actimove Umerus Comfort®, Shouldfix II®, and Shoulder Fix®-were assessed across four medical centers. Patient comfort was evaluated using a 14-item Likert scale questionnaire (maximum score: 70). Additionally, 53 healthcare professionals rated each brace's user-friendliness using a separate 5-question survey. A total of 166 patients were included in the analysis. All four braces received favorable comfort ratings. Shoulder Support® achieved the highest comfort score (60.73), significantly outperforming Actimove® (56.12) and Shouldfix II® (56.38). Regarding user-friendliness, Shoulder Support® (3.89) and Actimove® (3.79) were rated significantly higher than Shoulder Fix® (2.99) by healthcare professionals. To conclude, all braces demonstrated good overall comfort, with Shoulder Support® emerging as the most preferred by patients. In terms of ease of use, both Shoulder Support® and Actimove® were favored by healthcare providers. These results highlight the dual importance of patient comfort and clinical practicality in selecting postoperative shoulder braces.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"91 3","pages":"319-323"},"PeriodicalIF":0.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147324393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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 timing of surgery on wound complications and re-operations following closed ankle fracture fixation: a systematic review and meta-analysis. 手术时机对闭合性踝关节骨折固定后伤口并发症和再手术的影响：一项系统回顾和荟萃分析。

IF 0.7 4区医学

Acta orthopaedica Belgica Pub Date : 2025-09-01 DOI: 10.52628/91.3.12971

M M Farhan-Alanie, R Sahemey, K Al-Hourani, A Trompeter

{"title":"Impact of timing of surgery on wound complications and re-operations following closed ankle fracture fixation: a systematic review and meta-analysis.","authors":"M M Farhan-Alanie, R Sahemey, K Al-Hourani, A Trompeter","doi":"10.52628/91.3.12971","DOIUrl":"10.52628/91.3.12971","url":null,"abstract":"Background: The optimal timing of surgical fixation for closed ankle fractures remains uncertain. Advocates of early surgery suggest it enables faster rehabilitation without additional soft tissue insult, whereas delayed surgery is often favoured due to concerns about wound complications in the presence of swelling. This systematic review evaluated whether surgical timing influences wound complications and unplanned reoperation rates.Methods: Multiple databases were searched for RCTs and cohort studies. Primary outcomes were wound complications and unplanned re-operation events. Two reviewers independently screened, assessed quality, and extracted data. Random effects meta-analysis was performed.Results: Nine studies were included. Three reported significantly fewer wound complications with earlier fixation: within 24 hours (0/60 vs 16/145, p=0.004), four days (6.4% vs 18.6%, p=0.02), six days (2/56 vs 6/29, p=0.01), and seven days (2/98 vs 14/107, p=0.003). However, pooled analyses showed no differences at thresholds of 24 hours (RR 1.04, 95%CI 0.95-1.14, p=0.41), five days (RR 1.03, 95%CI 0.96-1.09, p=0.43), or seven days (RR 1.10, 95%CI 0.99-1.21, p=0.06). Four studies assessed unplanned reoperation; none found significant differences, and pooled analysis showed no difference between surgery performed within versus after five days (RD 0.04, 95%CI -0.07-0.15, p=0.49).Conclusions: There is low quality evidence from three of nine studies suggesting that earlier fixation is associated with relatively reduced wound complications, but most studies showed no difference. No association was observed with unplanned reoperation. A large, prospective trial powered to wound complications is required to clarify causality. An RCT powered to investigate these outcomes is required to clarify causality.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"91 3","pages":"325-340"},"PeriodicalIF":0.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147324397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Review of the Present and Future of Spinal Robotic Technologies: Far from navigation. 回顾脊柱机器人技术的现在和未来：远离导航。

IF 0.7 4区医学

Acta orthopaedica Belgica Pub Date : 2025-09-01 DOI: 10.52628/91.3.13516

Q Zhang, W Wenjian, Y Liang

引用次数: 0

Survival at Stake: Surgical Decision-Making in Metastatic Femoral. 生存危险：转移性股骨的手术决策。

IF 0.7 4区医学

Acta orthopaedica Belgica Pub Date : 2025-09-01 DOI: 10.52628/91.3.14701

A Yucesan, Y Arikan, S Toy, V Karaduman, D Özer

{"title":"Survival at Stake: Surgical Decision-Making in Metastatic Femoral.","authors":"A Yucesan, Y Arikan, S Toy, V Karaduman, D Özer","doi":"10.52628/91.3.14701","DOIUrl":"10.52628/91.3.14701","url":null,"abstract":"Pathological femoral fractures resulting from primary or metastatic tumors represent a complex clinical challenge for orthopedic surgeons, often requiring individualized treatment strategies. This retrospective study aimed to evaluate and compare the outcomes of different surgical approaches used in the management of pathological femoral fractures secondary to metastatic disease. A total of 46 patients (52 femoral fractures) who underwent surgical treatment between 2020 and 2023 were included in the study. Data collected encompassed demographic characteristics, tumor histology, surgical techniques employed, and clinical outcomes. Statistical analysis was conducted using appropriate parametric and non-parametric tests, depending on data distribution. Of the patients included, 51% underwent tumor resection followed by endoprosthetic reconstruction, 40% were treated with intramedullary nailing, and 9.4% underwent plate osteosynthesis. The highest postoperative mortality rate was observed among patients with lung cancer metastases. Blood transfusions were necessary in 66% of cases. The overall mean survival time following surgery was 4.5 months, with significant variation according to tumor type and metastatic burden. The findings of this study underscore the importance of a multidisciplinary approach in the surgical management of pathological femoral fractures caused by metastatic tumors. Surgical interventions such as intramedullary nailing, plate fixation, and endoprosthetic reconstruction can effectively restore mechanical stability and contribute to improved patient quality of life. Selection of the optimal surgical technique should be guided by tumor histopathology, anatomical location and extent of bone involvement, number of metastatic lesions, and overall patient prognosis. Timely and appropriate surgical intervention remains critical to minimizing complications and enhancing survival outcomes in this patient population.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"91 3","pages":"387-398"},"PeriodicalIF":0.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147324439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of surgical treatment for Carpal Tunnel Syndrome with corticosteroid injection and platelet-rich plasma injection. 皮质类固醇注射与富血小板血浆注射治疗腕管综合征的比较。

IF 0.7 4区医学

Acta orthopaedica Belgica Pub Date : 2025-09-01 DOI: 10.52628/91.3.14385

Y Kiratlioğlu, E Kiratlioğlu, M Armangil, Y Yoğun, Z Ö Aksun, H Ö Şener, U Bezirgan

{"title":"Comparison of surgical treatment for Carpal Tunnel Syndrome with corticosteroid injection and platelet-rich plasma injection.","authors":"Y Kiratlioğlu, E Kiratlioğlu, M Armangil, Y Yoğun, Z Ö Aksun, H Ö Şener, U Bezirgan","doi":"10.52628/91.3.14385","DOIUrl":"10.52628/91.3.14385","url":null,"abstract":"The most common entrapment neuropathy is carpal tunnel syndrome (CTS). Treatment options include both surgical and conservative procedures. The purpose of this study is to compare surgical treatment, corticosteroid injection, and platelet-rich plasma (PRP) injection in mild and moderate CTS and assess their clinical, electrophysiological, and ultrasonographic superiority over each other. This research was carried out using a prospective, randomized, controlled design. The study included 92 wrists from 68 participants with mild to moderate carpal tunnel syndrome. Following patient randomization, the first group underwent surgical treatment, the second group received steroid injections guided by ultrasonography, and the third group received PRP injections guided by ultrasonography. Prior to treatment, as well as one, three, and six months later, patients had evaluations. The patients' functional status and the severity of their symptoms were assessed using the Boston Carpal Tunnel Questionnaire (BCTQ), while the visual analog scale (VAS) was used to determine the patients' pain levels. Patients also had electrodiagnostic examinations, and ultrasonography was used to measure the median nerve's cross-sectional area (CSA) and flattening ratio (FR). The VAS and BCTQ showed significant improvements in all groups; however, surgical treatment outperformed the other two treatment modalities. While there was no significant change in compound muscle action potential amplitude in either group, surgical treatment was found to be superior in other electrophysiological measures. Before treatment, there was a difference in the groups' CSA measurements, and following treatment, all three treatment groups showed significant improvements. FR remained unchanged across all groups. In patients with mild to moderate CTS, injection procedures are useful, but surgical treatment has been shown to be more effective in terms of both clinical outcomes and electrophysiological parameters.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"91 3","pages":"299-307"},"PeriodicalIF":0.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147324282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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 an Enhanced Recovery Protocol on Postoperative Outcomes After Elective Arthroplasty. 选择性关节置换术后增强恢复方案对术后结果的影响。

IF 0.7 4区医学

Acta orthopaedica Belgica Pub Date : 2025-09-01 DOI: 10.52628/91.3.14282

S Virdee, D Prithviraj, A Davies, I Mohammad, M Hashem

{"title":"Impact of an Enhanced Recovery Protocol on Postoperative Outcomes After Elective Arthroplasty.","authors":"S Virdee, D Prithviraj, A Davies, I Mohammad, M Hashem","doi":"10.52628/91.3.14282","DOIUrl":"10.52628/91.3.14282","url":null,"abstract":"The prevalence of osteoarthritis continues to increase, driven by our ageing population and the growing obesity epidemic, leading to a rise in arthroplasties. Enhanced recovery programmes have been developed to optimise perioperative care and reduce length of stay (LOS). Our aim was to investigate the effect of an enhanced perioperative protocol at a high-volume regional elective hospital on readmission rate, LOS and adverse events. We compared elective arthroplasties from June to December 2022 (cycle 1, pre-protocol) to those from the same period in 2023 (cycle 2, post-protocol). Data included demographics, surgical procedures, and perioperative management, with a primary outcome of 30-day readmissions and secondary outcomes of revisions, LOS, and postoperative complications. Cycle 1 included 973 patients, mean age 69.9, standard deviation (SD 9.8), and cycle 2 included 1114 patients, mean age of 69.2 (SD 10). The mean LOS decreased from 2.26 days (SD 1.73) to 1.95 days (SD 2.67) (p<0.01), with 5.1% discharged on the day of surgery. Our 30-day readmission rate post intervention was 2.3% in cycle 2 compared to 0.6%, (p<0.01). There were no inpatient mortalities on first admission, however 1 reported death during readmission in cycle 2. There was no difference in surgical site infections (1.2% compared to 1.1%, p=0.74) and two cases of pulmonary embolism in cycle 2. The 24-hour arthroplasty perioperative protocol effectively reduced LOS, there was a small increase in 30-day readmissions.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"91 3","pages":"277-283"},"PeriodicalIF":0.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147324436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0