Journal of orthopedics for physician assistants最新文献_第3页

Sports Medicine Roundtable: Trends in 2022 运动医学圆桌会议:2022年趋势

Journal of orthopedics for physician assistants Pub Date : 2023-01-01 DOI: 10.2106/jbjs.jopa.22.00025

Sean M. Hazzard, Gary Sakryd, Larry Collins, T. Randolph, D. Cloutier

引用次数: 0

Outcomes of 1-Stage Versus 2-Stage Revisions After Hip Prosthetic Joint Infection 髋关节感染后一期与二期修复的结果

Journal of orthopedics for physician assistants Pub Date : 2023-01-01 DOI: 10.2106/jbjs.jopa.23.00017

Devon Patel, Addison Sparks, Dalton Blood, Jiayong Liu

{"title":"Outcomes of 1-Stage Versus 2-Stage Revisions After Hip Prosthetic Joint Infection","authors":"Devon Patel, Addison Sparks, Dalton Blood, Jiayong Liu","doi":"10.2106/jbjs.jopa.23.00017","DOIUrl":"https://doi.org/10.2106/jbjs.jopa.23.00017","url":null,"abstract":"Background: Prosthetic joint infections (PJIs) are significant complications of total joint arthroplasties. The incidence of this dangerous complication is expected to rise, but there is not a unanimous solution. Two-stage surgical revisions are the traditional gold standard of treatment, but recent literature suggests that 1-stage revisions can be equally effective. A comparison of the outcomes of 2-stage revisions vs. 1-stage revisions has not been thoroughly investigated. This systematic review and meta-analysis were designed to compare the outcomes of 2-stage exchanges vs. 1-stage exchanges in the treatments of hip PJI based on comparison studies. Methods: MEDLINE, Embase, and Cochrane were searched for relevant studies that compared the effectiveness and outcomes of 1-stage and 2-stage procedures from January 2000 to May 2023. Keywords relating to hip PJI were used, and comparison studies of 1-stage vs. 2-stage procedures that reported patient characteristics and outcomes including success rates, rates of reinfection, or other outcomes such as functional outcomes (e.g., mean Harris hip scores), infection-free survival, and blood loss were included. Statistical analysis for this study was conducted using Review Manager 5.4 with a standard p-value of ≤ 0.05 for statistical significance. Results: Fifteen articles and 1,017 patients were included in the meta-analysis. One-stage revision procedures (320 patients) were found to have greater success rates (i.e., lower rates of reinfection) than 2-stage revisions (697 patients) (p = 0.04). One-stage revisions (184 patients) had shorter durations of operation and less blood loss than 2-stage revisions (90 patients) (p < 0.05). Conclusion: One-stage revision procedures are associated with lower reinfection rates, blood loss, and durations of operation compared with 2-stage revisions. Level of Evidence: I.","PeriodicalId":93583,"journal":{"name":"Journal of orthopedics for physician assistants","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":"135213251","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

Dupuytren's Contracture: A Case Review Dupuytren's Contracture：一个案例回顾

Journal of orthopedics for physician assistants Pub Date : 2023-01-01 DOI: 10.2106/jbjs.jopa.23.00007

Craig Hricz

引用次数: 0

Under Pressure 压力下

Journal of orthopedics for physician assistants Pub Date : 2023-01-01 DOI: 10.2106/jbjs.jopa.22.00019

A. Rees, J. Riehl

引用次数: 0

Prosthetic Joint Infection Due to Mycobacterium goodii/smegmatis 由良地分枝杆菌/耻垢杆菌引起的假体关节感染

Journal of orthopedics for physician assistants Pub Date : 2023-01-01 DOI: 10.2106/jbjs.jopa.23.00016

Margaret Sims, Kenneth L. Urish, Neel B. Shah

引用次数: 0

Physician Assistant Use of Ultrasound for Shoulder, Hip, and Knee Joint Injections 超声在肩关节、髋关节和膝关节注射中的应用

Journal of orthopedics for physician assistants Pub Date : 2023-01-01 DOI: 10.2106/jbjs.jopa.23.00011

Jennifer Joseph, Helen Salisbury

{"title":"Physician Assistant Use of Ultrasound for Shoulder, Hip, and Knee Joint Injections","authors":"Jennifer Joseph, Helen Salisbury","doi":"10.2106/jbjs.jopa.23.00011","DOIUrl":"https://doi.org/10.2106/jbjs.jopa.23.00011","url":null,"abstract":"Background: Physician assistants (PAs) perform joint injections in the office setting. Although ultrasound (US) provides a safe option that increases accuracy of injections, this orthopedic specific training has not been routinely offered in PA education. The aim of this study was to examine the frequency with which orthopedic PAs performed shoulder, hip, and knee joint injections, with and without US, and how US training was obtained. Methods: In a quantitative descriptive cross-sectional study, PAs received a link to a self-designed survey by an email list provided by the physician assistants in orthopedic surgery. Results: Most PAs with access to US performed 10 or less shoulder, hip, and knee joint injections using US each month. The most common US training reported was on-the-job (n = 141; 35.30%), independent courses (n = 91; 22.80%), and self-taught (n = 70; 17.50%). Nearly one-half (n = 196; 49.00%) reported no US training, leading to 177 PAs (60.00%) perceiving they were not at all or only somewhat prepared to perform US in clinical practice. Conclusion: Overall, shoulder and knee joint injections were performed more often in the office than hip joint injections and were more commonly performed without US. Most PAs perceived they were not prepared to perform US in practice during their formal education, with many having sought further training.","PeriodicalId":93583,"journal":{"name":"Journal of orthopedics for physician assistants","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":"135443069","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 Significance of Neutrophil Lymphocyte Ratio, Platelet Lymphocyte Ratio, and Red Cell Distribution Width in Osteoarthritis 中性粒细胞淋巴细胞比例、血小板淋巴细胞比例及红细胞分布宽度在骨关节炎中的意义

Journal of orthopedics for physician assistants Pub Date : 2023-01-01 DOI: 10.2106/jbjs.jopa.23.00014

Dev Raveendran, Luke A Perry, Andrew Bucknill, Zhengyang Liu

{"title":"The Significance of Neutrophil Lymphocyte Ratio, Platelet Lymphocyte Ratio, and Red Cell Distribution Width in Osteoarthritis","authors":"Dev Raveendran, Luke A Perry, Andrew Bucknill, Zhengyang Liu","doi":"10.2106/jbjs.jopa.23.00014","DOIUrl":"https://doi.org/10.2106/jbjs.jopa.23.00014","url":null,"abstract":"Background: The neutrophil-lymphocyte ratio (NLR), platelet-lymphocyte ratio (PLR), and red cell distribution width (RDW) are routinely available inflammatory biomarkers. Their significance in osteoarthritis (OA) is poorly understood. This is a systematic review, and meta-analysis aimed to determine the association of these biomarkers with the presence and severity of OA. Methods: We searched MEDLINE, EMBASE, and Cochrane library for studies reporting on associations between NLR, PLR, and RDW with OA from October 1, 2022, to November 18, 2022. We generated pooled effect measures using random-effects inverse-variance modeling to compare biomarker levels in patients with OA against healthy controls. We generated pooled effect measures to compare patients with severe OA against mild/moderate OA as defined by the Kellgren-Lawrence grading scale, a classification of OA severity based on radiographic findings. We performed metaregression to explore between-study heterogeneity. Results: We included 20 studies involving 5,109 patients in this review. Both NLR and PLR were significantly elevated in OA. RDW was not significantly elevated with OA presence or severity. Only NLR demonstrated a significant elevation with OA severity. Conclusions: In this systematic review and meta-analysis, both NLR and PLR were associated with the presence of OA, whereas only NLR was associated with the severity of disease.","PeriodicalId":93583,"journal":{"name":"Journal of orthopedics for physician assistants","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":"134982029","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

Osteonecrosis 骨坏死

Journal of orthopedics for physician assistants Pub Date : 2022-12-15 DOI: 10.2106/JBJS.JOPA.22.00014

M. Lawhorne, R. Kortyna

引用次数: 0

Elbow Arthroscopy 肘关节镜检查

Journal of orthopedics for physician assistants Pub Date : 2022-12-08 DOI: 10.2106/JBJS.JOPA.22.00016

Gary Sakryd

引用次数: 0

Review of an Initial Physician Assistant Training Program Orthopaedics Course Curriculum Using Kern's 6-Step Process 使用Kern的6步过程对初级医师助理培训计划骨科课程的回顾

Journal of orthopedics for physician assistants Pub Date : 2022-10-07 DOI: 10.2106/JBJS.JOPA.22.00011

Robyn L. Chalupa, Lance A. Beahm, Adrian Donias, Torrance L. Nevels, Teresa A. Walters

{"title":"Review of an Initial Physician Assistant Training Program Orthopaedics Course Curriculum Using Kern's 6-Step Process","authors":"Robyn L. Chalupa, Lance A. Beahm, Adrian Donias, Torrance L. Nevels, Teresa A. Walters","doi":"10.2106/JBJS.JOPA.22.00011","DOIUrl":"https://doi.org/10.2106/JBJS.JOPA.22.00011","url":null,"abstract":"Graduating an average of 169 graduates per year, the Interservice Physician Assistant Program (IPAP) is the largest physician assistant training program in the world. The IPAP orthopedics course is a 4-credit hour course that started as approximately 60 hours of lecture, 9 hours of laboratory practice to prepare for an Objective Structured Clinical Examination, and 4 hours of splinting laboratory. After several cohorts performed poorly on the second block exam and student critiques voiced the need for course revision, the curriculum committee formed a sub-committee to review the course content and structure. The primary course instructor was familiar with Kern's 6-step approach to curriculum development and proposed using the Kern’s approach for the curriculum review and revision. This article aims to demonstrate the use of Kern's 6-step approach for review and revision of an introductory orthopedic course curriculum. This article shows how an IPAP curriculum sub-committee executed the 6 steps of the Kern’s process: (1) problem identification and general needs assessment, (2) targeted needs assessment, (3) development of goals and objectives, (4) development of educational strategies, (5) implementation, and (6) evaluation and feedback. To our knowledge, this is the first example of a physician assistant program using Kern's 6-step process to revise a curriculum. Thus far, the revisions show a positive change, indicating that other physician assistant programs could conduct similar reviews using the Kern’s 6-step approach.","PeriodicalId":93583,"journal":{"name":"Journal of orthopedics for physician assistants","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46915995","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