Orthopedics

Latest Issue of OR Manager
February 2019

OR gowning technique may lead to contamination of surgeon

Editor's Note To reduce contamination of the surgeon in the OR, the two-person gowning technique must be highly monitored, or the single-person gowning technique should be used, finds this study from the department of orthopedic surgery and rehabilitation at the University of Oklahoma Health Sciences Center, Oklahoma City. For the…

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By: Judy Mathias
January 8, 2019
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Medicare’s bundled payments for joint replacements show moderate savings

Editor's Note In the first 2 years of Medicare’s Comprehensive Care for Joint Replacement (CJR) program, there was a modest reduction in spending per procedure without an increase in complication rates, this study finds. Comparing costs associated with 280,161 joint replacement procedures in 803 hospitals required to participate in the…

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By: Judy Mathias
January 3, 2019
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Orthopedic experts urge caution when starting total knee service lines

Total joint replacements contribute hefty profits to hospitals and healthcare systems. Once the Centers for Medicare & Medicaid Services (CMS) starts reimbursing surgery centers—as is done for hospital outpatient surgery departments (HOPDs)—the competition between hospitals, HOPDs, and ambulatory surgery centers (ASCs) will intensify. “Total joints are the hot ticket in…

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By: Janet M. Boivin, BSN, BSJ, RN
December 13, 2018
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Cost-effectiveness analysis of implants used in total hip replacements

Editor's Note New research from the Hip Implant Prosthesis Study (HIPS) team at the University of Bristol Medical School that analyzed hip replacements in more than 1 million patients in the United Kingdom and Sweden found that: Small-head (less than 36 mm in diameter) cemented metal-on-polyethylene implants were the most…

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By: Judy Mathias
December 6, 2018
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SSI incidence, risk factors in total knees

Editor's Note In this 9-year prospective cohort study from Spain, researchers identified surgical site infection (SSI) risk factors that showed the necessity  to strictly comply with wound decontamination and patient preparation protocols, reduce the length of surgical time, and identify patients requiring comprehensive monitoring. This analysis of 1,969 patients who…

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By: Judy Mathias
November 29, 2018
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Joint Commission announces new requirement for THKR certification

Editor's Note The Joint Commission on November 7 announced a new requirement of participation in a national joint replacement registry for its advanced Total Hip and Total Knee Replacement (THKR) certification, effective July 1, 2019. The Disease Specific Care Performance Measurement (DSPM) standard DSPM.4, element of performance (EP) 2 will…

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By: Judy Mathias
November 8, 2018
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Becoming more sensitive to knee pain increases risk of persistent pain

Editor's Note Becoming more sensitive to pain (ie, pain sensitization) is an important risk factor for developing persistent knee pain in osteoarthritis, this study finds. Researchers followed 852 patients over 2 years who had or were at risk of knee osteoarthritis but were free of persistent pain at the beginning…

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By: Judy Mathias
November 1, 2018
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AAAHC launches 3-year Advanced Orthopaedic Certification program

Editor's Note The Accreditation Association for Ambulatory Health Care (AAAHC) announced on October 25 that it has launched an Advanced Orthopaedic Certification program for ambulatory surgery centers (ASCs) performing total joints and spine procedures. The 3-year certification program was designed by an expert panel of practicing orthopaedic and spine professionals…

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By: Judy Mathias
October 30, 2018
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Surgeons to monitor hip, knee patients using Apple Watches

Editor's Note Zimmer Biomet and Apple Inc have begun a multiyear study that will allow surgeons to use Apple Watches to monitor activities, including heart rate, steps taken, and standing hours of up to 100,000 patients before and after hip and knee replacement surgery, the October 15 Reuters reports. Providers…

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By: Judy Mathias
October 18, 2018
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PSH improves outcomes in elderly, children

Editor's Note The Perioperative Surgical Home (PSH) model of care was successful in improving quality of care and outcomes in elderly hip fracture patients and children having cardiac surgery in two studies presented October 14 at the Anesthesiology 2018 annual meeting in San Francisco. One study compared 308 hip fracture…

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By: Judy Mathias
October 15, 2018
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