Editor's Note Contrary to what some studies are suggesting, use of the local anesthetic liposomal bupivacaine as part of a multimodal approach to postoperative pain did not reduce in-hospital opioid use or opioid-related complications after total knee arthroplasty (TKA) in this study. Researchers analyzed data on 88,830 TKAs performed with…

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Can hospital leaders and surgeons partner to reduce opioid use while maintaining high patient satisfaction scores? Leaders at OSS Orthopaedic Hospital in York, Pennsylvania, answer that question with a yes. Meghan McNelly, PharmD, MHA, FACHE, who was director of pharmacy at OSS when the opioid-reduction project started, says that from…

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Editor's Note A statistically significant association was found between type 2 diabetes and the risk of hip fracture in this study. Researchers analyzed 158,984 patients with and without diabetes. The incidence of hip fracture in diabetics was 2.3% using the competing risk with death methodology (Fine-Gray models) and 2.6% using…

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Editor's Note Spinal anesthesia was associated with lower mortality and morbidity rates after hip fracture repair than general anesthesia in this study that will be presented Saturday April 19 at the 2018 World Congress on Regional Anesthesia & Pain Medicine in New York City. In this analysis of 2,591 patients,…

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Editor's Note Patients at Porter Adventist Hospital in Denver may be at risk for HIV or hepatitis after the hospital discovered a surgical instrument sterilization breach, the April 5 LiveScience reports. The process for precleaning surgical instruments was found to be inadequate, which may have put patients who had orthopedic…

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Editor's Note At First Hill Surgery Center in Seattle, patients can have a knee or hip replaced in the morning and go home in the afternoon, the April Seattle Magazine reports. The surgical procedure takes about 2 hours, and patients admitted at 7:30 am generally are able to return home…

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Editor's Note Enhanced patient satisfaction scores were seen in patients who received supplemental web-based education before having outpatient orthopedic surgical procedures in this study presented March 7 at the American Academy of Orthopaedic Surgeons Annual Meeting. A total of 177 patients were randomized to receive either routine education from the…

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Editor's Note The Joint Commission on March 7 announced that an updated THKR Outpatient Performance Measurement Implementation Guide is now available for its Total Hip and Total Knee Replacement (THKR) Certification program. The update includes the 2018 CPT codes. Joint Commission Online Weekly Newsletter Read More >>

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Editor's Note Neurocognitive dysfunction is highly prevalent in total joint candidates and predisposes patients to suboptimal postoperative outcomes including increased ICU admissions and prolonged rehabilitation, this study finds. The researchers found that nearly 54% of 99 patients analyzed had neurocognitive dysfunction, which correlated with age more than 60 years, body…

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Editor's Note A GlobalData analysis predicts the global orthopedics market will reach $66.2 billion by 2023, with a compound annual growth rate of 3.8%, the March 2 Becker’s SpineReview reports. Among the key players in the market, which is dominated by spine devices, hip and knee implants, and trauma fixation…

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