Orthopedics

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April 2024
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Study: Redefining multimorbidity in older surgical patients may improve clinical decision-making

Editor's Note In this study, led by the University of Pennsylvania Perelman School of Medicine, Philadelphia, researchers developed and validated better surgical specialty-specific multimorbidity definitions based on distinct characteristics of older inpatients undergoing general, orthopedic, or vascular surgery. The researchers used 2016 to 2017 Medicare administrative claims data on patients…

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By: Judy Mathias
March 15, 2023
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Reducing opioids prescribed after total joints

Editor's Note This study from the University of Michigan, Ann Arbor, finds that total hip (THA) and total knee (TKA) arthroplasty patients could be prescribed less opioids after surgery without the need for refills. The analysis included a cohort of 120,889 opioid-naïve primary total joint arthroplasty patients aged 18 to…

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By: Judy Mathias
March 10, 2023
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Higher fracture risk after THA with cementless prosthesis

Editor's Note This study led by researchers from the Hospital for Special Surgery, New York City, finds that total hip arthroplasty (THA) performed with a cementless prosthesis for a femoral neck fracture led to a higher rate of a second fracture and revision surgery. The multicenter analysis included 709 THAs…

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By: Judy Mathias
March 9, 2023
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Survey: Physician happiness before, after pandemic

Editor's Note A Medscape survey of more than 9,100 physicians across 29 specialties finds that 75% were happy outside of work before the COVID-19 pandemic, and that dropped to 58% after the pandemic, the March 7 Becker’s Hospital Review reports. The survey, which looks at physicians’ mental health, happiness with…

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By: Judy Mathias
March 8, 2023
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AAOS: Patient satisfaction, outcomes after outpatient TJA, UKA in academic medical centers

Editor's Note This study, presented March 7 at the American Academy of Orthopaedic Surgeons (AAOS) annual meeting in Las Vegas, finds high reported satisfaction and outcomes in patients who had outpatient joint arthroplasty procedures in academic medical centers. The study included 281 outpatient total joint arthroplasty (TJA) and unicondylar knee…

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By: Judy Mathias
March 7, 2023
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Older Black men more likely to die after surgery than others

Editor's Note This study led by researchers at the VA Greater Los Angeles Healthcare System and David Geffen School of Medicine at UCLA, Los Angeles, finds that postoperative mortality was higher in Black men than Black women, White men, and White women. A total of 1,868,036 Black and White Medicare…

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By: Judy Mathias
March 2, 2023
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Balance benefits longevity

Editor's Note A study published in the British Journal of Sports Medicine found that in people over 50 years of age, not being able to balance on one foot for 10 seconds was associated with a higher risk of all-cause mortality within the next 10 years, the February 24 cnbc.com…

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By: Judy Mathias
March 1, 2023
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Rates, risk factors, costs of SSIs after TKA

Editor's Note This study led by the Medical College of Wisconsin, Milwaukee, examines the longitudinal rates, risk factors, and costs of superficial and deep incisional surgical site infections (SSIs) after primary and revision total knee arthroplasties (TKAs). A total of 26,097 primary TKA patients and 3,663 revision TKA patients were…

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By: Judy Mathias
February 23, 2023
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Surgical resident diversity remains largely stagnant

Editor's Note This study led by researchers at Cedars Sinai Medical Center, Los Angeles, finds that underrepresentation of minorities persists across all surgical specialties, while representation of females improves. The cross-sectional study examined race, ethnicity and attrition data of 112,205 surgical residents across 18 years (2001-2018) in 10 surgical specialties.…

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By: Lindsay Botts
February 9, 2023
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Bypassing PACU after hip, knee arthroplasties

Editor's Note This prospective Danish study finds that transfer to a postanesthesia care unit (PACU) immediately after elective hip and knee arthroplasty might be unnecessary in low-risk patients. A total of 696 total knee (274), total hip (287), and unicompartmental knee (135) arthroplasty patients were analyzed. Of those, 307 bypassed…

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By: Judy Mathias
December 7, 2022
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