Orthopedics

Latest Issue of OR Manager
May 2024
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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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CHG irrigation performed best in intraop treatment of bone tumors

Editor's Note This experimental study, led by researchers at the University of Washington, Seattle, finds that chlorhexidine gluconate (CHG) is the most effective irrigation solution for use as part of the surgical treatment of bone tumors. Cultures of two types of bone tumors (giant cell and chondrosarcoma) were treated with…

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By: Judy Mathias
November 1, 2022
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Study: Better OR ventilation linked to lower SSI rates

Editor's Note This Swiss study finds that better OR ventilation properties, as assessed with a new ventilation index, are associated with lower rates of surgical site infections (SSIs) in orthopedic, spine, and cardiac procedures. Researchers calculated a ventilation index with higher values reflecting less turbulent air displacement instead of comparing…

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By: Judy Mathias
October 10, 2022
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AHRQ: Differences in hospital stays with OR procedures by race, ethnicity

Editor's Note The Agency for Healthcare Research and Quality (AHRQ) has released new statistics on inpatient stays with OR procedures by patient race and ethnicity from the 2019 National Inpatient Sample. Among the findings: Nonmaternal (ie, men and women of any age) hospitalizations with OR procedures in Black and White…

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By: Judy Mathias
October 5, 2022
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Effect of aspirin vs enoxaparin on VTE after total hip, knee arthroplasty

Editor's Note This study (CRISTAL randomized trial) from Australia finds that aspirin compared with enoxaparin resulted in significantly higher rates of venous thromboembolism (VTE) after total hip or knee arthroplasty. This cluster-randomized, crossover trial included 9,711 patients in 31 hospitals in Australia—5,675 in the aspirin group and 4,036 in the…

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By: Judy Mathias
August 29, 2022
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Most hospitals not providing price information for TJAs as required by CMS

Editor's Note This study from the Cleveland Clinic finds that less than one-third of US hospitals were fully compliant in 2021 with the transparency in pricing for total joint arthroplasty (TJA) rule mandated by the Centers for Medicare and Medicaid Services (CMS). Of 400 hospitals analyzed between December 1 and…

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By: Judy Mathias
June 27, 2022
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Effect of COVID-19 disruptions to in-person care after TKA

Editor's Note This study from the Hospital for Special Surgery, New York City, finds that halting in-person office visits and physical therapy (PT) after total knee arthroplasty (TKA) because of COVID-19 did not affect complication rates or outcomes. A total of 624 study patients who had a TKA between January…

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By: Judy Mathias
June 2, 2022
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CJR program reduced some racial differences in outcomes

Editor's Note This study from the Icahn School of Medicine at Mount Sinai, New York City, finds that Medicare’s Comprehensive Care for Joint Replacement (CJR) program led to a reduction of racial differences in hospital readmission rates for patients having hip or knee replacement surgery. The retrospective cohort study included…

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By: Judy Mathias
April 19, 2022
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Research shows orthopedic procedures cost less in ASCs

Editor's Note According to ASC Focus, the Ambulatory Surgery Center Association journal, new research was recently published that supports older data pointing to the cost savings of orthopedic procedures being done in ambulatory surgery centers (ASCs) compared to hospital outpatient departments (HOPDs). Past research cited by ASC Focus included an…

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By: Tarsilla Moura
March 15, 2022
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Survey: Concerns older adults have when considering elective surgery

Editor's Note New findings from the University of Michigan's "National Poll on Healthy Aging" show that while most adults between the ages of 50 and 80 express concerns when opting to have elective surgery, 2 in 3 are “very satisfied with the outcome” post-procedure, according to a March 9 American…

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By: Tarsilla Moura
March 10, 2022
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