Orthopedics

Latest Issue of OR Manager
June 2021

Effect of duloxetine on opioid use after TKA

Editor's Note Duloxetine was found to be better than placebo for reducing opioid use and was of equal efficacy to placebo for reducing pain after total knee arthroplasty (TKA), in this study presented at the American Society of Regional Anesthesia and Pain Medicine annual meeting, May 13, in Orlando, Florida.…

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By: Judy Mathias
May 20, 2021
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First assistants bring expertise and efficiency to the OR table--Part 2

First assistants (FAs) can play an important role in achieving optimal outcomes and higher surgical case volumes. Part 1 of this two-part series discussed types, education, and certification of FAs (OR Manager, May 2021, pp 1, 15-18). Part 2 answers questions related to risk management and oversight, and discusses possible…

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By: Cynthia Saver, MS, RN
May 19, 2021
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Study: Postop opioid prescriptions decreasing, but not to recommended levels

Editor's Note Opioids prescribed after outpatient surgery are going down, but still do not meet expert recommendations, a new study from Epic Health Research Network finds. The researchers examined the median number of opioid tablets prescribed after outpatient surgical procedures between January 2017 and December 2020. For four orthopedic procedures,…

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By: Judy Mathias
May 18, 2021
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Disparities persisted as orthopedic surgery patients shifted to telemedicine

Editor's Note This study by researchers at Harvard Medical School and Brigham and Women’s Hospital, Boston, finds that disparities in access to orthopedic care persisted as orthopedic surgical patients were shifted to telemedicine during COVID-19. The researchers analyzed nearly 2,000 orthopedic patients receiving care via telemedicine from March to May…

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By: Judy Mathias
May 11, 2021
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Studies assess use of Mako System in joint arthroplasty

Editor’s Note. This article presents value-based analyses on the use of Mako robotic technology in total knee, partial knee, and total hip arthroplasty. The authors are with Stryker Orthopaedics in Mahwah, New Jersey.   Joint arthroplasty is an effective procedure to treat advanced osteoarthritis of the hips and knees. It…

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By: Kevin Barga, MS, RN and Andrea Coppolecchia, MPH
April 19, 2021
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Hospitals ramp up outpatient TJA in the COVID-19 era

Fueled by a pandemic, patient demand, and competition with ambulatory surgery centers (ASCs), hospital outpatient department (HOPD) leaders are feeling the push to offer same-day discharge for total joint arthroplasty (TJA). Outpatient TJA is nothing new, but it’s certainly growing in popularity, says John W. Stirton, MD, MBA, medical director…

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By: Jennifer Lubell
March 19, 2021
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Bundled payments with copay waivers reduce surgery costs for patients, payers

Editor's Note A RAND Corporation study published in the March Health Affairs finds that health insurers and patients can achieve significant savings when they participate in a bundled payment program that waives cost-sharing for patients. Researchers examined a bundled payment program developed by a private insurer that ran from 2016…

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By: Judy Mathias
March 2, 2021
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Diligence in implant processing will decrease infection risks

Implants are foreign bodies, and they increase the risk of a surgical site infection. Processing implants requires strict adherence to the required steps because implants have sustained contact with sterile tissue. An implant is defined as a device that is placed into a surgically or naturally formed cavity of the…

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By: Susan Klacik, BS, CRCST, ACE, CIS, FCS
February 17, 2021
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Is a robotics program right for your ASC?

Global adoption of robotics technology has exploded in healthcare institutions, promising a less invasive and more precise means of conducting procedures. Although hospitals command the largest share of this market, analysts predict that ambulatory surgery centers (ASCs) will adopt this technology at a rapid clip. Robotics technology has changed greatly…

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By: Jennifer Lubell
February 17, 2021
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Joint Commission adds new performance measure for THKR certification

Editor's Note The Joint Commission, on January 20, announced that data collection for a new standardized performance measure assessing a patient’s functional and health status postoperatively will be required for the Advanced Certification for Total Hip and Total Knee Replacement (THKR) program. Organizations will be required to assess a patient’s…

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By: Judy Mathias
January 21, 2021
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