Orthopedics

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January 2025
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Does golf swing contribute excessive force to hip implant after THA?

Editor's Note This Japanese study, for the first time, examined kinematics and kinetics of the hip joint during driver golf swings of patients who had a total hip arthroplasty (THA) and finds that the swings do not contribute excessive force to the implant. The researchers recruited 10 primary THA patients…

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By: Judy Mathias
June 6, 2023
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Value assessment of a trauma hybrid OR

Editor's Note This study from the University of Florida Health, Gainesville, examines the complications, cost-utility, and value of a dedicated trauma-endovascular hybrid OR. A total of 292 trauma patients, who underwent immediate operative intervention at a Level I trauma center (106 before construction of a hybrid OR and 186 after…

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By: Judy Mathias
May 26, 2023
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Effect of COVID-19 precautions on postop SSIs

Editor's Note This study from the Mayo Clinic finds that perioperative COVID-19 precautions did not significantly reduce the risk of surgical site infections (SSIs). The analysis included 29,904 patients who had colorectal, hysterectomy, hip, and knee prosthesis procedures at the Mayo Clinic’s multicenter institution between January 1, 2018 and December…

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By: Judy Mathias
May 22, 2023
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SHEA: New SSI guidance recommends antibiotics be discontinued after incision is closed

Editor's Note This update to the 2014 "Strategies to Prevent Surgical Site Infections in Acute Care Hospitals" recommends that antibiotics be discontinued after a patient’s incision has been closed in the OR, even if drains are present. The expert panel members writing the update add that continuing antibiotics after closure…

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By: Judy Mathias
May 4, 2023
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Closed claims analysis identifies wrong-site surgery risks

Editor's Note This study, published in The Joint Commission Journal on Quality and Patient Safety, analyzes 68 closed claims cases on wrong-site surgery from 2013 to 2020. The services most frequently responsible for these cases were: Orthopedics (35.3%) Neurosurgery (22.1%) Urology (8.8%). The most common types of procedures involving wrong-site…

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By: Judy Mathias
April 26, 2023
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AAAHC updates Certification Handbook for Advanced Orthopaedics

Editor's Note The Accreditation Association for Ambulatory Health Care (AAAHC), on April 10, announced the release of updated standards for its 3-year Advanced Orthopaedic Certification program, which will take effect July 1, 2023. The updated Certification Handbook for Advanced Orthopaedics, v42, introduces new terminology and standards architecture plus a revised…

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By: Judy Mathias
April 26, 2023
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Female HCWs need better protection from ionizing radiation

Editor's Note In this British Medical Journal editorial, experts say that female healthcare workers (HCWs) need better protection of their breast tissue from routine ionizing radiation, and they urge implementation of more rigorous radiation protection standards. The experts make the following recommendations: reducing the duration of exposure increasing the distance…

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By: Judy Mathias
April 18, 2023
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The Joint Commission issues Quick Safety on preventing light source-related burns during surgical procedures

Editor's Note The Joint Commission, on April 10, released a new Quick Safety advisory on preventing patient burns from light sources used during laparoscopic or arthroscopic procedures. Burns from these light sources can go unnoticed because they typically do not produce smoke or charring, even of surgical drapes, The Joint…

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By: Judy Mathias
April 11, 2023
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Cluster of mycobacteria infections after total joints traced to OR nurse

Editor's Note This investigation by the Kentucky Department for Public Health and Centers for Disease Control and Prevention of eight cases of rapidly growing mycobacteria (RGM) infections in a Kentucky hospital after total joint replacement procedures found that the presence of a particular OR nurse was significantly associated with the…

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By: Judy Mathias
March 30, 2023
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Effect of team dynamics on operative efficiency in total joints

Editor's Note In this study led by California's Stanford Health Care, researchers found significant associations of surgical team composition and dynamics with operative efficiency for total hip (THAs) and total knee arthroplasties (TKAs), independent of case complexity. The analysis included 641 total joint arthroplasties (279 THAs and 362 TKAs) performed…

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By: Judy Mathias
March 22, 2023
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