Orthopedics

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October 2024
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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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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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