For many in the healthcare industry, imagining surgery without onsite sterile processing seems unthinkable. Then again, performing total joints in an ambulatory surgery center (ASC) was unthinkable 10 years ago. ASC sterile processing departments (SPDs) are generally not designed to handle the high volumes of instrument trays, vendor trays, and…

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Editor's Note The Joint Commission has released revised requirements for the advanced disease-specific care certification for total hip and total knee replacement (THKR). The requirements, which are designed to align with the updated AAOS clinical practice guidelines, go into effect July 1, 2024 and focus largely on addressing opioids and…

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Editor's Note: A point-of-care, antimicrobial coating for orthopedic implants could soon make implant-associated infections a problem of the past, UCLA Health reported on January 3. Developed by two UCLA surgeons, the coating is designed to kill or slow the spread of micro-organisms in order to prevent post-surgical infections. According to…

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Editor's Note The Joint Commission, on August 9, announced that it is revising a performance measure for the advanced Total Hip and Total Knee Replacement (THKR) Certification Program—THKR-5: Postoperative Functional/Health Status Assessment—to align with a similar Centers for Medicare and Medicaid Services (CMS) measure. The recently adopted CMS performance measure—Hospital-Level,…

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Editor's Note This multi-center study led by Humana Inc, Louisville, Kentucky, finds that a bundled payment program offered by a Medicare Advantage insurer for lower extremity joint replacements was associated with reduced spending without changes in quality. A total of 23,034 lower extremity joint replacement surgical episodes (6,355 bundled, 16,679…

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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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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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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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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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