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 Arthroscopic surgery for arthritis patients does not impact long-term incidence of total knee arthroplasty (TKA), according to a study published April 18 in Jama Network Open. The secondary analysis of a randomized clinical trial focused on 178 adults diagnosed with osteoarthritis (OA) of the knee and referred for…

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Editor's Note A new study from UT Southwestern Medical Center shows that total knee replacements performed with the aid of surgical robots generally yield better outcomes compared to traditional manual procedures, but at a higher cost, UT Southwestern’s Newsroom May 7 reports. Published in the Archives of Orthopaedic and Trauma…

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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 Cleveland Clinic announced, on August 16, that surgeons at its London facility successfully performed a total knee arthroplasty (TKA) with the assistance of an augmented reality-based platform designed with artificial intelligence and machine learning. Augmented reality, which gives a 3D visualization of the joint, helps with planning…

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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 In this study, researchers at the Keck School of Medicine of USC Los Angeles, find that patients having simultaneous bilateral total knee arthroplasties (TKAs) are at increased risk of several types of complications, compared with patients having unilateral TKAs. A total of 21,044 patients having simultaneous bilateral TKAs…

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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 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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