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Mashup Score: 0Increasing Body Mass Index Not Associated With Worse... : JAAOS - Journal of the American Academy of Orthopaedic Surgeons - 9 hour(s) ago
f Orthopaedic Surgeons guidelines recommend a BMI of less than 40 m/kg2 before surgery. This study sought to compare patient-reported outcomes and 30-day complication, readmission, and revision surgery rates after THA or TKA between morbidly obese patients and nonmorbidly obese control subjects. Methods: All patients undergoing primary THA and TKA at our institution from May 2020 to July 2022 were identified. Patient demographics, surgical time, length of stay and 30-day readmission, revision surgery, and complication rates were prospectively collected. Preoperative and postoperative Hip and Knee Society (Hip Osteoarthritis Outcome Score [HOOS] and Knee Osteoarthritis Outcome Score [KOOS]) were collected. Patients were stratified by BMI as ideal weight (20 to 24.9), overweight (25 to 29.9), class I obese (30 to 34.9), class II obese (35 to 39.9), and morbidly obese (>40 m/kg2). Results: A total of 1,423 patients were included for final analysis. No difference was observed in 30-day unp
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Mashup Score: 1The Effect of Cemented Implants Placed During Initial TKA... : JAAOS - Journal of the American Academy of Orthopaedic Surgeons - 14 hour(s) ago
to determine whether removing cemented or noncemented implants would affect surgical time and expenses incurred during revision procedures. Methods: This retrospective cohort study used a single-institution database to identify 300 patients who underwent femoral and tibial implant rTKA from 2016 to 2022 because of mechanical complications (infection cases excluded). Radiographs and surgical reports were used to confirm whether the fixation technique was cemented (N = 243) or noncemented (N = 57). The primary outcomes were surgical time and surgery costs. Secondary outcomes included readmission rates, revision implants used, stem usage, and insurance type. Results: The average surgical time was 121 minutes for noncemented and 128 minutes for cemented procedures (P = 0.118). The 90-day readmission rates for each group were similar at 7.00% for the cemented cohort and 8.77% for the noncemented cohort (P = 0.643). For patients with Medicare Advantage, the respective surgery costs were $1,9
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Here’s what you need to know about: The Impact of Cemented Components Placed During Initial TKA on Operative Time and Expenses in Revision TKA, from @NihirParikh22 @DrChadKrueger read HERE: https://t.co/TXBOn1Ijra
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Mashup Score: 4
Explore JAAOS peer-reviewed articles covering the expanse of orthopaedic medicine and representing o
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Missed yesterday's webinar? JAAOS offers a wide selection of webinars that cover a variety of topics; find upcoming and those available for replay here https://t.co/NOGK5h58t8 https://t.co/5BZltToRIn
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Mashup Score: 8Robot-Assisted Spine Surgery: The Pearls and Pitfalls : JAAOS - Journal of the American Academy of Orthopaedic Surgeons - 2 day(s) ago
improved ergonomics for surgeons. Despite the promising outcomes reported in literature, potential technical challenges remain across various robotic platforms. It is crucial for surgeons to remember that robotic platforms are shared-control systems, requiring the surgeon to maintain primary control throughout the procedure. To ensure patient safety, surgeons should be well versed in common technical pitfalls and strategies to mitigate these limitations….
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Robot-Assisted Spine Surgery: The Pearls and Pitfalls. Read more here: https://t.co/QTY4YZW61R https://t.co/kM2odSFIJb
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Mashup Score: 2Instability and the Anatomic Total Shoulder Arthroplasty : JAAOS - Journal of the American Academy of Orthopaedic Surgeons - 3 day(s) ago
lance, osseous pathology, implant malposition, or more commonly, a combination of these various causes. Historically, high rates of failure have been reported after revision procedures, prompting a movement toward the more inherently stable reverse shoulder arthroplasty as a reliable form of management. However, this may not be the ideal solution for all patients, particularly the young and active population. Consequently, the purpose of this article was to provide a review of the literature on the management of postoperative instability and intraoperative strategies to prevent this complication during the index procedure….
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Discover groundbreaking insights on: Instability and the Anatomic Total Shoulder Arthroplasty https://t.co/e87v56S012 https://t.co/J4FbajY4tg
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Mashup Score: 5JAAOS - 3 day(s) ago
JAAOS
Source: www.aaos.orgCategories: General Medicine News, OrthopedicsTweet-
Learn more about JAAOS's video collection with the Orthopaedic Video Collection HERE: https://t.co/r44U9n8r7a
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Mashup Score: 9Dilute Povidone-Iodine Irrigation: The Science of Molecular ... : JAAOS - Journal of the American Academy of Orthopaedic Surgeons - 4 day(s) ago
infections. PVP-I forms a complex with molecular iodine (I2), facilitating the delivery of I2 to the membrane of the infectious organism. Here, PVP-I establishes an equilibrium between complexed and noncomplexed (free) I2 in the aqueous solution. The I2 acts at numerous cellular targets of infecting organisms augmenting its role as a biocidal molecule. The paradoxical increase in the concentration of I2 that occurs with dilution of PVP-I is a result of equilibrium kinetics and is associated with an enhanced antimicrobial activity. Cytotoxicity studies have yielded conflicting results, but most endorse diluted concentrations as being less damaging to tissues. Clinical studies have verified notable reductions in surgical site infections with a 3-minute soak of 0.35% dilute povidone-iodine irrigation. Guidelines from the World Health Organization, Centers for Disease Control and Prevention, and International Consensus Meeting on Musculoskeletal Infection support the use of prophylactic in
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Here’s what you need to know about: Dilute Povidone-iodine Irrigation: The Science of Molecular Iodine (I2) Kinetics and Its Antimicrobial Activity from @UCDavisOrtho https://t.co/sK2MOWdpLt https://t.co/FzGavb99KA
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Mashup Score: 14Body Mass Index and the Risk of Postoperative Complications ... : JAAOS - Journal of the American Academy of Orthopaedic Surgeons - 6 day(s) ago
l complications, and surgical complications after TKA. Methods: The Premier Healthcare Database was used to identify all primary elective TKAs between 2016 and 2021. The primary outcome was risk of PJI within 90 days of surgery. Using logistic regression, restricted cubic splines were generated to assess the relationship between BMI as a continuous variable and PJI risk. Bootstrap simulation was then done to identify a BMI inflection point on the final restricted cubic spline model past which the risk of PJI increased. The relationship between BMI and composite 90-day medical and surgical complications was also assessed. Results: A direct relationship was observed between increasing BMI and increasing risk of PJI with a BMI changepoint of 31 kg/m2 identified as being associated with increased risk. Above a BMI of 31 kg/m2, there was an average relative risk increase of PJI of 13.6% for every unit BMI. This relative risk per unit BMI increased from 5.8% for BMI 31 to 39 to 11.5% between
Source: journals.lww.comCategories: General Medicine News, OrthopedicsTweet-
Exploring the latest research: Body Mass Index and the Risk of Postoperative Complications Following Total Knee Arthroplasty from @heckmannortho https://t.co/fD0PThtNRY https://t.co/y7pFBV4K7B
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Mashup Score: 1Advances in Anatomic Total Shoulder Arthroplasty Glenoid... : JAAOS - Journal of the American Academy of Orthopaedic Surgeons - 7 day(s) ago
recent development of posterior augmented glenoids, peg fixation with ingrowth potential, inlay implants, zoned conformity implants, and convertible glenoids have all shown promising results in improving glenoid fixation and survival in different clinical circumstances. The increased utilization of 3D CT scans, preoperative planning, and patient-specific instrumentation has paralleled innovation in glenoid implants with the aim of improving the accuracy of glenoid implant placement to further optimize patient function and implant longevity. Specific indications for the variety of glenoid implants available today are still being studied. The shoulder arthroplasty surgeon should consider patient and implant factors and patient goals when determining the appropriate implant for each individual….
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Advances in Anatomic Total Shoulder Arthroplasty Glenoid Component Design from @AnandMurthiMD https://t.co/VifkUkQGKI https://t.co/D2C15Xcyau
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Mashup Score: 0The Power of Preference Signaling: A Monumental Shift in... : JAAOS - Journal of the American Academy of Orthopaedic Surgeons - 7 day(s) ago
ng concern. With the implementation of the Preference Signaling Program, the total number of applications has now dropped for the first time in many years, indicating signaling may improve the application process. The hypothesis is that signaling has led to a decrease in applications sent by applicants and a decrease in applications received by programs. Methods: A 7-question survey regarding their interview and match statistics was sent to orthopaedic surgery residency programs that participated in the Electronic Residency Application Service during the 2023-2024 application cycle. A response from the program director/administrator was then recorded. Results: Our program search yielded 159 programs with 106 respondents (66.7%). 82 programs (78.8%) solely interviewed applicants who signaled their program. 92.7% of current interns signaled the program where they matched, and 88 programs (84.6%) matched only applicants who signaled. 95 programs (89.6%) revealed that implementing signalin
Source: journals.lww.comCategories: General Medicine News, OrthopedicsTweet-
Exploring the latest research: The Power of Preference Signaling: A Monumental Shift in the Orthopaedic Surgery Application Process https://t.co/p2G5Fqbo5A https://t.co/xPVIDzhjZM
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New findings on: Increasing Body Mass Index Not Associated with Worse Patient Reported Outcomes Following Primary THA or TKA https://t.co/vaEKYcI4IK https://t.co/PKjvkAXp8h