Article
Medicine, General & Internal
Yikai Liu, Chenkai Li, Zian Zhang, Xinzhe Lu, Haining Zhang
Summary: This case report describes the diagnosis and treatment of ochronotic arthropathy in a patient who underwent total hip arthroplasty (THA) and total knee arthroplasty (TKA). The patient experienced significant improvement in quality of life postoperatively.
FRONTIERS IN MEDICINE
(2023)
Article
Orthopedics
Viktor C. Tollemar, Hsou-Mei Hu, Andrew G. Urquhart, Elizabeth A. Dailey, Brian R. Hallstrom, Mark C. Bicket, Jennifer F. Waljee, Chad M. Brummett
Summary: This study aimed to investigate the association between the size of initial opioid prescription and the likelihood of refill after elective primary total knee and hip arthroplasty. National datasets of insurance claims were retrospectively analyzed, and a cohort of opioid-naive patients who underwent surgery between January 2015 and November 2019 was identified. The refill rate within 30 days after discharge was the primary outcome, and the total amount of opioid filled in the initial prescription was the predictor variable. The results showed that larger initial opioid prescription size was associated with small decreases in 30-day refill rate after total joint arthroplasty, suggesting that concerns about decreasing postsurgical opioid prescribing may not be warranted.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Orthopedics
Eytan M. Debbi, Ethan C. Krell, Nicolas Sapountzis, Yu-Fen Chiu, Stephen Lyman, Amethia D. Joseph, Lisa A. Mandl, Alejandro Gonzalez Della Valle
Summary: This study aims to determine the relationship between postoperative pain scores and opioid consumption, as well as the association between preoperative measures of anxiety, depression, and pain catastrophizing and postoperative opioid consumption.
JOURNAL OF ARTHROPLASTY
(2022)
Article
Orthopedics
Braden J. Passias, David B. Johnson, Hayden B. Schuette, Michelle Secic, Brian Heilbronner, Sarah J. Hyland, Andrew Sager
Summary: Through a retrospective chart review of 1691 patients who underwent total hip arthroplasty or total knee arthroplasty, this study found that receiving preemptive acetaminophen, celecoxib, and gabapentin 30-60 minutes prior to surgery can modestly reduce post-operative opioid consumption and lead to lower pain scores in patients throughout nearly every time interval.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2023)
Article
Orthopedics
Nathan Johns, Justine Naylor, Dean McKenzie, Bernadette Brady, John Olver
Summary: Moderate to severe levels of persistent knee pain can affect up to 25% of people after a total knee replacement. This study, using an Australian cohort, found that referral to inpatient rehabilitation was not a significant predictor of persistent pain at 3 months post-surgery.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Review
Orthopedics
Vasil V. Kukushliev, Katherine A. Sherman, Christopher M. Kurylo, Stephen D. Ortmann, Robert A. Scheidt, Karl B. Scheidt
Summary: Overprescription of pain medications contributes to the opioid epidemic and affects veterans significantly. The implementation of an opioid taper protocol resulted in reduced administration of opioids postdischarge. The study suggests that taper protocols should be considered for postoperative pain management.
JOURNAL OF ARTHROPLASTY
(2023)
Review
Pharmacology & Pharmacy
Hui Ping Tay, Xinyi Wang, Sujita W. Narayan, Jonathan Penm, Asad E. Patanwala
Summary: The purpose of this study was to determine the proportion of patients who continued to use opioids after total hip or knee arthroplasty. The results showed that over one-fifth of patients continued to use opioids for more than 3 months after surgery. This study highlights the need for clinicians to be aware of the trajectory of opioid consumption after surgery.
AMERICAN JOURNAL OF HEALTH-SYSTEM PHARMACY
(2022)
Article
Orthopedics
Zunhan Liu, Wei-Nan Zeng, Zhenyu Luo, Enze Zhao, Hao Li, Zongke Zhou
Summary: The study aimed to compare the outcomes of patients who underwent different sequences of ipsilateral total hip arthroplasty (THA) and total knee arthroplasty (TKA). Results showed that patients achieved similar favorable outcomes in clinical scores and survivorship regardless of the sequence of surgeries. Total joint arthroplasty can be performed safely with excellent outcomes in patients with a history of prior ipsilateral THA or TKA.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Review
Rehabilitation
Daniela Bichsel, Fabian D. Liechti, Judith M. Schlapbach, Maria M. Wertli
Summary: This study compared guideline recommendations and level of evidence for the treatment of hip and knee osteoarthritis. The findings revealed variations in recommendations and evidence levels, particularly in terms of treatment timing and surgical referrals.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Article
Anesthesiology
Riku A. Palanne, Mikko T. Rantasalo, Anne P. Vakkuri, Rami Madanat, Klaus T. Olkkola, Elina M. Reponen, Rita Linko, Tero J. Vahlberg, Noora K. A. Skants
Summary: This study found that the type of anesthesia (spinal vs. general) and the use of tourniquet did not have a clinically important effect on persistent postsurgical pain after total knee arthroplasty.
Article
Orthopedics
Jesus M. Villa, Tejbir S. Pannu, Ibrahim Theeb, Martin A. Buttaro, Jose Onativia, Lisandro Carbo, Daniel H. Rienzi, Jose Fregeiro, Nikolai N. Kornilov, Svetlana A. Bozhkova, Nemandra A. Sandiford, Nicolas S. Piuzzi, Carlos A. Higuera, Daniel O. Kendoff
Summary: The most common pathogens for periprosthetic joint infections were Staphylococcus aureus and Staphylococcus epidermidis. The US and the UK had the lowest rates of resistant organisms, while Germany and Russia had the highest. The UK and Uruguay had the lowest rates of polymicrobial infections.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Orthopedics
Irfan A. Khan, Amer Haffar, Justin A. Magnuson, Christian Ong, Matthew S. Austin, Chad A. Krueger, Jess H. Lonner
Summary: The study found that surgeons experience significantly higher physiological strain and stress while performing THA compared to TKA, showing higher heart rate, energy expenditure, and minute ventilation during THA. Surgeons should take into consideration the higher physical demand associated with THAs and ensure adequate personal preparation and sequence of cases when scheduling THAs and TKAs.
JOURNAL OF ARTHROPLASTY
(2022)
Article
Orthopedics
Suhong Tang, Yinan Jin, Yunfan Hou, Wenwen Wang, Jinwei Zhang, Wei Zhu, Wei Zhang, Xiaoping Gu, Zhengliang Ma
Summary: This study found that the prevalence of chronic postsurgical pain (CPSP) after total knee arthroplasty (TKA) was significantly higher than after total hip arthroplasty (THA), and preoperative sleep disorders were an independent risk factor for CPSP after TKA.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Orthopedics
David N. Kugelman, Siddharth A. Mahure, James E. Feng, Joshua C. Rozell, Ran Schwarzkopf, William J. Long
Summary: This study revealed that immediate post-surgical opioid consumption was significantly lower in THA patients compared to TKA patients, with THA patients also reporting lower pain scores. Additionally, THA patients tended to be younger, had lower BMIs, and lower ASA scores, as well as requiring less opioid medication.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2022)
Article
Hematology
Banne Nemeth, Rob Nelissen, Roopen Arya, Suzanne Cannegieter
Summary: VTE is a common complication following THA and TKA, despite available guidelines for prophylaxis, approximately 1.5% of patients still develop symptomatic VTE. This paper discusses an individualized approach to optimize the balance between VTE and bleeding risks by stratifying patients according to their risk levels.
JOURNAL OF THROMBOSIS AND HAEMOSTASIS
(2021)
