Article
Orthopedics
Mehdi S. Salimy, Amy Z. Blackburn, Kyle Alpaugh, Santiago A. Lozano-Calderon, Hany S. Bedair, Christopher M. Melnic
Summary: This study investigated the influence of preoperative factors on implant survivorship following total hip arthroplasty (THA) and total knee arthroplasty (TKA) in multiple myeloma patients. The results showed that multiple myeloma patients had a relatively high risk of revision, especially after THA. Radiotherapy was identified as a predictor for revision in THA patients.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Orthopedics
Amit S. Piple, Jennifer C. Wang, Kareem J. Kebaish, Emily S. Mills, Daniel A. Oakes, Jay R. Lieberman, Alexander B. Christ, Nathanael D. Heckmann
Summary: This study aimed to assess the relationship between prednisone dosage and rates of periprosthetic joint infection (PJI) following total joint arthroplasty (TJA). The study found that patients receiving prednisone therapy were at increased risk of PJI and sepsis, but no dose-dependent relationship between prednisone and infectious complications was identified.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Orthopedics
Eytan M. Debbi, Gina M. Mosich, Ilya Bendich, Milan Kapadia, Michael P. Ast, Geoffrey H. Westrich
Summary: The prevalence of same-day discharge (SDD) surgeries is increasing for total hip arthroplasty (THA) and total knee arthroplasty (TKA). SDD-THA is growing at a faster rate than SDD-TKA. Patients who undergo SDD surgeries are generally younger and have fewer comorbidities. SDD-TKA has slightly higher odds of complications requiring readmission than non-SDD-TKA.
JOURNAL OF ARTHROPLASTY
(2022)
Article
Orthopedics
Austin Q. Nguyen, Michael P. Foy, Anshum Sood, Mark H. Gonzalez
Summary: This study assessed risk factors for postoperative urinary tract infection (UTI) after primary total hip and knee arthroplasties, identifying independent factors such as age, transfusions, diabetes, and BMI. Male sex was associated with a decreased risk of UTI in both types of surgery.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Psychology, Multidisciplinary
Jinlong Zhao, Guihong Liang, Kunhao Hong, Jianke Pan, Minghui Luo, Jun Liu, Bin Huang
Summary: This study conducted a meta-analysis to identify the risk factors associated with delirium after total joint arthroplasty (TJA). The study found that patient factors, comorbidities, surgical factors, and drug factors were all correlated with the occurrence of delirium. These findings provide important guidance for predicting and treating postoperative delirium.
FRONTIERS IN PSYCHOLOGY
(2022)
Article
Orthopedics
L. Groot, D. A. J. M. Latijnhouwers, M. Reijman, S. H. M. Verdegaal, T. P. M. Vliet Vlieland, M. G. J. Gademan
Summary: This study investigated the relationship between recovery and postoperative physical therapy (PT) usage after total hip or knee arthroplasties (THA/TKA) within 6 months. It found that worse recovery was associated with longer duration of postoperative PT. The impact of physical recovery on the use of long-term PT was smaller in THA patients with comorbidities.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Orthopedics
Alex K. Gilde, Katheryne L. Downes, Sherri Leverett, Michael A. Miranda
Summary: The study demonstrated that routine postoperative complete blood count testing may not be necessary for the majority of patients with preoperative Hb levels equal to or greater than 12 g/dL when treated with tranexamic acid. It does not provide additional value and does not increase the risk of transfusion or readmission.
JOURNAL OF ARTHROPLASTY
(2021)
Review
Orthopedics
Quan Zhou, Xinfeng Zhou, Yijian Zhang, Mingzhuang Hou, Xin Tian, Huilin Yang, Fan He, Xi Chen, Tao Liu
Summary: The study aimed to investigate predictors of delirium after total joint arthroplasty in elderly patients. The results showed that factors such as advanced age, dementia, hypertension, diabetes, stroke, psychiatric illness, use of sedative-hypnotics, lower preoperative levels of hemoglobin, and lower preoperative mini-mental state examination score were associated with postoperative delirium. Strategies and interventions should be implemented for elderly patients receiving TJA surgeries with these potential predictors identified in this meta-analysis.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Health Care Sciences & Services
Axel Jakuscheit, Nina Schaefer, Johannes Roedig, Martin Luedemann, Sebastian Philipp von Hertzberg-Boelch, Manuel Weissenberger, Karsten Schmidt, Boris Michael Holzapfel, Maximilian Rudert
Summary: The study identified modifiable patient-related predictors of blood transfusions and perioperative complications in total hip and knee arthroplasty. Low preoperative hemoglobin concentration, body mass index, and estimated glomerular filtration rate were found to be the strongest predictors. The individual risks for blood transfusions and acute postoperative complications were significantly increased in patients with low preoperative hemoglobin, body mass index, or estimated glomerular filtration rate.
JOURNAL OF PERSONALIZED MEDICINE
(2021)
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)
Article
Dermatology
Yingjia Yuan, Jin Li, Ke Wang, Guanqiang Zheng, Shengting Chai
Summary: This meta-analysis evaluates the effect of different wound dressing materials on the postoperative treatment of wounds after total hip arthroplasty (THA) and total knee arthroplasty (TKA). The results show that active and interactive dressings significantly reduce overall wound complications, the number of dressing changes, and the need for early dressing change compared to passive dressings for subjects after THA and TKA. Further evidence is needed to confirm these outcomes.
INTERNATIONAL WOUND JOURNAL
(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)
Article
Orthopedics
Matthias Meyer, Julia Goetz, Lukas Parik, Tobias Renkawitz, Joachim Grifka, Guenther Maderbacher, Tobias Kappenschneider, Markus Weber
Summary: Analysis of geriatric patients undergoing total hip and knee arthroplasty revealed that postoperative delirium is associated with higher rates of reoperation, readmission, complications, and lower patient-reported outcomes, emphasizing the importance of systematic prevention strategies and standardized therapy protocols to improve patient outcomes.
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
Medicine, General & Internal
Haley Nakata, Tara Shelby, Jennifer C. Wang, Gabriel J. Bouz, Cory K. Mayfield, Daniel A. Oakes, Jay R. Lieberman, Alexander B. Christ, Nathanael D. Heckmann
Summary: This study aimed to assess the complications associated with the combinations of non-steroidal anti-inflammatory drugs (NSAIDs) in patients who underwent total joint arthroplasty (TJA). The study found that certain combinations of NSAIDs were associated with increased odds of acute kidney injury, stroke, and periprosthetic joint infection. Therefore, caution should be exercised when prescribing NSAIDs.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Orthopedics
Andrew J. Schoenfeld, Kenneth Nwosu, Wei Jiang, Allan L. Yau, Muhammad Ali Chaudhary, Rebecca E. Scully, Tracey Koehlmoos, James D. Kang, Adil H. Haider
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2017)
Editorial Material
Orthopedics
Andrew J. Schoenfeld
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2018)
Article
Orthopedics
Andrew J. Schoenfeld, Philip J. Belmont, Justin A. Blucher, Wei Jiang, Muhammad Ali Chaudhary, Tracey Kochlmoos, James D. Kang, Adil H. Haider
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2018)
Editorial Material
Orthopedics
Andrew J. Schoenfeld
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2019)
Article
Oncology
Andrew J. Schoenfeld, Elena Losina, Marco L. Ferrone, Joseph H. Schwab, John H. Chi, Justin A. Blucher, Genevieve S. Silva, Angela T. Chen, Mitchel B. Harris, James D. Kang, Jeffrey N. Katz
Article
Orthopedics
Nicholas A. Bedard, Andrew J. Schoenfeld, Seoyoung C. Kim
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2020)
Article
Orthopedics
Andrew J. Schoenfeld
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2020)
Article
Clinical Neurology
Harry M. Lightsey, Alexander M. Crawford, Grace X. Xiong, Andrew J. Schoenfeld, Andrew K. Simpson
Summary: Among the 33 patients evaluated, the surgical plan remained unchanged for 31 individuals (94%) after in-person evaluation. There were modifications in surgical plans for two patients, with an increase in multilevel fusions for one patient. Variability was noted among surgeons in the use of virtual physical exams.
Article
Orthopedics
Andrew J. Schoenfeld, Gordon P. Bensen, Justin A. Blucher, Marco L. Ferrone, Tracy A. Balboni, Joseph H. Schwab, Mitchel B. Harris, Jeffrey N. Katz, Elena Losina
Summary: This study compared the cost-effectiveness of surgical and non-surgical treatments for spinal metastases, showing that the value of surgery varies depending on the patient population. Surgical intervention was found to be cost-effective for patients presenting with nonambulatory status due to acute neurologic compromise, but not for those who were ambulatory at presentation.
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2021)
Article
Orthopedics
Kalei Hering, Miles W. A. Fisher, Michael K. Dalton, Andrew K. Simpson, Jamie Ye, Nishant Suneja, Zara Cooper, Tracey P. Koehlmoos, Andrew J. Schoenfeld
Summary: This study compared the healthcare requirements of individuals who sustained orthopaedic injuries in combat and non-combat environments. The results showed that combat-related orthopaedic injuries were associated with higher healthcare expenditures.
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2022)
Article
Orthopedics
Hyunkyu Ko, Darrel S. S. Brodke, Megan E. E. Vanneman, Andrew J. J. Schoenfeld, Brook I. I. Martin
Summary: Spine surgery and its costs have increased in recent years and vary across geographic regions. A study found that the variation in spending is mainly due to discretionary care rather than pricing, age, or illness severity. However, increased discretionary care does not improve patient safety.
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2022)
Article
Health Care Sciences & Services
Brian D. Peterson, Charles D. Magee, James R. Martindale, Jessica J. Dreicer, M. Kathryn Mutter, Gregory Young, Melissa Jerdonek Sacco, Laura C. Parsons, Stephen R. Collins, Karen M. Warburton, Andrew S. Parsons
Summary: This study developed a novel assessment tool called REACT for evaluating learners' clinical reasoning performance in urgent clinical situations. The tool showed reliability and validity in assessing learners' performance and providing feedback.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Editorial Material
Orthopedics
Alexander M. Crawford, Brendan M. Striano, Andrew K. Simpson, Andrew J. Schoenfeld
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2023)
Article
Orthopedics
Alexander M. Crawford, Brendan M. Striano, Jonathan Gong, Tracey P. Koehlmoos, Andrew K. Simpson, Andrew J. Schoenfeld
Summary: This study validated the use of the SOS score for identifying patients at risk for sustained opioid use following orthopaedic procedures. The score showed good performance in predicting sustained opioid use, and it can be a valuable tool for implementing interventions and modifications to prevent opioid abuse and combat the opioid epidemic.
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2023)
Article
Orthopedics
Matthew H. Lindsey, Grace X. Xiong, Harry M. Lightsey, Carew Giberson-Chen, Brian Goh, Raylin Fan Xu, Andrew K. Simpson, Andrew J. Schoenfeld
Summary: The study found that elevated CAR is associated with an increased likelihood of major morbidity in SEA. It is suggested to use a CAR value of 2.5 as a threshold for enhanced surveillance and consider patients with values above 73.7 as being at exceptional risk of morbidity.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2022)