Article
Orthopedics
Chelsea Sue Sicat, Ran Schwarzkopf, James D. Slover, William Macaulay, Joshua C. Rozell
Summary: This study compared the air quality and airborne biologic particle (ABP) count in primary total knee arthroplasty (TKA) and revision TKA (rTKA). The results showed that rTKA had a significantly longer operating room time and higher ABP rates, particularly in particles measuring 0.3 μm, 0.5 μm, and 1.0 μm, as well as PM 2.5 and PM 5.0. Further research is needed to determine whether the size and quantity of ABPs contribute to increased infection risk after rTKA.
JOURNAL OF ARTHROPLASTY
(2022)
Article
Orthopedics
Jess H. Lonner, Graham S. Goh, Kathryn Sommer, Gabrielle Niggeman, Eric A. Levicoff, Joseph V. Vernace, Robert P. Good
Summary: The study demonstrates that optimizing surgical trays can significantly improve operating room efficiency and reduce costs in total joint arthroplasty. Using Lean methodology to eliminate redundant or underutilized instruments resulted in substantial annual cost savings of $281,298.05.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Dermatology
Jiwen Zhu, Mengdi Si, Zongqiang Huang
Summary: The meta-analysis aims to evaluate and compare the impact of tobacco usage on surgical site wound problems (SSWPs) after primary total hip and total knee arthroplasty (PTH & TKA). A total of 15 studies from 2001 to 2023 were analyzed, including 560,819 individuals with PTH & TKA. The results showed that smokers had significantly higher SSWPs compared with non-smokers in this population.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Orthopedics
Stephen G. Zak, David Cieremans, Alex Tang, Ran Schwarzkopf, Joshua C. Rozell
Summary: Optimization of operating room time is crucial for improving patient outcomes and surgical workflow. This study found that the use of technology and surgeon experience increase operating room time, while the level of training of the first assistant does not have an impact. Additionally, the use of technology negatively affects incision time and total time under anesthesia.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2023)
Article
Dermatology
Haihong Li, Yina Li, Danhua Wang, Qiuli Huang, Dandan Liu
Summary: This research aimed to identify the risk factors associated with surgical site infections (SSIs) after total knee arthroplasty (TKA) in elderly osteoarthritis patients, in order to improve post-surgical outcomes. The study found that age, BMI, smoking history, and diabetes diagnosis were significant risk factors for post-TKA infections. Other factors such as ASA classification, surgical duration, and intraoperative hemorrhage also contributed to the risk landscape.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Orthopedics
Laura Loomans, Geert Leirs, Hilde Vandenneucker
Summary: This study aimed to investigate the cost and time-effectiveness of robotic-assisted total knee arthroplasty (RATKA) in terms of implant stock and perioperative parameters. A comparison was made between a group with robotic-assisted procedures and a group with navigation-assisted procedures. The results showed that the robotic-assisted group had shorter operating room time, thinner inserts, and shorter length of stay in hospital compared to the navigation group.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2023)
Article
Orthopedics
Salahulddin Abuljadail, Mustafa Akkaya, Rudy Sangaletti, Nemandra Sandiford, Thorsten Gehrke, Mustafa Citak
Summary: The study suggests that there is no significant difference in the occurrence of surgical site infection in patients undergoing total knee arthroplasty and total hip arthroplasty, regardless of whether the surgery is performed in a multi-unit OR or a single-unit OR.
INTERNATIONAL ORTHOPAEDICS
(2022)
Article
Orthopedics
Aaron A. Olsen, Darren Z. Nin, Ya-Wen Chen, Ruijia Niu, David C. Chang, Eric L. Smith, Carl T. Talmo
Summary: This study examined the prevalence of treatments and their financial impact in patients with stiffness after primary TKA. It was found that patients with stiffness after TKA require more treatments and follow-up visits, and the treatment costs are higher compared to patients without stiffness.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Dermatology
Zhengwu Lin, Te Chen, Guofu Chen, Wenjun Pan, Wei Xu
Summary: The application of a tourniquet (TNQ) in total knee arthroplasty (TKA) is controversial. This meta-analysis found that the use of TNQ during TKA increases the risk of postoperative surgical site wound infection and worsens short-term postoperative wound pain.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Orthopedics
Bryn O. Zomar, Edward M. Vasarhelyi, Lyndsay E. Somerville, Brent A. Lanting, James L. Howard, Jacquelyn D. Marsh
Summary: In total knee arthroplasty for obese patients, patient-specific instrumentation (PSI) was found to be more costly and less effective compared to standard of care (SOC) from a healthcare payer perspective. However, from a societal perspective, PSI had an incremental cost-utility ratio of $11,230.00 per quality-adjusted life year gained, which was considered cost-effective.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Health Care Sciences & Services
Vicente J. Leon-Munoz, Mirian Lopez-Lopez, Francisco Martinez-Martinez, Fernando Santonja-Medina
Summary: The study examined the impact of conventional manual instrumentation and patient-specific instrumentation on length of stay and total cost for TKA surgeries, finding no significant differences in LOS and overall cost between the two instrumentation systems in hospitals with low annual TKA surgery volumes.
EXPERT REVIEW OF PHARMACOECONOMICS & OUTCOMES RESEARCH
(2021)
Article
Orthopedics
Jason A. Brustein, Danielle Y. Ponzio, Andres F. Duque, Hope E. Skibicki, Fotios P. Tjoumakaris, Fabio R. Orozco, Zachary D. Post, Alvin C. Ong
Summary: This study investigates the impact of surgeon scorecards on operating room costs in orthopedic surgery, finding that increased cost transparency may lead to reduced per-case costs for total knee arthroplasty and total hip arthroplasty.
Article
Orthopedics
John C. Bonano, James I. Huddleston
Summary: The article discusses how to safely resume elective surgeries during the COVID-19 pandemic, including testing protocols and education measures. While testing protocols can help minimize the transmission of the virus, there are still some potential risks that need to be addressed, including the need for education on clinical manifestations and exposure control.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Orthopedics
Herbert J. Cooper, Christine Bongards, Ronald P. Silverman
Summary: This study evaluated the cost-benefit of closed incision negative pressure therapy (ciNPT) compared to standard of care (SOC) in reducing surgical site complications (SSCs) after revision total knee arthroplasty. The results showed that ciNPT was cost-effective, decreasing the costs of surgical site management by 49% in the study population and 79% in the higher risk subgroup, despite higher upfront costs for postoperative dressings.
JOURNAL OF ARTHROPLASTY
(2022)
Article
Orthopedics
Glenn S. Slick, Charles M. Davis, John C. Elfar, Lucas E. Nikkel
Summary: Comparing instrumentation steps of different TKA implant systems, the study found potential areas for improvement across all systems, suggesting the possibility to reduce operative steps for increased efficiency.
JOURNAL OF ARTHROPLASTY
(2021)
