Article
Health Care Sciences & Services
Tal Frenkel Rutenberg, Maria Vitenberg, Efrat Daglan, Assaf Kadar, Shai Shemesh
Summary: The study found that having a surgical team comprised of more than one attending surgeon does not reduce surgical time and does not result in worse patient outcomes. However, the presence of an attending co-surgeon is associated with a longer hospital stay.
JOURNAL OF PERSONALIZED MEDICINE
(2022)
Article
Orthopedics
Antonio Klasan, David A. Parker, Peter L. Lewis, Simon W. Young
Summary: The study found that over 50% of knee surgeons in the UK, Australia, and New Zealand perform less than 5% of UKA procedures yearly. Additionally, the majority of experienced knee surgeons are not meeting the recommended minimum thresholds, suggesting that these thresholds may not be feasible for most knee surgeons. Further research is needed to understand the reasons behind this.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2022)
Article
Orthopedics
Bryan D. Springer, Larry M. Baddour, Peter B. Lockhart, Martin H. Thornhill
Summary: The study found no significant positive association between invasive dental procedures (IDPs) and late periprosthetic joint infections (LPJIs). Therefore, there is no rationale to administer antibiotic prophylaxis (AP) before IDPs in patients with prosthetic joints, considering the cost and inconvenience of AP, the risk of adverse drug reactions, and the potential for unnecessary use of AP that promotes antibiotic resistance. Dental care should focus on maintaining good oral hygiene rather than recommending AP for IDPs.
JOURNAL OF ARTHROPLASTY
(2022)
Letter
Engineering, Biomedical
Kunming Cheng, Zhiyong Li, Cheng Li, Ruijie Xie, Qiang Guo, Yongbin He, Haiyang Wu
Summary: The emergence of AI technology presents unprecedented opportunities for joint arthroplasty surgery. However, despite numerous articles reporting the potential roles of ChatGPT/GPT-4 in various fields, there are currently no studies discussing the potential of GPT-4 as an AI-powered virtual assistant for specialized joint arthroplasty surgeons. This study summarizes the five major roles of GPT-4, including scientific research, disease diagnosis, treatment options, preoperative planning, intraoperative support, and postoperative rehabilitation. Ethical considerations and data protection are also important to ensure the responsible use of AI.
ANNALS OF BIOMEDICAL ENGINEERING
(2023)
Article
Orthopedics
Suresh K. Nayar, Aoife MacMahon, Jacob D. Mikula, Marc Greenberg, Kawsu Barry, Sandesh S. Rao
Summary: An analysis of Medicare data from 2012 to 2017 revealed that surgeon payment decreased for all procedures, with the largest increase seen in UKA. The reimbursement rate for all procedures declined, with UKA, TKA, and THA experiencing the most significant drops.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Computer Science, Information Systems
Anton Pak, Brenda Gannon, Andrew Staib
Summary: This study demonstrates the significant improvement in accurate waiting time predictions for low acuity ED patients through the use of machine learning algorithms and queueing and service flow variables. Additionally, quantile regression helps reduce the number of patients with large underpredicted waiting times.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2021)
Article
Orthopedics
Christopher J. Wall, Richard N. de Steiger, Jonathan S. Mulford, Peter L. Lewis, David G. Campbell
Summary: This study aimed to investigate the management approach of Australian arthroplasty surgeons towards patients with modifiable risk factors. The survey findings showed that over 90% of surgeons consider these factors prior to surgery. Despite differences in healthcare systems, the practice patterns of Australian surgeons align with those of the American Association of Hip and Knee Surgeons (AAHKS) members.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Orthopedics
David G. Campbell, Pradeep M. Poonnoose, Anil T. Oommen, Rajkumar Natesan
Summary: According to a survey, 87% of Indian arthroplasty surgeons restrict access to surgery for patients with modifiable risk factors, but only 51% delay or restrict treatment due to these risk factors. The survey also found that financial implications were the most common reason for delaying or restricting treatment.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Orthopedics
Amer Haffar, Irfan A. Khan, Christian Ong, Justin A. Magnuson, Matthew S. Austin, Chad A. Krueger, Jess H. Lonner
Summary: This study aimed to investigate the impact of operative extremity and surgeon limb dominance on surgeon physiologic stress and energy expenditure during total joint arthroplasty (TJA). The results showed that surgeon hand dominance and operative limb laterality did not significantly impact energy expenditure or physiologic strain during TJA. However, consistently standing on the side of hand dominance in total knee arthroplasty (TKA) may lead to decreased physiologic strain and stress during surgery.
JOURNAL OF ARTHROPLASTY
(2022)
Article
Orthopedics
Anna Cohen-Rosenblum, Mary K. Richardson, Kevin C. Liu, Jennifer C. Wang, Amit S. Piple, Charles Hansen, Alexander B. Christ, Nathanael D. Heckmann
Summary: This study aimed to examine the associations between Medicaid insurance coverage, surgeon case volume, and hospital case volume and postoperative complications. The results showed that patients with Medicaid were more likely to be treated by lower-volume surgeons and undergo surgery at lower-volume hospitals for total hip arthroplasty or total knee arthroplasty, and had higher rates of postoperative complications compared with patients without Medicaid.
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2023)
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
Wei Deng, Lili Huo, Qiang Yuan, Deyong Huang, Quan Li, Wei Tian
Summary: The study found that the incidence of postoperative VTE in patients with diabetes undergoing total hip or knee arthroplasty was as high as 46.8%, with higher rates in female patients and those undergoing total knee arthroplasty. High preoperative D-dimer levels and postoperative mechanical prophylaxis combined with LMWH can reduce the risk of developing VTE.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Orthopedics
Allen C. Norris, Simon C. Mears, Eric R. Siegel, C. Lowry Barnes, Jeffrey B. Stambough
Summary: This study examined the types of social needs and methods used to address them in arthroplasty patients. The findings showed that a certain percentage of patients had social needs related to utility payments, employment, prescription costs, education, and transportation. The frequency of social needs was higher in non-White patients, non-English speakers, younger patients, nonmarried patients, unemployed patients, and patients with lower health literacy. The study also found a higher readmission rate in patients with social needs.
JOURNAL OF ARTHROPLASTY
(2022)
Article
Orthopedics
Wayne Hoskins, Sophia Rainbird, Michelle Lorimer, Stephen E. Graves, Roger Bingham
Summary: The study found that surgeons with the lowest revision rates in Australia were able to reduce all of the leading causes of revision for both THA and TKA, particularly those related to the technical performance of the procedures. Patient factors were similar between low revision rate surgeons and all other surgeons for both THA and TKA. Surgeons with low revision rates used specific techniques and implant selections that may contribute to decreased rates of revision.
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH
(2022)
Article
Orthopedics
Saad Tarabichi, Graham S. Goh, Luigi Zanna, Qudratullah S. Qadiri, Colin M. Baker, Thorsten Gehrke, Mustafa Citak, Javad Parvizi
Summary: This study aimed to determine the time to positivity (TTP) for common pathogens in periprosthetic joint infection (PJI). The study found that gram-negative organisms grew faster than gram-positive organisms, and methicillin-resistant Staphylococcus aureus had the fastest TTP. Synovial fluid had the shortest TTP among different specimen types.
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2023)