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Clinical Orthopaedics and related Research

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https://www.readbyqxmd.com/read/28083755/high-risk-of-readmission-in-octogenarians-undergoing-primary-hip-arthroplasty
#1
Arthur L Malkani, Brian Dilworth, Kevin Ong, Doruk Baykal, Edmund Lau, Theresa N Mackin, Gwo-Chin Lee
BACKGROUND: As life expectancy increases, more elderly patients with end-stage hip arthritis are electing to undergo primary THA. Octogenarians undergoing THA have more comorbidities than younger patients, but this is not reflected in risk adjustment models for bundled care programs. The burden of care associated with THA in octogenarians has not been well characterized, and doing so may help these value-based programs make adjustments so that this vulnerable patient population does not risk losing access under accountable care models...
January 12, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28083754/corr-insights-%C3%A2-phosphatidylcholine-coatings-deliver-local-antimicrobials-and-reduce-infection-in-a-murine-model-a-preliminary-study
#2
Arnold J Suda
No abstract text is available yet for this article.
January 12, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28083753/definitional-differences-of-outpatient-versus-inpatient-tha-and-tka-can-affect-study-outcomes
#3
Patawut Bovonratwet, Matthew L Webb, Nathaniel T Ondeck, Adam M Lukasiewicz, Jonathan J Cui, Ryan P McLynn, Jonathan N Grauer
BACKGROUND: There has been great interest in performing outpatient THA and TKA. Studies have compared such procedures done as outpatients versus inpatients. However, stated "outpatient" status as defined by large national databases such as the National Surgical Quality Improvement Program (NSQIP) may not be a consistent entity, and the actual lengths of stay of those patients categorized as outpatients in NSQIP have not been specifically ascertained and may in fact include some patients who are "observed" for one or more nights...
January 12, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28083752/can-multistate-modeling-of-local-recurrence-distant-metastasis-and-death-improve-the-prediction-of-outcome-in-patients-with-soft-tissue-sarcomas
#4
Florian Posch, Lukas Leitner, Marko Bergovec, Angelika Bezan, Michael Stotz, Armin Gerger, Martin Pichler, Herbert Stöger, Bernadette Liegl-Atzwanger, Andreas Leithner, Joanna Szkandera
BACKGROUND: Exploration of the complex relationship between prognostic indicators such as tumor grade and size and clinical outcomes such as local recurrence and distant metastasis in patients with cancer is crucial to guide treatment decisions. However, in patients with soft tissue sarcoma, there are many gaps in our understanding of this relationship. Multistate analysis may help us in gaining a comprehensive understanding of risk factor-outcome relationships in soft tissue sarcoma, because this methodology can integrate multiple risk factors and clinical endpoints into a single statistical model...
January 12, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28078637/editor-s-spotlight-take-5-lawnmowers-versus-children-the-devastation-continues
#5
EDITORIAL
Matthew B Dobbs
No abstract text is available yet for this article.
January 11, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28078636/corr-insights-%C3%A2-false-positive-cultures-after-native-knee-aspiration-true-or-false
#6
Daniel Schlatterer
No abstract text is available yet for this article.
January 11, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28078635/corr-insights-%C3%A2-is-there-benefit-to-free-over-pedicled-vascularized-grafts-in-augmenting-tibial-intercalary-allograft-constructs
#7
Richard W Nicholas
No abstract text is available yet for this article.
January 11, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28074439/corr-insights-%C3%A2-racial-disparities-in-above-knee-amputations-after-tka-a-national-database-study
#8
Paul J Dougherty
No abstract text is available yet for this article.
January 10, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28074438/is-there-variation-in-procedural-utilization-for-lumbar-spine-disorders-between-a-fee-for-service-and-salaried-healthcare-system
#9
Andrew J Schoenfeld, Heeren Makanji, Wei Jiang, Tracey Koehlmoos, Christopher M Bono, Adil H Haider
BACKGROUND: Whether compensation for professional services drives the use of those services is an important question that has not been answered in a robust manner. Specifically, there is a growing concern that spine care practitioners may preferentially choose more costly or invasive procedures in a fee-for-service system, irrespective of the underlying lumbar disorder being treated. QUESTIONS/PURPOSES: (1) Were proportions of interbody fusions higher in the fee-for-service setting as opposed to the salaried Department of Defense setting? (2) Were the odds of interbody fusion increased in a fee-for-service setting after controlling for indications for surgery? METHODS: Patients surgically treated for lumbar disc herniation, spinal stenosis, and spondylolisthesis (2006-2014) were identified...
January 10, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28058626/erratum-to-reoperation-after-cervical-disc-arthroplasty-versus-anterior-cervical-discectomy-and-fusion-a-meta-analysis
#10
Zhao-Ming Zhong, Shi-Yuan Zhu, Jing-Shen Zhuang, Qian Wu, Jian-Ting Chen
No abstract text is available yet for this article.
January 5, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28054327/obesity-epidemic-is-its-impact-on-total-joint-arthroplasty-underestimated-an-analysis-of-national-trends
#11
Jaiben George, Alison K Klika, Suparna M Navale, Jared M Newman, Wael K Barsoum, Carlos A Higuera
BACKGROUND: Obesity is a well-established risk factor for total joint arthroplasty (TJA) and a number of complications including prosthetic joint infection. The annual changes in the prevalence of obesity among primary, revision, and infected TJA has not been studied at a national level. Given the higher costs of complications of TJA, it is important to understand the association of obesity with the annual trends of revision and infected TJA. QUESTIONS/PURPOSES: (1) Is the prevalence of obesity increasing among patients undergoing THA/TKA? (2) Is the prevalence of obesity increasing among patients undergoing revision THA/TKA? (3) Is the prevalence of obesity increasing among patients with infected THA/TKA? METHODS: Annual volumes of primary, revision, and infected THA and TKA from 1998 to 2011 were obtained from the Nationwide Inpatient Sample...
January 4, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28054326/what-is-the-timing-of-general-health-adverse-events-that-occur-after-total-joint-arthroplasty
#12
Daniel D Bohl, Nathaniel T Ondeck, Bryce A Basques, Brett R Levine, Jonathan N Grauer
BACKGROUND: Despite extensive research regarding risk factors for adverse events after total joint arthroplasty (TJA), there are few publications describing the timing at which such adverse events occur. QUESTIONS/PURPOSES: (1) On which postoperative day do certain adverse events occur? (2) What adverse events occur earlier after TKA than after THA? (3) For each adverse event, what proportion occurred after hospital discharge? METHODS: We screened the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) to identify all patients undergoing primary THA and primary TKA between 2005 and 2013, resulting in a study population of 124,657 patients evaluated as part of this retrospective database analysis...
January 4, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28054325/art-in-science-mondino-de-liuzzi-the-restorer-of-anatomy
#13
Berardo Di Matteo, Vittorio Tarabella, Giuseppe Filardo, Massimiliano Mosca, Mirco Lo Presti, Anna Viganò, Patrizia Tomba, Maurilio Marcacci
No abstract text is available yet for this article.
January 4, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28054324/corr-insights-%C3%A2-the-femoro-epiphyseal-acetabular-roof-fear-index-a-new-measurement-associated-with-instability-in-borderline-hip-dysplasia
#14
Hal David Martin
No abstract text is available yet for this article.
January 4, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28054323/classifications-in-brief-r%C3%A3-edi-allg%C3%A3-wer-classification-of-tibial-plafond-fractures
#15
T David Luo, J Matthew Eady, Arun Aneja, Anna N Miller
No abstract text is available yet for this article.
January 4, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28050822/corr-insights-%C3%A2-prediction-of-postoperative-clinical-recovery-of-drop-foot-attributable-to-lumbar-degenerative-diseases-via-a-bayesian-network
#16
Raphaël Porcher
No abstract text is available yet for this article.
January 3, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28050821/corr-insights-%C3%A2-what-are-the-biomechanical-properties-of-the-taylor-spatial-frame%C3%A2
#17
Søren Kold
No abstract text is available yet for this article.
January 3, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28050820/corr-insights-%C3%A2-exposure-to-secondhand-smoke-impairs-fracture-healing-in-rats
#18
Jaimo Ahn
No abstract text is available yet for this article.
January 3, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28050819/preventing-fusion-mass-shift-avoids-postoperative-distal-curve-adding-on-in-adolescent-idiopathic-scoliosis
#19
Hideki Shigematsu, Jason Pui Yin Cheung, Mauro Bruzzone, Hiroaki Matsumori, Kin-Cheung Mak, Dino Samartzis, Keith Dip Kei Luk
BACKGROUND: Surgery for adolescent idiopathic scoliosis (AIS) is only complete after achieving fusion to maintain the correction obtained intraoperatively. The instrumented or fused segments can be referred to as the "fusion mass". In patients with AIS, the ideal fusion mass strategy has been established based on fulcrum-bending radiographs for main thoracic curves. Ideally, the fusion mass should achieve parallel endplates of the upper and lower instrumented vertebra and correct any "shift" for truncal balance...
January 3, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28050818/what-is-the-accuracy-of-nuclear-imaging-in-the-assessment-of-periprosthetic-knee-infection-a-meta-analysis
#20
REVIEW
Steven J Verberne, Remko J A Sonnega, Olivier P P Temmerman, Pieter G Raijmakers
BACKGROUND: In the assessment of possible periprosthetic knee infection, various imaging modalities are used without consensus regarding the most accurate technique. QUESTIONS/PURPOSES: To perform a meta-analysis to compare the accuracy of various applied imaging modalities in the assessment of periprosthetic knee infection. METHODS: A systematic review and meta-analysis was conducted with a comprehensive search of MEDLINE and Embase(®) in accordance with the PRISMA and Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) recommendations to identify clinical studies in which periprosthetic knee infection was investigated with different imaging modalities...
January 3, 2017: Clinical Orthopaedics and related Research
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