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Surgical Technology International

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https://www.readbyqxmd.com/read/29327778/impact-of-physical-activity-and-body-mass-index-in-cardiovascular-and-musculoskeletal-health-a-review
#1
Morad Chughtai, Chukwuweike U Gwam, Nequesha Mohamed, Anton Khlopas, Nipun Sodhi, Assem A Sultan, Anil Bhave, Michael A Mont
Due to an increasing elderly population coupled with a growing obesity epidemic, there has been an increased prevalence in cardiovascular and musculoskeletal diseases. This has led to an increased burden in healthcare expenditures, now estimated to be over 17.8% of gross domestic product. As a result, physical activity has been increasingly encouraged due to its potential prophylactic effects on health. Recent reports have demonstrated a relationship between physical activity and body mass index (BMI) on cardiovascular and musculoskeletal health...
December 22, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29327777/the-use-of-acellular-dermal-matrices-adm-in-breast-reconstruction-a-review
#2
Christian Eichler, Carolin Schulz, Nadine Vogt, Mathias Warm
The use of acellular dermal matrices (ADM), sometimes referred to as extracellular matrix (ECM), has become an interesting aspect of breast reconstruction. A great deal of literature is available, totaling over 7000 ADM-based reconstructions. Most often, ADMs are used in a skin sparing mastectomy (SSM) scenario, although heterologous breast augmentation with a sub-pectoral fixation may also require an ADM application. Their use has become an attractive, but expensive option. Available data shows head to head comparisons between individual ADMs to be mostly retrospective in nature with only a few prospective trials available...
December 22, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29316602/no-evidence-of-increased-infection-risk-with-forced-air-warming-devices-a-systematic-review
#3
Heather S Haeberle, Sergio M Navarro, Linsen T Samuel, Anton Khlopas, Assem A Sultan, Nipun Sodhi, Morad Chughtai, Michael A Mont, Prem N Ramkumar
INTRODUCTION: Forced-air warming devices have been reported to present a potential risk for surgical site infections (SSIs) and periprosthetic joint infections. Due to a lack of consensus, we reviewed the infection risk of forced-air warming devices. MATERIALS AND METHODS: A systematic literature review was performed, evaluating overall infection risk and bacterial load. A total of eight studies reporting outcomes from 1,965 subjects were included. RESULTS AND CONCLUSIONS: There is no current evidence in the orthopaedic literature that forced-air warming devices translate to increased SSIs...
December 22, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29316601/bariatric-surgery-and-infertility-a-prospective-study
#4
Vincenzo Consalvo, Antonio Canero, Vincenzo Salsano
BACKGROUND: Obesity is a worldwide disease affecting 13% of the world's adult female population. The reasons and the fetal risk are still unclear. The effect of weight loss as a result of bariatric surgery seems to induce an improvement in fertility in obese women. The main purpose of this prospective study is to demonstrate if there is an association between bariatric surgery-induced weight loss and an improvement in the fertility of women at reproductive age. MATERIALS AND METHODS: From June 2013 to April 2016, all bariatric female patients from our institutes were prospectively evaluated for suitability in this study...
December 22, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29316600/impact-of-neuromuscular-electrical-stimulation-nmes-on-90-day-episode-costs-and-post-acute-care-utilization-in-total-knee-replacement-patients-with-disuse-atrophy
#5
Sarmistha Pal, Morad Chughtai, Assem A Sultan, Anton Khlopas, Nipun Sodhi, Nicole E George, Jennifer I Etcheson, Chukwuweike U Gwam, Jared M Newman, Linsen T Samuel, Anil Bhave, Joan E DaVanzo, Michael A Mont
INTRODUCTION: This study evaluated differences in: 1) total episode payments, 2) probability of hospital readmission, 3) probability of inpatient rehab facility (IRF) and utilization, and 4) probability of skilled nursing care facility (SNF) utilization in patients who had disuse atrophy and underwent a total knee arthroplasty (TKA) and either did, or did not, receive preoperative home-based neuromuscular electrical stimulation (NMES) therapy. MATERIALS AND METHODS: We used the Medicare limited dataset for a 5% sample of beneficiaries from 2014 and 2015 to construct episodes-of-care for TKA (DRG-470) patients with disuse atrophy who underwent a TKA during the 30 days prior to hospital admission and 90 days post-discharge...
December 22, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29316599/polypropylene-mesh-sling-for-stress-urinary-incontinence-does-memory-shaping-of-the-polypropylene-mesh-matter
#6
Andrew Doering, Ali Azadi, David Doering, Donald R Ostergard
We report a case of a mid-urethral sling (Advantage Fit™, Boston Scientific Corporation, Marlborough, Massachusetts) freshly removed from its original package. Upon removal from the packaging, the sling was noted to have a deformation in positioning at the midpoint, with curvature opposite the natural curve of the sling in the body. The images show the comparison to a sling with the desired positioning. Mid-urethral slings are commonly made from polypropylene mesh which has memory properties. It is important that manufacturers ensure that any steps in the processing or packaging of slings do not result in changes in the shape of the sling that may have unknown impacts on its clinical outcome...
December 22, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29316598/s-orthopaedic-department-teaching-status-associated-with-adverse-outcomes-of-primary-total-knee-arthroplasty
#7
Dean C Perfetti, Nipun Sodhi, Anton Khlopas, Assem A Sultan, Suela Lamaj, Mathew R Boylan, Jared M Newman, Qais Naziri, William A Cantrell, Aditya V Maheshwari, Carl B Paulino, Michael A Mont
INTRODUCTION: Although resident physicians have a critical role in the daily management of patients, based on their limited experiences, they are thought to potentially create inefficiencies in the hospital. With changes set forth by the Comprehensive Care for Joint Replacement (CJR) program, both teaching and non-teaching hospitals are directly compared on efficiency and outcomes. Therefore, the purpose of this study was to compare outcomes between teaching and non-teaching hospitals in the state of New York...
December 22, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29316597/radiographic-classification-systems-for-osteonecrosis-of-the-knee-a-review-of-literature
#8
Assem A Sultan, William A Cantrell, Morad Chughtai, Prem N Ramkumar, Anton Khlopas, Jared M Newman, Nipun Sodhi, Suela Lamaj, Timothy C Wagner, Linsen T Samuel, Michael A Mont
Knee osteonecrosis is a rare, yet debilitating disease that can lead to knee joint destruction and can be associated with significant pain and disability. Various imaging modalities have different roles in the diagnosis, staging, management, and determination of the prognosis in knee osteonecrosis. Plain radiographic images can show gross joint destruction and secondary arthritic changes. In addition, magnetic resonance imaging (MRI) has become the gold-standard imaging modality to diagnose osteonecrosis. Multiple classification systems have been developed for knee osteonecrosis based on these imaging modalities...
December 22, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29316595/cellular-therapies-in-orthopedics-where-are-we
#9
Nicolas S Piuzzi, Anton Khlopas, Nipun Sodhi, Sameer Oak, Assem A Sultan, Morad Chughtai, Venkata P Mantripragada, Michael A Mont, George F Muschler
The orthopedic field has experienced several major practice-changing pivotal shifts in the past several decades, such as the invention and application of the arthroscope or the implementation and advancement of joint arthroplasties. Most of these previous breakthroughs have focused on surgical techniques and devices. However, the next major advance in the field is likely to be related to biologic treatments. Although still in its early stage of development, orthopedic regenerative medicine, including cellular therapies, represents a great opportunity, since we are only beginning to understand their biological potential...
December 22, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29316594/biofilms-their-role-and-treatment-options-in-the-chronic-non-healing-wound
#10
Michael F Moore
The discovery of the existence of biofilms in the 1970s has resulted in a greater understanding of how bacteria form a synergistic relationship to facilitate their survival by incorporating and sharing the individual attributes that individual bacteria have with the polymicrobial flora that composes the biofilm. Advances in molecular biology have aided in delineating complexity of biofilms, but the abundance and plethora of the microbial world provides an ongoing and daunting task. The enormity of this task is reflected in the chronic non-healing wound, as it is estimated that 60% of all chronic non-healing wounds have a biofilm component...
December 22, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29316593/demographics-of-tennis-related-injuries-that-presented-to-emergency-departments-in-the-united-states
#11
Jonathan D Chevinsky, Neil V Shah, Mikhail Tretiakov, Alexandr Aylyarov, Gregory S Penny, Joanne C Dekis, Jonathan N Chorney, Natasha Ahmed, Nipun Sodhi, Alyeesha B Wilhelm, William P Urban, Carl B Paulino, Jared M Newman
INTRODUCTION: Tennis injuries are not uncommon, and efforts have been made to reduce the risk of these injuries. There are a number of different factors that have been shown to influence injury rates of tennis players, in particular patient-related risks. Therefore, the purpose of this study was to investigate the epidemiology of tennis-related injuries. Specifically, we evaluated: 1) demographics; 2) incidence and trends of injuries; and 3) incidence and trends of body parts that were injured...
December 22, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29316592/the-addition-of-diclofenac-to-a-multimodal-pain-control-regimen-decreases-postoperative-pain-and-opioid-consumption
#12
Nicole E George, Cheryle Gurk-Turner, Jennifer I Etcheson, Chukwuweike U Gwam, Randal De Souza, Spencer S Smith, James Nace, Ronald E Delanois
INTRODUCTION: Total knee arthroplasty (TKA) is a commonly-performed orthopaedic procedure in the United States. However, inadequate postoperative pain management following TKA has been associated with a number of negative consequences, including chronic postoperative pain requiring long-term opioid use. Multimodal pain control is a recently-popularized means of maximizing analgesia and postoperative outcomes. We aimed to evaluate the outcomes of a multimodal pain regimen incorporating diclofenac, including: 1) length of stay (LOS); 2) pain intensity; and 3) opioid consumption in primary TKA patients...
December 22, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29316591/minimally-invasive-myotomy-percutaneous-laparoscopic-surgical-approach-for-achalasia
#13
Lavinia Alessandra Barbieri, Davide Bona, Alberto Aiolfi, Giancarlo Micheletto, Marta Cavalli, Francesca Lombardo, Piero Giovanni Bruni, Giampiero Campanelli
The laparoscopic approach of the upper gastrointestinal tract is considered the gold standard for the treatment of functional benign esophageal disorders since 1990. In recent years, many efforts have been made to minimize the abdominal wall's trauma to reduce postoperative pain and to obtain a prompt return to daily activities, as well as improve cosmetic results of surgery. The progressive development of novel surgical devices has allowed for the introduction of new minimally-invasive surgical techniques...
December 22, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29316590/hemiarthroplasty-for-fractures-of-metastatic-bone-disease-have-different-outcomes-compared-to-fractures-without-metastasis-a-matched-pair-analysis
#14
Samuel Rosas, Alejandro Marquez-Lara, Alexander H Jinnah, Martin W Roche, Jeffrey S Willey, Chukwuweike Gwam, Cynthia L Emory
INTRODUCTION: Hemiarthropalsty (HA) for proximal femur fractures (PFF) has shown good results in the elderly patient population. It has also been used to treat fractures of the proximal femur in patients with metastatic bone disease (MBD). Nonetheless, complications still occur in both patient populations and their effect on 90-day costs can be a great burden to the healthcare system. Thus, the purpose of this study was to evaluate and compare the outcomes and costs of HA for PFF in patients with bone metastasis versus those without it...
December 22, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29316589/a-comparison-of-relative-value-units-in-primary-versus-revision-total-ankle-arthroplasty
#15
Nipun Sodhi, Benjamin Yao, Jared M Newman, Michael Jawad, Anton Khlopas, Assem A Sultan, Suela Lamaj, George A Beyer, Alyeesha B Wilhelm, Michael A Mont
INTRODUCTION: To determine the effort required to provide a service, the United States Medicare uses Relative Value Units (RVUs). Consequently, higher RVUs are assigned to the procedures or services that require more effort, which ultimately means the physician will be properly compensated for the additional effort required. In total ankle arthroplasty (TAA), revision cases usually are more technically challenging and require more effort than primary TAA. Therefore, the purpose of this study was to compare the: 1) RVUs; 2) length-of-surgery; 3) RVU per unit of time between primary and revision total ankle arthroplasty; and 4) the individualized idealized surgeon annual cost difference analysis...
December 22, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29315453/a-partial-posterior-bundle-ulnar-collateral-ligament-tear-in-a-10-year-old-boy
#16
Todd P Pierce, Jennifer Kurowicki, Kimona Issa, Anthony Festa, Vincent K McInerney, Anthony J Scillia
Medial-sided elbow pain is becoming more common among pediatric overhead sport athletes. One potential cause of this is a partial or complete tear of the ulnar collateral ligament (UCL). Because the growth plate remains open in many of these athletes, the most common injury experienced is an avulsion at the medial epicondyle. However, although rare, there is a potential to tear the UCL, with the most common tears occurring at the anterior bundle. However, tears to the posterior bundle are quite rare in pediatric patients...
December 22, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29315452/a-case-for-the-brace-a-critical-comprehensive-and-up-to-date-review-of-static-progressive-stretch-dynamic-and-turnbuckle-braces-for-the-management-of-elbow-knee-and-shoulder-pathology
#17
Nipun Sodhi, Benjamin Yao, Anton Khlopas, Iyooh U Davidson, Assem A Sultan, Linsen T Samuel, Suela Lamaj, Jared M Newman, Robert Pivec, Kristy A Fisher, Benjamin Gaal, Michael A Mont
BACKGROUND: Non-operative management of the elbow, shoulder, and knee typically includes braces, such as the: static progressive stretch (SPS), turnbuckle, and dynamic. However, a paucity of literature exists comparing these three bracing modalities. Therefore, the purpose of this study was to evaluate the current literature on the various bracing modalities for physicians and patients managing elbow, shoulder, or knee joint complications. Specifically, we compared the use of 1) static progressive stretch, 2) dynamic, and 3) turnbuckle braces for the a) elbow, b) knee, and c) shoulder...
December 22, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29315451/clinical-and-patient-reported-outcomes-after-absorbable-strap-fixation-for-ventral-hernia-repair
#18
Heather Bougard, Sven Bringman, William W Hope, Jay A Redan, Carl Doerhoff, Michal Chudy, Christine Romanowski, Peter Charles Jones
INTRODUCTION: Various mesh fixation methods are employed by surgeons during ventral hernia repair. These may include tacks, straps, sutures, glue, or a combination of methods. One of these choices is an absorbable fixation device, Securestrap® (Ethicon Inc., Somerville, New Jersey), consisting of an absorbable copolymer barbed U-shaped strap with a spring-loaded deployment system. MATERIALS AND METHODS: The International Hernia Mesh Registry is a prospective multi-center registry, designed to collect longitudinal data on hernia repair methods, products, and outcomes...
December 22, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29315450/facial-nerve-schwannoma-a-case-report-radiological-features-and-literature-review
#19
Giulia Pilloni, Barbara Massa Mico, Roberto Altieri, Francesco Zenga, Alessandro Ducati, Diego Garbossa, Fulvio Tartara
Facial nerve schwannoma localized in the middle fossa is a rare lesion. We report a case of a facial nerve schwannoma in a 30-year-old male presenting with facial nerve palsy. Magnetic resonance imaging (MRI) showed a 3 cm diameter tumor of the right middle fossa. The tumor was removed using a sub-temporal approach. Intraoperative monitoring allowed for identification of the facial nerve, so it was not damaged during the surgical excision. Neurological clinical examination at discharge demonstrated moderate facial nerve improvement (Grade III House-Brackmann)...
December 22, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29315449/trends-and-epidemiology-of-tennis-related-sprains-strains-in-the-united-states-2010-to-2016
#20
Jonathan D Chevinsky, Jared M Newman, Neil V Shah, Neel Pancholi, John Holliman, Nipun Sodhi, Ahmed Eldib, Qais Naziri, Bashir A Zikria, John P Reilly, Scott E Barbash, William P Urban
BACKGROUND: While tennis is one of the most popular sports in the world, it predisposes those who play it to a number of injuries. Several studies have shown sprains/strains to be the most common tennis-related injury. However, data is limited regarding trends in tennis-related sprains/strains. Therefore, this study evaluated: 1) trends in tennis-related sprains/strains; 2) trends in tennis-related sprains/strains by age; and 3) trends in the most common tennis-related sprained/strained body parts...
December 22, 2017: Surgical Technology International
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