keyword
https://read.qxmd.com/read/38491725/retrospective-study-to-compare-the-effectiveness-of-minimally-invasive-microscopic-unilateral-laminotomy-with-microscopic-bilateral-laminotomy-for-bilateral-decompression-in-the-early-postoperative-period-in-142-patients-with-single-level-lumbar-spinal-stenosis
#1
JOURNAL ARTICLE
Bülent Gülensoy, Serkan Şimşek
BACKGROUND We aimed to compare the effectiveness of microscopic unilateral laminotomy for bilateral decompression (ULBD) and microscopic bilateral laminotomy for bilateral decompression (BLBD) in the early postoperative period among patients with single-level lumbar spinal stenosis (LSS). MATERIAL AND METHODS A retrospective cohort study was conducted on patients with LSS who underwent ULBD or BLBD between January 2020 and December 2023, including 94 patients who underwent ULBD and 58 who underwent BLBD. Patient demographics, comorbidities, smoking status, and data related to LSS were reviewed...
March 16, 2024: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://read.qxmd.com/read/38313428/risk-factors-for-in-patient-myocardial-infarction-following-total-hip-arthroplasty
#2
JOURNAL ARTICLE
Enzo C Mesarick, Terrul L Ratcliff, Jonathan Jose, Senthil Sambandam
PURPOSE: The aim of this study was to identify potential risk factors for myocardial infarction immediately following total hip arthroplasty. METHODS: The 2016-2019 Nationwide Inpatient Sample database was used to identify patients who underwent primary total hip arthroplasty (THA) and suffered a myocardial infarction (MI). Patient data including demographics, admission, and comorbidities were recorded. Univariate analysis and subsequent multivariate logistic regression were performed to determine which circumstances affected the odds of MI...
May 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38301490/replacing-hip-precautions-after-hemiarthroplasty-with-a-pose-avoidance-protocol
#3
JOURNAL ARTICLE
Mohannad Basil Ammori, Akash Soogumbur, David Sykes, Niamh Francis, Elizabeth Law, Paul Marshall
AIMS: After hip arthroplasty surgery, hip precautions are often implemented to minimise the risk of dislocation, although existing evidence does not support their effectiveness. At our institution, we replaced post-operative precautions with a novel pose avoidance protocol in patients undergoing hip hemiarthroplasty for neck of femur fracture. The objectives of our study were to validate this new protocol by assessing the incidence of dislocation before and after its introduction and evaluating its impact on the length of hospital stay...
January 17, 2024: Injury
https://read.qxmd.com/read/38090417/a-comprehensive-review-on-postmenopausal-osteoporosis-in-women
#4
REVIEW
Samruddhi H Charde, Abhishek Joshi, Juhi Raut
In India, a sizeable share of the female population is in the postmenopausal or perimenopausal stage. Issues related to aging in women are an increased risk of broken bones, a decrease in cortical and cancellous bone thickness, and a decrease in bone mineral density (BMD). Osteoporosis has a severely detrimental effect on the life of women, lowering their standard of living, decreasing the quality of their lives, and increasing their likelihood of fractures. It can be terrible if the fracture affects the hip or the spine since it could leave you immobile...
November 2023: Curēus
https://read.qxmd.com/read/37937096/rehabilitation-phases-precautions-and-mobility-goals-following-total-hip-arthroplasty
#5
JOURNAL ARTICLE
Lauren K Sara, Cara L Lewis
The prevalence of total hip arthroplasty (THA) for advanced hip osteoarthritis (OA) is both increasing and shifting toward a younger average age. However, THA alone does not typically normalize function in these patients. Postoperative rehabilitation is often recommended to optimize joint motion, strength, and function. To date, there are no peer-reviewed clinical practice guidelines for postoperative rehabilitation following THA. Thus, optimal postoperative rehabilitation requires consideration of the existing literature and clinical expertise...
November 2023: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://read.qxmd.com/read/37813391/diathermy-and-bone-sawing-are-high-aerosol-yield-procedures
#6
JOURNAL ARTICLE
Victoria Hamilton, Sadiyah Sheikh, Alicja Szczepanska, Nick Maskell, Fergus Hamilton, Jonathan P Reid, Bryan R Bzdek, James R D Murray
AIMS: Orthopaedic surgery uses many varied instruments with high-speed, high-impact, thermal energy and sometimes heavy instruments, all of which potentially result in aerosolization of contaminated blood, tissue, and bone, raising concerns for clinicians' health. This study quantifies the aerosol exposure by measuring the number and size distribution of the particles reaching the lead surgeon during key orthopaedic operations. METHODS: The aerosol yield from 17 orthopaedic open surgeries (on the knee, hip, and shoulder) was recorded at the position of the lead surgeon using an Aerodynamic Particle Sizer (APS; 0...
October 10, 2023: Bone & Joint Research
https://read.qxmd.com/read/37703136/perioperative-autonomic-dysfunction-in-a-patient-with-charcot-marie-tooth-disease-a-case-report
#7
JOURNAL ARTICLE
Wissam Maroun, Carol Abi Shadid, Mohamed Fayed, Carine Foz, Jean Beresian, Ahmad Oseili
Autonomic dysfunction can lead to unexpected hemodynamic instability during surgery, and best practices for the perioperative care of patients with this condition are not well-defined. We report the case of a 63-year-old woman with Charcot-Marie-Tooth disease who experienced perioperative autonomic dysfunction characterized by severe fluctuations in blood pressure while under spinal anesthesia. However, <1 month later, a second hip surgery performed under general anesthesia with special precautions resulted in an uncomplicated perioperative course, with only mild fluctuations in blood pressure...
September 1, 2023: A&A Practice
https://read.qxmd.com/read/37599190/the-direct-anterior-approach-for-conversion-to-total-hip-arthroplasty-after-acetabular-fixation-is-safe-and-effective
#8
JOURNAL ARTICLE
Patrick Brooks, M Kareem Shaath, Matthew Williamson, Frank R Avilucea, Mark W Munro, Joshua R Langford, George J Haidukewych
INTRODUCTION: Total Hip Arthroplasty (THA) after prior acetabular fracture repair is known to be demanding as studies have shown inferior implant survival rates and higher infection rates for these procedures. The direct anterior (DA) approach might help mitigate some of these risks by utilizing a new surgical tissue plane. However, potential criticisms of the DA approach for these surgeries include the inability to access previous acetabular implants or heterotopic ossification (HO) if they were to inhibit implant placement...
August 4, 2023: Injury
https://read.qxmd.com/read/37544030/dosimetric-evaluation-of-high-z-inhomogeneity-with-modern-algorithms-a-collaborative-study
#9
JOURNAL ARTICLE
Poonam Yadav, Mark Pankuch, John McCorkindale, Raj K Mitra, Luther Rouse, Gocha Khelashvili, Bharat B Mittal, Indra J Das
PURPOSE: To evaluate modern dose calculation algorithms with high-Z prosthetic devices used in radiation treatment. METHODS: A bilateral hip prosthetic patient was selected to see the effect of modern algorithms from the commercial system for plan comparisons. The CT data with dose constraints were sent to various institutions for dose calculations. The dosimetric parameters, D98% , D90% , D50% and D2% were compared. A water phantom with an actual prosthetic device was used to measure the dose using a parallel plate ionization chamber...
August 4, 2023: Physica Medica: PM
https://read.qxmd.com/read/37468206/anesthetic-management-of-an-elderly-covid-19-patient-with-pulmonary-thromboembolism-for-hip-surgery-a-case-report
#10
JOURNAL ARTICLE
Min Hee Heo, Hwan Yong Choi, Ji Yeon Kim, Kyung Woo Kim, Sang Il Lee, Kyung-Tae Kim, Jang Su Park, Won Joo Choe, Jun Hyun Kim
BACKGROUND: COVID-19 and delayed hip surgery are well-known risk factors for thromboembolism in elderly patients. CASE: We report the case of an 88-year-old female patient with COVID-19 and pulmonary thromboembolism (PTE) who underwent delayed hip surgery 21 days after the injury. Heparinization and inferior vena cava (IVC) filters were used to treat and prevent PTE. Transesophageal echocardiography (TEE) and extracorporeal membrane oxygenation (ECMO) sheaths were inserted as a precaution in case of emergencies during surgery; the procedure was performed without any specific event...
July 14, 2023: Anesthesia and pain medicine
https://read.qxmd.com/read/37310616/postoperative-rehabilitation-for-arthroscopic-management-of-femoroacetabular-impingement-syndrome-a-contemporary-review
#11
REVIEW
Stefan Hanish, Maaz Muhammed, Shayne Kelly, Steven DeFroda
PURPOSE OF REVIEW: Femoroacetabular impingement syndrome (FAIS) is a common cause of hip pain that may potentially lead to osteoarthritis. Operative management of FAIS seeks to arthroscopically reshape the abnormal hip morphology and repair the labrum. For rehabilitation following operative management, a structured physical therapy program is unanimously recommended for the patient to return to their previous level of physical activity. Yet, despite this unanimous recommendation, significant heterogeneity exists among the current recommendations for postoperative physical therapy programs...
September 2023: Current Reviews in Musculoskeletal Medicine
https://read.qxmd.com/read/37128568/hip-joint-instability-after-surgery-performed-through-the-surgical-dislocation-approach
#12
JOURNAL ARTICLE
Prasad Gourineni, Durgaprasad Valleri, Nirav Mungalpara, Summer Watkins
BACKGROUND: Safe surgical dislocation of the hip is a versatile approach to the hip joint with a low complication rate. Hip joint instability is a devastating complication with poor prognosis. METHODS: All hips treated surgically through the safe surgical dislocation approach were entered in a database and the complication of hip joint instability was studied prospectively from 2000 to 2021. Instability was diagnosed by intraoperative stress examination and on postoperative radiographs...
May 2023: Indian Journal of Orthopaedics
https://read.qxmd.com/read/37045674/virtual-escape-room-paired-with-simulation-improves-health-professions-students-readiness-to-function-in-interprofessional-teams
#13
JOURNAL ARTICLE
Nicholas M Fusco, Kelly Foltz-Ramos, Yichen Zhao, Patricia J Ohtake
BACKGROUND: This project investigated the change in nursing, pharmacy, and physical therapy students' interprofessional socialization after participation in a virtual interprofessional escape room and case conference simulation. INTERPROFESSIONAL EDUCATION ACTIVITY: Interprofessional teams of nursing (n = 93), pharmacy (n = 75) and physical therapy (n = 33) students completed asynchronous, online learning (sepsis recognition and total hip replacement post-operative precautions) followed by a virtual escape room and a virtual simulated patient case conference...
April 10, 2023: Currents in Pharmacy Teaching & Learning
https://read.qxmd.com/read/37039064/hip-precautions-after-posterior-approach-total-hip-arthroplasty-among-patients-with-primary-hip-osteoarthritis-do-not-influence-early-recovery-a-systematic-review-and-meta-analysis-of-randomized-and-non-randomized-studies-with-8-835-patients
#14
JOURNAL ARTICLE
Christoffer B Korfitsen, Lone R Mikkelsen, Marie-Louise Mikkelsen, Jeanett F Rohde, Pætur M Holm, Simon Tarp, Holger-Henning F Carlsen, Kirsten Birkefoss, Thomas Jakobsen, Erik Poulsen, Jane S Leonhardt, Søren Overgaard, Inger Mechlenburg
BACKGROUND AND PURPOSE: Hip precautions are routinely prescribed to patients with osteoarthritis to decrease dislocation rates after total hip arthroplasty (THA) using a posterior approach. However, recommendations have been based on very low certainty of evidence. We updated the evidence on the influence of hip precautions on early recovery following THA by this systematic review. MATERIALS AND METHODS: We performed systematic searches for randomized controlled trials (RCT) and non-randomized (NRS) studies in MEDLINE, Embase, PEDro, and CINAHL published from 2016 to July 2022...
April 5, 2023: Acta Orthopaedica
https://read.qxmd.com/read/37038328/knee-and-hip-arthroplasty-joint-surgical-site-wound-infection-in-end-stage-renal-disease-subjects-who-underwent-dialysis-or-a-kidney-transplant-a-meta-analysis
#15
JOURNAL ARTICLE
Yankun Luo, Junfeng Gong, Shuyuan Yang
A meta-analysis study to assess the knee and hip arthroplasty joint surgical site wound infection (SSWI) in end-stage renal disease (ESRD) subjects who underwent dialysis or a kidney transplant (KT). A comprehensive literature examination till February 2023 was implemented and 1046 linked studies were appraised. The picked studies contained 5 471 898 subjects with total joint arthroplasty (TJA) at the baseline, 13 049 of them were haemodialysis or renal transplant, and 5 458 849 were control...
April 10, 2023: International Wound Journal
https://read.qxmd.com/read/36933682/posterior-approach-total-hip-arthroplasty-utilizing-a-monoblock-dual-mobility-construct-without-posterior-hip-precautions-a-series-of-580-hips-with-one-dislocation
#16
JOURNAL ARTICLE
Joseph T Gibian, Thomas S Hong, Ryan M Nunley
BACKGROUND: Instability remains a devastating complication following total hip arthroplasty. Here we describe a mini-posterior approach with a monoblock dual-mobility implant without "traditional posterior hip precautions" yielding excellent results. METHODS: There were 580 consecutive hips in 575 patients who underwent total hip arthroplasty utilizing a monoblock dual-mobility implant and a mini-posterior approach. With this technique, the acetabular component positioning does not rely on tradition intra-operative radiographic abduction and anteversion goals but rather uses patient-specific anatomic landmarks (anterior acetabular rim and, when visible, the transverse acetabular ligament) to set cup position; stability is assessed with a significant, dynamic intra-operative test of range of motion...
July 2023: Journal of Arthroplasty
https://read.qxmd.com/read/36709882/hip-abduction-can-be-considered-the-sole-posterior-precaution-strategy-to-lower-the-rate-of-impingement-after-posterior-approach-total-hip-arthroplasty-with-large-femoral-head-a%C3%A2-computer-simulation-study
#17
JOURNAL ARTICLE
Aidin Eslam Pour, Wei Shao Tung, Claire A Donnelley, Steven M Tommasini, Daniel H Wiznia
BACKGROUND: Studies suggest that posterior hip precautions are unnecessary after total hip arthroplasty; however, many surgeons and patients choose to follow these precautions to some extent. In this study, we hypothesized that 20° of hip abduction would be sufficient to prevent impingement and dislocation in motions requiring hip flexion when using larger prosthetic heads (≥36 mm) when the acetabular implant is placed within a reasonable orientation (anteversion:15-25° and inclination: 40-60°)...
July 2023: Journal of Arthroplasty
https://read.qxmd.com/read/36633487/a-feasibility-study-into-the-use-of-the-tilt-table-in-the-early-postoperative-rehabilitation-of-patients-undergoing-sacrectomy-surgery-with-plastic-reconstruction-within-the-orthopaedic-oncology-service
#18
JOURNAL ARTICLE
Isobel MacCallum, Abigail McCarthy, Alex Woollard, Craig Gerrand, Sherron Furtado
PURPOSE: Standard post-operative care following sacrectomy requiring plastic surgical reconstruction limits hip flexion and avoids wound pressure. Extended bed rest adversely affects patient function, strength and range of movement. This feasibility study assessed whether early postoperative use of the tilt table was possible and promoted faster mobilisation. METHODS: Data from 10 patients were collected; five from a "standard tilt table group" and five from an "early tilt table group"...
January 12, 2023: Disability and Rehabilitation
https://read.qxmd.com/read/36585348/prevalence-of-work-related-musculoskeletal-disorders-among-pediatric-long-term-ventilatory-care-unit-nurses-descriptive-cross-sectional-study
#19
JOURNAL ARTICLE
Brightlin Nithis Dhas, Lillikutty Joseph, Julee Ansa Jose, Jain Mariya Zeeser, Jasmine Priyadharshini Devaraj, Manigandan Chockalingam
PURPOSE: Prevalence of musculoskeletal disorders (MSD) is widely reported among nurses but not specific to nurses working in pediatric long-term ventilatory care (PLTVC) units. The purpose of this study is to determine the prevalence of MSD among nurses working in PLTVC settings. DESIGN AND METHODS: Cross-sectional descriptive design. Using the Extended Nordic Musculoskeletal Questionnaire, 127 nurses working in PLTVC units were recruited to examine the prevalence of single-site, two-site, and multi-site MSDs in nine body parts...
December 28, 2022: Journal of Pediatric Nursing
https://read.qxmd.com/read/36518456/a-survey-on-the-incidence-of-common-musculoskeletal-side-effects-among-the-patients-taking-long-term-anti-ulcerant-therapies-in-bangladesh
#20
JOURNAL ARTICLE
Shuvo Mitra, Md Saddam Hussain, Rubiya Rahman, Md Abdus Salam, Tanoy Mazumder, Sarmin Farzana
BACKGROUND: Proton pump inhibitors (PPIs) and H2 blockers are commonly prescribed medications to treat ulcers in the stomach and the upper part of the small intestine and prescribed for some other common gastrointestinal complications such as gastroesophageal reflux disease, esophagitis, irritable bowel syndrome, and dyspepsia. Previous studies claimed that, apart from other side effects, these anti-ulcerant therapies significantly altered bone mineral density by interfering with intestinal reabsorption of minerals and vitamin B12, and the most widely prescribed PPIs were significantly associated with increased risks of hip and spine fractures...
2022: Toxicology Reports
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