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Kelly Harper, Gavin Wood, Lalonde Sebastien, Walsh Kellen
Background: Little information exists regarding the risk of complications in inmates who receive total hip or knee arthroplasties in Canada. Inmates tend to be less healthy owing to socioeconomic factors and an increased number of medical and psychiatric comorbidities. We compared revision and complication rates of total joint replacements in a cohort of incarcerated Canadians versus a cohort of non-inmates. Methods: We obtained a list of all Canadian inmate inpatient hospital visits with diagnostic/procedure codes of primary hip or knee arthroplasty within the last 10 years from our institution’s discharge abstract database...
October 1, 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
Susan E Bronskill, Michael A Campitelli, Andrea Iaboni, Nathan Herrmann, Jun Guan, Laura C Maclagan, Jennifer Watt, Paula A Rochon, Andrew M Morris, Lianne Jeffs, Chaim M Bell, Colleen J Maxwell
OBJECTIVES: To evaluate whether risk of fall-related injuries differs between nursing home (NH) residents newly dispensed low-dose trazodone and those newly dispensed benzodiazepines. DESIGN: Retrospective, matched cohort study in linked, population-based administrative data. Matching was based on propensity score ( ± 0.2 standard deviations of the score as a caliper), age ( ± 1 year), sex, frailty status, and history of dementia. The derived propensity score included demographic characteristics, clinical comorbidities, cognitive and functional status, and risk factors for falls...
September 24, 2018: Journal of the American Geriatrics Society
Ki Hyuk Sung, Young-Jun Jung, Hyemi Cha, Chin Youb Chung, Kisung Lee, Moon Seok Park
This study investigated the effect of metallic tools on the scattered radiation dose delivered to surgeons' radiosensitive organs while simulating hip surgery using C-arm fluoroscopy. Two phantoms, a pelvis and a Rando phantom, were used to simulate a patient and a surgeon in this study. Photoluminescence dosimeters were inserted into the Rando phantom in the positions of the eye, thyroid and gonad. A drill was positioned above the hip of the pelvis phantom or beside the pelvis phantom of the same height. For each drill location, the scattered radiation dose was measured when the angle to the operator phantom was 45°; this was repeated when the angle was 90°...
September 22, 2018: Journal of Radiation Research
Kyungeh An, Angela Starkweather, Jamie Sturgill, Jeanne Salyer, Richard K Sterling
BACKGROUND: Nonalcoholic fatty liver disease (NAFLD) is a chronic liver disease in which patients present with metabolic dysregulation and obesity as well as fat accumulation in the liver. Those with NAFLD frequently have symptoms of fatigue, sleep disturbance, depression, and cognitive dysfunction. C1q/TNF-related protein 13 (CTRP13) regulates glucose metabolism and obesity in mice, yet the role of CTRP13 in human NAFLD has not been elucidated. AIMS: Our aims were to examine whether the plasma levels of CTRP13 are (a) increased in NAFLD patients; (b) associated with metabolic dysregulation, obesity, liver enzymes, and dyslipidemia; and (c) associated with putative symptoms of NAFLD...
September 20, 2018: Nursing Research
Armin Arshi, Natalie L Leong, Christopher Wang, Zorica Buser, Jeffrey C Wang, Nelson F SooHoo
INTRODUCTION: With healthcare expenditure in the national forefront, outpatient arthroplasty is an appealing option in select patient populations. The purpose of this study was to determine the complication rates associated with outpatient total hip arthroplasty (THA) in comparison to standard inpatient THA. METHODS: We performed a retrospective review of the Humana subset of the PearlDiver insurance records database to identify patients undergoing THA (Current Procedural Terminology-27130 and Current Procedural Terminology-27132) as either outpatients or inpatients from 2007 to 2016...
September 18, 2018: Journal of the American Academy of Orthopaedic Surgeons
Matthew R Boylan, Aldo M Riesgo, Carl B Paulino, Nirmal C Tejwani
INTRODUCTION: The transition to bundled payment reimbursement for geriatric hip fractures has incentivized the identification of avoidable inefficiencies in the cost and quality of care. Although a "weekend effect" has been described with regard to hip fracture mortality, measures of efficiency according to the day of hip fracture admission are currently unclear. METHODS: We identified 62,303 patients aged 65 years or older with a primary diagnosis of femoral neck or intertrochanteric hip fracture in the New York Statewide Planning and Research Cooperative System between 2009 and 2014...
September 18, 2018: Journal of the American Academy of Orthopaedic Surgeons
Joshua A Parry, Ian Barrett, Bradley Schoch, William Cross, Brandon Yuan
OBJECTIVES: To validate a neck-shaft angle (NSA) correction formula using the known angle between the medullary nail and lag screw of an indwelling cephalomedullary nail (CMN). METHODS: Pertrochanteric femur fractures were created in 7 synthetic femurs and reconstructed with a CMN. Anteroposterior x-rays were taken with the proximal femur in 0, 15, 30, and 45 degrees of internal/external rotation and 10 and 20 degrees of flexion with neutral rotation. The femoral NSA and the nail angle were measured on anteroposterior x-rays...
October 2018: Journal of Orthopaedic Trauma
David R Maldonado
No abstract text is available yet for this article.
September 11, 2018: Clinical Orthopaedics and related Research
Benjamin F Ricciardi
No abstract text is available yet for this article.
September 11, 2018: Clinical Orthopaedics and related Research
Brittany E Haws, Benjamin Khechen, Dil V Patel, Philip K Louie, Sravisht Iyer, Kaitlyn L Cardinal, Jordan A Guntin, Kern Singh
STUDY DESIGN: Retrospective Cohort. SUMMARY OF BACKGROUND DATA: Studies have shown that lumbar fusion procedures are associated with an increased risk of total hip arthroplasty (THA) dislocation. Some have speculated that the increased risk of dislocation is caused by mispositioning of the acetabular component because of spinal sagittal imbalance. Unfortunately, the exact relationship between spinal sagittal balance and cup orientation is unknown. OBJECTIVE: The objective of this study was to investigate the effect of spinal sagittal alignment on cup anteversion in THA dislocation...
September 21, 2018: Clinical Spine Surgery
Claudia A Angeli, Maxwell Boakye, Rebekah A Morton, Justin Vogt, Kristin Benton, Yangshen Chen, Christie K Ferreira, Susan J Harkema
Persons with motor complete spinal cord injury, signifying no voluntary movement or sphincter function below the level of injury but including retention of some sensation, do not recover independent walking. We tested intense locomotor treadmill training with weight support and simultaneous spinal cord epidural stimulation in four patients 2.5 to 3.3 years after traumatic spinal injury and after failure to improve with locomotor training alone. Two patients, one with damage to the mid-cervical region and one with damage to the high-thoracic region, achieved over-ground walking (not on a treadmill) after 278 sessions of epidural stimulation and gait training over a period of 85 weeks and 81 sessions over a period of 15 weeks, respectively, and all four achieved independent standing and trunk stability...
September 24, 2018: New England Journal of Medicine
Peter Ladlow, Russell J Coppack, Shreshth Dharm-Datta, Dean Conway, Edward Sellon, Stephen D Patterson, Alexander N Bennett
Background: There is growing evidence to support the use of low-load blood flow restriction (LL-BFR) exercise in musculoskeletal rehabilitation. Purpose: The purpose of this study was to evaluate the efficacy and feasibility of low-load blood flow restricted (LL-BFR) training versus conventional high mechanical load resistance training (RT) on the clinical outcomes of patient's undergoing inpatient multidisciplinary team (MDT) rehabilitation. Study design: A single-blind randomized controlled study. Methods: Twenty-eight lower-limb injured adults completed a 3-week intensive MDT rehabilitation program...
2018: Frontiers in Physiology
Mina Arvin, Marco J M Hoozemans, Mirjam Pijnappels, Jacques Duysens, Sabine M Verschueren, Jaap H van Dieën
Stable gait requires active control of the mediolateral (ML) kinematics of the body center of mass (CoM) and the base of support (BoS) in relation to each other. Stance leg hip abductor (HA) muscle spindle afference may be used to guide contralateral swing foot placement and adequately position the BoS in relation to the CoM. We studied the role of HA spindle afference in control of ML gait stability in young and older adults by means of muscle vibration. Healthy young ( n = 12) and older (age > 65 years, n = 18) adults walked on a treadmill at their preferred speed...
2018: Frontiers in Physiology
Yu-Chen Guo, Yong Zhou, Xing Gao, Yan Yao, Bin Geng, Qing-Hua Cui, Ji-Chun Yang, Hong-Pu Hu
Background: Nonalcoholic fatty liver disease (NAFLD) is one of the most common chronic liver diseases with a high prevalence in the general population. The association between NAFLD and cardiovascular disease has been well addressed in previous studies. However, whether NAFLD is associated with carotid artery disease in a community-based Chinese population remained unclear. The aim of this study was to investigate the association between NAFLD and carotid artery disease. Methods: A total of 2612 participants (1091 men and 1521 women) aged 40 years and older from Jidong of Tangshan city (China) were selected for this study...
October 5, 2018: Chinese Medical Journal
Vijdan Efendi, Sevgi Özalevli, İlknur Naz, Oğuz Kılınç
Introduction: Smoking leads to more respiratory symptoms and negative effects on the health-related quality of life (HRQOL) in women than men for the same smoking burden. However, the relationship between smoking and body composition and its influencing factors remains unclear. In this study, we aim to investigate the effects of smoking on body composition, pulmonary function, physical activity and health-related quality of life (HRQOL) among healthy women. Materials and Methods: A total of 73 young healthy women, current cigarette smokers and who had never smoked were included...
June 2018: Tüberküloz Ve Toraks
Emma Olsson, Miriam Pettersson, Mats Eriksson, Andreas Ohlin
AIM: To determine if oral glucose can have a pain relieving effect during routine hip exams in newborn infants. METHODS: In this randomized controlled study 100 newborn infants undergoing the routine physical examination including the potentially painful hip exam were included between March 2016 and April 2017. 50 infants were randomized to water (control) and 50 to oral glucose (intervention) before their examination. Pain was assessed using crying time, Astrid Lindgren and Lund Children's Hospital Pain and Stress Assessment Scale (ALPS-Neo) and Visual analogue scale (VAS)...
September 23, 2018: Acta Paediatrica
Brendan R Southam, Zachary Crawford, Brian M Grawe
Background: Previous studies in the arthroplasty, spine, and shoulder and elbow literature have shown that patients perceive Medicare reimbursement to surgeons to be much higher than current reimbursement schedules. Purpose: To evaluate patient perceptions of surgeon reimbursement for various rotator cuff repair (RCR) procedures. Study Design: Cross-sectional study. Methods: We surveyed 153 patients who presented to a single surgeon's orthopaedic sports medicine clinic between October 2016 and March 2017...
September 2018: Orthopaedic Journal of Sports Medicine
Eric H Ledet, Benjamin Liddle, Katerina Kradinova, Sara Harper
Smart implants are implantable devices that provide not only therapeutic benefits but also have diagnostic capabilities. The integration of smart implants into daily clinical practice has the potential for massive cost savings to the health care system. Applications for smart orthopedic implants have been identified for knee arthroplasty, hip arthroplasty, spine fusion, fracture fixation and others. To date, smart orthopedic implants have been used to measure physical parameters from inside the body, including pressure, force, strain, displacement, proximity and temperature...
2018: Innovation and entrepreneurship in health
Stephanie Victoria Camargo Leão Edelmuth, Gabriella Nisimoto Sorio, Fabio Antonio Anversa Sprovieri, Julio Cesar Gali, Sonia Ferrari Peron
Objective: To analyze comorbidities and clinical complications, and to determine the factors associated with mortality rates of elderly patients admitted with a hip fracture in a tertiary public hospital. Methods: Sixty-seven medical records were reviewed in a retrospective cohort study, including patients equal to or older than 65 years admitted to this institution for hip fracture between January 2014 and December 2014. The evaluated items constituted were the following: interval of time between fracture and hospital admission, time between admission and surgical procedure, comorbidities, clinical complications, type of orthopedic procedure, surgical risk, cardiac risk, and patient outcome...
September 2018: Revista Brasileira de Ortopedia
Helder de Souza Miyahara, Bruno Berbert Rosa, Fabio Yuiti Hirata, Henrique de Melo Campos Gurgel, Leandro Ejnisman, José Ricardo Negreiros Vicente
Objectives: This study is aimed at evaluating whether core decompression of the femoral head in the early stages of femoral head osteonecrosis improves patients' subjective perception of pain and avoids the progression of the disease to a femoral head collapse and a final indication of total hip arthroplasty. Methods: Eighteen patients (30 hips) in the early stages of the disease (Ficat and Arlet 1 and 2A) were evaluated through clinical, radiological, risk factor maintenance, and by the functional Merle D'Aubigné, and Postel score before and after core decompression of the femoral head...
September 2018: Revista Brasileira de Ortopedia
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