keyword
https://read.qxmd.com/read/38536508/examining-racial-disparities-in-utilization-rate-and-perioperative-outcomes-following-knee-and-hip-arthroplasty
#1
JOURNAL ARTICLE
Tyler Thorne, Scott Nishioka, Krystin Wong, Dylan R Y Lawton, Sian Yik Lim, Cass K Nakasone
BACKGROUND: Previous arthroplasty utilization research predominantly examined Black and White populations within the US. This is the first known study to examine utilization and complications in poorly studied minority racial groups such as Asians and Native Hawaiian/Pacific-Islanders (NHPI) as compared to Whites. RESULTS: Data from 3304 primary total hip and knee arthroplasty patients (2011 to 2019) were retrospectively collected, involving 1789 Asians (52.2%), 1164 Whites (34%) and 320 Native Hawaiians/Pacific Islanders (NHPI) (9...
March 27, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38535106/radiation-exposure-and-contrast-agent-use-during-endovascular-aortic-repair-using-mobile-versus-fixed-angiography-systems
#2
JOURNAL ARTICLE
Amir Arnautovic, Waseem Garabet, Reinhold Thomas Ziegler, Joscha Mulorz, Sönke Maximilian Braß, Alexander Oberhuber, Hubert Schelzig, Markus Udo Wagenhäuser, Philip Dueppers
BACKGROUND: For (thoracic) endovascular aortic repair ((T)EVAR) procedures, both mobile (standard operating room (SOR)) and fixed C-arm (hybrid operating room (HOR)) systems are available. This study evaluated differences in key procedural parameters, and procedural success for (T)EVAR in the SOR versus the HOR. METHODS: All patients who underwent standard elective (T)EVAR at the Clinic for Vascular and Endovascular Surgery at the University Hospital Duesseldorf, Germany, between 1 January 2012 and 1 January 2019 were included...
February 29, 2024: Journal of Cardiovascular Development and Disease
https://read.qxmd.com/read/38531239/from-the-archives-of-md-anderson-cancer-center-mesothelial-monocytic-incidental-cardiac-excrescence-with-a-review-of-the-literature
#3
REVIEW
Jayati Mallick, Beenu Thakral, Qing Wei, L Jeffrey Medeiros
Mesothelial/monocytic incidental cardiac excrescence (MICE) is a rare benign lesion composed of monocytes and mesothelial cells that is most often encountered during cardiothoracic surgery. We describe a case in a 71-year-old man with known aortic valve stenosis who presented with gradual onset dyspnea over a few weeks, made worse with minimal exertion. A transesophageal echocardiogram revealed severe aortic stenosis and mild pericardial effusion. The patient underwent aortic valve replacement, coronary artery bypass, and amputation of the left atrial appendage...
March 20, 2024: Annals of Diagnostic Pathology
https://read.qxmd.com/read/38530463/prospective-development-study-of-the-versius-surgical-system-for-use-in-transoral-robotic-surgery-an-ideal-stage-1-2a-first-in-human-and-initial-case-series-experience
#4
JOURNAL ARTICLE
Jack Faulkner, Asit Arora, Peter McCulloch, Stephen Robertson, Aleix Rovira, Sebastien Ourselin, Jean-Pierre Jeannon
PURPOSE: Transoral robotic surgery is well established in the treatment paradigm of oropharyngeal pathology. The Versius Surgical System (CMR Surgical) is a robotic platform in clinical use in multiple specialities but is currently untested in the head and neck. This study utilises the IDEAL framework of surgical innovation to prospectively evaluate and report a first in human clinical experience and single centre case series of transoral robotic surgery (TORS) with Versius. METHODS: Following IDEAL framework stages 1 and 2a, the study evaluated Versius to perform first in human TORS before transitioning from benign to malignant cases...
March 26, 2024: European Archives of Oto-rhino-laryngology
https://read.qxmd.com/read/38530462/interest-of-computer-tomography-in-the-study-of-prognostic-factors-of-otosclerosis
#5
JOURNAL ARTICLE
Rachida Bouatay, Chirine Benelhaj, Jamel Saad, Ahmed Zrig, Mehdi Ferjaoui, Amel Elkorbi, Naourez Kolsi, Khaled Harrathi, Jamel Koubaa
BACKGROUND: Otosclerosis is a primary osteodystrophy of the otic capsule that causes stapedo-vestibular ankylosis. Its diagnosis is suspected on the basis of clinical and audiometric elements, basically in the presence of conductive hearing loss with a normal eardrum. The CT-scan is an essential examination for the preoperative evaluation of otosclerosis. The aim of our study was to evaluate the use of CT-scanning in predicting the functional outcome of otosclerosis surgery by correlating postoperative audiometric results and preoperative CT findings...
March 26, 2024: European Archives of Oto-rhino-laryngology
https://read.qxmd.com/read/38530450/effects-of-graft-detachment-on-the-central-corneal-thickness-after-uncomplicated-descemet-membrane-endothelial-keratoplasty
#6
JOURNAL ARTICLE
Tibor Lohmann, Sabine Baumgarten, David Kürten, Julia Prinz, Niklas Plange, Peter Walter, Matthias Fuest
PURPOSE: To determine if early central corneal thickness (CCT) and best-corrected visual acuity (BCVA) changes indicate graft detachment after uncomplicated Descemet membrane endothelial keratoplasty (DMEK). METHODS: In this analysis of our prospectively collected ADDA registry data ( https://drks.de/search/de/trial/DRKS00027180 ), 45 pseudophakic eyes underwent DMEK surgery at the Department of Ophthalmology, RWTH Aachen University. Anterior segment optical coherence tomography (AS-OCT), the presence of stromal ripples on the posterior corneal surface, and BCVA measurements were assessed prior to, 1 day, 1 week, 1 month, and 6 months after surgery...
March 26, 2024: Graefe's Archive for Clinical and Experimental Ophthalmology
https://read.qxmd.com/read/38530449/choroidal-hypertransmission-width-on-optical-coherence-tomography-a-prognostic-biomarker-in-idiopathic-macular-hole-surgery
#7
JOURNAL ARTICLE
Micol Alkabes, Alessandro Rabiolo, Andrea Govetto, Paolo Fogagnolo, Stefano Ranno, Mattia Marchetti, Filippo Frerio, Davide Wild, Valentina Gatti, Andrea Muraca, Stefano De Cillà
PURPOSE: To test the hypothesis that optical coherence tomography (OCT) choroidal hypertransmission width (CHW) is a prognostic biomarker in idiopathic macular hole (MH) surgery METHODS: Retrospective cohort study of consecutive patients undergoing successful pars plana vitrectomy for idiopathic MH. We collected demographic, clinical, and OCT variables at the preoperative and last available visits. Two investigators assessed the following OCT parameters: MH minimum diameter, base diameter, CHW, ellipsoid zone, and external limiting membrane status (absent vs...
March 26, 2024: Graefe's Archive for Clinical and Experimental Ophthalmology
https://read.qxmd.com/read/38528216/the-cost-evaluation-of-day-case-compared-to-inpatient-cochlear-implantation-in-adults-subanalysis-of-a-randomized-controlled-trial
#8
JOURNAL ARTICLE
Laura S M Derks, Adriana L Smit, Hans G X M Thomeer, Wilko Grolman, Robert J Stokroos, Inge Wegner
OBJECTIVE: To investigate the assumption that day-case cochlear implantation is associated with lower costs, compared to inpatient cochlear implantation, while maintaining equal quality of life (QoL) and hearing outcomes, for the Dutch healthcare setting. STUDY DESIGN: A single-center, non-blinded, randomized controlled trial in a tertiary referral center. METHODS: Thirty adult patients with post-lingual bilateral sensorineural hearing loss eligible for unilateral cochlear implantation surgery were randomly assigned to either the day-case or inpatient treatment group (i...
March 26, 2024: European Archives of Oto-rhino-laryngology
https://read.qxmd.com/read/38526576/prelacrimal-recess-approach-for-maxillary-sinus-inverted-papilloma-a-15-year-experience-from-a-single-center
#9
JOURNAL ARTICLE
Na Liang, Jing Qu, Qian Huang, Bing Zhou
PURPOSE: This large retrospective, single-center, follow-up study investigated the endoscopic prelacrimal recess approach (PLRA) for treating maxillary sinus inverted papilloma (MSIP). METHODS: Between January 2007 and November 2022, patients with MSIP treated with PLRA were enrolled. Data on clinical manifestations, imaging, and surgical procedures were collected. The visual analog scale (VAS) scores for maxillofacial numbness and nasal symptoms and the SNOT-22 nasal symptom scores were statistically analyzed...
March 25, 2024: European Archives of Oto-rhino-laryngology
https://read.qxmd.com/read/38526466/postoperative-pulmonary-complications-in-patients-undergoing-upper-abdominal-surgery-risk-factors-and-predictive-models
#10
JOURNAL ARTICLE
Shivam Garg, Vishnukanth Govindaraj, Dharm Prakash Dwivedi, Kalayarasan Raja, Elamurugan Palanivel Theerthar
Postoperative pulmonary complications (PPCs) are unexpected disorders that occur up to 30 days after surgery, affecting the patient's clinical status and requiring therapeutic intervention. Therefore, it becomes important to assess the patient preoperatively, as many of these complications can be minimized with proper perioperative strategies following a thorough preoperative checkup. Herein, we describe the PPCs and risk factors associated with developing PPCs in patients undergoing upper abdominal surgery...
March 25, 2024: Monaldi Archives for Chest Disease
https://read.qxmd.com/read/38523239/a-two-year-comparison-of-reverse-total-shoulder-arthroplasty-mini-humeral-tray-and-augmented-mini-glenoid-baseplate-implants-vs-standard-implants
#11
JOURNAL ARTICLE
Ryan Krupp, Christopher O'Grady, Brian Werner, J Michael Wiater, John Nyland, Thomas Duquin
BACKGROUND: Patients who undergo reverse total shoulder arthroplasty (RTSA) are getting younger with greater function expectations. This retrospective, longitudinal study of prospectively collected data compared perceived shoulder function and strength, active shoulder mobility, radiographic evidence of scapular notching, and implant survival over the initial 2-years post-RTSA among patient groups who received either standard central fixation point liner and glenoid baseplate implants, or lower size profile mini-humeral tray with offset trunnion options and mini-augmented glenoid baseplate implants...
March 25, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38521904/clinical-and-radiologic-outcomes-in-patients-with-meniscal-root-tears
#12
JOURNAL ARTICLE
Rawee Manatrakul, Maximilian Loeffler, Upasana U Bharadwaj, Gabby B Joseph, Drew Lansdown, Brian Feeley, Joe D Baal, Julio B Guimaraes, Thomas M Link
BACKGROUND: Meniscal root tears can lead to early knee osteoarthritis and pain. This study aimed (1) to compare clinical and radiological outcomes between patients who underwent arthroscopic meniscal root repair after meniscal root tears and those who received non-surgical treatment, and (2) to identify whether baseline MRI findings could be potential predictors for future treatment strategies. METHODS: Patients with meniscal root tears were identified from our picture archiving and communication system from 2016 to 2020...
March 23, 2024: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/38520550/knotless-suture-in-revision-total-joint-arthroplasty-a-prospective-randomized-controlled-trial
#13
JOURNAL ARTICLE
Itay Ashkenazi, Walter D Sobba, Jessica S Morton, Thomas Bieganowski, Ittai Shichman, Ran Schwarzkopf
INTRODUCTION: The use of barbed sutures for wound closure in primary total joint arthroplasty (TJA) has been shown to be effective and safe. However, their effectiveness and safety in revision TJA procedures has not been thoroughly studied. This study aims to evaluate the efficacy and safety of using barbed suture closure in revision TJA setting. METHODS: A total of 80 patients undergoing revision TJA between September 2020 and November 2022 were included in this randomized controlled trial study...
March 23, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38520549/are-silver-coated-megaprostheses-superior-to-uncoated-megaprostheses-in-managing-chronic-end-stage-periprosthetic-hip-and-knee-infection
#14
JOURNAL ARTICLE
Matías Vicente, Josep Nomdedeu, Kushal Lakhani, Pablo S Corona
INTRODUCTION: Outcomes for silver coated megaprostheses (SC-MP) used in cases of end-stage periprosthetic joint infection (PJI) have not been clearly defined. Although attractive, concerns over implant longevity and the risk of infection relapse exist among the scientific community. Therefore, we sought to investigate the effect of silver coating in lower-extremity MPs used in such difficult-to-treat scenarios. The study's primary hypothesis was that the periprosthetic infection control rate would be higher in patients with silver-coated implants...
March 23, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38520548/improved-patient-reported-outcomes-with-the-direct-anterior-approach-versus-the-posterior-approach-for-total-hip-arthroplasty-in-the-early-post-operative-period
#15
JOURNAL ARTICLE
Omar Sarhan, Martinus Megalla, Nareena Imam, Anna N Ren, Roberta E Redfern, Gregg R Klein
BACKGROUND: Patients undergoing total hip arthroplasty (THA) with the direct anterior approach (DAA) may experience faster recovery but may also have better baseline health than those who undergo THA with the posterior approach (PA). This study aimed to compare patient-reported outcome measures (PROMs) between the DAA and PA while controlling for baseline factors. METHODS: This is a secondary data analysis from a prospective cohort study of patients utilizing a smartphone-based care management platform following THA...
March 23, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38520547/lateral-rim-variable-angle-locked-plating-versus-tension-band-wiring-of-simple-and-complex-patella-fractures-a-biomechanical-study
#16
JOURNAL ARTICLE
Stephen Warner, Christoph Sommer, Ivan Zderic, William Woodburn, Richard Castle, Jessica Penman, Eladio Saura-Sanchez, David L Helfet, Boyko Gueorguiev, Karl Stoffel
INTRODUCTION: Treatment of both simple and complex patella fractures is a challenging clinical problem. Although tension band wiring has been the standard of care, it can be associated with high complication rates. The aim of this study was to investigate the biomechanical performance of recently developed lateral rim variable angle locking plates versus tension band wiring used for fixation of simple and complex patella fractures. MATERIALS AND METHODS: Sixteen pairs of human anatomical knees were used to simulate either two-part transverse simple AO/OTA 34-C1 or five-part complex AO/OTA 34-C3 patella fractures by means of osteotomies, with each fracture model created in eight pairs...
March 23, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38520302/discrepancies-in-mass-shootings-and-access-to-trauma-care-across-the-united-states-2014-2018
#17
JOURNAL ARTICLE
Kaylin J Beiter, Stacey M Knowles, Alexandra Tedesco, Claudia Leonardi, Peter L Scharf, Brett M Chapman, Tommy A Brown, Jonathan E Schoen, Lance E Stuke, Patrick P Greiffenstein, Alan B Marr, John P Hunt, Alison A Smith
INTRODUCTION: The United States has one of the highest rates of gun violence and mass shootings. Timely medical attention in such events is critical. The objective of this study was to assess geographic disparities in mass shootings and access to trauma centers. METHODS: Data for all Level I and II trauma centers were extracted from the American College of Surgeons and the Trauma Center Association of America registries. Mass shooting event data (4+ individuals shot at a single event) were taken from the Gun Violence Archive between 2014 and 2018...
March 23, 2024: American Surgeon
https://read.qxmd.com/read/38519824/small-bites-versus-large-bites-during-fascial-closure-of-midline-laparotomies-a-systematic-review-and-meta-analysis
#18
Ana Caroline Dias Rasador, Sergio Mazzola Poli de Figueiredo, Miguel Godeiro Fernandez, Yasmin Jardim Meirelles Dias, Rafael Ribeiro Hernandez Martin, Carlos André Balthazar da Silveira, Richard Lu
PURPOSE: Incisional ventral hernias (IVH) are common after laparotomies, with up to 20% incidence in 12 months, increasing up to 60% at 3-5 years. Although Small Bites (SB) is the standard technique for fascial closure in laparotomies, its adoption in the United States is limited, and Large Bites (LB) is still commonly performed. We aim to assess the effectiveness of SB regarding IVH. METHODS: We searched for RCTs and observational studies on Cochrane, EMBASE, and PubMed from inception to May 2023...
March 22, 2024: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/38517544/occurrence-of-mucosa-affecting-diseases-of-the-upper-airways-in-middle-ear-cholesteatoma-patients-a-nationwide-case-control-study
#19
JOURNAL ARTICLE
Agnes Modée Borgström, Hanna Mogensen, Cecilia Engmér Berglin, Johan Knutsson, Åsa Bonnard
PURPOSE: Exploring a possible link between upper airway inflammation and the development of cholesteatoma by studying the association between mucosa-affecting diseases of the upper airways and cholesteatoma surgery. METHODS: This is a nationwide case-control study of 10,618 patients who underwent surgery for cholesteatoma in Sweden between 1987 and 2018. The cases were identified in the National Patient Register and 21,235 controls matched by age, sex and place of residency were included from national population registers...
March 22, 2024: European Archives of Oto-rhino-laryngology
https://read.qxmd.com/read/38517543/fashioning-esophagogastric-anastomosis-in-robotic-ivor-lewis-esophagectomy-a-multicenter-experience
#20
MULTICENTER STUDY
Marco Milone, Paolo Pietro Bianchi, Fabio Cianchi, Andrea Coratti, Anna D'Amore, Giovanni De Manzoni, Carlo Alberto De Pasqual, Giampaolo Formisano, Elio Jovine, Luca Morelli, Mariafortuna Offi, Andrea Peri, Andrea Pietrabissa, Fabio Staderini, Angela Tribuzi, Simone Giacopuzzi
BACKGROUND: The aim of the present study is to compare outcomes of the robotic hand-sewn, linear- and circular-stapled techniques performed to create an intrathoracic esophagogastric anastomosis in patients who underwent Ivor-Lewis esophagectomy. METHODS: Patients who underwent a planned Ivor-Lewis esophagectomy were retrospectively analysed from prospectively maintained databases. Only patients who underwent a robotic thoracic approach with the creation of an intrathoracic esophagogastric anastomosis were included in the study...
March 22, 2024: Langenbeck's Archives of Surgery
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