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Shoulder knee arthroscopy

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https://www.readbyqxmd.com/read/29769058/efficacy-of-standardized-training-on-a-virtual-reality-simulator-to-advance-knee-and-shoulder-arthroscopic-motor-skills
#1
Stefan Rahm, Karl Wieser, David E Bauer, Felix Wa Waibel, Dominik C Meyer, Christian Gerber, Sandro F Fucentese
BACKGROUND: Most studies demonstrated, that training on a virtual reality based arthroscopy simulator leads to an improvement of technical skills in orthopaedic surgery. However, how long and what kind of training is optimal for young residents is unknown. In this study we tested the efficacy of a standardized, competency based training protocol on a validated virtual reality based knee- and shoulder arthroscopy simulator. METHODS: Twenty residents and five experts in arthroscopy were included...
May 16, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29701089/does-virtual-reality-simulation-have-a-role-in-training-trauma-and-orthopaedic-surgeons
#2
J D Bartlett, J E Lawrence, M E Stewart, N Nakano, V Khanduja
Aims The aim of this study was to assess the current evidence relating to the benefits of virtual reality (VR) simulation in orthopaedic surgical training, and to identify areas of future research. Materials and Methods A literature search using the MEDLINE, Embase, and Google Scholar databases was performed. The results' titles, abstracts, and references were examined for relevance. Results A total of 31 articles published between 2004 and 2016 and relating to the objective validity and efficacy of specific virtual reality orthopaedic surgical simulators were identified...
May 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29613930/operative-experience-during-orthopaedic-residency-compared-with-early-practice-in-the-u-s
#3
Jessica M Kohring, Michael O Bishop, Angela P Presson, John J Harrast, J Lawrence Marsh, Theodore W Parsons, Charles L Saltzman
BACKGROUND: The goal of surgical education is to prepare the trainee for independent practice; however, the relevance of the current residency experience to practice remains uncertain. The purpose of this study was to identify the surgical procedures most frequently performed in orthopaedic residency and in early surgical practice and to identify surgical procedures performed more often or less often in orthopaedic residency compared with early surgical practice. METHODS: This retrospective cohort study included American Medical Association (AMA) Current Procedural Terminology (CPT) codes (n = 4,329,561 procedures) reported by all U...
April 4, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29494748/trends-in-medicare-reimbursement-for-orthopedic-procedures-2000-to-2016
#4
Adam E M Eltorai, Wesley M Durand, Jack M Haglin, Lee E Rubin, Arnold-Peter C Weiss, Alan H Daniels
Understanding trends in reimbursement is critical to the financial sustainability of orthopedic practices. Little research has examined physician fee trends over time for orthopedic procedures. This study evaluated trends in Medicare reimbursements for orthopedic surgical procedures. The Medicare Physician Fee Schedule was examined for Current Procedural Terminology code values for the most common orthopedic and nonorthopedic procedures between 2000 and 2016. Prices were adjusted for inflation to 2016-dollar values...
March 1, 2018: Orthopedics
https://www.readbyqxmd.com/read/29399589/web-based-education-prior-to-outpatient-orthopaedic-surgery-enhances-early-patient-satisfaction-scores-a-prospective-randomized-controlled-study
#5
Carola F van Eck, Aneet Toor, Michael B Banffy, Ralph A Gambardella
Background: A good patient-surgeon relationship relies on adequate preoperative education and counseling. Several multimedia resources, such as web-based education tools, have become available to enhance aspects of perioperative care. Purpose/Hypothesis: The purpose of this study was to evaluate the effect of an interactive web-based education tool on perioperative patient satisfaction scores after outpatient orthopaedic surgery. It was hypothesized that web-based education prior to outpatient orthopaedic surgery enhances patient satisfaction scores...
January 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29238824/effect-of-perioperative-gabapentin-on-postoperative-pain-resolution-and-opioid-cessation-in-a-mixed-surgical-cohort-a-randomized-clinical-trial
#6
Jennifer Hah, Sean C Mackey, Peter Schmidt, Rebecca McCue, Keith Humphreys, Jodie Trafton, Bradley Efron, Debra Clay, Yasamin Sharifzadeh, Gabriela Ruchelli, Stuart Goodman, James Huddleston, William J Maloney, Frederick M Dirbas, Joseph Shrager, John G Costouros, Catherine Curtin, Ian Carroll
Importance: Guidelines recommend using gabapentin to decrease postoperative pain and opioid use, but significant variation exists in clinical practice. Objective: To determine the effect of perioperative gabapentin on remote postoperative time to pain resolution and opioid cessation. Design, Setting, and Participants: A randomized, double-blind, placebo-controlled trial of perioperative gabapentin was conducted at a single-center, tertiary referral teaching hospital...
April 1, 2018: JAMA Surgery
https://www.readbyqxmd.com/read/29217304/warming-of-irrigation-fluids-for-prevention-of-perioperative-hypothermia-during-arthroscopy-a-systematic-review-and-meta-analysis
#7
REVIEW
Victoria M Steelman, Sena Chae, Jed Duff, Michael J Anderson, Adnan Zaidi
PURPOSE: To determine whether warming of irrigation fluids (32°C-40°C) compared with using room-temperature irrigation fluids (20°C-22°C) decreases the risk of perioperative hypothermia (<36°C) for patients undergoing shoulder, hip, or knee arthroscopy. METHODS: One reviewer, with the assistance of a medical librarian, searched the following databases: PubMed, Embase, Cochrane Central, SPORTDiscus, Web of Science, and CINAHL (Cumulative Index to Nursing and Allied Health Literature)...
March 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29099885/in-office-diagnostic-needle-arthroscopy-understanding-the-potential-value-for-the-us-healthcare-system
#8
Sean McMillan, Michael Schwartz, Bryan Jennings, Scott Faucett, Thomas Owens, Elizabeth Ford
In-office diagnostic needle arthroscopy is a cost-effective and reproducible procedure with potential cost and quality-of-life benefits for commercial payers and patients. Significant value was realized in this 200-patient retrospective review. Minimum savings of $418 and $554.62 were realized for noncontrast knee and shoulder magnetic resonance imaging (MRI) scans, respectively, in independent MRI facilities. Those savings more than doubled in hospital-based facilities: $961.08 and $1097.62, respectively, for knee and shoulder noncontrast MRI scans...
September 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/28926315/mri-arthroscopy-correlations-a-case-based-atlas-of-the-knee-shoulder-elbow-and-hip-edited-by-stephen-f-brockmeier-new-york-ny-springer-science-business-media-2015-isbn-978-1-4939-2644-2-hardcover-129-00-pp-481
#9
https://www.readbyqxmd.com/read/28921017/the-german-arthroscopy-registry-dart
#10
Ralf Mueller-Rath, Oliver Miltner, Alfred Hochrein, Philipp Niemeyer
In Germany, more than 400,000 arthroscopic procedures are performed each year. The DART registry is designed to study the outcome of arthroscopic procedures of the shoulder, hip, knee and ankle joint under everyday clinical circumstances using patient-reported outcome measures (PROMs). DART aims at identifying patient-specific factors correlated with therapy-associated complications and treatment failure and will help study the influence of concurrent joint diseases and procedures. To achieve these tasks, a Web-based remote data entry system will be applied and adapted to the needs of DART...
December 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28866347/wearable-inertial-sensors-allow-for-quantitative-assessment-of-shoulder-and-elbow-kinematics-in-a-cadaveric-knee-arthroscopy-model
#11
Michael Rose, Carolin Curtze, Joseph O'Sullivan, Mahmoud El-Gohary, Dennis Crawford, Darin Friess, Jacqueline M Brady
PURPOSE: To develop a model using wearable inertial sensors to assess the performance of orthopaedic residents while performing a diagnostic knee arthroscopy. METHODS: Fourteen subjects performed a diagnostic arthroscopy on a cadaveric right knee. Participants were divided into novices (5 postgraduate year 3 residents), intermediates (5 postgraduate year 4 residents), and experts (4 faculty) based on experience. Arm movement data were collected by inertial measurement units (Opal sensors) by securing 2 sensors to each upper extremity (dorsal forearm and lateral arm) and 2 sensors to the trunk (sternum and lumbar spine)...
December 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28638690/an-unusual-case-of-diffuse-pigmented-villonodular-synovitis-of-the-shoulder-a-multidisciplinary-approach-with-arthroscopic-synovectomy-and-adjuvant-radiotherapy
#12
Tânia Quinás Serra, João Morais, Zico Gonçalves, Francisco Agostinho, Gilberto Melo, Mónica Henriques
Pigmented villonodular synovitis (PVNS) is a rare proliferative disorder of the synovial membrane. This condition is usually monoarticular, can be locally destructive, and involves muscles, tendons, bursae, bones, and skin. The most commonly affected joints are the knee and hip, followed by the ankle and shoulder. Patients often present with pain, swelling, and joint effusion; however, the duration of symptoms varies. Total synovectomy is the preferred treatment for PVNS. Subtotal synovectomy is a factor of recurrence, and in diffuse PVNS, total excision is very difficult to achieve...
June 2017: European Journal of Rheumatology
https://www.readbyqxmd.com/read/28400668/nontuberculous-mycobacterial-infection-of-the-musculoskeletal-system-in-immunocompetent-hosts
#13
Manit K Gundavda, Hitendra G Patil, Vikas M Agashe, Rajeev Soman, Camilla Rodriques, Ramesh B Deshpande
BACKGROUND: Nontuberculous mycobacteria (NTM) were considered saprophytic organisms for many years but now are recognized as human pathogens. Although humans are routinely exposed to NTM, the rate of clinical infection is low. Such infections usually occur in the elderly and in patients who are immunocompromised. However, there has been an increasing incidence in recent years of infections in immunocompetent hosts. NTM infections in immunocompetent individuals are secondary to direct inoculation either contamination from surgical procedures or penetrating injuries rather than hematogenous dissemination...
March 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/28394040/pain-related-unscheduled-contact-with-healthcare-services-after-outpatient-surgery
#14
L D Brix, K T Bjørnholdt, T M Thillemann, L Nikolajsen
This prospective, observational study explored the need for pain-related unscheduled contact with healthcare services after outpatient surgery. We hypothesised that 10% of outpatients would have pain-related unscheduled contact with healthcare services, and that the incidence would differ depending on the type of surgical procedure. In total, 905 patients who had undergone one of five common outpatient surgical procedures (knee or shoulder arthroscopy, surgical correction of hallux valgus, laparoscopic cholecystectomy or laparoscopic gynaecological procedures) completed an electronic questionnaire one week and eight weeks after surgery...
July 2017: Anaesthesia
https://www.readbyqxmd.com/read/28032713/arthroscopic-retrieval-of-over-100-loose-bodies-in-shoulder-synovial-chondromatosis-a-case-report-and-review-of-literature
#15
REVIEW
Pradyumna Raval, Ashish Vijayan, Arpit Jariwala
Synovial chondromatosis is a rare and benign condition of unknown cause. It is also known as synovial osteochondromatosis. It is characterized by involvement of the synovial tissue, which lines various joints of our body. Initial symptoms range from pain in the joint, locking of the joint at times, especially the knee, to arthritis of the joint that is a late feature of this condition. Although large joints such as the knee are commonly affected, involvement of the shoulder joint is a rare occurrence. Historically an open arthrotomy was preferred for removal of loose bodies coupled with a thorough synovectomy...
November 2016: Orthopaedic Surgery
https://www.readbyqxmd.com/read/27989355/knee-shoulder-and-fundamentals-of-arthroscopic-surgery-training-validation-of-a-virtual-arthroscopy-simulator
#16
Josef N Tofte, Brian O Westerlind, Kevin D Martin, Brian L Guetschow, Bastián Uribe-Echevarria, Chamnanni Rungprai, Phinit Phisitkul
PURPOSE: To validate the knee, shoulder, and virtual Fundamentals of Arthroscopic Training (FAST) modules on a virtual arthroscopy simulator via correlations with arthroscopy case experience and postgraduate year. METHODS: Orthopaedic residents and faculty from one institution performed a standardized sequence of knee, shoulder, and FAST modules to evaluate baseline arthroscopy skills. Total operation time, camera path length, and composite total score (metric derived from multiple simulator measurements) were compared with case experience and postgraduate level...
March 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27931883/quality-of-counselling-for-knee-and-shoulder-arthroscopy-patients-during-day-surgery
#17
Pirjo Kaakinen, Helka Ervasti, Maria Kääriäinen
BACKGROUND: Counselling for day surgery patients is one of the core components for a knee or shoulder arthroscopy patient to succeed in self-care. AIM: This cross-sectional study examined the quality of counselling given to patients (n = 86) during their day surgery, using the Counselling Quality Instrument (CQI). METHODS: The data were analysed using basic and multivariate statistical methods. RESULTS: Most respondents were male and aged over 50 years...
February 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27916179/season-s-greetings-a-good-year-for-arthroscopy
#18
EDITORIAL
James H Lubowitz, Jefferson C Brand, Matthew T Provencher, Michael J Rossi
The Arthroscopy journal "Most Read" list evolves over time, and reflects the popularity of knee and shoulder and hip topics, original scientific articles, Letters to the Editor, and Level V Evidence (expert opinion). And, for the holiday season, we share a cruciverbalist challenge.
December 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27578242/a-review-of-important-medical-and-surgical-considerations-for-obese-patients-undergoing-arthroscopic-surgery
#19
REVIEW
John Prodromo, Justin Rackley, Mary K Mulcahey
Obesity represents a unique challenge in orthopaedic surgery, the impact of which is seen through all phases of injury: in the development of disease, during the operative procedure, and throughout the rehabilitation period. Given the high prevalence of obesity in the United States and around the world, this patient population represents a substantial proportion of patients in need of orthopedic care. The effects of this disease constrain both medical and financial resources. For obese patients undergoing orthopedic procedures, adequate steps must be taken to minimize the risks that occur before, during, and after surgical intervention...
September 2016: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/27561628/a-checklist-intervention-to-assess-resident-diagnostic-knee-and-shoulder-arthroscopic-efficiency
#20
COMPARATIVE STUDY
Benedict Nwachukwu, Michael Gaudiani, Jennifer Hammann-Scala, Anil Ranawat
PURPOSE: The purpose of this investigation was to apply an arthroscopic shoulder and knee checklist in the evaluation of orthopedic resident arthroscopic skill efficiency and to demonstrate the use of a surgical checklist for assessing resident surgical efficiency over the course of a surgical rotation. METHODS: Orthopedic surgery residents rotating on the sports medicine service at our institution between 2011 and 2015 were enrolled in this study. Residents were administered a shoulder and knee arthroscopy assessment tool at the beginning and end of their 6-week rotation...
January 2017: Journal of Surgical Education
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