Fellow Involvement in Primary Total Knee Arthroplasty: Is There an “August Effect?”

J Knee Surg DOI: 10.1055/s-0040-1713113The purpose of this study is to determine if a fellow's involvement, as well as duration of a fellow's training, impacts complications, outcomes, and survivorship in primary total knee arthroplasty (TKA). A retrospective review identified 2,790 consecutive patients (3,530 knees) who underwent primary TKA between 2003 and 2008. A 2-year minimum follow-up was available on 2,785 knees (2,195 patients). Operative data, clinical outcomes, complications, and survivorship were compared between cases with and without a fellow involved as well as comparing cases in the first quarter (Q1) of the academic year to the last three quarters (Q2–4). Mean follow-up was 9.7 years. Fellows were involved in 1,434 (41%) surgeries. Fellow cases had significantly longer tourniquet times (59.5 vs. 49 minutes, p 
Source: Journal of Knee Surgery - Category: Orthopaedics Authors: Tags: Original Article Source Type: research

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Authors: Gu Y, Yao Q, Xu Y, Zhang H, Wei P, Wang L Abstract BACKGROUND This was a prospective comparative study of mixed reality (MR) technology assisted lumbar pedicle screws placement and traditional lumbar pedicle screws placement. MATERIAL AND METHODS Fifty cases of lumbar pedicle screws placement were randomly divided into 2 groups: 25 cases with MR technology in group A, and 25 cases without MR technology in group B. All patients had their scores on the Oswestry disability index (ODI) of low back pain and the visual analog scale (VAS) of the affected lower limb recorded at pre-operation. Blood loss, operative...
Source: Medical Science Monitor - Category: Research Tags: Med Sci Monit Source Type: research
Conclusions. The use of the extension device for manual height adjustment of the hospital bed developed from this study helps to prevent LBP among healthcare workers across settings. PMID: 32646297 [PubMed - as supplied by publisher]
Source: International Journal of Occupational Safety and Ergonomics - Category: Occupational Health Tags: Int J Occup Saf Ergon Source Type: research
Publication date: Available online 10 July 2020Source: Journal of PhysiotherapyAuthor(s): Stephanie Reischl, Joy C MacDermid
Source: Journal of Physiotherapy - Category: Physiotherapy Source Type: research
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Source: Journal of Physiotherapy - Category: Physiotherapy Source Type: research
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Source: Journal of Physiotherapy - Category: Physiotherapy Source Type: research
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Source: Journal of Physiotherapy - Category: Physiotherapy Source Type: research
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We present a case of chronic non-communicating hydrocephalus (NCH) in a US military recruit. Non-communicating hydrocephalus is a pathologic obstruction of cerebrospinal fluid (CSF) resulting in enlargement of the ventricles and elevated intracranial pressure. The patient is an 18-year-old male recruit who was evaluated in the Naval Medical Center emergency room for left hip pain and incidentally was found to have profound ventriculomegaly on head imaging. The diagnosis and evaluation of hydrocephalus is greatly dependent on clinical history and supported by radiographic imaging. Based on these factors, one can determine i...
Source: Military Medicine - Category: International Medicine & Public Health Tags: Mil Med Source Type: research
ConclusionsAs ovarian edema is a rare entity, due to lack of clinical suspicion it is often overdiagnosed as a malignant tumor leading to radical surgery with subsequent loss of hormonal function and early infertility. A high degree of clinical suspicion during the intraoperative period is helpful for diagnosis to avoid unnecessary oophorectomy and infertility.
Source: Journal of Medical Case Reports - Category: General Medicine Source Type: research
Do not Rx oral steroids for back pain.
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
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