Blood Management in Outpatient Total Hip Arthroplasty
Based on a series of 407 outpatient total hip arthroplasties performed by a single surgeon, a standardized protocol for blood loss management in outpatient arthroplasty was developed consisting of a presurgical hematocrit of greater than 36%, administration of tranexamic acid, prophylactic introduction of albumin, hypotensive epidural anesthesia, monopolar electrocautery, and bipolar sealer. This protocol uses techniques that alone are not novel but together create a standardized and reproducible pathway that when implemented can increase the safety of outpatient hip arthroplasty. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - May 6, 2021 Category: Orthopaedics Authors: Samuel Gray McClatchy, Joseph T. Cline, Carson M. Rider, Zachary K. Pharr, William M. Mihalko, Patrick C. Toy Source Type: research

Complications Associated with Peripheral Nerve Blocks
Outpatient orthopedic surgery is gradually becoming the standard across the country, as it has been found to significantly lower costs without compromising patient care. Peripheral nerve blocks (PNBs) are largely what have made this transition possible by providing patients excellent pain control in the immediate postoperative period. However, with the increasing use of PNBs, it is important to recognize that they are not without complications. Although rare, these complications can cause patients a significant amount of morbidity. It is important for surgeons to know the risks of peripheral nerve blocks and to inform thei...
Source: Orthopedic Clinics of North America - May 6, 2021 Category: Orthopaedics Authors: Kevin H. Phan, John G. Anderson, Donald R. Bohay Source Type: research

Malrotation of Long Bones
Rotational malreduction is a common yet underreported postoperative complication following intramedullary nailing of long bone fractures. In most situations, this can be prevented at the time of initial surgery with meticulous preoperative planning, careful use of intraoperative fluoroscopy, and awareness of risk factors for malrotation. However, rotational alignment remains difficult to assess by clinical examination so a high index of suspicion is always necessary. Here, the authors review the literature on this complication and report on 3 such cases of femoral and the tibial malrotation, methods for calculating femoral...
Source: Orthopedic Clinics of North America - May 6, 2021 Category: Orthopaedics Authors: Matthew Sullivan, Kelsey Bonilla, Derek Donegan Source Type: research

Common Complications of Distal Radial Fractures
Distal radial fractures are associated with good outcomes; however, although they occur at low rates, complications can significantly impair treatment success. Therefore, the treating surgeon should be aware of potential complications associated with each treatment type and how to best prevent them. Although certain patient-specific and fracture-specific factors may increase the risk of adverse outcomes, most are nonmodifiable risk factors at the time of presentation, so it is imperative that every effort is made to mitigate these risk factors to prevent long-term morbidity. Patients should be well-informed about these com...
Source: Orthopedic Clinics of North America - May 6, 2021 Category: Orthopaedics Authors: Hayden S. Holbrook, Travis A. Doering, Benjamin M. Mauck Source Type: research

Complications of Volar Plating of Distal Radial Fractures
Although the overall complication rate of volar plating approaches 15%, less than 5% require reoperation. Certain factors involving the patient, the fracture, and/or the surgeon may affect the overall complication risk. Patient factors, including body mass index greater than 35 and diabetes mellitus, may increase complication risk with volar plating, but older patient age does not seem to significantly alter risk. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - May 6, 2021 Category: Orthopaedics Authors: Norfleet B. Thompson Source Type: research

Preface
Despite an appropriate choice of treatment, careful preoperative planning, and meticulous technique, complications can occur. This issue describes some of the possible complications of orthopedic treatment and provides information on how to avoid them. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - May 6, 2021 Category: Orthopaedics Authors: Frederick M. Azar Source Type: research

Anterior Vertebral Body Tethering for Adolescent Idiopathic Scoliosis
This article highlights the translational science foundation, early to midterm clinical reports, and future directions for this growing technique in pediatric spinal deformity surgery. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - March 20, 2021 Category: Orthopaedics Authors: Courtney E. Baker, Todd A. Milbrandt, A. Noelle Larson Source Type: research

Hot Topics in Hand and Wrist Surgery
The field of hand surgery continues to evolve in new and exciting directions. Advances in diagnosis and management for common complaints and complex injuries allow higher-level care, while still being cognizant of the cost of health care delivery. Indications and protocols for past paradigm shifts, such as volar locked plating for distal radial fractures, continue to be honed, and the outcomes seen for modern flexor tendon repairs are impressive. Open questions remain, but promising results for scaphoid nonunion surgery and peripheral nerve reconstruction with processed allograft will continue to shed light on these unsolv...
Source: Orthopedic Clinics of North America - March 20, 2021 Category: Orthopaedics Authors: Travis A. Doering, Benjamin M. Mauck, James H. Calandruccio Source Type: research

Orthopedic Clinics of North America
www.orthopedic.theclinics.com (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - March 20, 2021 Category: Orthopaedics Source Type: research

Copyright
ELSEVIER (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - March 20, 2021 Category: Orthopaedics Source Type: research

Editorial Board
Professor, Department of Orthopaedic Surgery& Biomedical Engineering, University of Tennessee-Campbell Clinic; Chief-of-Staff, Campbell Clinic, Inc, Memphis, Tennessee (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - March 20, 2021 Category: Orthopaedics Source Type: research

Contributors
ADESHINA ADEYEMO, MD, BSN (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - March 20, 2021 Category: Orthopaedics Source Type: research

Contents
Shuyang Han, David Rodriguez-Quintana, Adam M. Freedhand, Kenneth B. Mathis, Alexander V. Boiwka, and Philip C. Noble (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - March 20, 2021 Category: Orthopaedics Source Type: research

Forthcoming Issues
July 2021 (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - March 20, 2021 Category: Orthopaedics Source Type: research

Hot Topics in Orthopedics
Orthopedic surgeons have always been great innovators and inventors, witness the plethora of techniques and devices for fracture fixation, joint replacement, and deformity correction. Never satisfied with the status quo and convinced that better outcomes can be obtained, orthopedic surgeons continue to develop techniques for improving patient function and decreasing adverse events. This issue of Orthopedic Clinics of North America contains many excellent introductions to some of the recent developments in orthopedic surgery. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - March 20, 2021 Category: Orthopaedics Authors: Frederick M. Azar Tags: Preface Source Type: research