Enhanced Total Hip Arthroplasty Education Using Augmented Reality: A Survey From a Tertiary Center
CONCLUSION: Computer-assisted surgery has demonstrated variable impacts on orthopedic education. After the implementation of AR at an academic teaching center, all trainees reported it improved their intraoperative experience and their understanding of acetabular component placement. Further studies are needed to determine if AR is able to improve a trainee's component placement. [Orthopedics. 202x;4x(x):xx-xx.].PMID:38567999 | DOI:10.3928/01477447-20240325-02 (Source: Orthopedics)
Source: Orthopedics - April 3, 2024 Category: Orthopaedics Authors: Sean P Ryan Niall Cochrane Michael P Bolognesi Samuel S Wellman Source Type: research

Factors Associated With Episode of Care Adverse Events After Humerus Nonunion Repair
CONCLUSION: Using a large database over a recent 10-year period, we identified demographic and comorbid factors independently associated with episode of care adverse events after humeral nonunion repair. Patients 50 years or older had approximately three times the incidence of complications, readmissions, and reoperations in the first month after humeral nonunion repair compared with patients younger than 50 years. Our findings are relevant for preoperative risk stratification and counseling. [Orthopedics. 202x;4x(x):xx-xx.].PMID:38568000 | DOI:10.3928/01477447-20240325-03 (Source: Orthopedics)
Source: Orthopedics - April 3, 2024 Category: Orthopaedics Authors: Dafang Zhang Jesse B Jupiter Philip Blazar Brandon E Earp George S M Dyer Source Type: research

Psychiatric Diagnosis Does Not Influence Management or Resolution of Confirmed Fracture-Related Infection
CONCLUSION: The presence of a psychiatric diagnosis does not affect clinical outcomes in the patient population with FRI. This is the first study exploring the impact of psychiatric illness on patient outcomes after a confirmed FRI diagnosis. [Orthopedics. 202x;4x(x):xx-xx.].PMID:38568001 | DOI:10.3928/01477447-20240325-08 (Source: Orthopedics)
Source: Orthopedics - April 3, 2024 Category: Orthopaedics Authors: Nina D Fisher Lauren A Merrell Sara J Solasz Abhishek Ganta Sanjit R Konda Kenneth A Egol Source Type: research

Clinical Outcome of Chemotherapy and Radiation Therapy Versus Chemotherapy, Radiation Therapy, and Multilevel Vertebroplasty or Kyphoplasty for Multiple Myeloma
CONCLUSION: This study found that performing kyphoplasty and vertebroplasty in addition to conventional therapy for patients with multiple myeloma resulted in enhanced morbidity and functional outcomes. [Orthopedics. 202x;4x(x):xx-xx.].PMID:38568002 | DOI:10.3928/01477447-20240325-06 (Source: Orthopedics)
Source: Orthopedics - April 3, 2024 Category: Orthopaedics Authors: Mohammad Alkhatatba Ala'a Alma' Aiteh Ziad Audat Suhaib Bani Essa Ahmad Radaideh Ziyad Mohaidat Hamzeh Ziad Audat Tarek Manasreh Source Type: research

Efficacy of Liposomal Bupivacaine in Reducing Opioid Use After Posterior Lumbar Spinal Decompression and Fusion
CONCLUSION: The findings of this study suggest that the addition of liposomal bupivacaine to traditional pain management modalities can augment pain management for patients undergoing posterior lumbar surgery, as evidenced by the significant decrease in postoperative morphine milligram equivalents required. [Orthopedics. 202x;4x(x):xx-xx.].PMID:38568003 | DOI:10.3928/01477447-20240325-07 (Source: Orthopedics)
Source: Orthopedics - April 3, 2024 Category: Orthopaedics Authors: Amber McClure Olivia C Silveri Megan Foddrell Karen Duteil Laura E Madar ász Christopher P Silveri Source Type: research

Evaluation of the Safety of Uninterrupted Warfarin Anticoagulation With Tranexamic Acid in Total Joint Arthroplasty
CONCLUSION: Many factors must be considered when choosing perioperative thromboembolic prophylaxis for arthroplasty candidates with medical comorbidities requiring long-term anticoagulation. This study presents data indicating that it could be safe and effective to continue therapeutic warfarin while using prophylactic TXA. [Orthopedics. 202x;4x(x):xx-xx.].PMID:38466825 | DOI:10.3928/01477447-20240304-04 (Source: Orthopedics)
Source: Orthopedics - March 11, 2024 Category: Orthopaedics Authors: Michael G Johnston Matthew A Porter Kade E Eppich Celeste G Gray David F Scott Source Type: research

A Cost Analysis of Surgical Approach in Total Hip Arthroplasty
CONCLUSION: The DA cohort had improved measures of health; however, this approach was associated with a higher operative cost and was predictive of increased encounter cost despite a shorter length of stay. [Orthopedics. 202;4x(x):xx-xx.].PMID:38466826 | DOI:10.3928/01477447-20240304-03 (Source: Orthopedics)
Source: Orthopedics - March 11, 2024 Category: Orthopaedics Authors: Niall H Cochrane Colleen Wixted Billy Kim Patrick J Kelly Michael P Bolognesi David Holst Samuel Wellman Sean P Ryan Source Type: research

Performance of Two Artificial Intelligence Generative Language Models on the Orthopaedic In-Training Examination
CONCLUSION: There is significant variability in the accuracy of publicly available AI models on the OITE. AI generative language software may play numerous potential roles in the future in orthopedic education, including simulating patient presentations and clinical scenarios, customizing individual learning plans, and driving evidence-based case discussion. Further research and collaboration within the orthopedic community is required to safely adopt these tools and minimize risks associated with their use. [Orthopedics. 202x;4x(x):xx-xx.].PMID:38466827 | DOI:10.3928/01477447-20240304-02 (Source: Orthopedics)
Source: Orthopedics - March 11, 2024 Category: Orthopaedics Authors: Marc Lubitz Luke Latario Source Type: research

Site of Service Disparities Exist for Total Joint Arthroplasty
CONCLUSION: Differences in site of service and complication rates following hip and knee arthroplasty exist based on type of insurance, suggesting a disparity in care. Further exploration of drivers of this disparity is warranted and can inform interventions (eg, progressive value-based payments) to support equity in orthopedic services. [Orthopedics. 202x;4x(x):xx-xx.].PMID:38466828 | DOI:10.3928/01477447-20240304-01 (Source: Orthopedics)
Source: Orthopedics - March 11, 2024 Category: Orthopaedics Authors: Nicole M Truong Chelsea V Leversedge Thompson Zhuang Lauren M Shapiro Matthew Whittaker Robin N Kamal Source Type: research

Evaluation of the Safety of Uninterrupted Warfarin Anticoagulation With Tranexamic Acid in Total Joint Arthroplasty
CONCLUSION: Many factors must be considered when choosing perioperative thromboembolic prophylaxis for arthroplasty candidates with medical comorbidities requiring long-term anticoagulation. This study presents data indicating that it could be safe and effective to continue therapeutic warfarin while using prophylactic TXA. [Orthopedics. 202x;4x(x):xx-xx.].PMID:38466825 | DOI:10.3928/01477447-20240304-04 (Source: Orthopedics)
Source: Orthopedics - March 11, 2024 Category: Orthopaedics Authors: Michael G Johnston Matthew A Porter Kade E Eppich Celeste G Gray David F Scott Source Type: research

A Cost Analysis of Surgical Approach in Total Hip Arthroplasty
CONCLUSION: The DA cohort had improved measures of health; however, this approach was associated with a higher operative cost and was predictive of increased encounter cost despite a shorter length of stay. [Orthopedics. 202;4x(x):xx-xx.].PMID:38466826 | DOI:10.3928/01477447-20240304-03 (Source: Orthopedics)
Source: Orthopedics - March 11, 2024 Category: Orthopaedics Authors: Niall H Cochrane Colleen Wixted Billy Kim Patrick J Kelly Michael P Bolognesi David Holst Samuel Wellman Sean P Ryan Source Type: research

Performance of Two Artificial Intelligence Generative Language Models on the Orthopaedic In-Training Examination
CONCLUSION: There is significant variability in the accuracy of publicly available AI models on the OITE. AI generative language software may play numerous potential roles in the future in orthopedic education, including simulating patient presentations and clinical scenarios, customizing individual learning plans, and driving evidence-based case discussion. Further research and collaboration within the orthopedic community is required to safely adopt these tools and minimize risks associated with their use. [Orthopedics. 202x;4x(x):xx-xx.].PMID:38466827 | DOI:10.3928/01477447-20240304-02 (Source: Orthopedics)
Source: Orthopedics - March 11, 2024 Category: Orthopaedics Authors: Marc Lubitz Luke Latario Source Type: research

Site of Service Disparities Exist for Total Joint Arthroplasty
CONCLUSION: Differences in site of service and complication rates following hip and knee arthroplasty exist based on type of insurance, suggesting a disparity in care. Further exploration of drivers of this disparity is warranted and can inform interventions (eg, progressive value-based payments) to support equity in orthopedic services. [Orthopedics. 202x;4x(x):xx-xx.].PMID:38466828 | DOI:10.3928/01477447-20240304-01 (Source: Orthopedics)
Source: Orthopedics - March 11, 2024 Category: Orthopaedics Authors: Nicole M Truong Chelsea V Leversedge Thompson Zhuang Lauren M Shapiro Matthew Whittaker Robin N Kamal Source Type: research

Evaluation of the Safety of Uninterrupted Warfarin Anticoagulation With Tranexamic Acid in Total Joint Arthroplasty
CONCLUSION: Many factors must be considered when choosing perioperative thromboembolic prophylaxis for arthroplasty candidates with medical comorbidities requiring long-term anticoagulation. This study presents data indicating that it could be safe and effective to continue therapeutic warfarin while using prophylactic TXA. [Orthopedics. 202x;4x(x):xx-xx.].PMID:38466825 | DOI:10.3928/01477447-20240304-04 (Source: Orthopedics)
Source: Orthopedics - March 11, 2024 Category: Orthopaedics Authors: Michael G Johnston Matthew A Porter Kade E Eppich Celeste G Gray David F Scott Source Type: research

A Cost Analysis of Surgical Approach in Total Hip Arthroplasty
CONCLUSION: The DA cohort had improved measures of health; however, this approach was associated with a higher operative cost and was predictive of increased encounter cost despite a shorter length of stay. [Orthopedics. 202;4x(x):xx-xx.].PMID:38466826 | DOI:10.3928/01477447-20240304-03 (Source: Orthopedics)
Source: Orthopedics - March 11, 2024 Category: Orthopaedics Authors: Niall H Cochrane Colleen Wixted Billy Kim Patrick J Kelly Michael P Bolognesi David Holst Samuel Wellman Sean P Ryan Source Type: research