What is the Status? A Systematic Review of Nutritional Status Research in Total Joint Arthroplasty
Malnutrition has been previously associated with impaired wound healing, slower locomotion, and poorer outcomes following elective surgery. Although academic societies dedicated to perioperative recovery have published evidence-based guidelines for malnutrition, no consensus exists within orthopedics for screening and treating malnutrition in patients undergoing total joint arthroplasty (TJA). Following PRISMA guidelines, we performed a systematic review to determine: (1) how is malnutrition defined; (2) what is the prevalence of malnutrition among patients with TJA; (3) what perioperative complications are associated with...
Source: Techniques in Orthopaedics - August 27, 2019 Category: Orthopaedics Tags: Symposium Source Type: research
Avoiding Complications Associated With Anemia Following Total Joint Arthroplasty
As the number of total knee arthroplasty surgeries exponentially rise over the next decade, there will be a parallel rise in the complications observed. Patients who undergo total knee arthroplasties will be at an increased risk for postoperative anemia and allogenic blood transfusions (ABTs). The range of complications associated with perioperative anemia and ABTs include increased length of stay (LOS) in the hospital, increased surgical site infections/periprosthetic joint infections, and mortality. There are many perioperative blood conservation strategies that can be utilized to help optimize a patient, prevent excessi...
Source: Techniques in Orthopaedics - August 27, 2019 Category: Orthopaedics Tags: Symposium Source Type: research
Risk Adjustment is Necessary for Bundled TKA Patients
With health care costs in the United States rising at an exponential rate, providers, payers, and policymakers have all sought to develop alternative payment models to seek value in care. For procedures such as total knee arthroplasty (TKA), which accounts for Medicare’s largest inpatient expenditure, the Centers for Medicare and Medicaid Services (CMS) and private insurers have introduced bundled payment programs aimed at reducing cost and improving the quality of patient care. Although traditionally, TKA has been reimbursed by Medicare through a fee-for-service model rewarding quantity of services provided versus quali...
Source: Techniques in Orthopaedics - August 27, 2019 Category: Orthopaedics Tags: Symposium Source Type: research
Forward
No abstract available (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - August 27, 2019 Category: Orthopaedics Tags: Preface Source Type: research
Optimizing Posterior Condylar Offset and Joint Line Restoration in Revision Total Knee Arthroplasty Using a Contemporary Implant System
We present a variation of the standard operative technique for the Triathlon total stabilized revision knee system that aims to facilitate recreation of an anatomic joint line, and increase the posterior condylar offset through flexion and posterior translation of the femoral component using short cemented intramedullary stems. We illustrate the technique with a sequential single-surgeon series of 29 patients undergoing total stabilized revision total knee arthroplasty. Joint line ratio is maintained and posterior condylar offset ratio increased from preoperative to postoperatively. Patient reported outcome scores (Oxford ...
Source: Techniques in Orthopaedics - May 22, 2019 Category: Orthopaedics Tags: Special Technical Article Source Type: research
Liposomal Bupivacaine: Market Penetration Versus Scientific Evidence: Only the Facts
No abstract available (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - May 22, 2019 Category: Orthopaedics Tags: Letter to the Editor Source Type: research
Suture Anchor Repair of Quadriceps Tendon and Patellar Tendon Ruptures
Conclusions:
Suture anchor repair of QT and PT ruptures results in full active extension and a low failure rate, but IKDC scores indicate continued functional deficits in most patients.
Level of Evidence:
Level IV—therapeutic. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - May 22, 2019 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
The Extensile Medial Parapatellar Approach to the Distal Femur and Knee: Anatomic Landmarks and Surgical Technique
This report describes a novel surgical approach and the relevant anatomy through a series of detailed clinical and fresh cadaveric dissections. A previously undescribed anatomic landmark is demonstrated through photographs and cadaveric variation studies, which may help guide the surgeon in defining crucial planes. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - May 22, 2019 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
Subspine Impingement: Technique for Arthroscopic Decompression
The anterior inferior iliac spine (AIIS) is a newly recognized etiology of extra-articular hip impingement. The purpose of this article is to describe an arthroscopic technique for AIIS decompression causing extra-articular hip impingement. Arthroscopic decompression of subspine impingement is a novel procedure that can be used to successfully relieve hip pain and improve hip function and range of motion cause by AIIS impingement. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - May 22, 2019 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
Sterile Adhesive Tape as an Isolation Device in Phalangeal Fracture Fixation
Phalangeal fractures are common injuries in the upper limb. Frequently, fluoroscopy is utilized to assist in the surgical management of these injuries. The use of sterile adhesive tape is a simple and cost-effective technique that minimizes radiation exposure. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - May 22, 2019 Category: Orthopaedics Tags: Tips and Pearls Source Type: research
The Modified Anterolateral Approach to the Humerus
No abstract available (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - May 22, 2019 Category: Orthopaedics Tags: Tips and Pearls Source Type: research
The Use of a Lacrimal Probe in Closed Catheter Irrigation of Pyogenic Flexor Tenosynovitis
Pyogenic flexor tenosynovitis is a destructive closed space infection of the flexor tendon sheath. Here, we describe an adjunct to its normal surgical treatment by ways of using a lacrimal probe. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - May 22, 2019 Category: Orthopaedics Tags: Tips and Pearls Source Type: research
A Simple Technique to Improve the Accuracy of Plaster Molding in Metacarpal Neck Fractures
Metacarpal neck fractures are mostly reduced in A&E or in fracture clinic. Once the cast is applied a simple technique is described to locate the metacarpal head. On the uninjured hand, measurement is taken from the tip of corresponding finger to the metacarpal head. This measurement is transferred on to the cast for further reduction and moulding. This technique provides a reliable outcome. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - May 22, 2019 Category: Orthopaedics Tags: Tips and Pearls Source Type: research
Unhas Suture, A Novel Tendon Repair Technique: An In Vitro Experimental Study Comparing Unhas Suture and Bunnell Suture in Tensile Strength and Gap Formation
Conclusions:
Unhas suture was proven to be able to resist gap forces either in initial gap or 2-mm gap compared with Bunnell suture
Clinical Relevance:
Unhas suture may be a reliable alternative in tendon repair that provides tensile strength, gapping resistance and also provide easiness which can be performed with conventional suture material and less operating time. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - May 22, 2019 Category: Orthopaedics Tags: Novel Research Methods and Models Source Type: research
Health Care Economics of SI Joint Fusion
Increased interest in the sacroiliac joint (SIJ) as a contributor to chronic low back pain has resulted in an expanding set of surgical and nonsurgical treatment options. Evidence for the effectiveness of nonsurgical treatment is limited, impeding assessment of the overall value of such treatments. For surgical treatment, only triangular titanium implants, used during minimally invasive SIJ fusion, have been the subject of rigorous clinical and economic evaluations. Randomized trials of triangular titanium implants have shown marked immediate and sustained improvements in pain, disability, and quality of life with incremen...
Source: Techniques in Orthopaedics - May 22, 2019 Category: Orthopaedics Tags: Symposium Source Type: research
