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Total 228 results found since Jan 2013.

Patient-reported allergies cause inferior outcomes after total knee arthroplasty
Conclusion Patients with at least one self-reported allergy have worse post-operative outcomes in terms of the WOMAC and KSS-Knee scores after TKA than patients without allergies. These poor outcomes do not seem to be related to depression. Therefore, more research is needed to explain them. Reported allergies could be considered a prognostic factor and used when counselling TKA patients. Level of evidence I.
Source: Knee Surgery, Sports Traumatology, Arthroscopy - November 3, 2015 Category: Orthopaedics Source Type: research

Patient Reported Allergies Are a Risk Factor for Poor Outcomes in Total Hip and Knee Arthroplasty
We evaluated 459 patients undergoing THA or TKA who completed preoperative and postoperative WOMAC and/or SF36 surveys. Medical comorbidities and reported allergies were also recorded. Evaluation of surveys was compared for patients with or without 4 or more reported allergies using statistical methods. Patients with 4 or more reported allergies had less improvement on SF36 Physical Component Score (∆PCS=4.2) than those with 0–3 allergies (∆PCS=10.0, P=0.0002). Regression analysis showed that this change was independent of self-reported comorbidities.
Source: The Journal of Arthroplasty - June 5, 2014 Category: Orthopaedics Authors: Christopher M. Graves, Jesse E. Otero, Yubo Gao, Devon D. Goetz, Melissa D. Willenborg, John J. Callaghan Source Type: research

Correlation of Patient-Reported Allergies with Postoperative Outcomes and Cost of Admission for Cervical and Lumbar Spinal Surgery
BACKGROUND CONTEXT: Compiling a list of allergies is an important part of the medical history. Patients who self-report allergies have a higher prevalence of Axis I disorders such as anxiety and somatization. Previous studies have found that a greater number of patient-reported allergies correlate with poorer outcomes after hip and knee arthroplasty. We hypothesized that patient-reported allergies correlate with postsurgical outcomes following cervical or lumbar spinal surgery, as well as with cost of admission.
Source: The Spine Journal - October 1, 2017 Category: Orthopaedics Authors: David Xiong, Wenda Ye, Roy Xiao, Jacob Miller, Sea J. Nagel, Andre Machado Source Type: research

Does Number of Reported Drug Allergies Affect Patient-Reported Outcomes and Satisfaction following Operative Treatment for Degenerative Lumbar Spine Disease?
Patients with a high number of reported drug allergies are often labeled as histrionic individuals with the perception they will have worse outcomes following spine surgery. Improved understanding of the association between reported drug allergies and psychiatric comorbidities, as well as the effect of reported drug allergies on patient-reported outcomes (PROs) and satisfaction, could help improve preoperative and perioperative management.
Source: The Spine Journal - September 23, 2015 Category: Orthopaedics Authors: Harrison F. Kay, Silky Chotai, Joseph Wick, David Stonko, Anthony Asher, Matthew J. McGirt, Clinton J. Devin Source Type: research

Antibiotic Stewardship Interventions Improve Choice of Antibiotic Prophylaxis in Total Joint Arthroplasty in Patients with Reported Penicillin Allergies
CONCLUSION: A multifaceted antibiotic stewardship intervention increased the appropriateness of antibiotic prophylaxis in elective primary TJA. Patients with nonsevere penicillin allergies, even those reporting hives or local swelling, tolerated cefazolin. Antibiotic stewardship interventions can be implemented across institutions to expand cephalosporin use in patients with a reported penicillin allergy within orthopaedic TJA patients.LEVEL OF EVIDENCE: Level III, therapeutic study.PMID:33856366 | DOI:10.1097/CORR.0000000000001739
Source: Clinical Orthopaedics and Related Research - April 15, 2021 Category: Orthopaedics Authors: Raquel Jones Katelyn S Quartuccio Jessica L Stern Eric V Heintz Kelly E Pillinger Thomas G Myers Source Type: research

Patient Reported Allergies Negatively Affect Outcomes after Shoulder Arthroplasty
Patient-reported allergies have been identified as a risk factor for worse outcomes and less satisfaction in knee and hip arthroplasty. Similar associations have not been elucidated with shoulder arthroplasty; however, previous research is sparse. The purpose of this study is to assess the outcomes following shoulder arthroplasty surgery with respect to patient-reported drug allergies (PRA). It was hypothesized a higher number of allergies would be associated with worse patient reported outcomes following shoulder arthroplasty surgery.
Source: Journal of Shoulder and Elbow Surgery - June 1, 2021 Category: Orthopaedics Authors: Bryant P. Elrick, Adam M. Johannsen, Grant J. Dornan, Peter J. Millett Tags: Original Article Source Type: research

Patient-reported drug and latex allergies negatively affect outcomes after total and reverse shoulder arthroplasty
Patient-reported allergies (PRAs) have been identified as a risk factor for worse outcomes and less satisfaction in patients undergoing knee and hip arthroplasty. Similar associations have not been elucidated in shoulder arthroplasty patients; however, previous research is sparse. The purpose of this study was to assess the outcomes following shoulder arthroplasty surgery with respect to patient-reported drug allergies. It was hypothesized that a higher number of allergies would be associated with worse patient-reported outcomes (PROs) following shoulder arthroplasty surgery.
Source: Journal of Shoulder and Elbow Surgery - June 1, 2021 Category: Orthopaedics Authors: Bryant P. Elrick, Adam M. Johannsen, Grant J. Dornan, Peter J. Millett Source Type: research

Multiple Patient Reported Allergies are Associated with Worse Outcomes following Lumbar Spine Surgery
BACKGROUND CONTEXT: Recent studies have shown that multiple self-reported allergies independently predict worse outcomes following total joint arthroplasty. This is consistent with prior studies in spinal surgery suggesting that mental health measures such as SF-36 Mental Composite Score or the Distress and Risk Assessment Method (DRAM) correlate with clinical outcome. As opposed to those measures (Unlike those measures  …?, allergies are a potentially useful predictor variable as they are routinely collected in every patient.
Source: The Spine Journal - September 30, 2016 Category: Orthopaedics Authors: Christopher Graves, Leah Y. Carreon, Borys Gvozdyev, Stephanie Riley, Jeffrey L. Gum, Steven D. Glassman Source Type: research

Compatibility and allergies of osteosynthesis materials.
Abstract Metal implants for osteosynthesis are nowadays standard in orthopedic and trauma surgery. Steel implants, especially cerclages, bands and wires, can show more corrosion due to friction and lead to encapsulation in connective tissue with fluid borders even without loosening. Corrosion and fluid borders are potentially more susceptible to incompatibility and infections. Titanium implants have the advantage of better allergic compatibility. Problems may occur in material removal, especially with titanium implants because material fractures occur more frequently. Particularly with fixed angle constructions, t...
Source: Der Unfallchirurg - January 19, 2017 Category: Orthopaedics Authors: Thomsen M, Thomas P Tags: Unfallchirurg Source Type: research

32. Does the number of patient-reported allergies impact clinical outcomes after lumbar spinal fusion?
A gap in the literature exists regarding the association of clinical and radiographic outcomes with specific number of allergies for patients undergoing lumbar spinal fusions; which is necessary to close in order to better understand the prognostic value of patient-reported allergies.
Source: The Spine Journal - August 23, 2019 Category: Orthopaedics Authors: Jannat M. Khan, Bryce Basques, Dong Gue Oh, Zayd Hayani, Jennifer Hwang, Konstantin A. Tchalukov, Peter B. Derman, Howard S. An, Matthew Colman Source Type: research

Preoperative Allergy Testing for Patients Reporting Penicillin and Cephalosporin Allergies is Cost-Effective in Preventing Infection after Total Knee and Hip Arthroplasty
Routine preoperative allergy testing in patients reporting penicillin and cephalosporin allergies increases the number able to receive cefazolin, which should reduce the risk of infection after total knee and hip arthroplasty (TKA/THA), but it remains unclear whether this practice is cost-effective. Using a break-even analysis, we calculated the cost-effectiveness of routine preoperative allergy testing for infection prevention in total joint arthroplasty patients reporting penicillin and cephalosporin allergies.
Source: The Journal of Arthroplasty - August 25, 2020 Category: Orthopaedics Authors: Nicholas R. Pagani, Michael A. Moverman, Richard N. Puzzitiello, Mariano E. Menendez, C. Lowry Barnes, Joseph J. Kavolus Source Type: research

60. Beta-lactam antibiotic surgical prophylaxis is safe in patients with self-reported penicillin allergies: a cohort study of lumbar spine surgery patients
The use of first-generation cephalosporins for perioperative antibiotic prophylaxis in elective spine surgery is strongly recommended. Patients with self-reported penicillin (PCN) allergies are often administered suboptimal alternative antibiotics given the concern for distant cross-reactivity. The reliability of patient-reported PCN allergies has been disputed and is poorly understood.
Source: The Spine Journal - August 31, 2020 Category: Orthopaedics Authors: Kyle Kesler, Alan Shamrock, Christopher Lindsay, Nathan R. Hendrickson, Joshua M. Eisenberg, Piyush Kalakoti, Andrew J. Pugely Source Type: research

Total Shoulder Arthroplasty: Antibiotic Allergies Increase Risk of Postoperative Complications
CONCLUSION: Patients undergoing TSA with a history of ABX had a higher risk of readmission, postoperative anemia, blood transfusions, and PJI. These findings support critical assessment and clarification of reported allergies before TSA and possibly the use of preoperative allergy testing.LEVEL OF EVIDENCE: Level 3 therapeutic study.PMID:35587935 | DOI:10.5435/JAAOS-D-21-01167
Source: The Journal of the American Academy of Orthopaedic Surgeons - May 19, 2022 Category: Orthopaedics Authors: Tyler J Bahoravitch Meghana Jami Suresh K Nayar Amil Agarwal R Timothy Kreulen Matthew J Best Uma Srikumaran Source Type: research

Preoperative Allergy Testing for Patients Reporting Penicillin and Cephalosporin Allergies is Economically Justified in Preventing Infection after Total Shoulder Arthroplasty
The use of alternative antibiotics to cefazolin has been associated with increased risk of infection after shoulder arthroplasty. Routine preoperative allergy testing in patients reporting penicillin and cephalosporin allergies increases the number able to receive cefazolin and may reduce the occurrence of infection after shoulder arthroplasty, but the financial viability of this practice is unclear. We used break-even modeling to determine the economic viability of routine preoperative allergy testing for infection prevention in total shoulder arthroplasty patients reporting penicillin and cephalosporin allergies.
Source: Journal of Shoulder and Elbow Surgery - September 12, 2022 Category: Orthopaedics Authors: Jack T. Bragg, Suleiman Y. Sudah, Michael A. Moverman, Richard N. Puzzitiello, Nicholas R. Pagani, Mariano E. Menendez Tags: Original Article Source Type: research

Update on implant allergies.
PMID: 23867889 [PubMed - as supplied by publisher]
Source: Der Orthopade - July 20, 2013 Category: Orthopaedics Authors: Thomsen M Tags: Orthopade Source Type: research