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Specialty: Orthopaedics
Condition: Arthritis

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Total 21 results found since Jan 2013.

Child-Pugh Class B or C Liver Disease Increases the Risk of Early Mortality in Patients With Hepatitis C Undergoing Elective Total Joint Arthroplasty Regardless of Treatment Status
CONCLUSION: Patients with HCV and a Child-Pugh Class B or C at the time of elective TJA had substantially increased odds of death, regardless of liver function, cirrhosis, age, Model for End-Stage Liver Disease level, HCV treatment, and viral load status. This is similar to the risk of early mortality observed in patients with chronic liver disease undergoing abdominal and cardiac surgery. Surgeons should avoid these major elective procedures in patients with Child-Pugh Class B or C whenever possible. For patients who feel their arthritic symptoms and pain are unbearable, surgeons need to be clear that the risk of death is...
Source: Clinical Orthopaedics and Related Research - March 24, 2023 Category: Orthopaedics Authors: Kyle H Cichos Eric Jordan Kian Niknam Antonia F Chen Erik N Hansen Gerald McGwin Elie S Ghanem Source Type: research

Association between body mass index and the risk of falls: a nationwide population-based study
ConclusionsObesity was associated with a greater risk of recurrent falls in women, whereas underweight seemed to be associated with a greater risk of falls in men.
Source: Osteoporosis International - January 7, 2021 Category: Orthopaedics Source Type: research

Blindness increases the risk for hip fracture and vertebral fracture but not the risk for distal radius fracture: a longitudinal follow-up study using a national sample cohort
ConclusionThe risks for hip fracture and vertebral fracture were significantly higher in the blindness group. However, the risk for distal radius fracture was not related to visual impairment including blindness.
Source: Osteoporosis International - July 5, 2020 Category: Orthopaedics Source Type: research

Disproportionally low funding for trauma research by the National Institutes of Health: A call for a National Institute of Trauma
CONCLUSION Given the extreme burden of trauma-related disability and years of life lost, this review of extramural NIH funding definitively demonstrates that trauma is severely underfunded. The lack of a dedicated home for trauma research at NIH leads to a diffusion of grants across many institutes and makes it impossible to direct a focused and effective national research endeavor to improve outcomes. These data demonstrate the need for a National Institute of Trauma at the NIH to help set an agenda to reach the national goal of Zero Preventable Deaths.
Source: The Journal of Trauma: Injury, Infection, and Critical Care - December 21, 2019 Category: Orthopaedics Tags: AAST 2019 PODIUM PAPERS Source Type: research

Cardiovascular profile in osteoarthritis: A meta-analysis of cardiovascular events and risk factors
Conclusion: Our meta-analysis results revealed higher cardiovascular risk in OA patients. This highlights the importance of cardiovascular risk factor management in OA.
Source: Joint Bone Spine - July 17, 2019 Category: Orthopaedics Source Type: research

In-Hospital Complications following Arthrotomy versus Arthroscopy for Septic Knee Arthritis: A Cohort-Matched Comparison
J Knee Surg DOI: 10.1055/s-0039-1693450There is a paucity of literature comparing the relative merits of open arthrotomy versus arthroscopy for the surgical treatment of septic knee arthritis. The primary goal of this study is to compare the risk of perioperative complications between these two surgical techniques. To this end, 560 patients treated for septic arthritis of the native knee with arthroscopy were statistically matched 1:1 with 560 patients treated with open arthrotomy. The outcome measures included major complications, minor complications, mortality, inpatient hospital charges, and length of stay (LOS). Major ...
Source: Journal of Knee Surgery - July 8, 2019 Category: Orthopaedics Authors: Kerbel, Yehuda E. Lieber, Alexander M. Kirchner, Gregory J. Stump, Natalie N. Prodromo, John P. Petrucelli, Philip M. Shah, Mitesh P. Brahmabhatt, Shyam Tags: Original Article Source Type: research

Unicompartmental knee replacement – An underrated alternative of total knee replacement: A matched comparative study analysing their benefits and risks in local population
ConclusionBecause of less operative risk and faster rehabilitation, this study suggested that unicompartmental knee replacement is more cost effective and might be a better choice for patients with unicompartmental arthritis in local population.中文摘要簡介膝關節置換術的需求跟隨全世界人口老齡化不斷增加。儘管單室膝關節置換術有較少並發症，即中風﹑心肌梗死﹑血栓栓塞﹑輸血和死亡率，它僅佔所有膝關節置換術的 3一8％，這項研究的目標是比較在香港人口的單室膝關節置換術與全膝關節置換術，通過評估的好處和風險...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - October 16, 2018 Category: Orthopaedics Source Type: research

Comparative Analysis of Short-Term Postoperative Complications in Outpatient Versus Inpatient Total Ankle Arthroplasty: A Database Study
This study evaluated the complication rates in inpatient versus outpatient TAA. It analyzed data from the National Surgical Quality Improvement Program for 591 patients who received TAA. Postoperative complication rates were compared between 66 outpatients and 535 inpatients. Frequencies of the following complications were analyzed: wound complications, pneumonia, hematologic complications (pulmonary embolism and deep vein thrombosis), renal failure, stroke, and return to the operating room within 30days. Unadjusted direct comparisons of the cohorts revealed higher complication rates in the inpatient cohort. Inpatients had...
Source: The Journal of Foot and Ankle Surgery - October 11, 2018 Category: Orthopaedics Source Type: research

Influences of knee osteoarthritis and walking difficulty on knee kinematics and kinetics
Knee osteoarthritis (OA) is the most common form of arthritis in the U.S., with a lifetime risk of 45% [1] that sharply increases after age 50 [2]. As the leading cause of walking difficulty, knee OA, when combined with the co-morbidities of aging (e.g., stroke, cardiovascular), can contribute to risks of functional decline, early mortality, falls, and hospitalization [3 –5]. Knee OA can limit walking tolerance that results in subsequent health consequences [3,4]. Thus it is essential for clinicians to identify patients with walking limitations in the clinic.
Source: Gait and Posture - February 2, 2018 Category: Orthopaedics Authors: Annalisa Na, Sara R. Piva, Thomas S. Buchanan Tags: Full length article Source Type: research

Does the degree of beach chair position during shoulder arthroscopy affect cerebral oxygenation? A prospective comparative study
Conclusions: No significant difference was noted in regional cerebral oxygen saturation between patients operated on in the beach chair position and those operated on in the semi-upright sitting position. A direct relation was noted between the decrease in mean arterial pressure and decrease in cerebral oxygen saturation.
Source: Current Orthopaedic Practice - June 27, 2017 Category: Orthopaedics Tags: SPECIAL FOCUS: Resident Research Award Source Type: research

Medical Complications After Adult Spinal Deformity Surgery: Incidence, Risk Factors, and Clinical Impact
Conclusion. Risk factors for the development of postoperative medical complications after correction of ASD include smoking, hypertension, and duration of symptoms. Patients who have one or more of these risk factors should be identified and informed during informed consent of their increased risks. They should be optimized preoperatively, and followed closely during the postoperative period. Level of Evidence: 3
Source: Spine - November 12, 2016 Category: Orthopaedics Tags: Deformity Source Type: research

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