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30-Day adverse events, length of stay and re-admissions following surgical management of pelvic/acetabular fractures
ConclusionPatients with ASA grade > II, greater co-morbidity burden and prolonged operative times were likely to experience adverse events and have a longer length of stay. Surgeons can utilize this data to risk stratify patients so that appropriate pre-operative and post-operative medical optimization can take place.
Source: Journal of Clinical Orthopaedics and Trauma - February 14, 2019 Category: Orthopaedics Source Type: research

Emergency response teams in and outside of medicine—structurally crafted to be worlds apart
Medical emergency response teams (MERTs) are widespread throughout inpatient hospital care facilities. Besides the rise of the ubiquitous rapid response team, current MERTs span trauma, stroke, myocardial infarction, and sepsis in many hospitals. Given the multiplicity of teams with widely varying membership, leadership, and functionality, the structure of MERTs is appropriate to review to determine opportunities for improvement. Since nonmedical ERTs predate MERT genesis and are similar across multiple disciplines, nonmedical ERTs provide a standard against which to compare and review MERT design and function. Nonmedical...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - December 25, 2018 Category: Orthopaedics Tags: REVIEW ARTICLE Source Type: research

Are Cardiac Complications Associated With Other Adverse Events? A Look at 56,000 Orthopaedic Trauma Patients.
Authors: Yarlagadda M, Shen M, Abraham A, Mousavi I, Sethi MK Abstract The purpose of this study was to identify those complications for which patients with adverse cardiac events are at risk within the 30-day postoperative period following treatment oforthopaedic trauma cases. This was a retrospective cohort study of orthopaedic trauma patients in the United States between 2006 and 2013. A total of 56,336 patients meeting any one of 89 CPT codes in the American College of Surgeons National Surgical Quality Improvement Program database were used. The main outcome measure was myocardial infarction or cardiac arrest ...
Source: Journal of surgical orthopaedic advances - November 30, 2018 Category: Orthopaedics Tags: J Surg Orthop Adv Source Type: research

Timing of complications following surgery for geriatric hip fractures
ConclusionOrthopaedic trauma surgeons can utilize this data to optimize care strategies during the time-periods of highest risk to prevent complications from occurring early on in the course of post-operative care.
Source: Journal of Clinical Orthopaedics and Trauma - October 29, 2018 Category: Orthopaedics Source Type: research

Risk factors for readmission within thirty days following revision total hip arthroplasty
ConclusionIdentifying and understanding risk factors associated with readmission allows for the implementation of evidence-based interventions aimed at minimizing risk and reducing 30-day readmission rates following revision THA.
Source: Journal of Clinical Orthopaedics and Trauma - October 26, 2018 Category: Orthopaedics 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

The Association of Delirium with Perioperative Complications in Primary Elective Total Hip Arthroplasty.
Conclusions: Delirium is an independent risk factor for major and minor perioperative complications after primary elective THA. PMID: 30174803 [PubMed - in process]
Source: Clinics in Orthopedic Surgery - September 5, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Short-term Medical Complications Following Short Versus Long Cephalomedullary Nails.
Abstract The purpose of this retrospective cohort study was to evaluate whether there is an increased rate of short-term medical complications following short vs long cephalomedullary nails for the treatment of intertrochanteric hip fractures. A total of 899 patients treated surgically with cephalomedullary nails from January 1, 2005, to September 1, 2014, were included. Patients who received short nails (n=334) were older and had a higher incidence of coronary artery disease and diabetes mellitus compared with patients who received long nails (n=565). The incidences of 30-day medical complications, including myoc...
Source: Orthopedics - July 16, 2018 Category: Orthopaedics Authors: Liu J, Frisch NB, Mehran N, Qatu M, Guthrie ST Tags: Orthopedics Source Type: research

Vascular Involvement in Axial Spondyloarthropathies
Publication date: Available online 19 May 2018Source: Joint Bone SpineAuthor(s): Clément Prati, Céline Demougeot, Xavier Guillot, Maxime Sondag, Frank Verhoeven, Daniel WendlingAbstractAnkylosing spondylitis (AS) is a chronic inflammatory joint disease that involves the entheses, causing inflammatory pain and functional impairments. Patients may experience extraarticular manifestations such as uveitis, psoriasis, and inflammatory bowel disease. These, together with the increased risk of cardiovascular disease and osteoporosis and the development of spinal fusion, are the main determinants of adverse disease outcomes. As ...
Source: Joint Bone Spine - July 10, 2018 Category: Orthopaedics 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
Conclusion Because 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.
Source: Journal of Orthopaedics, Trauma and Rehabilitation - April 7, 2018 Category: Orthopaedics Source Type: research

Safety of a High-Dose Tranexamic Acid Protocol in Complex Adult Spinal Deformity: Analysis of 100 Consecutive Cases
Conclusions This is the first study to demonstrate the use of high-dose TXA in a complex ASD population. Larger prospective studies are needed to assess the efficacy and safety of high-dose TXA in ASD. Level of Evidence Level IV, therapeutic.
Source: Spine Deformity - November 4, 2017 Category: Orthopaedics Source Type: research

Hip fracture, comorbidity, and the risk of myocardial infarction and stroke: A Danish nationwide cohort study, 1995 ‐2015
This article is protected by copyright. All rights reserved
Source: Journal of Bone and Mineral Research - August 21, 2017 Category: Orthopaedics Authors: Alma B. Pedersen, Vera Ehrenstein, Szimonetta K. Sz épligeti, Henrik T. Sørensen Tags: Original 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

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