scholarly journals Mobile laminar air flow screen for additional operating room ventilation: reduction of intraoperative bacterial contamination during total knee arthroplasty

2011 ◽  
Vol 12 (4) ◽  
pp. 207-211 ◽  
Author(s):  
D. Sossai ◽  
G. Dagnino ◽  
F. Sanguineti ◽  
F. Franchin
Keyword(s):  
Total Knee Arthroplasty ◽  
Operating Room ◽  
Knee Arthroplasty ◽  
Bacterial Contamination ◽  
Air Flow ◽  
Room Ventilation ◽  
Total Knee ◽  
Laminar Air Flow

scholarly journals Health costs and efficiencies of patient-specific and single-use instrumentation in total knee arthroplasty: a randomised controlled trial

2019 ◽  
Vol 8 (2) ◽  
pp. e000493 ◽  
Author(s):  
Andre Attard ◽  
Gwenllian Fflur Tawy ◽  
Michiel Simons ◽  
Philip Riches ◽  
Philip Rowe ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Blood Loss ◽  
Healthcare Provider ◽  
Operating Room ◽  
Knee Arthroplasty ◽  
Patient Specific ◽  
Potential Cost ◽  
Time Intervals ◽  
Total Knee ◽  
Single Use

AimTo investigate whether patient-specific instrumentation (PSI) and single-use instrumentation (SUI) improve operating room efficiency in terms of time and cost to the healthcare provider over conventional/reusable instrumentation (CVR) when performing total knee arthroplasty (TKA).Patients and methodsPatients requiring TKA were randomised into one of four surgical groups: CVR, CVS (conventional/SUI), PSR (PSI/reusable) and PSS (PSI/SUI). All surgical procedures were video recorded to determine specific surgical time intervals. Other variables reported included the number of instrument trays used, missing equipment, direct instrument costs and the weight of the instruments the staff had to handle. Oxford Knee Score (OKS), estimated blood loss and lengths of hospital stay were also recorded as markers of patient experience.ResultsPSR was significantly quicker in all the recorded time intervals, used less trays, experienced less missing equipment and resulted in lower blood loss and shorter hospital stays. SUI reported significantly slower operating room times and resulted in higher blood loss, but SUI was 88% lighter and 20% cheaper on average when compared with their reusable counterparts. Despite the economic advantages of PSI and SUI, the patients who reported greatest improvements in OKS were those allocated to the CVR group, but no clinically meaningful difference in OKS was found at any time point.ConclusionsPSI and SUI for TKA have the potential of reducing operating room times over conventional, reusable sets. This reduction will benefit theatre personnel ergonomically, while presenting the healthcare provider with potential cost-saving benefits in terms of reduced sterilisation costs and surgical times.

scholarly journals Operating room time comparison between spinal and general anesthesia in total knee arthroplasty: an institutional review

2021 ◽  
Author(s):  
Kelly Chandler ◽  
Roshan Jacob ◽  
George E. Kuntz IV ◽  
Mackenzie Sowers ◽  
Gerald McGwin ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
General Anesthesia ◽  
Operating Room ◽  
Knee Arthroplasty ◽  
Institutional Review ◽  
Total Knee ◽  
Room Time ◽  
Operating Room Time

scholarly journals Does the use of Robotic Technology Improve Surgeon Ergonomic Safety during TKA?

10.29007/xjjm ◽  
2019 ◽  
Author(s):  
Laura Scholl ◽  
Emily Hampp ◽  
Vincent Alipit ◽  
Antonia Chen ◽  
Michael Mont ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
High Risk ◽  
Operating Room ◽  
Knee Arthroplasty ◽  
Overuse Injuries ◽  
Robotic Technology ◽  
Robotic Assisted ◽  
Work Related ◽  
Lower Back ◽  
Total Knee

Surgeon physical stress in the operating room is a known potential cause of musculoskeletal overuse injuries, specifically in surgeons who perform total knee arthroplasty (TKA). Injuries have been attributed to ergonomically challenging postures. This study compared surgeon lower back and shoulder posture between manual TKA (MTKA) and robotic assisted TKA (RATKA).Two surgeons performed a total six MTKA and six RATKA on a set of cadaveric knees. Movement and EMG sensors were secured to each surgeon to monitor lower back and shoulder movements, as well as muscle activities. Data was analyzed and activities were assessed as low, medium, or high risk, providing a score between 0-lowest and 16-highest. Risk data was compared between MTKA and RATKA for three separate surgical tasks: 1-bone cut preparation & cutting (MTKA = placement of cutting jigs, bone cutting, RATKA = array placement, bone registration, bone cutting), 2-knee balancing and 3-trialing.Overall, there were more high-risk shoulder than lower back activities in MTKA and RATKA. More high-risk movement and EMG stimulation were measured in the dominant shoulder than the non-dominant. When lower back and shoulder data were combined, highest risk task was bone cut preparation & cutting (MTKA: 13 vs. 6 vs. 6 and RATKA: 11 vs. 8 vs. 6), with a higher risk for MTKA than RATKA.Poor posture can be a potential cause for surgeon work-related injuries. This study evaluated which tasks presented highest risk to surgeon ergonomic safety while performing TKA, and found lower overall ergonomics risk for performing RATKA vs. MTKA. Although this study provides data indicating reduced ergonomic risk with RATKA, additional studies in the operating room need to be performed.

Single-Use Instruments, Cutting Blocks, and Trials Increase Efficiency in the Operating Room During Total Knee Arthroplasty

2013 ◽  
Vol 28 (7) ◽  
pp. 1135-1140 ◽  
Author(s):  
Michael A. Mont ◽  
Mark J. McElroy ◽  
Aaron J. Johnson ◽  
Robert Pivec
Keyword(s):  
Total Knee Arthroplasty ◽  
Operating Room ◽  
Knee Arthroplasty ◽  
Total Knee ◽  
Single Use ◽  
Increase Efficiency

Increased Operating Room Time in Patients With Obesity During Primary Total Knee Arthroplasty

2012 ◽  
Vol 27 (6) ◽  
pp. 1171-1176 ◽  
Author(s):  
Naomi E. Gadinsky ◽  
Jacob B. Manuel ◽  
Stephen Lyman ◽  
Geoffrey H. Westrich
Keyword(s):  
Total Knee Arthroplasty ◽  
Operating Room ◽  
Knee Arthroplasty ◽  
Primary Total Knee Arthroplasty ◽  
Total Knee ◽  
Primary Total Knee ◽  
Room Time ◽  
Operating Room Time

Return to the operating room after patellofemoral arthroplasty versus total knee arthroplasty for isolated patellofemoral arthritis—a systematic review

2019 ◽  
Vol 43 (7) ◽  
pp. 1611-1620 ◽  
Author(s):  
Colin Y. L. Woon ◽  
Alexander B. Christ ◽  
Rie Goto ◽  
Kate Shanaghan ◽  
Beth E. Shubin Stein ◽  
...  
Keyword(s):  
Systematic Review ◽  
Total Knee Arthroplasty ◽  
Operating Room ◽  
Knee Arthroplasty ◽  
Patellofemoral Arthritis ◽  
Patellofemoral Arthroplasty ◽  
Total Knee

Operating Room Methods to Reduce Infection in Total Knee Arthroplasty

2021 ◽  
pp. 339-346
Author(s):  
Alexander J. Nedopil ◽  
Stephen M. Howell
Keyword(s):  
Total Knee Arthroplasty ◽  
Operating Room ◽  
Knee Arthroplasty ◽  
Total Knee
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