scholarly journals Recognising and dealing with complications in orthopaedic surgery

2017 ◽  
Vol 99 (3) ◽  
pp. 185-188 ◽  
Author(s):  
D Ricketts ◽  
RA Rogers ◽  
T Roper ◽  
X Ge
Keyword(s):  
Royal College ◽  
Orthopaedic Surgery ◽  
Data Interpretation ◽  
Accurate Data ◽  
Orthopaedic Surgeons

Orthopaedic surgeons need information about the complications they are likely to encounter. The literature on complications is difficult to interpret owing to a lack of agreed definitions, problems with collecting accurate data and with data interpretation. We suggest a role for the Royal College of Surgeons and specialist societies in collecting and interpreting complications data.

Overnight call is associated with poor resting heart rate and heart rate variability in orthopaedic surgeons

2019 ◽  
Vol 4 (3) ◽  
pp. 123-126
Author(s):  
Kyle R Sochacki ◽  
David Dong ◽  
Leif Peterson ◽  
Patrick C McCulloch ◽  
Kevin Lisman ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Orthopaedic Surgery ◽  
Resting Heart Rate ◽  
Linear Regression Models ◽  
Level Of Evidence ◽  
Cross Sectional ◽  
Hours Worked ◽  
Significance Level ◽  
Orthopaedic Surgeons

ObjectivesThe purpose of this study was to determine orthopaedic surgery residents’ and attending surgeons’ resting heart rate (RHR) and heart rate variability (HRV) and if there is a correlation between subject-specific variables (age, attending surgeon, resident, postgraduate year (PGY) level, gender, number of calls, total hours worked, and total hours of sleep) and surgeon RHR and HRV.MethodsOrthopaedic surgery residents and attending surgeons at a single institution were prospectively enrolled and provided a validated wearable device to determine hours of sleep, RHR and HRV. Demographic information, hours worked and overnight calls were recorded. Bivariate correlations were determined using the Spearman rank correlation. Multiple linear regression models were constructed to determine the effect of relevant variables. All p values were reported, and a significance level of α=0.05 was used (p<0.05).ResultsTwenty-one of 26 enrolled subjects completed the 4-week study. The average RHR and HRV for orthopaedic surgeons was 61.8+10.0 bpm and 42.96+21.2ms, respectively. Residents had a significantly higher RHR (66.4+8.4 vs 55.6+8.9, p=0.011) compared with attending surgeons. Overnight calls had the strongest association with decreased HRV (r=−0.447; p=0.038), moderate positive correlation with RHR (r=0.593; p=0.005) and weak negative correlation with HRV (r=−0.469; p=0.032). There was no significant correlation between PGY level, gender, total hours worked and total hours of sleep with RHR or HRV.ConclusionOrthopaedic surgeons have poor RHR and HRV. Additionally, the number of overnight calls had the strongest correlation with worse RHR and HRV.Level of evidenceLevel II; diagnostic, individual cross-sectional study with a consistently applied reference standard.

#OrthoTwitter: social media as an educational tool

2020 ◽  
pp. bmjstel-2020-000630
Author(s):  
Muhammad Arham Sahu ◽  
Zahrah Goolam-Mahomed ◽  
Simon Fleming ◽  
Usman Ahmed
Keyword(s):  
Social Media ◽  
Clinical Education ◽  
Orthopedic Surgery ◽  
Orthopaedic Surgery ◽  
Online Community ◽  
Educational Tool ◽  
Social Media Platform ◽  
Orthopaedic Surgeons ◽  
Media Platform ◽  
Use Of Social Media

AimsThe increased use of social media creates opportunity for new, effective methods of delivering medical and clinical education. Twitter is a popular social media platform where users can post frequent updates and create threads containing related content using hashtags. This study aims to investigate and analyse the type of content relating to orthopaedic surgery that is being posted on the platform of Twitter.MethodsA retrospective search was performed for tweets containing the words ‘orthopaedic surgery’ or ‘orthopedic surgery’ or the use of the hashtag ‘#OrthoTwitter’ between November 2018 to November 2019. A total of 5243 tweets were included.ResultsTweets containing ‘orthopaedic surgery’ or ‘orthopedic surgery’ most frequently contained promotional or marketing content (30% promotional, 21% marketing), and private organisations were the category of author to which the greatest number of tweets belonged (30%). Tweets containing educational or research content were the least common among all tweets containing ‘orthopaedic surgery’ or ‘orthopedic surgery’ (11%). In contrast, of the tweets containing the hashtag ‘#OrthoTwitter’, 44% contained educational or research content, 15% contained promotional content and no tweets containing marketing content. Furthermore, 87% of all tweets using the hashtag ‘#OrthoTwitter’ were from orthopaedic surgeons, and the least number of tweets were from private organisations (2%).ConclusionTwitter is a widely used social media platform regarding orthopaedic surgery. We propose that the hashtag ‘#OrthoTwitter’ can be used to create an online community of orthopaedic surgeons where members can assist one another through sharing reliable and educational content.

scholarly journals Local Antimicrobial Treatment in Orthopaedic Surgery

2017 ◽  
Vol 2 (1) ◽  
pp. 1-2
Author(s):  
Antonia F. Chen ◽  
Heinz Winkler
Keyword(s):  
Basic Science ◽  
Orthopaedic Surgery ◽  
Clinical Evidence ◽  
Joint Infection ◽  
Antimicrobial Treatment ◽  
Special Issue ◽  
Orthopaedic Surgeons ◽  
Bone And Joint Infection

Abstract. The purpose of this special issue of Journal of Bone and Joint Infection is to provide orthopaedic surgeons with basic science explanations as to how these local antimicrobials work, clinical evidence that supports these local treatments, and the role of these local treatments against biofilm.

scholarly journals 239 An Audit on The Consenting Process For Orthopaedic Surgery During The COVID Pandemic

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
G Manoharan ◽  
J Edakalathur ◽  
P Akhbari ◽  
R Potter
Keyword(s):  
Length Of Stay ◽  
Royal College ◽  
Potential Risk ◽  
Orthopaedic Surgery ◽  
Prospective Audit ◽  
Consent Forms ◽  
Elective Surgical Procedures ◽  
Orthopaedic Patients ◽  
Compliance Level ◽  
Hygiene Measures

Abstract Aim The Royal College of Surgeons have published guidelines on consenting for treatment of patients when COVID-19 is present in society. Patients should be made aware that attending hospital for elective surgical procedures exposes them to the risk of contracting COVID-19, despite the stringent health and hygiene measures employed by hospitals and their staff. Our aim is to investigate whether orthopaedic patients are being appropriately consented for surgery during the COVID pandemic. Method A prospective audit of 100 consent forms was performed. The forms were examined to identify whether COVID-19 risk was documented as a potential risk of surgery. Data was also collected on consented grade, patient length of stay and any complications post-operatively. Results 56% of consent forms reviewed did not contain the risk of COVID documented in them. 34% of forms that did not state COVID risk were completed by consultants, 18% by fellows and 48% were by registrars. 24% of these patients had an in-patient length of stay of 3 or more days. 6% patients were suspected of COVID post-operatively and tested. 0% patients contracted COVID in this cohort. Conclusions The Royal College of Surgeons COVID-19 Toolkit states that the risk of contracting COVID while in hospital is 0.45%. All patients should be made aware of this risk prior to proceeding with surgery. Only 44% of patients in our hospital have had this risk discussed and documented. This compliance level has to be significantly improved.

scholarly journals The Utilization of Physician Cell Phone Numbers by Patients in an Orthopaedic Surgery Practice

2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0041
Author(s):  
Ryan G. Rogero ◽  
Daniel Corr ◽  
Meghan Bishop ◽  
Brandon Erickson ◽  
Daniel Seigerman ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Regression Analysis ◽  
Logistic Regression Analysis ◽  
Orthopaedic Surgery ◽  
Cell Phone ◽  
Orthopaedic Surgeons ◽  
Phone Number ◽  
Phone Calls ◽  
Significant Difference ◽  
Chi Square Analysis

Category: Other; Basic Sciences/Biologics Introduction/Purpose: There are a wide variety of ways in which physicians choose to manage communications with their patients outside of official visits and interactions. Some defer to ancillary staff/services (e.g. surgery schedulers, medical assistants) or mid-level providers (e.g. registered nurses, physicians assistants) until the situation warrants a call back directly from the physician. Less commonly, some choose to provide their cell phone number to patients to provide them with direct access should the need arise. The purpose of this prospective study was to explore to what extent patients utilize the cell phone numbers of orthopaedic surgeons in the immediate period after it is provided to them. Methods: Seven fellowship-trained orthopaedic surgeons from 5 different subspecialties (adult reconstruction, foot and ankle, hand and wrist, spine, sports) in a single private, multi-site orthopaedic surgery group located in a major metropolitan area each provided their personal cell phone number to approximately 30 consecutive patients during a 1-month period. The surgeon’s phone number was written down on a business card, and the surgeons themselves provided the card to the patient. Phone calls and voice mail messages received in the 30 days following the patient receiving the phone number were recorded, and the reasons for these calls were categorized as being ‘appropriate’ (e.g. acute postoperative issues, unclear instructions) or ‘inappropriate’ (e.g. administrative issues, medication refills, advanced imaging-related inquires). Logistic regression analysis was performed to determine if any patient variable or surgeon subspecialty was independently associated with calling the surgeon cell phone number. Results: Two-hundred seven patients, average age 51.5 years, were provided cell phone numbers. During the 30 days following administration of cell phone numbers, 21 patients (10.1%) made calls to their surgeon, for an average of 0.15 calls per patient. Six patients (2.9%) called more than once. Seventeen calls (54.8%) were deemed appropriate, and 14 calls (45.2%) inappropriate. Student’s t-tests (age) and chi-square analysis (sex, visit type, surgeon subspecialty) did not reveal significant difference between callers and non-callers (Table 2). Sports had the highest proportion of patients calling (16.9%), whereas foot & ankle had the lowest (4.0%), though surgeon subspecialty did not differ significantly (p=.3119). Logistic regression analysis did not reveal age (p=.7147), sex (p=.8230), visit type (p=.8745), or surgeon subspecialty (p=.1960) to be associated with calling. Conclusion: Our study has demonstrated a low rate of patient utilization of surgeon cell phone number when provided to them. If surgeons choose to provide their cell phone number to patients, we recommend specifying appropriate reasons to call in order to maximize the effectiveness of this communication method. [Table: see text]

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