scholarly journals Evaluation of the SARS-CoV-2 infection rate in patients undergoing Total Hip Arthroplasty by the Anterior Approach using a Rapid Recovery Protocol during a COVID-19 pandemic in a Public Hospital in the State of São Paulo

2021 ◽  
pp. 067-072
Author(s):  
Silvério Neves Marco Aurélio
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Positive Impact ◽  
Elective Surgery ◽  
Rapid Recovery ◽  
World Health ◽  
Professional Status ◽  
Invasive Technique ◽  
Total Hip ◽  
The World

The World Health Organization (WHO) declared, on January 30, 2020, that the outbreak of the disease caused by the new Coronavirus (COVID-19) constitutes a Public Health Emergency of International Importance - the highest level of alert of the Organization, as provided for in the International Health Regulations. On March 11, 2020, COVID-19 was characterized by the WHO as a pandemic and since then the world has been going through an unprecedented period. The pandemic is interfering with all aspects of everyday life, especially in the area of ​​health. Surgical practice was directly affected by the suspension of elective procedures and the prioritization of urgent and emergency surgeries as a way to free up beds for patients infected with the disease. New coronavirus. The script for resumption of elective surgery after this COVID-19 pandemic must be progressive and cautious. Elective surgery should be performed in COVID-free facilities and the hospital stay should be as short as possible. For safety reasons, patients considered for surgery should be carefully selected according to status/exposure to COVID-19 infection, age, ASA physical status/risk factor classification system, socio-professional status and surgical indication. Therefore, in this study, we will demonstrate the positive impact on surgical resumption using a rapid recovery protocol combined with a minimally invasive technique (AMIS) for total hip arthroplasty during the period of worldwide pandemic for SARS-CoV-2.

scholarly journals Minimalno-inciziona totalna artroplastika kuka

2006 ◽  
Vol 53 (4) ◽  
pp. 53-56 ◽  
Author(s):  
Z.Lj. Bascarevic ◽  
B.B. Radojevic ◽  
S.S. Timotijevic ◽  
V.D. Bascarevic ◽  
G.Z. Trajkovic ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Minimally Invasive ◽  
Hip Arthroplasty ◽  
Total Joint Arthroplasty ◽  
Orthopedic Surgery ◽  
Joint Arthroplasty ◽  
Total Hip ◽  
The World ◽  
The Future ◽  
First Results

"Minimally-invasive" total joint arthroplasty have been widely introduced to the orthopedic community several years ago. The concept has received a great attention and has been greeted variably with enthusiasm, concern, and skepticism. Numerous meetings, scientific exhibits, symposia and congresses has been taking place all around the world. Whether this represents the future of orthopedic surgery or just a fad, the term "minimally-invasive" or "minimally- incision" are yet to be clear and establish. Our intention is to present 72 of first 100 cases of total hip arthroplasty performed by "minimally-incision" surgery. In our opinion first results are positive and we intend to continue with this kind of surgery.

Total Hip Arthroplasty in Overweight Patients: Do Obesity and BMI Affect Implant Positioning, Outcomes, and Complications?

2017 ◽  
Vol 01 (03) ◽  
pp. 125-130 ◽  
Author(s):  
Luca Monestier ◽  
Marco Calvi ◽  
Ettore Vulcano ◽  
Mario Cherubino ◽  
Steven Harwin ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Blood Loss ◽  
Hip Arthroplasty ◽  
World Health ◽  
Obese Patients ◽  
Surgical Time ◽  
Total Blood ◽  
Total Hip ◽  
Grade 3 ◽  
Health Organization

AbstractObesity is one of the most problematic issues for health organizations worldwide because of its relationship with several chronic diseases. It is also demonstrated to increase early onset of hip arthritis, consequently leading to early failure of implants of total hip arthroplasty (THA). The aim of the study was to assess the influence of obesity on the positioning of prosthetic components and potential complications. A total of 312 patients underwent THA from 2006 to 2015 at our institute. All procedures were performed by a single surgeon (M.F.S.). As indicated by the World Health Organization (WHO), our population was stratified on the basis of body mass index (BMI): Four underweight, 112 nonobese, 131 overweight, 51 grade-1 obese, 10 grade-2 obese, and 4 grade-3 obese patients were included. No superobese patients were reported. The population was assessed clinically (implant survival, surgery time, blood loss, and complications) as well as radiologically (femoral offset, cup abduction and anteversion, and periacetabular osteolysis). Higher cup inclination (48.70 vs. 45.94 degrees), surgical time (86 vs. 80 min), and total blood losses (1,026 vs. 761 mL) were reported in overweight/obese patients (p < 0.01). Statistical analysis documented a significant relationship between obesity and cup inclination, surgical time, intraoperative and total blood losses, as well as BMI and age at surgery (p < 0.05). The overall correct positioning of prosthetic components is not significantly related to obesity. Although maintained in the “safe zone,” cup abduction, blood loss, and operative time tend to significantly increase with BMI.

scholarly journals Cost-Effectiveness Analysis of Total Hip Arthroplasty Performed by a Canadian Short-Stay Surgical Team in Ecuador

2017 ◽  
Vol 2017 ◽  
pp. 1-7
Author(s):  
Michael Schlegelmilch ◽  
Saifee Rashiq ◽  
Barbara Moreau ◽  
Patricia Jarrín ◽  
Bach Tran ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Cost Effective ◽  
World Health ◽  
Average Lifetime ◽  
Short Stay ◽  
Surgical Team ◽  
Total Hip ◽  
Life Years

Background. Few charitable overseas surgical missions produce cost-effectiveness analyses of their work. Methods. We compared the pre- and postoperative health status for 157 total hip arthroplasty (THA) patients operated on from 2007 to 2011 attended by an annual Canadian orthopedic mission to Ecuador to determine the quality-adjusted life years (QALYs) gained. The costs of each mission are known. The cost per surgery was divided by the average lifetime QALYs gained to estimate an incremental cost-effectiveness ratio (ICER) in Canadian dollars per QALY. Results. The average lifetime QALYs (95% CI) gained were 1.46 (1.4–1.5), 2.5 (2.4–2.6), and 2.9 (2.7–3.1) for unilateral, bilateral, and staged (two THAs in different years) operations, respectively. The ICERs were $4,442 for unilateral, $2,939 for bilateral, and $4392 for staged procedures. Seventy percent of the mission budget was spent on the transport and accommodation of volunteers. Conclusion. THA by a Canadian short-stay surgical team was highly cost-effective, according to criteria from the National Institute for Health and Care Excellence and the World Health Organization. We encourage other international missions to provide similar cost-effectiveness data to enable better comparison between mission types and between mission and nonmission care.

scholarly journals Imaging Analysis of Prosthesis Angle after Hip Replacement with Direct Anterior Approach in Lateral Position

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Daojian Zhang ◽  
Liping Pan ◽  
Talatibaike Maimaitijuma ◽  
Heng Liu ◽  
Hao Wu
Keyword(s):  
Total Hip Arthroplasty ◽  
Minimally Invasive ◽  
Hip Arthroplasty ◽  
Anterior Approach ◽  
Invasive Procedure ◽  
Direct Anterior Approach ◽  
Surgical Instruments ◽  
Rapid Recovery ◽  
Nerve Tissue ◽  
Total Hip

The use of lateral DAA-THA for the treatment of end-stage hip disorders has good recent clinical efficacy, does not require special surgical beds and traction equipment, uses traditional surgical instruments, reduces the requirements for surgical beds and surgical instruments, enters through the nerve and muscle anatomical gap without cutting any muscle or nerve tissue, is minimally invasive, and has good surgical maneuverability, low bleeding, low postoperative pain, short hospitalization time, and rapid recovery. It is a safe and effective minimally invasive procedure because of its light weight, short hospital stay, and rapid recovery. In this paper, we used imaging to observe the angle of the posterior prosthesis. And the results showed that hip arthroplasty using the direct anterior approach improved hip mobility in early stages compared with other approaches and reduced pain. The direct anterior approach and length between total hip arthroplasty using direct lateral and posterior lateral approach and partial data (surgical time, blood loss, etc.) were significantly worse than those using direct forward approach. In addition, the direct anterior approach to total hip arthroplasty is subject to a learning curve and requires at least 33 cases of experience to achieve a lower complication rate.

scholarly journals Rapid Recovery Protocols for Primary Total Hip Arthroplasty Can Safely Reduce Length of Stay Without Increasing Readmissions

2015 ◽  
Vol 30 (4) ◽  
pp. 521-526 ◽  
Author(s):  
Jeffrey B. Stambough ◽  
Ryan M. Nunley ◽  
Madelyn C. Curry ◽  
Karen Steger-May ◽  
John C. Clohisy
Keyword(s):  
Total Hip Arthroplasty ◽  
Length Of Stay ◽  
Hip Arthroplasty ◽  
Rapid Recovery ◽  
Total Hip ◽  
Recovery Protocols ◽  
Primary Total Hip Arthroplasty

scholarly journals Process of Posthospital Care Involving Telemedicine Solutions for Patients after Total Hip Arthroplasty

2021 ◽  
Vol 18 (19) ◽  
pp. 10135
Author(s):  
Karolina Kamecka ◽  
Anna Rybarczyk-Szwajkowska ◽  
Anna Staszewska ◽  
Per Engelseth ◽  
Remigiusz Kozlowski
Keyword(s):  
Total Hip Arthroplasty ◽  
Patient Care ◽  
Hip Arthroplasty ◽  
Interdisciplinary Teams ◽  
Care Process ◽  
Medical Procedures ◽  
Total Hip ◽  
The World ◽  
Patient Care Process ◽  
Convalescence Time

The importance of telemedicine technologies around the world has been growing for many years, and it turned out to be a particularly important issue for conducting some medical procedures during the SARS-CoV-2 pandemic. It is necessary to create interdisciplinary teams to design and implement improved procedures using telemedicine tools. The aim of the article is to develop original, improved posthospital patient care process after total hip arthroplasty (THA) with the use of telemedicine technologies. In the study, a literature review and empirical research were used. The conducted research resulted in the designing an original posthospital patient care process after THA that uses telematics technologies. Due to the use of analyzed telemedicine technologies, the designed patient care process brings a possibility to increase the patient′s safety by monitoring life parameters, allowing for regular, remote contact with specialists and to be supervised remotely. All this may contribute to shortening the convalescence time, reducing the risk of complications, as well as reducing treatment costs. The designed model is ready for further clinical research with the participation of medical staff, patients after THA and patient caregivers.

Sign in / Sign up

Export Citation Format

Share Document