scholarly journals Perioperative management of hemophilia patients receiving total hip and knee arthroplasty: a complication report of two cases

2015 ◽  
pp. 1383 ◽  
Author(s):  
Toshiyuki Tateiwa ◽  
Yasuhito Takahashi ◽  
Tsunehito Ishida ◽  
Kosuke Kubo ◽  
Toshinori Masaoka ◽  
...  
Keyword(s):  
Knee Arthroplasty ◽  
Perioperative Management ◽  
Total Hip ◽  
Hip And Knee Arthroplasty

scholarly journals Management of von Willebrand disease in patients undergoing total hip and knee arthroplasty

2019 ◽  
Vol 29 (9) ◽  
pp. 266-269
Author(s):  
Khaled M. Yaghmour ◽  
Yuhan Peng ◽  
Emanuele Chisari ◽  
Wasim Khan ◽  
Stephen M. McDonnell
Keyword(s):  
Knee Arthroplasty ◽  
Total Joint Arthroplasty ◽  
Perioperative Management ◽  
Functional Limitation ◽  
Joint Arthroplasty ◽  
Von Willebrand Disease ◽  
Total Hip ◽  
Hip And Knee Arthroplasty ◽  
Surgical Field ◽  
Von Willebrand

Von Willebrand disease is the commonest bleeding disorder encountered in the medical and surgical field. As a result of the repetitive bleeding into the joints many patients suffer from arthropathy that can cause a significant amount of pain and functional limitation. Total joint arthroplasty is being utilised as the last resort in managing these patients; however, the presence of von Willebrand disease raises a number of dilemmas. In this review, we look at the effects of von Willebrand disease on joints and the perioperative management of von Willebrand disease patients undergoing total joint arthroplasty.

scholarly journals Perioperative Management of Chronic Antithrombotic Agents in Elective Hip and Knee Arthroplasty

Medicina ◽  
2021 ◽  
Vol 57 (2) ◽  
pp. 188
Author(s):  
Daniel C. Santana ◽  
Matthew J. Hadad ◽  
Ahmed Emara ◽  
Alison K. Klika ◽  
Wael Barsoum ◽  
...  
Keyword(s):  
Knee Arthroplasty ◽  
Perioperative Management ◽  
Recent Literature ◽  
Patient Specific ◽  
Antithrombotic Agents ◽  
Coronary Syndrome ◽  
Risk Of Bleeding ◽  
Post Operative Period ◽  
Number Of Patients ◽  
Hip And Knee Arthroplasty

Total hip and knee arthroplasty are common major orthopedic operations being performed on an increasing number of patients. Many patients undergoing total joint arthroplasty (TJA) are on chronic antithrombotic agents due to other medical conditions, such as atrial fibrillation or acute coronary syndrome. Given the risk of bleeding associated with TJAs, as well as the risk of thromboembolic events in the post-operative period, the management of chronic antithrombotic agents perioperatively is critical to achieving successful outcomes in arthroplasty. In this review, we provide a concise overview of society guidelines regarding the perioperative management of chronic antithrombotic agents in the setting of elective TJAs and summarize the recent literature that may inform future guidelines. Ultimately, antithrombotic regimen management should be patient-specific, in consultation with cardiology, internal medicine, hematology, and other physicians who play an essential role in perioperative care.

Predictors of Successful Early Discharge for Total Hip and Knee Arthroplasty in Octogenarians

2021 ◽  
pp. 155633162110306
Author(s):  
Andrew B. Kay ◽  
Danielle Y. Ponzio ◽  
Courtney D. Bell ◽  
Fabio Orozco ◽  
Zachary D. Post ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Knee Arthroplasty ◽  
Early Discharge ◽  
Readmission Rates ◽  
Patients Âgés ◽  
Total Hip ◽  
Hip And Knee Arthroplasty ◽  
Student’S T ◽  
American Society ◽  
American Society Of Anesthesiologists

Background: Decreased length of stay after total joint arthroplasty (TJA) is becoming a more common way to contain healthcare costs and increase patient satisfaction. There is little evidence to support “early” discharge in elderly patients. Purpose: We sought to identify preoperative factors that correlated with early discharge (by postoperative day [POD] 1) in comparison to late discharge (after POD2) in octogenarians after TJA. Methods: In a retrospective cohort study from a single institution, we identified 482 patients ages 80 to 89 who underwent primary TJA from January 2014 to December 2017; 319 had total knee arthroplasty (TKA) and 163 had total hip arthroplasty (THA). Data collected included preoperative knee range of motion (ROM), demographics, and comorbidities; 90-day readmission and mortality rates were also evaluated. P values for continuous data were calculated using student’s t test and for categorical data using χ2 testing. Results: Of octogenarian patients, 30.9% were discharged by POD1. Early discharge was associated with being male, married, and nonsmoking, as well as having an American Society of Anesthesiologists (ASA) score of 2, independent preoperative ambulation, and a postoperative caregiver. Type of procedure (TKA vs THA), body mass index, laterality, preoperative range of motion (ROM) for TKA, and single vs multilevel home did not affect the probability of early discharge. Discharge on POD1 was not associated with increased 90-day readmission rates. There were no deaths. Conclusion: Early discharge for octogenarians can be successfully implemented in a select subset of patients without increasing 90-day readmission or death rates. There are multiple factors that predict successful early discharge.

Narcotic Consumption in Opioid-Naïve Patients Undergoing Total Hip and Knee Arthroplasty

2020 ◽  
Vol 35 (9) ◽  
pp. 2392-2396
Author(s):  
Jonathan R. Dattilo ◽  
Agnes D. Cororaton ◽  
Jeanine M. Gargiulo ◽  
James F. McDonald ◽  
Henry Ho ◽  
...  
Keyword(s):  
Knee Arthroplasty ◽  
Total Hip ◽  
Hip And Knee Arthroplasty

Between-Hospital Variation in Revision Rates After Total Hip and Knee Arthroplasty in the Netherlands

2020 ◽  
Vol 102 (4) ◽  
pp. 315-324 ◽  
Author(s):  
Peter van Schie ◽  
Liza N. van Steenbergen ◽  
Leti van Bodegom-Vos ◽  
Rob G.H.H. Nelissen ◽  
Perla J. Marang-van de Mheen
Keyword(s):  
The Netherlands ◽  
Knee Arthroplasty ◽  
Total Hip ◽  
Hospital Variation ◽  
Hip And Knee Arthroplasty

Prescribing and Consumption of Opioids After Primary, Unilateral Total Hip and Knee Arthroplasty in Opioid-Naive Patients

2020 ◽  
Vol 35 (4) ◽  
pp. 960-965.e1 ◽  
Author(s):  
Karl C. Roberts ◽  
Stephanie E. Moser ◽  
Angela C. Collins ◽  
Brian R. McCardel ◽  
Kyle A. Schultz ◽  
...  
Keyword(s):  
Knee Arthroplasty ◽  
Total Hip ◽  
Hip And Knee Arthroplasty
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