The Hands-on Surgeon-in-Chief of the Hospital for Special Surgery: Thomas P. Sculco ’69

2019 ◽  
pp. 345-351
Keyword(s):  
Hands On ◽  
Special Surgery ◽  
Hospital For Special Surgery

Patient experience and satisfaction with telemedicine during COVID-19: a multi-institution experience (Preprint)

2021 ◽  
Author(s):  
Adrian Rodrigues ◽  
Jonathan S. Yu ◽  
Hriday Bhambhvani ◽  
Tyler Uppstrom ◽  
William Ricci ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Cell Phone ◽  
Cell Phones ◽  
Multivariable Model ◽  
Assess Patient Satisfaction ◽  
High Satisfaction ◽  
Special Surgery ◽  
A Cell ◽  
Specific Factors ◽  
Hospital For Special Surgery

BACKGROUND The coronavirus disease 2019 (COVID-19) heralded an unprecedented increase in telemedicine utilization. OBJECTIVE Assess patient satisfaction with telemedicine during COVID-19 METHODS Telemedicine visit data were gathered from two separate institutions (Stanford Health Care (Stanford) and the Hospital for Special Surgery (HSS)). Patient satisfaction data from HSS were captured from a Press-Ganey questionnaire between April 19, 2020 and December 12, 2020, while the Stanford data was taken from a novel survey instrument that was distributed to all patients between June 22, 2020 and November 1, 2020. There were 60,550 telemedicine visits across 93 services at Stanford, each linked with a post-visit survey. At HSS, there were 66,349 total telemedicine visits with 7,348 randomly linked with a post-visit survey. The percentage of respondents who reported the highest possible likelihood to recommend score (“LTR top box percentage”) and mean overall visit scores were recorded. RESULTS Over 19 weeks, the LTR top box percentage at Stanford increased from 69.6% to 74.0% (p=.0002), and HSS showed no significant change across 35 weeks (p=.7100). LTR trend stability at Stanford was observed across 11 medical, four surgical, and five oncological services (p >.05). In the multivariable model, the use of a cell phone (aOR: 1.18; 95% CI: 1.12–1.23) and tablet (aOR: 1.15; 95% CI: 1.07–1.23) were associated with higher overall scores, while visits with interrupted connections (aOR: 0.49; 95% CI: 0.42–0.57) or help required to connect (aOR: 0.49; 95% CI: 0.42–0.56) predicted lower patient satisfaction. CONCLUSIONS We present the largest published description of patient satisfaction with telemedicine. We found high satisfaction with telemedicine encounters across multiple measures, and we identified a number of important telemedicine-specific factors that predict increased overall visit score. These include the use of cell phones or tablets, phone reminders, and connecting before the visit was scheduled to begin. Visits with poor connectivity, extended wait times, or difficulty being seen, examined, or understood by the provider were linked with reduced odds of high scores. Our results suggest that attention to connectivity and audio/visual definition will help optimize patient satisfaction with telemedicine encounters in the future. CLINICALTRIAL n/a

scholarly journals Management of intercondylar femur fracture with distal femur locking compression plate: outcome analysis of 72 cases

2020 ◽  
Vol 6 (5) ◽  
pp. 1022
Author(s):  
Nadeem Ashraf Khan ◽  
A. M. Atif ◽  
Abhinandan Chatterjee
Keyword(s):  
Range Of Motion ◽  
Distal Femur ◽  
Femur Fracture ◽  
Locking Compression Plate ◽  
Open Fractures ◽  
Knee Score ◽  
Compression Plate ◽  
Special Surgery ◽  
Closed Fractures ◽  
Hospital For Special Surgery

<p class="abstract"><strong>Background:</strong> Supra-condylar and inter-condylar fractures of the distal femur account for 7% of all femoral fractures and have always been difficult to treat and regaining full knee function is often difficult. The purpose of this study is to evaluate the functional outcome, fracture healing, complications of distal femoral intercondylar fractures managed by locking compression plate.</p><p class="abstract"><strong>Methods:</strong> Total 72 patients of intercondylar femur fracture were operated by ORIF with distal femur-locking compression plate via the standard swashbuckler approach.<strong> </strong>The functional outcomes were analyzed using modified hospital for special surgery scoring system.<strong></strong></p><p class="abstract"><strong>Results:</strong> Muller type C2 fracture was the most common fracture type with 50 out of 72 patients. The average range of motion achieved was about 99.03°±24.73° (Closed fractures =105.83°±19.41°and open fractures = 89.50°±28.36°). There was also a significant difference in the duration of operative time, 84.28±18.32 minutes for closed fractures and 98.46±22.47 minutes for open fractures. The average duration for radiological union was 14.52±2.21 weeks for closed and 17.20±2.44 weeks for open fractures. The average knee score was 80.13±13.38 using modified Hospital for Special Surgery score.</p><p class="abstract"><strong>Conclusions:</strong> Closed fractures have a higher range of motion and a better knee score compared to open fractures, supporting the fact that soft tissue compromise also affects range of motion and post-op rehabilitation of the limb. The outcome seems to correlate with the nature of injury i.e. high vs low velocity, type of fracture, anatomic reduction, associated injuries, time elapsed since injury to fixation and the stability of fixation.</p>

scholarly journals Minimum Clinically Important Differences of the Hospital for Special Surgery Dysphagia and Dysphonia Inventory and Other Dysphagia Measurements in Patients Undergoing ACDF

2020 ◽  
Vol 478 (10) ◽  
pp. 2309-2320
Author(s):  
Ichiro Okano ◽  
Courtney Ortiz Miller ◽  
Stephan N. Salzmann ◽  
Yushi Hoshino ◽  
Jennifer Shue ◽  
...  
Keyword(s):  
Special Surgery ◽  
Hospital For Special Surgery

Evaluation of Healing After Medial Meniscal Root Repair Using Second-Look Arthroscopy, Clinical, and Radiological Criteria

2018 ◽  
Vol 46 (11) ◽  
pp. 2661-2668 ◽  
Author(s):  
Sung-Sahn Lee ◽  
Jin Hwan Ahn ◽  
Jun Ho Kim ◽  
Bong Soo Kyung ◽  
Joon Ho Wang
Keyword(s):  
Clinical Outcomes ◽  
Degenerative Change ◽  
International Knee Documentation Committee ◽  
Joint Space ◽  
Meniscal Root ◽  
Second Look ◽  
Meniscal Healing ◽  
Subjective Score ◽  
Special Surgery ◽  
Hospital For Special Surgery

Background: Previous studies have reported various healing rates (0%-100%) as evaluated by second-look arthroscopy after repair of medial meniscal root tears (MMRTs). Such variable results might provoke suspicion of the necessity for repair. Furthermore, the effect of meniscal healing on the clinical outcomes has not been reported. Purpose: To more precisely determine the healing rate of MMRTs repaired through the transseptal portal, which could provide objective visualization of the healed meniscus, and to identify the effect of meniscal healing on the clinical and radiological outcomes. Study Design: Case series; Level of evidence, 4. Methods: Between June 2010 and April 2015, 56 patients underwent pullout suture for MMRT. Lysholm score, Hospital for Special Surgery score, International Knee Documentation Committee subjective score, medial joint space height, and Kellgren-Lawrence (K-L) grade were evaluated. Thirty-three patients underwent second-look arthroscopy and were divided into a “stable healed group” and “unhealed group” according to their healing status, as evaluated through the transseptal portal. The intraoperative, clinical, and radiological outcomes of the 2 groups were compared. Results: All other clinical outcomes improved. However, medial joint space became significantly narrower ( P < .001), and 23 patients (41%) showed K-L grade progression. On the basis of second-look arthroscopy, 23 patients (69.7%) were classified into a stable healed group and 10 (30.3%) into a unhealed group. The stable healed group showed a higher Hospital for Special Surgery score ( P = .023), International Knee Documentation Committee subjective score ( P = .031), and successful microfracture rate ( P = .023), with less progression of medial joint space narrowing ( P < .001) and K-L grade ( P < .001). Conclusion: Despite degenerative change progression, clinical outcomes were improved. The successful healing rate was 69.7% after repair of MMRTs. Compared with the unhealed group, the stable healed group showed better clinical outcomes and less degenerative change progression.

Charles Burstein, MD: First Director of Anesthesiology at Hospital for Special Surgery

2018 ◽  
Vol 4 (3) ◽  
pp. 171-176
Author(s):  
Lauren G. Keeney ◽  
Mary J. Hargett ◽  
Gregory A. Liguori
Keyword(s):  
Special Surgery ◽  
Hospital For Special Surgery

Posterolateral Elbow Impingement in Professional Boxers

2007 ◽  
Vol 36 (2) ◽  
pp. 328-332 ◽  
Author(s):  
Kars P. Valkering ◽  
Henk van der Hoeven ◽  
Bas C. M. Pijnenburg
Keyword(s):  
Fibrous Tissue ◽  
Case Series ◽  
Normal Function ◽  
Ligament Injury ◽  
Arthroscopic Debridement ◽  
Extension Deficit ◽  
Level Of Evidence ◽  
Elbow Injury ◽  
Special Surgery ◽  
Hospital For Special Surgery

Background Elbow injury is common in boxing, but it has not been reported in the literature. The onset is often a hyperextension trauma caused by a missed hit. Clinically the boxers complain of pain, stiffness, and an extension deficit. Purpose To evaluate the pathogenesis, diagnostic approach, and arthroscopic treatment of elbow injury in boxers, and to compare these with other sports-related elbow injuries. Study Design Case series; Level of evidence, 4. Methods Between 2003 and 2005, a group of 5 professional boxers received a diagnosis of posterior elbow impingement. An arthroscopic debridement was performed. All patients were evaluated preoperatively and 1 year postoperatively with the Hospital for Special Surgery Elbow Assessment Scale. Results An arthroscopic partial resection of the posterior olecranon tip was performed, and osteophytes and fibrous tissue were removed in this area. Loose bodies were removed from the elbow in 3 patients. They were present in the posterior compartment in 2 patients and the anterior compartment in 1. The Hospital for Special Surgery score showed satisfactory to good improvement after 1 year in all 5 cases. They all showed a normal function at follow-up and had a full return to their sports activities. In contrast with the valgus extension overload syndrome, our patients did not show any signs of concomitant ulnar collateral ligament injury. Conclusion Posterolateral elbow impingement in boxers is caused by hyperextension trauma. Concomitant medial elbow instability was not present. Standard arthroscopic debridement showed good results.

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