orthopaedic practice
Recently Published Documents


TOTAL DOCUMENTS

199
(FIVE YEARS 46)

H-INDEX

20
(FIVE YEARS 2)

2021 ◽  
Vol 10 (23) ◽  
pp. 5600
Author(s):  
Francesca Cannata ◽  
Alice Laudisio ◽  
Luca Ambrosio ◽  
Gianluca Vadalà ◽  
Fabrizio Russo ◽  
...  

Overweight represents a major issue in contemporary orthopaedic practice. A higher body mass index (BMI) is associated with an increase of perioperative complications following several orthopaedic procedures, in particular total hip arthroplasty (THA). However, the influence of overweight on THA surgical time is controversial. In this study, we investigated the association between BMI and surgical time analyzing the role of patients’ comorbidities. We conducted a retrospective study on 748 patients undergoing THA at our institutions between 2017 and 2018. Information regarding medical diseases was investigated and the burden of comorbidity was quantified using the Charlson score (CCI). Surgical time and blood loss were also recorded. Median surgical time was 76.5 min. Patients with surgical time above the median had both a higher BMI (28.3 vs. 27.1 kg/m2; p = 0.002); and CCI (1 vs. 0; p = 0.016). According to linear regression, surgical time was associated with BMI in the unadjusted model (p < 0.0001), after adjusting for age and sex (p < 0.0001), and in the multivariable model (p = 0.005). Furthermore, BMI was associated with increased surgical time only in patients with a Charlson score above the median, but not in others. Obesity is associated with increased surgical time during THA, especially in pluricomorbid patients, with a higher risk of perioperative complications.


2021 ◽  
Vol 5 (4) ◽  
pp. 91-97
Author(s):  
Dr. Vadhiraj Krishna JB ◽  
Dr. Shreesh Kadur JM ◽  
Dr. Rohan Natthuji Kumre

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Courtney E. Baker ◽  
A. Noelle Larson ◽  
Daniel S. Ubl ◽  
William J. Shaughnessy ◽  
John D. Rutledge ◽  
...  

2021 ◽  
Vol 4 (2) ◽  

The pre-operative utilisation of indwelling urinary catheters (IDCs) has become standard orthopaedic practice in patients with hip fractures with the aim to minimise the incidence of post-operative bladder dysfunction which occurs due to administration of analgesia and anaesthesia [1]. Despite the practical benefits of IDC insertion, there are well-documented associated risks which include hospital-acquired urinary tract infection (UTI), which is positively correlated with its duration in situ-estimated to be around 5-10% each catheter day after the first 48 hours of catheterisation [2]. Hospital-acquired UTIs have significant patient and healthcare costs, resulting in prolonged hospital stay, bacteraemia, prosthetic joint infections, and death [1].


This chapter contains practice questions related to statistics and imaging that could be encountered within the ‘Basic Science’ station of the FRCS (Trauma and Orthopaedics) viva examination. The topics covered include principles of research used in orthopaedics and types of statistical analysis in such research, as well as the imaging modalities commonly encountered in orthopaedic practice.


2021 ◽  
pp. 193864002110093
Author(s):  
Su Ryeon Jeong ◽  
Shangzhe George Lin ◽  
Paul Hamilton ◽  
Andrea Sott ◽  
Sohail Yousaf

The era of severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) is rapidly evolving. To comply to the guidelines for social distancing and reducing travel to prevent the spread of disease, many centers made rapid adjustments to conduct follow-up appointments through telehealth mediums. We explore our center’s adaptation to the pandemic, reflecting on how we formulated telehealth clinics for our patients. We share our experience, discuss the challenges encountered, the feedback received, as well as consider the future role of telehealth in everyday orthopaedic practice. Levels of Evidence: Level V


2021 ◽  
Vol 9 (2) ◽  
pp. 121-132
Author(s):  
E.O. Edomwonyi ◽  
U.E. Anyaehie ◽  
J.E. Onuminya

Background: COVID-19 is caused by novel Coronavirus Severe Acute Respiratory Syndrome-Corona Virus (SARS-Cov-2). It is purported to have originated from bat in Wuhan province of China in December, 2019. The epidemic spreads rapidly, reaching a pandemic proportion in January, 2020. The economic implications of the pandemic and burden on health care are enormous. We, therefore, review the impact of this disease to orthopaedic practice.Methods: A comprehensive review of the literature, using suitable keywords, such as COVID -19, viral disease, orthopaedic surgery, on the search engines of PUBMED, Google Scholar and SCOPUS in June 2020.Results: The current treatment of COVID-19 is largely supportive. Lockdown, social distancing, are among many social preventive measures that had been adopted in an attempt to halt the spread of this disease. These Social adjustments, are achieving remarkable results. Intensive monitoring is key. Profound modifications had been made in all spheres of orthopaedic practice, suspending elective surgical cases and modifying the handling of inpatients and outpatients.Conclusions: Globally, orthopaedic practice has been altered in elaborate terms, to accommodate peculiarities of this emerging viral disease, COVID-19. Whilst not neglecting the needs of our patients who depend on us for due care, strict precautions have been adopted to protect patients and health care workers or halt the spread of the disease. Key words: COVID-19, pandemic, orthopaedic surgeon


BJS Open ◽  
2021 ◽  
Vol 5 (Supplement_1) ◽  
Author(s):  
Elena Priestman ◽  
Joseph Anderson ◽  
Alex Curtis ◽  
Andrew Kelly ◽  
Elena Priestman

Abstract In response to the Montgomery ruling and increasing costs due to improper consenting, specialties such as spinal surgery have implemented consent clinics performed between the conventional initial consultation and day of surgery. However, as this new process can be cost and labour intensive, providing the clinic remotely has been proposed as a way of streamlining this service. This review aims to develop a Montgomery-compliant checklist that provides practical considerations on conducting a remote consent clinic, with scope to integrate this initially into orthopaedic practice. Two literature searches were conducted with the first establishing previous study in remote consent clinics and the second determining the feasibility and financial viability of providing a remote clinic against a face-to-face clinic. The initial analysis revealed remote consent clinics as a relatively novel area of research. However, both literature searches suggested improvements in both patient recall and understanding in remote consenting, further enhanced by additional resources. Moreover, remote clinics are more efficient and cost-effective while still maintaining high patient satisfaction; outcomes are further improved by delegating this service to alternative staff members. Patients also benefit from the complete erasure of travel times and associated costs. Additionally, in the era of COVID-19, it limits patient exposure allowing hospitals to provide safer services. Consent clinics, when performed remotely, are a cost-effective and efficient tool to minimise negligence claims while maximising patient satisfaction. In line with the digitisation of healthcare, it also allows for a COVID-appropriate service. Nevertheless, to ease the transition, a practical checklist has been developed.


Sign in / Sign up

Export Citation Format

Share Document