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Mashup Score: 14Increasing Utilization of Extended Oral Antibiotic Prophylaxis Following Total Knee Arthroplasty From 2010 to 2022 - 11 day(s) ago
Extended oral antibiotic (EOA) prophylaxis has been shown to reduce rates of periprosthetic joint infection in high-risk patients following total knee arthroplasty (TKA). Although national societies’ recommendations against their use and clinical efficacy remain controversial, the increase in the literature surrounding EOA prophylaxis suggests a potential change in practice patterns that may warrant the creation of national guidelines. The purpose of this study was to investigate the trends in the utilization of EOA prophylaxis following TKA from 2010 to 2022.
Source: www.arthroplastyjournal.orgCategories: General Medicine NewsTweet
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Mashup Score: 4A Proposed Patient Selection Algorithm for Total Joint Arthroplasty Same-Day Discharge From an Ambulatory Surgery Center - 12 day(s) ago
Identifying appropriate patients for same-day discharge (SDD) total joint arthroplasty (TJA) is critical for maintaining optimal patient safety and outcomes. This study investigated patient outcomes after SDD TJA at a single ambulatory surgery center (ASC) and proposes a TJA patient-selection algorithm based on findings and existing literature.
Source: www.arthroplastyjournal.orgCategories: General Medicine NewsTweet
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Mashup Score: 3
Sex diversity remains limited in the United States arthroplasty workforce. This study evaluates fellowship program characteristics associated with increased sex diversity in US-based fellowship programs and the pipeline of women trainees before arthroplasty fellowship.
Source: www.arthroplastyjournal.orgCategories: General Medicine NewsTweet
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Mashup Score: 1Prehabilitation in Patients at Risk of Poorer Outcomes Following Total Knee Arthroplasty: A Systematic Review - 14 day(s) ago
While total knee arthroplasty (TKA) is a generally successful procedure, 10 to 30% of patients still report suboptimal outcomes after surgery. Prehabilitation may offer potential benefits to improve poorer outcomes, although its effectiveness remains uncertain. Our study aimed to assess the efficacy of prehabilitation interventions on patients at risk of poor outcomes following TKA.
Source: www.arthroplastyjournal.orgCategories: General Medicine NewsTweet-
Results of exercise therapy and multidisciplinary rehab remain inconclusive. Further high-quality research is warranted to establish evidence on modifiable factors predictive of poorer postop outcomes and investigate how they can be effectively managed. https://t.co/n4kSqEsXmh https://t.co/pkr2Mn4bfr
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Mashup Score: 24
Managing acetabular defects and restoring the hip center of rotation (COR) in revision hip arthroplasty is considered a complex and challenging surgery. Among many existing options, porous tantalum components have shown favorable short-term (less than ten years) follow-up results. The present study aimed to describe clinical and radiographic outcomes in longer-term follow-up.
Source: www.arthroplastyjournal.orgCategories: General Medicine NewsTweet-
Using porous tantalum uncemented components to manage revision hip arthroplasty can be considered a favorable solution for managing acetabular defects and restoring the hip COR with satisfactory clinical and radiological results in a long-term follow-up. https://t.co/BsHIegbJ7f https://t.co/DUBQSTBQI3
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Mashup Score: 4Unsuspected Positive Intra-Operative Cultures in Aseptic Revision Hip Arthroplasty: Prevalence, Management, and Infection-Free Survivorship - 16 day(s) ago
This study aimed to describe the management and outcomes of aseptic revision total hip arthroplasty (arTHA) with unsuspected intraoperative positive cultures (UPCs) compared to those with sterile cultures.
Source: www.arthroplastyjournal.orgCategories: General Medicine NewsTweet-
Infection-free survival at 5yr was similar between patients who had one unsuspected +cx with a new organism and those who had sterile cx; but, ≥2 UPCs and h/o PJI are both significant risk factors for re-revision for infection after aseptic revision THA. https://t.co/lbGKdUzTnE https://t.co/PgBA79iBzW
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Mashup Score: 18
While there is growing scientific evidence supporting superior outcomes following cemented versus uncemented hip hemiarthroplasty (HHA) in elderly femoral neck fractures (FNFs), the relative cost-effectiveness of this in the United States is unknown. Thus, the purpose of this study was to compare the cost-effectiveness of cemented versus uncemented HHA for the treatment of FNFs in patients > 60 years old in the United States, accounting for postoperative outcomes including periprosthetic fractures.
Source: www.arthroplastyjournal.orgCategories: General Medicine NewsTweet
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Mashup Score: 137
Although subtrochanteric osteotomy is a common procedure, the use of Paavilainen osteotomy combined with total hip arthroplasty (THA) for high developmental hip dislocation is less documented. This study assessed the efficacy and complications of this approach, with a particular focus on the risk factors for nonunion postosteotomy.
Source: www.arthroplastyjournal.orgCategories: General Medicine NewsTweet
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Mashup Score: 24Undergoing Meniscectomy Within One Year Before Primary Total Knee Arthroplasty Is Associated With Worse Postoperative Outcomes - 19 day(s) ago
Patients undergoing primary total knee arthroplasty (TKA) who have a history of meniscectomy have worse postoperative functional outcomes, increased rates of early postoperative complications, and higher revision rates. Despite knowing this, to the best of our knowledge, it has not been previously studied whether the timing of meniscectomy before TKA impacts functional outcomes after undergoing TKA. Compared to patients who underwent meniscectomy more than one year before TKA, do patients who have meniscectomy less than one year before TKA have significantly different postoperative outcomes?
Source: www.arthroplastyjournal.orgCategories: General Medicine NewsTweet
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Mashup Score: 2Patients Have Acceptable Patient-Reported Outcome Measures After Medial Unicompartmental Knee Arthroplasty Regardless of Age - 25 day(s) ago
Contemporary evidence-based indications no longer consider age regarding eligibility for medial unicompartmental knee arthroplasty (mUKA). This has led to more surgical candidates; however, whether patients still have satisfactory outcomes lacks evidence. This study examined the association between age and change in patient-reported outcome measures after mUKA as well as the achievement of patient acceptable symptom state (PASS) and minimal important change (MIC).
Source: www.arthroplastyjournal.orgCategories: General Medicine NewsTweet
The use of extended oral abx prophylaxis after TKA has increased significantly since 2010. Guidelines surrounding their use are necessary to promote antibiotic stewardship while preventing rates of infection. https://t.co/GJ1qEFhzdL https://t.co/QxnbWDKSr6