Healthcare News | – Part 6
Source: JBJS
Background: Descriptive epidemiology of total joint replacement procedures is limited to annual procedure volumes (incidence). The prevalence of the growing number of individuals living with a total hip or total knee replacement is currently unknown. Our objective was to estimate the prevalence of total hip and total knee replacement in the United States.
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The use of bisphosphonate drugs is associated with an increased risk of atypical hip fractures
Source: Medical News Today
The use of bisphosphonates, a group of drugs used to prevent hip breakages in women with osteoporosis, is associated with an increased risk of atypical fractures in this joint, understood as those that occur in less frequent locations. It has been established thus in the PhD thesis by Javier Gorricho-Mendívil, a graduate in pharmacy, and read at the NUP/UPNA-Public University of Navarre. The author advocates encouraging other preventive measures such as “strategies to reduce falls and an active lifestyle to improve bone density and health”
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UNMC study: knee replacement viable option for rheumatoid arthritis
Source: Medical News Today
Kaleb Michaud, Ph.D., has for a long time listened to patients with rheumatoid arthritis (RA) talking about improved quality of life after their total joint replacements. But until now, there’s been little information that actually measures how the surgery impacts quality of life for RA patients.
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AGS and ADGAP co-management plan for hip fractures sees geriatrics mending more than bones
Source: Medical Xpress
With support from the John A. Hartford Foundation of New York, the American Geriatrics Society (AGS) and the Association of Directors of Geriatric Academic Programs (ADGAP) will develop a national dissemination plan for an innovative program to improve care for older adults hospitalized with hip fractures.
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Meniscal transplant in patients age 50 and under relieves pain, delays additional surgery
Source: Medical News Today
Most patients younger than age 50 with a torn or severely damaged meniscus experienced reduced pain and improved knee function following transplant surgery, according to a study in the August 5 issue of the Journal of Bone and Joint Surgery (JBJS). However, many patients required additional surgery within 10 years.
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Which Patients Are at Greatest Risk for Readmission after THA?
Source: ICJR
A recently published multi-center study provides guidance on modifiable risk factors orthopaedic surgeons can address prior to surgery to reduce the chances of patients being readmitted following total hip arthroplasty.
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Nearly half of patients safe for discharge by postoperative day 2 after total joint arthroplasty
Source: Healio
Among patients who underwent total joint arthroplasty required to follow the Medicare 72-hour-stay rule, 47.88% were safe for discharge to a skilled nursing facility by postoperative day 2, according to results presented at the American Orthopaedic Association Annual Meeting.
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Poorer outcomes observed for revision unicompartmental knee arthroplasty vs primary TKA
Source: Healio
Compared with primary total knee arthroplasty, revision unicompartmental knee arthroplasty was correlated with poorer outcomes; however, researchers theorized this may have been a result of poorer preoperative function.
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Most patients able to safely drive 2 weeks after THA
Source: Healio
Most patients’ brake reaction time had returned to baseline level or better within 2 weeks of undergoing total hip arthroplasty, allowing the patients to be able to drive safely again, according to study results.
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Platelet-Rich Plasma Does Not Decrease Blood Loss in Total Knee Arthroplasty
Source: Healio
This study was designed to assess the use of platelet-rich plasma (PRP) during primary total knee arthroplasty (TKA). The authors hypothesized that this would result in less blood loss and greater hemoglobin and hematocrit levels at discharge and would potentially decrease the length of hospital stay. Leukocyte rich PRP was used during the procedure and at wound closure. Two surgeons performed all procedures in a similar fashion. Two different TKA implants were used. Each surgeon used the same implant throughout the study. A limited medial parapatellar approach was used and drains were used at closure. No tranexamic acid preparations were used. Continuous passive motion machines were used in all patients during their hospital stay.
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