OR Table Failure Spotlights Equipment Challenges
What happens when hospital-specified, -purchased, and -owned equipment fails? How is information about such failures distributed within the hospital and to the orthopaedic community at large? Which parties—doctors, OR staff, manufacturers, or hospital administrators—should assume responsibility for reporting these failures to the FDA to prevent patient harm?
The March 2016 “Case Connections,” springboarding from a case report about a failed trauma table in the March 9, 2016, edition of JBJS Case Connector, addresses those questions.
Tags: FDA, JBJS Case Connector, MAUDE database, operating room, OR, Orthopaedic, Orthopedic, trauma table
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My TweetsNeed an update on Sports Medicine?
Check out "What's New in Sports Medicine" in the April 17th issue of The Journal.
Dr. Kweon et al. review the recently published evidence on Sports Medicine topics including ACLs, rotator cuff, hip arthroscopy, use of biologics, and more!
#jbjs #orthopedicsurgery #orthosurgery #orthopedics #ortho #sports #sportsmedicine #arthroscopy #acl #rotatorcuff #shoulder #knee #evidencebasedmedicine
30 y/o M with humeral head osteochondral shear fracture... Thank you all for your discussion on possible treatment options!
Here's what the authors did:
ORIF of osteochondral fragment through deltopectoral approach with subscapularis tenotomy using 4.0 mm headless compression screws.
At final f/u at 18 months, patient had full range of motion, healed fracture, and returned to work and activities.
For more details, this case report by Campbell et al. can be found in JBJS Case Connector.
#jbjs #casereport #ortho #orthopedicsurgery #orthopedictrauma #orthopedics #trauma #fracture #shouldersurgery #shoulder #medicine #evidencebasedmedicine
An association between spinal fusion and subsequent THA.
In the April 17th issue of The Journal, Lum et al. present their findings from a large retrospective database study demonstrating female sex and longer fusion constructs increase the risk of THA after spinal fusion.
For female patients, a fusion construct >2 levels increased the relative risk of undergoing later THA by 35% (RR=1.17) and fusion constructs >7 levels increased this by 119% (RR=2.19)
Check out the full article today at jbjs.org
#jbjs #orthopedics #orthopedicsurgery #orthosurgery #ortho #spinesurgery #spine #arthroplasty #totalhiparthroplasty #jointreplacement #evidencebasedmedicine @ucdavishealth
How would you treat?
A 30 y/o M, otherwise healthy, who presents with left shoulder pain that started after a fall down stairs 3 weeks ago. After the fall, he reports that he "popped" it back in place. Neurovascular intact on exam.
Imaging shows a large anteromedial osteochondral fracture of the humeral head with posterior displacement.
Check out this case report, Shearing Osteochondral Fracture of the Humeral Head, by Campbell et al. in this month's issue of JBJS Case Connector.
We will post how this was treated by the authors later this week!
#jbjs #orthosurgery #orthopedicsurgery #ortho #orthopedics #orthotrauma #orthopedictrauma #trauma #shouldersurgery #shoulder #fracture #medicine #surgery #evidencebasedmedicine #casereport
Are you a practicing PA or PA student? Consider submitting an article to the Journal of Orthopedics for Physician Assistants (JOPA) for the opportunity to earn a cash award!
JBJS JOPA is a peer-reviewed publication that covers all orthopedic subspecialties for PAs and NPs.
JOPA is currently running a writing incentive program through December 31, 2019.
What we are looking for:
Academics reviews of literature on broad orthopedic topics AND concise overviews of single clinical conditions, diagnostic/therapeutic/surgical procedures, or any topic related to orthopedics.
To submit an article, use the JOPA Editorial Manager at www.editorialmanager.com/jopajbjs
#jbjs #jbjsjopa #orthopedicsurgery #orthosurgery #orthopedics #medicine #surgery #physicianassistant #evidencebasedmedicine #paschool
Need an update on Knee Arthrodesis?
In the April 3rd issue of The Journal, Makhdom et al. discuss knee arthrodesis after failed TKA in their Current Concepts Review article. They review the indications, surgical technique, and data on outcomes. They also include a proposed algorithm for using this technique for failed TKA in the setting of infection.
#jbjs #orthopedicsurgery #orthosurgery #orthopedics #arthroplasty #totalkneearthroplasty #kneereplacement #medicine #surgery #infection #evidencebasedmedicine #jointreplacement
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