Preop Opioid Use Associated with Higher Readmission and Revision Rates after TJA
Prescription opioid use is epidemic in the U.S. Recently, an association was demonstrated between preoperative opioid use and increased health-care utilization following abdominal surgeries. #JBJSInfographics #visualabstract #JBJS
Full article: https://bit.ly/2uVhwfl
Tags: Hip, Infographic, Knee, Video Summary, Visual Abstract
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My Tweets3D rapid prototyping enables manufacturing of patient-specific guides and implants to facilitate precise 3D corrective osteotomies.
In the April 17th issue of The Journal, Oka et al. report on their experience with using patient-matched instruments to perform corrective osteotomies in 16 patients. They report excellent results with errors between planned correction and final correction of <1° and <1 mm.
Check out this study on jbjs.org for full details!
#jbjs #ortho #orthopedicsurgery #orthopedics #handsurgery #osteotomy #3Dprinting #medicine #innovation #surgery #fracture #technology
Wait at least a month... A retrospective study by Forsythe et al. in this month's issue of The Journal evaluates the relationship between prior steroid injections and surgical site infection after arthroscopic rotator cuff repair.
The authors found a statistically significant increased risk of surgical site infection in patients who received a corticosteroid injection within 1 month of surgery (OR 2.1; p<0.001). No increased risk of infection was seen if the surgical procedure was delayed by at least 1 month.
Check out the full article to learn more at jbjs.org
#jbjs #ortho #orthopedicsurgery #orthopedics #arthroscopy #shouldersurgery #rotatorcuff #shoulderarthroscopy #shoulder #sportsmedicine #infection #surgery #medicine #evidencebasedmedicine
Need 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
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