Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Jan 2019
Infection After Unicompartmental Knee Arthroplasty: A High Risk of Subsequent Complications.
Unicompartmental knee arthroplasty restores function and improves pain in appropriately selected patients. Scant evidence exists regarding the treatment of periprosthetic joint infection (PJI) after unicompartmental knee arthroplasty (UKA). ⋯ Level IV, therapeutic study.
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Clin. Orthop. Relat. Res. · Jan 2019
Comparative StudyThe 2018 Chitranjan S. Ranawat, MD Award: Developing and Implementing a Novel Institutional Guideline Strategy Reduced Postoperative Opioid Prescribing After TKA and THA.
Opioid prescription management is challenging for orthopaedic surgeons, and we lack evidence-based guidelines for responsible opioid prescribing. Our institution recently developed opioid prescription guidelines for patients undergoing several common orthopaedic procedures including TKA and THA in an effort to reduce and standardize prescribing patterns. ⋯ Level II, therapeutic study.
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Clin. Orthop. Relat. Res. · Jan 2019
Randomized Controlled TrialDoes an Elastic Compression Bandage Provide Any Benefit After Primary TKA?
Compression bandages often are used after TKA to reduce swelling. However, the degree to which they are helpful has not been well characterized. ⋯ Level I, therapeutic study.
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Clin. Orthop. Relat. Res. · Jan 2019
Comparative StudyAre Case Volume and Facility Complexity Level Associated With Postoperative Complications After Hip Fracture Surgery in the Veterans Affairs Healthcare System?
Hospital-related factors associated with mortality and morbidity after hip fracture surgery are not completely understood. The Veterans Health Administration (VHA) is the largest single-payer, networked healthcare system in the country serving a relatively homogenous patient population with facilities that vary in size and resource availability. These characteristics provide some degree of financial and patient-level controls to explore the association, if any, between surgical volume and facility resource availability and hospital performance regarding postoperative complications after hip fracture surgery. ⋯ Level III, therapeutic study.
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Clin. Orthop. Relat. Res. · Jan 2019
Multicenter Study Observational StudyAdverse Childhood Experiences Are Not Associated With Patient-reported Outcome Measures in Patients With Musculoskeletal Illness.
Adverse childhood experiences (ACEs) affect adult mental health and tend to contribute to greater symptoms of depression and more frequent suicide attempts. Given the relationship between symptoms of depression and patient-reported outcomes (PROs), adversity in childhood might be associated with PROs in patients seeking care for musculoskeletal problems, but it is not clear whether in fact there is such an association among patients seeking care in an outpatient, upper extremity orthopaedic practice. ⋯ Level II, prognostic study.