Matthew L. Duenes, Djani M Robertson, J. Lebovic, C. Boyd, J. Hacquebord
Orthopedic surgery has always been at the leading edge of innovation in medicine, from clinical applications to business practices. Cryptocurrencies have emerged as an exciting new technology where transactions and verification are secured by cryptography rather than a centralized authority, thus creating transparency, security, and immutability to payments. Large industries, including healthcare, have started accepting cryptocurrencies as alternative forms of payment. Insurance companies and private practices in specialties such as plastic surgery and dermatology already accept cryptocurrencies in exchange for services. As such, providers in orthopedic surgery should prepare themselves for inquiries from patients regarding cryptocurrencies. This paper introduces the topic and potential benefits to future orthopedic practices.
{"title":"Cryptocurrency as Payment in Orthopedic Surgery","authors":"Matthew L. Duenes, Djani M Robertson, J. Lebovic, C. Boyd, J. Hacquebord","doi":"10.60118/001c.40347","DOIUrl":"https://doi.org/10.60118/001c.40347","url":null,"abstract":"Orthopedic surgery has always been at the leading edge of innovation in medicine, from clinical applications to business practices. Cryptocurrencies have emerged as an exciting new technology where transactions and verification are secured by cryptography rather than a centralized authority, thus creating transparency, security, and immutability to payments. Large industries, including healthcare, have started accepting cryptocurrencies as alternative forms of payment. Insurance companies and private practices in specialties such as plastic surgery and dermatology already accept cryptocurrencies in exchange for services. As such, providers in orthopedic surgery should prepare themselves for inquiries from patients regarding cryptocurrencies. This paper introduces the topic and potential benefits to future orthopedic practices.","PeriodicalId":298624,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128437213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jeremy S. Frederick, Travis R. Weiner, Alexander L. Neuwirth, R. Shah, J. Geller, H. Cooper
Database studies demonstrate a strong association between use of direct oral anticoagulant (DOAC) medications and stiffness following total knee arthroplasty (TKA). The goal of this study was to evaluate whether the risk of stiffness in patients receiving a DOAC was affected by concomitant use or avoidance of a selective COX-2 inhibitor, when compared to a control group of patients receiving aspirin. Consecutive primary TKA’s performed at a single institution between January 2014 - September 2019 were retrospectively reviewed. During this period, a risk-stratification algorithm for prophylaxis against venous thromboembolism (VTE) was used, with DOACs selected for patients at elevated VTE risk and aspirin for the remainder. Patients who required manipulation under anesthesia (MUA) within six months of index TKA were identified. Arc of motion (AOM) data at 6-weeks, 3-months, and 1-year was collected. Patients were divided into 3 groups based on postoperative medications prescribed: (a) Aspirin, (b) DOAC alone, and (c) DOAC + NSAID. Categorical variables were analyzed using Fisher’s Exact Tests and Pearson’s Chi-Square, while continuous variables were analyzed using Student’s T-test. Multivariate logistic regression was used to assess MUA risk while controlling for demographic differences. Forty patients underwent MUA from a population of 1,358 TKAs (2.9%). There was a significantly increased risk of MUA in patients where DOACs were used and concomitant NSAIDs were avoided when compared to the control group of patients receiving aspirin (5.4% vs 2.7%, OR 3.17; p = 0.029). This increased risk was not present when DOACs were used concomitantly with NSAIDs (3.1% vs 2.7%, OR 1.30; p = 0.573). In addition, less consistent AOM was achieved at 1-year postoperatively in the DOAC alone group compared to the control group of patients receiving aspirin (p=0.034). Compared to aspirin anticoagulation, patients receiving DOACs without concomitant NSAIDs were more likely to develop postoperative stiffness requiring MUA and achieved less predictable AOM. The addition of selective COX-2 inhibitors may mitigate some risk of stiffness following primary TKA when anticoagulation with DOACs is necessary.
数据库研究表明，直接口服抗凝剂(DOAC)药物与全膝关节置换术(TKA)后僵硬度之间存在很强的关联。本研究的目的是评估与接受阿司匹林的对照组患者相比，接受DOAC患者的僵硬风险是否受到同时使用或避免选择性COX-2抑制剂的影响。回顾性回顾了2014年1月至2019年9月在同一家机构连续进行的初级TKA。在此期间，使用了预防静脉血栓栓塞(VTE)的风险分层算法，对VTE风险升高的患者选择DOACs，其余患者选择阿司匹林。确定在TKA指数6个月内需要麻醉下操作(MUA)的患者。收集6周、3个月和1年的运动弧度(AOM)数据。根据术后用药情况将患者分为3组:(a)阿司匹林，(b) DOAC单用，(c) DOAC + NSAID。分类变量分析采用Fisher精确检验和Pearson卡方检验，连续变量分析采用Student’s t检验。在控制人口统计学差异的情况下，采用多元逻辑回归评估MUA风险。1358例tka患者中有40例(2.9%)发生了MUA。与接受阿司匹林的对照组患者相比，使用doac并避免同时使用非甾体抗炎药的患者发生MUA的风险显著增加(5.4% vs 2.7%， OR 3.17;P = 0.029)。当doac与非甾体抗炎药同时使用时，这种增加的风险不存在(3.1% vs 2.7%， OR 1.30;P = 0.573)。此外，与服用阿司匹林的对照组相比，单独服用DOAC组术后1年的AOM一致性较差(p=0.034)。与阿司匹林抗凝相比，接受doac而不同时使用非甾体抗炎药的患者更有可能出现需要MUA的术后僵硬，并且实现更不可预测的AOM。选择性COX-2抑制剂的加入可能会减轻原发性TKA后的僵硬风险，当抗凝与DOACs是必要的。
{"title":"Increased Risk of Stiffness following Total Knee Arthroplasty with Direct Oral Anticoagulants and Avoidance of Selective COX-2 Inhibitors","authors":"Jeremy S. Frederick, Travis R. Weiner, Alexander L. Neuwirth, R. Shah, J. Geller, H. Cooper","doi":"10.60118/001c.39784","DOIUrl":"https://doi.org/10.60118/001c.39784","url":null,"abstract":"Database studies demonstrate a strong association between use of direct oral anticoagulant (DOAC) medications and stiffness following total knee arthroplasty (TKA). The goal of this study was to evaluate whether the risk of stiffness in patients receiving a DOAC was affected by concomitant use or avoidance of a selective COX-2 inhibitor, when compared to a control group of patients receiving aspirin. Consecutive primary TKA’s performed at a single institution between January 2014 - September 2019 were retrospectively reviewed. During this period, a risk-stratification algorithm for prophylaxis against venous thromboembolism (VTE) was used, with DOACs selected for patients at elevated VTE risk and aspirin for the remainder. Patients who required manipulation under anesthesia (MUA) within six months of index TKA were identified. Arc of motion (AOM) data at 6-weeks, 3-months, and 1-year was collected. Patients were divided into 3 groups based on postoperative medications prescribed: (a) Aspirin, (b) DOAC alone, and (c) DOAC + NSAID. Categorical variables were analyzed using Fisher’s Exact Tests and Pearson’s Chi-Square, while continuous variables were analyzed using Student’s T-test. Multivariate logistic regression was used to assess MUA risk while controlling for demographic differences. Forty patients underwent MUA from a population of 1,358 TKAs (2.9%). There was a significantly increased risk of MUA in patients where DOACs were used and concomitant NSAIDs were avoided when compared to the control group of patients receiving aspirin (5.4% vs 2.7%, OR 3.17; p = 0.029). This increased risk was not present when DOACs were used concomitantly with NSAIDs (3.1% vs 2.7%, OR 1.30; p = 0.573). In addition, less consistent AOM was achieved at 1-year postoperatively in the DOAC alone group compared to the control group of patients receiving aspirin (p=0.034). Compared to aspirin anticoagulation, patients receiving DOACs without concomitant NSAIDs were more likely to develop postoperative stiffness requiring MUA and achieved less predictable AOM. The addition of selective COX-2 inhibitors may mitigate some risk of stiffness following primary TKA when anticoagulation with DOACs is necessary.","PeriodicalId":298624,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129994531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Five consecutively eligible patients with primary glenohumeral osteoarthritis underwent anatomic shoulder arthroplasty utilizing a collagen-based biointegrative implant (TAPESTRY®) to augment subscapularis tendon repairs. Evaluation of subscapularis healing was primarily assessed via dynamic ultrasound examinations at 6 months post-operatively. Subscapularis imaging was evaluated for tendon thickness, width, echotexture, and calcification. All five patients exhibited fully healed tendons at 6 months with no re-tears, representing a decrease in the 50% occurrence of subscapularis tears historically evidenced in ultrasound studies following shoulder arthroplasty. The subscapularis tendon in all patients was shown to be intact, four of which demonstrated macroscopically aligned collagen tendon architecture with anatomic size measurements, and one demonstrated mild tendinosis. Secondary clinical outcomes included validated shoulder outcome scores including the American Shoulder and Elbow Surgeons (ASES) assessment preoperatively and at 3 months and 6 months postoperatively. Improvements in ASES scores were greater than two-times (33 points at 3 months, and 35 points at 6 months) the published minimal clinically important difference (MCID) of 13.6 ± 2.3 for total shoulder arthroplasty (TSA). Additional data collected included graded belly press, lift-off, and range of motion assessments measured preoperatively and at 6 months postoperatively. Biologic augmentation of the subscapularis tendon with a collagen-based biointegrative implant in these 5 patients showed 100% healing rates assessed via dynamic ultrasound at 6 months post-operatively. All patients demonstrated tendon healing without postoperative complications or revisions. Further investigation is needed to validate the observations from this pilot study.
{"title":"Biologic Augmentation of the Subscapularis Tendon During Anatomic Shoulder Arthroplasty: A prospective case series utilizing dynamic ultrasound","authors":"Amit Nathani","doi":"10.60118/001c.39782","DOIUrl":"https://doi.org/10.60118/001c.39782","url":null,"abstract":"Five consecutively eligible patients with primary glenohumeral osteoarthritis underwent anatomic shoulder arthroplasty utilizing a collagen-based biointegrative implant (TAPESTRY®) to augment subscapularis tendon repairs. Evaluation of subscapularis healing was primarily assessed via dynamic ultrasound examinations at 6 months post-operatively. Subscapularis imaging was evaluated for tendon thickness, width, echotexture, and calcification. All five patients exhibited fully healed tendons at 6 months with no re-tears, representing a decrease in the 50% occurrence of subscapularis tears historically evidenced in ultrasound studies following shoulder arthroplasty. The subscapularis tendon in all patients was shown to be intact, four of which demonstrated macroscopically aligned collagen tendon architecture with anatomic size measurements, and one demonstrated mild tendinosis. Secondary clinical outcomes included validated shoulder outcome scores including the American Shoulder and Elbow Surgeons (ASES) assessment preoperatively and at 3 months and 6 months postoperatively. Improvements in ASES scores were greater than two-times (33 points at 3 months, and 35 points at 6 months) the published minimal clinically important difference (MCID) of 13.6 ± 2.3 for total shoulder arthroplasty (TSA). Additional data collected included graded belly press, lift-off, and range of motion assessments measured preoperatively and at 6 months postoperatively. Biologic augmentation of the subscapularis tendon with a collagen-based biointegrative implant in these 5 patients showed 100% healing rates assessed via dynamic ultrasound at 6 months post-operatively. All patients demonstrated tendon healing without postoperative complications or revisions. Further investigation is needed to validate the observations from this pilot study.","PeriodicalId":298624,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121792335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ehiamen Okoruwa, Jeffrey D. Trojan, Symone M. Brown, M. Mulcahey
Competing predominately in one sport instead of multiple sports has become increasingly prevalent in young athletes. However, there is a lack of data focused on female athletes who compete exclusively in one sport. We hypothesized that female athletes who selectively train in a single sport (SS) have higher rates of injury, body image concerns, and menstrual dysfunction compared to female athletes who play multiple sports (MS). Retrospective data was collected from a pre-physical questionnaire distributed among female athletes from five local high schools (n=611; 13-18 years of age). Odds ratios, 95% confidence intervals (CI), and effect size were calculated to investigate the association between SS training and injuries, irregular menses, and body image concerns (a priori p< 0.05). SS training was not associated with higher rates of injury (p=0.48) and were less likely to have a history of stress fractures compared to MS athletes (p=0.03). There was a decrease in the number of menstrual cycles within the last 12 months among SS athletes (p=0.02, d=0.34). Exclusively competing in a single sport is not associated with higher injury rates in female high school athletes but is associated with dissatisfaction with one’s weight.
{"title":"Selectively Training in a Single Sport is Not Associated with Increased Injury in High School Female Athletes","authors":"Ehiamen Okoruwa, Jeffrey D. Trojan, Symone M. Brown, M. Mulcahey","doi":"10.60118/001c.38765","DOIUrl":"https://doi.org/10.60118/001c.38765","url":null,"abstract":"Competing predominately in one sport instead of multiple sports has become increasingly prevalent in young athletes. However, there is a lack of data focused on female athletes who compete exclusively in one sport. We hypothesized that female athletes who selectively train in a single sport (SS) have higher rates of injury, body image concerns, and menstrual dysfunction compared to female athletes who play multiple sports (MS). Retrospective data was collected from a pre-physical questionnaire distributed among female athletes from five local high schools (n=611; 13-18 years of age). Odds ratios, 95% confidence intervals (CI), and effect size were calculated to investigate the association between SS training and injuries, irregular menses, and body image concerns (a priori p< 0.05). SS training was not associated with higher rates of injury (p=0.48) and were less likely to have a history of stress fractures compared to MS athletes (p=0.03). There was a decrease in the number of menstrual cycles within the last 12 months among SS athletes (p=0.02, d=0.34). Exclusively competing in a single sport is not associated with higher injury rates in female high school athletes but is associated with dissatisfaction with one’s weight.","PeriodicalId":298624,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131234640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
James Williams, Jeff Ustin, Jacob Calcei, Kendra Gardiner, J. Voos, Patrick Polito
Arthroscopic cameras have undergone numerous incremental improvements over the last 50 years and yet continue to be tethered by light and power cables. Technological advancements in operating room (OR) equipment hold the greatest promise for improvements in value-based care. This study compares the FDA-cleared, wireless ArthroFree SystemTM to a traditional wired camera in terms of setup, takedown, and total time under simulated OR conditions by nurses and scrub technicians with varying degrees of experience with arthroscopic equipment. The data collected was then used to determine setup and takedown efficiencies and projected cost savings. The participants also completed a human factors questionnaire at the conclusion of their participation. Results demonstrated the ArthroFree System was 44% (24.5 seconds) faster to assemble, 23% (4.9 seconds) faster to disassemble, and 38% (29.4 seconds) faster overall compared to a traditional wired camera system. With OR costs per minute ranging from $20 to $239.50 per minute, the projected savings per case are $9.80 to $117.36. On a Likert Scale (1=poor to 5=excellent) evaluating the following human factors—ease of setup, efficiency, ease of use, ease of disassemble, patient safety, and stress reduction—the ArthroFree wireless camera scored between 4.4 and 4.8 reflecting OR nurses and scrub technicians’ high ratings for all parameters.
{"title":"Wireless vs. Wired Arthroscopic Cameras: A Comparative OR Simulation Study of Efficiency, Cost Per Case, Setup, and Takedown","authors":"James Williams, Jeff Ustin, Jacob Calcei, Kendra Gardiner, J. Voos, Patrick Polito","doi":"10.60118/001c.38662","DOIUrl":"https://doi.org/10.60118/001c.38662","url":null,"abstract":"Arthroscopic cameras have undergone numerous incremental improvements over the last 50 years and yet continue to be tethered by light and power cables. Technological advancements in operating room (OR) equipment hold the greatest promise for improvements in value-based care. This study compares the FDA-cleared, wireless ArthroFree SystemTM to a traditional wired camera in terms of setup, takedown, and total time under simulated OR conditions by nurses and scrub technicians with varying degrees of experience with arthroscopic equipment. The data collected was then used to determine setup and takedown efficiencies and projected cost savings. The participants also completed a human factors questionnaire at the conclusion of their participation. Results demonstrated the ArthroFree System was 44% (24.5 seconds) faster to assemble, 23% (4.9 seconds) faster to disassemble, and 38% (29.4 seconds) faster overall compared to a traditional wired camera system. With OR costs per minute ranging from $20 to $239.50 per minute, the projected savings per case are $9.80 to $117.36. On a Likert Scale (1=poor to 5=excellent) evaluating the following human factors—ease of setup, efficiency, ease of use, ease of disassemble, patient safety, and stress reduction—the ArthroFree wireless camera scored between 4.4 and 4.8 reflecting OR nurses and scrub technicians’ high ratings for all parameters.","PeriodicalId":298624,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"277 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127286039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health and healthcare disparities occur across a range of dimensions—including socioeconomic status, age, geographical location, language, and gender—and are reflected in variable rates of disease, disability, and death, as well as life expectancy. Members of disadvantaged groups are more likely to have poor health status in addition to more limited means and ability to access healthcare services. Within orthopedic care, existing literature has long identified various health and healthcare disparities, including significantly lower rates of total hip arthroplasty (THA) and total knee arthroplasty (TKA) among Black and Hispanic patients, as well as higher amputation rates among Black and Mexican American diabetic patients. While such studies have for decades identified the presence and impact of healthcare disparities among minority and disadvantaged populations, action to improve health equity in orthopedics has been scarce. To make meaningful progress on health equity, health systems and Ambulatory Surgery Centers will first need to identify existing barriers to care that impact their own patient populations, particularly as new legislation will require organizations to document how they screen patients for social determinants of health, analyze patient data, and address healthcare disparities. Digital care management, remote monitoring, and messaging platforms can help health systems and ASCs improve the quality, consistency, and availability of the care they deliver. As orthopedic care can potentially improve the health and well-being of so many Americans, it is crucial that we commit to resolving disparities in orthopedic care access, utilization, and outcomes for disadvantaged populations. With greater knowledge of each patient’s challenges, risks, and motivations, providers can more easily address barriers to care and support the best possible outcomes for each and every patient.
{"title":"The Drive for Health Equity - The Need to Use Technology to Reduce Healthcare Disparities in Orthopedics","authors":"Bronwyn Spira","doi":"10.60118/001c.38908","DOIUrl":"https://doi.org/10.60118/001c.38908","url":null,"abstract":"Health and healthcare disparities occur across a range of dimensions—including socioeconomic status, age, geographical location, language, and gender—and are reflected in variable rates of disease, disability, and death, as well as life expectancy. Members of disadvantaged groups are more likely to have poor health status in addition to more limited means and ability to access healthcare services. Within orthopedic care, existing literature has long identified various health and healthcare disparities, including significantly lower rates of total hip arthroplasty (THA) and total knee arthroplasty (TKA) among Black and Hispanic patients, as well as higher amputation rates among Black and Mexican American diabetic patients. While such studies have for decades identified the presence and impact of healthcare disparities among minority and disadvantaged populations, action to improve health equity in orthopedics has been scarce. To make meaningful progress on health equity, health systems and Ambulatory Surgery Centers will first need to identify existing barriers to care that impact their own patient populations, particularly as new legislation will require organizations to document how they screen patients for social determinants of health, analyze patient data, and address healthcare disparities. Digital care management, remote monitoring, and messaging platforms can help health systems and ASCs improve the quality, consistency, and availability of the care they deliver. As orthopedic care can potentially improve the health and well-being of so many Americans, it is crucial that we commit to resolving disparities in orthopedic care access, utilization, and outcomes for disadvantaged populations. With greater knowledge of each patient’s challenges, risks, and motivations, providers can more easily address barriers to care and support the best possible outcomes for each and every patient.","PeriodicalId":298624,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129603325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Carly Stevens, Liam A. Peebles, M. Stamm, M. Mulcahey
Blood flow restriction (BFR) utilizes a cuff or tourniquet to induce muscle hypoxia by maintaining arterial flow, while restricting venous return. This technique has recently gained popularity in healthy patients and patients undergoing rehabilitation. Two studies have shown that patients who use BFR, in addition to the standard therapy protocol, following an upper extremity injury (UEI) have reduced pain and improved Patient-Reported Wrist Evaluation scores. The use of BFR in the upper extremity of healthy patients and patients with a prior lower extremity injury have shown statistically significant improvements in muscle strength and muscle hypertrophy. Further studies focusing on BFR training following various upper extremity injuries are needed to determine the potential impact on clinical outcomes. The purpose of this review was to analyze the use of BFR following lower extremity injuries, summarize the literature of BFR for upper extremity injuries, and consider the application of BFR following upper extremity injuries in the future.
{"title":"Application of Current Knowledge of Blood Flow Restriction Training for Use on Upper Extremity Injuries","authors":"Carly Stevens, Liam A. Peebles, M. Stamm, M. Mulcahey","doi":"10.60118/001c.38110","DOIUrl":"https://doi.org/10.60118/001c.38110","url":null,"abstract":"Blood flow restriction (BFR) utilizes a cuff or tourniquet to induce muscle hypoxia by maintaining arterial flow, while restricting venous return. This technique has recently gained popularity in healthy patients and patients undergoing rehabilitation. Two studies have shown that patients who use BFR, in addition to the standard therapy protocol, following an upper extremity injury (UEI) have reduced pain and improved Patient-Reported Wrist Evaluation scores. The use of BFR in the upper extremity of healthy patients and patients with a prior lower extremity injury have shown statistically significant improvements in muscle strength and muscle hypertrophy. Further studies focusing on BFR training following various upper extremity injuries are needed to determine the potential impact on clinical outcomes. The purpose of this review was to analyze the use of BFR following lower extremity injuries, summarize the literature of BFR for upper extremity injuries, and consider the application of BFR following upper extremity injuries in the future.","PeriodicalId":298624,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129866905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
To determine the publication rate of presentations presented at the Orthopaedic Summit and Evolving Techniques (OSET) Fellow Resident and Medical Student Annual Meeting 2019-2021 All presentations from the OSET annual meeting between 2019 -2021 were identified from the OSET’s official website and confirmed through review of the OSET Official Programs. The 2019 and 2021 meeting were in person and the 2020 meeting was virtual due to the COVID pandemic. This information was then used to direct a search on PubMed and Google Scholar database to determine if the presentation was associated with a publication since the meeting. Publishing information was entered into the database. For 2019-2021 there were a total of 227 presentations with 101 associated publications (45%). The highest rate of publications was 63% of presentations published in 2019, followed by 49% rate of publications in 2020, and 27% rate of publications in 2021. The presentations were published at an average of 8.1 months after presentation. Our research demonstrated a 45% publication rate over a 3-year period of presentations presented at the OSET annual meetings. Our results are comparable to other publication rates for podium presentations in other societies (e.g. American Academy of Orthopaedic Surgeons, Annual Meeting of the Pediatric Orthopedic Society of North America, Orthopedic Trauma Association Annual Meeting, American Academy for Surgery of the Hand, Annual Meetings of the North American Spine Society, and American Orthopedic Society for Sports Medicine Annual Meeting). This validates the quality of research presented in podium presentations format at the OSET Annual Meeting.
{"title":"Publication Rates of Podium Presentations from the Orthopedic Summit: Fellow Resident and Medical Student Annual Meeting 2019-2021","authors":"Sanchita Gupta, Lisa K. Cannada","doi":"10.60118/001c.38085","DOIUrl":"https://doi.org/10.60118/001c.38085","url":null,"abstract":"To determine the publication rate of presentations presented at the Orthopaedic Summit and Evolving Techniques (OSET) Fellow Resident and Medical Student Annual Meeting 2019-2021 All presentations from the OSET annual meeting between 2019 -2021 were identified from the OSET’s official website and confirmed through review of the OSET Official Programs. The 2019 and 2021 meeting were in person and the 2020 meeting was virtual due to the COVID pandemic. This information was then used to direct a search on PubMed and Google Scholar database to determine if the presentation was associated with a publication since the meeting. Publishing information was entered into the database. For 2019-2021 there were a total of 227 presentations with 101 associated publications (45%). The highest rate of publications was 63% of presentations published in 2019, followed by 49% rate of publications in 2020, and 27% rate of publications in 2021. The presentations were published at an average of 8.1 months after presentation. Our research demonstrated a 45% publication rate over a 3-year period of presentations presented at the OSET annual meetings. Our results are comparable to other publication rates for podium presentations in other societies (e.g. American Academy of Orthopaedic Surgeons, Annual Meeting of the Pediatric Orthopedic Society of North America, Orthopedic Trauma Association Annual Meeting, American Academy for Surgery of the Hand, Annual Meetings of the North American Spine Society, and American Orthopedic Society for Sports Medicine Annual Meeting). This validates the quality of research presented in podium presentations format at the OSET Annual Meeting.","PeriodicalId":298624,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130379724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This is cryoanalgesia, a new technology where we can effectively create an ice cube under the skin, which shuts the nerve off. If we target some of the sensory nerves around the knee and then the femoral cutaneous nerves and then the branches of the saphenous nerve, then we can shut those nerves down and that pain goes away until those nerves regrow.
{"title":"Cryoanalgesia in Knee Replacement Surgery","authors":"V. Dasa","doi":"10.60118/001c.55623","DOIUrl":"https://doi.org/10.60118/001c.55623","url":null,"abstract":"This is cryoanalgesia, a new technology where we can effectively create an ice cube under the skin, which shuts the nerve off. If we target some of the sensory nerves around the knee and then the femoral cutaneous nerves and then the branches of the saphenous nerve, then we can shut those nerves down and that pain goes away until those nerves regrow.","PeriodicalId":298624,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116096995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This is from a talk given by Wael Barsouom, MD at the Orthopaedic Value based care meeting in 2022
这是医学博士Wael Barsouom在2022年骨科价值护理会议上的演讲
{"title":"The Transformation of Orthopaedic Care: A Primer","authors":"W. Barsoum","doi":"10.60118/001c.55602","DOIUrl":"https://doi.org/10.60118/001c.55602","url":null,"abstract":"This is from a talk given by Wael Barsouom, MD at the Orthopaedic Value based care meeting in 2022","PeriodicalId":298624,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130408407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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