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Letter to the Editor Commenting on “Perioperative Dexamethasone Split Between Two Doses Further Reduced Early Postoperative Nausea and Vomiting Than Single-Dose Dexamethasone: A Randomized Blinded Placebo-Controlled Trial” 致编辑的信,评论 "与单剂量地塞米松相比,两种剂量的围手术期地塞米松可进一步减轻术后早期恶心和呕吐:一项随机盲法安慰剂对照试验"。
IF 3.4 2区 医学 Q1 ORTHOPEDICS Pub Date : 2024-11-08 DOI: 10.1016/j.arth.2024.08.059
Daniel L. Riddle PT, PhD, FAPTA, Ashton H. Goldman MD, Nirav K. Patel MD, FRCS
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引用次数: 0
Medically Supervised Weight Loss and Total Knee Arthroplasty 医学指导下的减肥和全膝关节置换术。
IF 3.4 2区 医学 Q1 ORTHOPEDICS Pub Date : 2024-11-08 DOI: 10.1016/j.arth.2024.04.086
Andrew W. Drolson BSN, CMSRN
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引用次数: 0
Reply to Letter to the Editor on “Elderly Patients Require Special Considerations” From Drs Vaishya and Vaish 对 Vaishya 和 Vaish 医生就 "老年患者需要特殊考虑 "致编辑的信的回复。
IF 3.4 2区 医学 Q1 ORTHOPEDICS Pub Date : 2024-11-08 DOI: 10.1016/j.arth.2024.05.038
Jiabin Liu MD, PhD, FASA, Guo-Chin Lee MD
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引用次数: 0
Conflict of Interest Statement 利益冲突声明
IF 3.4 2区 医学 Q1 ORTHOPEDICS Pub Date : 2024-11-08 DOI: 10.1016/S0883-5403(24)01115-X
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引用次数: 0
The Importance of Registering Clinical Trials 注册临床试验的重要性。
IF 3.4 2区 医学 Q1 ORTHOPEDICS Pub Date : 2024-11-08 DOI: 10.1016/j.arth.2024.08.045
Michael A. Mont MD, Jaime L. Bellamy DO, Taylor Bowen, James A. Browne MD, Lynne C. Jones PhD, Tracy L. Kinsey PhD, Viktor Krebs MD, Steve S. Liu MD, Giles R. Scuderi MD, Michael J. Taunton MD, Audrey Tsao MD
{"title":"The Importance of Registering Clinical Trials","authors":"Michael A. Mont MD, Jaime L. Bellamy DO, Taylor Bowen, James A. Browne MD, Lynne C. Jones PhD, Tracy L. Kinsey PhD, Viktor Krebs MD, Steve S. Liu MD, Giles R. Scuderi MD, Michael J. Taunton MD, Audrey Tsao MD","doi":"10.1016/j.arth.2024.08.045","DOIUrl":"10.1016/j.arth.2024.08.045","url":null,"abstract":"","PeriodicalId":51077,"journal":{"name":"Journal of Arthroplasty","volume":"39 12","pages":"Page e65"},"PeriodicalIF":3.4,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Why Did the “Five-Year Incidence of Progression to Osteoarthritis and Total Joint Arthroplasty in Patients Prescribed Glucagon-Like Peptide 1 (GLP-1) Receptor Agonists” Differ From Previous Randomized Controlled Study? 为什么 "胰高血糖素样肽 1 (GLP-1) 受体激动剂处方患者骨关节炎和全关节关节置换术五年进展发生率 "与之前的随机对照研究有所不同?
IF 3.4 2区 医学 Q1 ORTHOPEDICS Pub Date : 2024-11-08 DOI: 10.1016/j.arth.2024.08.035
Karman Ng MBA, Ron Ellis DO, MBA, Ali Mobasheri MSc, DPhil (Oxon), Jean Yves L. Reginster MD, MPH, PhD
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引用次数: 0
The 2024 World Expert Meeting in Arthroplasty: Not All Controversies Are Actually Controversial 2024 年世界关节成形术专家会议:并非所有争议都有争议。
IF 3.4 2区 医学 Q1 ORTHOPEDICS Pub Date : 2024-11-08 DOI: 10.1016/j.arth.2024.10.055
Javad Parvizi MD, Ibrahim Tuncay MD, Michael A. Mont MD
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引用次数: 0
The Journal of Arthroplasty: 2024 Year in Review 关节成形术杂志》:2024 年回顾。
IF 3.4 2区 医学 Q1 ORTHOPEDICS Pub Date : 2024-11-08 DOI: 10.1016/j.arth.2024.10.096
Michael A. Mont MD, Jaime L. Bellamy DO, Taylor Bowen, James A. Browne MD, Lynne C. Jones PhD, Tracy L. Kinsey PhD, Viktor E. Krebs MD, Steve S. Liu MD, MBA, Giles R. Scuderi MD, Michael J. Taunton MD, Audrey Tsao MD
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引用次数: 0
Is aspirin an effective prophylaxis against VTE in patients undergoing routine total knee or total hip arthroplasty? 阿司匹林是否能有效预防常规全膝关节或全髋关节置换术患者的 VTE?
IF 3.4 2区 医学 Q1 ORTHOPEDICS Pub Date : 2024-11-08 DOI: 10.1016/j.arth.2024.10.090
Ali Parsa, Ibrahim Tuncay, Hamed Vahedi, Ibrahim Azboy, Oliver Marin-Pena, William Hozack, Javad Parvizi
{"title":"Is aspirin an effective prophylaxis against VTE in patients undergoing routine total knee or total hip arthroplasty?","authors":"Ali Parsa, Ibrahim Tuncay, Hamed Vahedi, Ibrahim Azboy, Oliver Marin-Pena, William Hozack, Javad Parvizi","doi":"10.1016/j.arth.2024.10.090","DOIUrl":"https://doi.org/10.1016/j.arth.2024.10.090","url":null,"abstract":"","PeriodicalId":51077,"journal":{"name":"Journal of Arthroplasty","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Proposed Patient Selection Algorithm for Total Joint Arthroplasty Same-Day Discharge from an Ambulatory Surgery Center. 门诊手术中心全关节置换术当天出院患者选择算法建议。
IF 3.4 2区 医学 Q1 ORTHOPEDICS Pub Date : 2024-11-07 DOI: 10.1016/j.arth.2024.11.002
Jonathan Liu, Andrea Gilmore, Mohammad Daher, Jacqueline Liu, Thomas Barrett, Valentin Antoci, Eric M Cohen

Introduction: Identifying appropriate patients for same-day discharge total joint arthroplasty (TJA) is critical for maintaining optimal patient safety and outcomes. This study investigated patient outcomes after same-day discharge TJA at a single ambulatory surgery center (ASC) and proposes a TJA patient-selection algorithm based on findings and existing literature.

Methods: A retrospective chart review of 660 patients was performed between July 2019 and October 2021 for all patients who underwent primary TJA in a single ASC. Successful same-day discharge (SDD), length of surgery (LOS), estimated blood loss (EBL), complications, and readmission events were recorded for each patient. There were 20 total complications in 331 primary total knee arthroplasties (TKAs) (6.0%) and 15 total complications in 329 primary total hip arthroplasties (THAs) (4.6%).

Results: There was one direct admission to the hospital in TKA patients and four direct admissions in THA patients, making the successful SDD rate 99.7% in TKAs, 98.8% in THAs, and 99.2% overall. In the TKA cohort, body mass index (BMI) was associated with total complications (r = -0.15, P = 0.006), comorbidities with wound complications (P = 0.006), and EBL was with readmissions (r = 0.30, P < 0.001), revision surgery (r = 0.12, P = 0.04), and total complications (r = 0.16, P = 0.03). In the THA cohort, BMI was weakly associated with wound complications (r = -0.12, P = 0.02), EBL was with emergency department visits (r = 0.18, P = 0.002) and total complications (r = 0.14, P = 0.01). However, there was no direct association between any of the analyzed characteristics and direct admission.

Conclusion: In our ASC cohort, patients had low rates of perioperative complications and hospital admissions, supporting the safety of same-day discharge TJA using our proposed evidence-based algorithm to guide patient selection for same-day discharge.

导言:为当天出院的全关节成形术(TJA)确定合适的患者对于维持最佳的患者安全和疗效至关重要。本研究调查了一家非卧床手术中心(ASC)当天出院的 TJA 患者的治疗效果,并根据调查结果和现有文献提出了一种 TJA 患者选择算法:方法:在2019年7月至2021年10月期间,对660名患者进行了回顾性病历审查,所有患者均在一家ASC接受了初级TJA手术。记录了每位患者的当日成功出院(SDD)、手术时间(LOS)、估计失血量(EBL)、并发症和再入院事件。在331例初次全膝关节置换术(TKAs)中,共出现20例并发症(6.0%);在329例初次全髋关节置换术(THA)中,共出现15例并发症(4.6%):TKA患者中有1例直接入院,THA患者中有4例直接入院,因此TKA的SDD成功率为99.7%,THA为98.8%,总体为99.2%。在TKA队列中,体重指数(BMI)与总并发症(r = -0.15,P = 0.006)、伤口并发症合并症(P = 0.006)相关,而EBL与再入院(r = 0.30,P < 0.001)、翻修手术(r = 0.12,P = 0.04)和总并发症(r = 0.16,P = 0.03)相关。在THA队列中,BMI与伤口并发症呈弱相关(r = -0.12,P = 0.02),EBL与急诊就诊率(r = 0.18,P = 0.002)和总并发症(r = 0.14,P = 0.01)呈弱相关。然而,所分析的任何特征与直接入院之间都没有直接关系:结论:在我们的 ASC 队列中,患者的围手术期并发症和入院率都很低,这支持了使用我们提出的循证算法指导患者选择当天出院的 TJA 的安全性。
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引用次数: 0
期刊
Journal of Arthroplasty
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