An estimated 54 million Americans currently suffer from debilitating arthritis. Patients who have exhausted conservative measures can be subject to chronic pain and resort symptomatic management with anti-inflammatories, acetaminophen, opioids. Cannabidiol (CBD) is a non-psychoactive cannabinoid that has shown promise in preclinical studies reduce inflammation associated The purpose of this study was explore patient perceived effects cannabidiol on symptoms arthritis.A novel anonymous...

<h3>Importance</h3> To help prevent surgical site infections (SSIs), recommendations by a national organization led to implementation of mandatory operating room policy in large multicenter health care required use disposable perioperative jackets. <h3>Objective</h3> assess whether the jackets is associated with incidence SSIs. <h3>Design, Setting, and Participants</h3> Surgical infection data for patients undergoing clean procedures were retrospectively reviewed from 12 hospitals during...

The Physician Payments Sunshine Act was placed into law in 2010 an effort to create transparency between physicians and industry. Along with many other specialties, orthopaedic surgeons have long worked intimately medical industry companies. This study aimed evaluate trends payments general from 2014 2019.A retrospective review of the Center Medicare Medicaid Services' Open Database done identify all (ie, not subspecialty affiliated) 2019. researchers analyzed total subtype for yearly...

Introduction Since the passage of Physician Payments Sunshine Act in 2010, Centers for Medicare and Medicaid Services (CMS) started National Payment Transparency Program Open Database (OPD), which allowed public access to financial disclosures between physicians industry. Although orthopedic surgeons receive highest average payments when compared other specialties, there has been limited data evaluating these among different subspecialties. The purpose this study was analyze all industry...

Introduction Standard of care management for open fractures historically mandates emergent systemic antibiotic administration, followed by urgent irrigation and debridement in the operating room, regardless injury severity. However, significant controversy exists regarding specific implementation importance these commonly accepted guidelines. We aimed to define differences grade 1 distal radius fractures. Methods An anonymous online survey was distributed attending surgeon members either...

Introduction: Orthopaedic trauma surgeons have an intricate relationship with the medical device industry. In past decade, legislation has created transparency of monetary exchanges between physicians and 2013, Physician Payments Sunshine Act was passed ultimately led to creation Open Database. The purpose this study evaluate trends in industry payments orthopaedic surgeons. Methods: A retrospective review Centers for Medicare &amp; Medicaid Services' Database conducted general from 2014...

Immediate-use steam sterilization (IUSS), formerly termed "flash" sterilization, has been historically used to sterilize surgical instruments in emergency situations. Strict guidelines deter its use, as IUSS theorized increase the risk of site infections (SSIs), leading increased health-care costs and poor patient outcomes. We sought examine association between use rate orthopaedic SSIs.The cases 70,600 patients who underwent surgery-total knee or hip arthroplasty, laminectomy, spinal...

Patient-centered medicine is becoming the main focus of many healthcare systems, and Hospital Consumer Assessment Healthcare Providers Systems (HCAHPS) survey a tool used to track patient satisfaction. In this study, we evaluate HCAHPS scores in orthopaedic surgery inpatients before after implementation resident-guided rounding protocol. Analyses surveys for 154 surgical at one community hospital were compared 6 months initiative. Specific questions analyzed using top box, mean, positive...

Total ankle arthroplasty (TAA) is an increasingly popular option for end-stage arthritis. Americans over the age of 80 years grew to 16.7 million in 2010, but there are scarce data assessing outcomes octogenarians undergoing TAA. This study evaluated (1) perioperative factors, (2) 30-day postoperative complications compared a nonoctogenarian cohort, and (3) independent risk factors adverse outcomes.A national database registry was queried patients who had undergone primary yielded 1113...

With many preventable causes of surgical site infections (SSIs) identified, the effect operating room (OR) size on SSI rates has not been assessed. This study investigated OR incidence SSIs for orthopaedic procedures.SSIs remain a common complication within perioperative realm. Responsible increasing length hospitalization and costs, result in decreased quality life patients.A retrospective review 11,163 patients who underwent surgery-including total knee hip arthroplasties, laminectomies,...

Introduction The purpose of this study is to evaluate the rates regular season soft tissue injuries in National Football League (NFL) players during 2020 season, which had a canceled preseason due COVID-19 pandemic. Methods This retrospectively reviewed injury 2020-2021 NFL comparison 2018-2019 using publicly available data. focus our analysis was comparing following injuries: hamstring, groin, calf, quadriceps, thigh, knee - anterior cruciate ligament (ACL), pectoral, and Achilles. week...

The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey has received increased attention to determine which demographics may influence patient satisfaction after Total Hip Knee Arthroplasty. purpose this study was evaluate the various effects that patient-specific factors, medical comorbidities, had on satisfaction. Two thousand ninety-two patients underwent lower extremity total joint arthroplasty at our institution between 2014 2018. Nine hundred twenty-three...

Introduction The authors examined if the transparency in industry payments to foot and ankle-trained orthopedic surgeons resulted following changes (1) median general surgeons, (2) trend across all subcategory payments, (3) 11 regions of United States. Methods A retrospective review Centers for Medicare Medicaid Services (CMS) Open Payments Database (OPD) was performed identify made by drug medical device companies (N = 3,835) between January 1, 2014, December 31, 2019. Descriptive...

Objectives: To assess the safety of immediate upper extremity weightbearing as tolerated (WBAT) rehabilitation protocol after clavicle fracture open reduction internal fixation (ORIF). Methods: Design: Retrospective Cohort Study Setting: Three Level-One trauma centers Patients Selection Criteria: greater than 18 years age who had ORIF mid-shaft fractures and lower were allowed WBAT on their affected through use a walker or crutches included. All clavicles fixed with either precontoured...

Perilunate dislocations are rare high-energy injuries, and the diagnosis is not infrequently missed at initial presentation. The combination of fractures resulting in a trans-styloid, trans-scaphoid, trans-triquetral perilunate fracture dislocation extremely rare. Early recognition these injuries prudent to restore patient function prevent morbidity. This injury pattern may progress through several distinct phases often involving greater or lesser arc. begins with traumatic disruption...

Early identification and treatment of Staphylococcus aureus (S. aureus) nasal colonization can reduce the risk prosthetic joint infection. The purpose this study was to evaluate patient-specific predictors for S. in total arthroplasty patients aid preoperative screening protocols. A 2,147 who were preoperatively screened retrospectively reviewed. Factors analyzed consisted procedure type, primary diagnosis, gender, ethnicity, body mass index, presence chronic obstructive pulmonary disease,...

A 52-year-old man presented with a bicondylar tibial plateau fracture and acute compartment syndrome. Continuous pressure monitoring was used while the patient treated fasciotomies application of an external fixator. The intraoperative reading in anterior decreased from 105 mm Hg to 50 after skin subcutaneous tissue incision. Pressure continued decrease 10 all 4 compartments were released. underwent staged open reduction internal fixation healed both fasciotomy incisions without...