Background: The aim of this study was to analyze NSQIP (National Surgical Quality Improvement Program) data better understand the incidence, risk factors, and thirty-day complication rates associated with transfusions in primary total hip knee arthroplasty. Methods: We identified 9362 13,662 arthroplasty procedures from database separated those which any red blood-cell transfusion performed within seventy-two hours after surgery no transfusion. Patient demographics, comorbidities,...

Background: Povidone-iodine (PI) irrigation is often used prior to wound closure in total joint arthroplasty, but there are limited reports evaluating its efficacy decreasing infections. The goal of this study was compare the rate any reoperation for infection (both superficial and deep) primary hip arthroplasty (THA) knee (TKA) among patients who did not receive PI closure. Methods: Using our institution’s registry, we identified 5,534 THA 6,204 TKA procedures performed from 2013 2017....

The combination of an aging population, growing number medical interventions, and surging economic burden health care has renewed interest in reevaluating exploring new models.OBJECTIVES To compare the performance US Canadian systems by assessing major complications following primary total hip arthroplasty (THA) knee (TKA) to measure efficiency both models comparing postoperative length stay.DESIGN, SETTING, AND PARTICIPANTS With patients grouped according country where they underwent...

Background: Osteonecrosis of the hip is underlying etiology for 3% to 12% total arthroplasties (THAs). Compared with patients who undergo THA because osteoarthritis, those do so osteonecrosis typically are younger, have a greater number diagnoses, and inferior clinical outcomes implant survivorship. The purpose this study was compare long-term survivorship (median follow-up, 10 years), functional outcomes, radiographic results contemporary THAs highly cross-linked polyethylene (HXLPE) liner...

Background: Postoperative infection remains a major challenge in revision total hip arthroplasty (THA) and knee (TKA). Wound irrigation with dilute povidone-iodine (PI) solution has emerged as simple, inexpensive, potentially successful means of reducing postoperative infections. The aim this study was to assess its effectiveness following THA TKA in, our knowledge, the largest cohort date. Methods: Using institution’s joint registry, we identified 1,402 THAs 1,482 TKAs performed during...

Abstract Background A national reference centre for inflammatory bowel disease (IBD) in the UK supports around 10000 people with disease. mental health service development our has provided access to medical treatments IBD that have traditionally been used treat conditions. Fatigue, affecting an estimated 40% of patients IBD, predicts increased use outpatient services. In a psychiatrist-led clinic, modafinil, medication narcolepsy, produced mean 58% improvement fatigue case series 10...

Background: The recent emphasis on anatomic reconstruction of the anterior cruciate ligament (ACL) is well supported by clinical and biomechanical research. Unfortunately, location native femoral footprint can be difficult to see at time surgery, accuracy current techniques perform unclear. Purpose: To use 3-dimensional magnetic resonance imaging (3D MRI) prospectively evaluate patients with torn ACLs before after thereby assess graft position condyle. Study Design: Cohort study; Level...

Objective: To compare the biomechanical stability under load-to-failure conditions of optimally placed fixed-angle volar locking plates versus suboptimally variable-angle in unstable, intraarticular distal radius fractures. Methods: A Melone type 1 (AO 23-C3) fracture was created 25 sawbone radii and plated with either a or Synthes plate identical profile. Four positions were tested: ulnar (DU, positioned distally to obtain subchondral support hold lunate facet fragments), radial (DR, 3 mm...

Anatomic anterior cruciate ligament (ACL) reconstruction improves knee kinematics and joint stability in symptomatic patients who have ACL deficiency. Despite a concerted effort to place the graft within ACL's native attachment sites, accuracy of tunnel placement using contemporary techniques is not well established.To use 3-dimensional magnetic resonance imaging (3D MRI) prospectively evaluate tibial after anatomic reconstruction.Case series; Level evidence, 4.Forty with symptomatic,...

Heterotopic ossification (HO) is a common complication after total hip arthroplasty (THA) and can result in pain loss of motion the hip. This first study literature to determine if short course Celecoxib effective prevention HO patients undergoing cementless THA. In this retrospective prospectively collected data, consecutive primary THA were reviewed at 2-year follow-up. The Control group consisted 104 hips that did not receive (Control group), while 208 received 100 mg twice daily for 10...