The Journal of bone and joint surgery. American volume
-
J Bone Joint Surg Am · Dec 2017
Serum Albumin Predicts Survival and Postoperative Course Following Surgery for Geriatric Hip Fracture.
Serum albumin level is the most well-established serum marker of malnutrition, with a serum albumin concentration <3.5 g/dL considered to be suggestive of malnutrition. The purpose of this study was to test if serum albumin level is associated with death, specific postoperative complications (e.g., pneumonia), length of hospital stay, and readmission following a surgical procedure for geriatric hip fracture. ⋯ Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.
-
J Bone Joint Surg Am · Dec 2017
Comparative StudyPostoperative Stiffness Requiring Manipulation Under Anesthesia Is Significantly Reduced After Simultaneous Versus Staged Bilateral Total Knee Arthroplasty.
For patients with symptomatic bilateral knee arthritis, it is unknown whether the risk of developing stiffness requiring manipulation under anesthesia postoperatively is higher or lower for those undergoing simultaneous bilateral total knee arthroplasty (TKA) compared with those having staged bilateral TKA. Therefore, we undertook this study to evaluate the risk of requiring manipulation under anesthesia in staged versus simultaneous bilateral TKA as well as patients undergoing unilateral TKA. ⋯ Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
-
J Bone Joint Surg Am · Dec 2017
Comparative StudySame-Day Discharge Compared with Inpatient Hospitalization Following Hip and Knee Arthroplasty.
Discharge from the hospital on the day of (same-day) hip and knee arthroplasties has become more common; however, to our knowledge, few studies have compared morbidity between same-day and inpatient surgical procedures. The aims of this study were to compare matched cohorts of patients who underwent same-day and inpatient hip or knee arthroplasty in terms of postoperative complications and 30-day readmission rates. ⋯ Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
-
J Bone Joint Surg Am · Dec 2017
Direct Anterior Hip Replacement Does Not Pose Undue Radiation Exposure Risk to the Patient or Surgeon.
The fluoroscopically assisted direct anterior approach for total hip arthroplasty has gained interest in recent years. One of the perceived advantages is the use of fluoroscopy to aid in the positioning of implants. The purpose of this study was to measure the radiation entrance surface dose to anatomically important areas of both patients and surgeons during direct anterior approach total hip arthroplasty. ⋯ We believe this study to have clinical relevance because both patients and surgeons have evidence that utilization of fluoroscopy during direct anterior total hip replacement places both parties at a relatively low radiation exposure risk.