Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Apr 2024
Social vulnerability adversely affects emergency-department utilization but not patient-reported outcomes after total joint arthroplasty.
Multiple studies demonstrate social deprivation is associated with inferior outcomes after total hip (THA) and total knee (TKA) arthroplasty; its effect on patient-reported outcomes is debated. The primary objective of this study evaluated the relationship between social vulnerability and the PROMIS-PF measure in patients undergoing THA and TKA. A secondary aim compared social vulnerability between patients who required increased resource utilization or experienced complications and those who didn't. ⋯ Despite an increased risk for 90-day ED returns, patients with increased social vulnerability still obtain good 1-year functional outcomes. Initiatives seeking to mitigate the effect of social deprivation on TJA outcomes should aim to provide safe alternatives to ED care during early recovery.
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Arch Orthop Trauma Surg · Apr 2024
Immediate plate fixation of open tibial plafond fractures does not elevate risk of infection.
To determine if immediate plate fixation of open tibial plafond fractures has a negative effect on soft tissue complications and increases the risk of deep infection. ⋯ Therapeutic Level III.
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Arch Orthop Trauma Surg · Apr 2024
Observational StudyCalcar-guided short-stem total hip arthroplasty in fractures of the femoral neck: a prospective observational study of 68 hips.
The indications for cementless short-stem total hip arthroplasty (THA) have been expanded due to encouraging results. However, no evidence in cases of femoral neck fractures (FNFs) is available. We aimed to prospectively obtain data on the safety and the clinical outcomes of a cementless calcar-guided short stem in patients with FNFs. ⋯ The clinical and radiological findings were satisfying and most patients benefited from the minimally invasive procedure. However, as for conventional THA as well, implant survivorship and mortality were markedly worse compared to results regarding osteoarthritis. Especially in elderly female patients with FNF, cementless short-stem THA is a concern and a cemented THA should be the first choice.
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Arch Orthop Trauma Surg · Apr 2024
The psoas muscle index as a useful predictor of total hip arthroplasty outcomes.
The aim of this study is to assess the association between the psoas muscle index (PMI) and total hip arthroplasty (THA) outcomes. This is a critical issue as sarcopenia has been associated with poor patient satisfaction post-THA. ⋯ The PMI, which is associated with nutritional status and global sagittal spinal deformity, does predict THA outcomes. Therefore, it can be useful when discussing THA expectations with patients.
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Arch Orthop Trauma Surg · Apr 2024
Contralateral knee pain exacerbation after total knee arthroplasty and its impact on functional activity.
The purposes of the present study were to (1) describe the prevalence of contralateral knee pain exacerbation after total knee arthroplasty (TKA), (2) explore the risk factors for pain exacerbation, and (3) verify the association of contralateral knee pain with future functional activity. ⋯ The frequency and impact of pain exacerbation on the contralateral knee increase after TKA and should be carefully evaluated for a prolonged period of time.