Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Oct 2013
Biography Historical ArticleIn Memoriam: George Cierny, III MD (1947-2013).
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Clin. Orthop. Relat. Res. · Oct 2013
Has the rate of in-hospital infections after total joint arthroplasty decreased?
Although infections are a major cause of morbidity and mortality after total joint arthroplasty (TJA), little is known about nationwide epidemiology and trends of infections after TJA. ⋯ Level II, prognostic study. See Guidelines for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Oct 2013
Clostridium difficile colitis in patients undergoing lower-extremity arthroplasty: rare infection with major impact.
The prevalence of Clostridium difficile colitis is reportedly increasing in surgical patients and can negatively impact their outcome. However, as yet there are no clear estimates of the C difficile infection colitis rate and its consequences among patients undergoing total joint arthroplasty (TJA). ⋯ Level II, prognostic study. See Instructions for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Oct 2013
Professional liability in orthopaedics and traumatology in Italy.
Interest in medical errors has increased during the last few years owing to the number of medical malpractice claims. Reasons for the increasing number of claims may be related to patients' higher expectations, iatrogenic injury, and the growth of the legal services industry. Claims analysis provides helpful information in specialties in which a higher number of errors occur, highlighting areas where orthopaedic care might be improved. ⋯ Our study shows that careful medical examination, accurate documentation in medical records, and adequate informed consent might reduce the number of claims. We suggest monitoring of court judgments would be useful to develop prevention strategies to reduce claims.
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Clin. Orthop. Relat. Res. · Oct 2013
Do psychiatric comorbidities influence inpatient death, adverse events, and discharge after lower extremity fractures?
Psychiatric comorbidity is known to contribute to illness (the state of feeling unwell/unable to rely on one's body) and increased use of healthcare resources, but the effect on inpatient outcomes in fracture care is relatively unexplored. ⋯ Optimal inpatient management of patients with lower extremity fractures should account for the influence of psychiatric comorbidities, dementia and schizophrenia in particular.