Journal of orthopaedics
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Journal of orthopaedics · Jul 2020
Orthopaedic Walk-In Clinics: A model to lessen the burden on Emergency Departments during the COVID-19 pandemic.
Operating duties for orthopaedic surgeons decreased during the COVID-19 pandemic, while Emergency Department (ED) cases surged. Orthopaedic Walk-In Clinics (OWICs) were implemented to manage urgent musculoskeletal cases. ⋯ This paper describes the OWIC model and its preliminary impact. The OWICs could serve as a template for other orthopaedic departments during the pandemic.
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Journal of orthopaedics · Jul 2020
EditorialReopening phase in Covid19 pandemic and it's changes for Orthopaedic Surgeons - A German perspective.
Covid-19 is affecting our societies for more than just one, two or three months, maybe for even longer depending on where we live. In Germany, where I am located we have meanwhile ended the lockdown phase and started reopening. In this Editorial, I will try to describe the different aspects of the changes for an Orthopaedic Surgeon in this second phase of reopening. ⋯ Protests and conspiracy theories are numerous and it is our mission as educated scientists to inform as many people around us as possible about the facts. Overall, it has to be stated, that all parts of our lives as Orthopaedic Surgeons remain affected by the Covid-19 pandemic. Life became better in a lot of ways; however, it is still a long way back to normal and we need to be patient.
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Journal of orthopaedics · Jul 2020
Complication rates following hip arthroscopy in the ambulatory surgical center.
There has been an increase in the number of hip arthroscopy procedures performed in the outpatient setting. The purpose of this study was to query a national database to compare post-operative adverse events between hip arthroscopy procedures performed in hospital based outpatient departments (HOPD) versus ASC's. The Humana Claims Database was queried for all patients undergoing hip arthroscopy performed between 2007 and 2016, using the PearlDiver supercomputer. ⋯ Rate of visits to the emergency department within 7 days was not statistically different between groups (2.57% vs 3.03%; p = 0.458). With the ASC group as reference, no statistically significant association between an outcome and surgical setting was detected after adjusting for confounding factors including comorbidity burden. These findings provide reassurance to providers who perform these procedures in either surgical setting.
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Journal of orthopaedics · Jul 2020
Is subtalar extra articular screw arthroereisis (SESA) reducing pain and restoring medial longitudinal arch in children with flexible flat foot?
Subtalar arthroereisis has been accounted for as a minimally invasive, successful and generally safe technique in the treatment of flatfoot in children. The primary aim of our study was to evaluate the subtalar extra-articular screw arthroereisis (SESA) in children with flexible flatfoot clinically and radiologically. This prospective case series study included 84 feet of 42 patients who underwent Subtalar Extra-articular Screw Arthroereisis (SESA) due to symptomatic flexible flatfoot. ⋯ All data were analyzed statistically with graph instat. With final conclusion that SESA is an optimal technique for the correction of flexible flatfoot (FFF) as it is simple and can be performed rapidly and is effective procedure in reducing pain and restoring medial longitudinal arch in children with flexible flat foot. Level of clinical evidence (LOCE): Level 4.
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The aim of this study was to examine toxic effects of tranexamic acid (TXA) on the viability of human chondrocytes. Our hypothesis was that TXA damages human chondrocytes. Chondrocytes were cultured from donated human knee joints. ⋯ Toxicity were analyzed by using LDH und XTT Elisa assays, light microscopy and fluorescence microscopy. The results show that TXA damages human chondrocytes in vitro. We cannot recommend the use of TXA in hemiarthroplasty of the hip or unicompartmental knee arthroplasty in higher concentrations.