The Journal of the American Academy of Orthopaedic Surgeons
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J Am Acad Orthop Surg · Jun 2020
Telehealth Utilization in Response to the Novel Coronavirus (COVID-19) Pandemic in Orthopaedic Surgery.
The purpose of this investigation is to assess the current utilization of telehealth capabilities at academic orthopaedic departments in the United States and to determine how practice patterns have been directly influenced by the coronavirus disease 19 (COVID-19) pandemic. ⋯ This study demonstrates the impressive measures academic orthopaedic institutions are taking to meet the needs of our patients by identifying a notable increase in new telehealth offerings throughout the United States with a positive correlation with COVID-19 disease burden.
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J Am Acad Orthop Surg · May 2020
Relaxed Hip Precautions Do Not Increase Early Dislocation Rate Following Total Hip Arthroplasty.
Historically, hip precautions have been prescribed after total hip arthroplasty (THA) to limit certain motions felt to place the arthroplasty construct in a position at increased risk for dislocation. This study aimed to determine whether relaxed hip precautions after primary THA done via a posterolateral approach resulted in a higher early dislocation rate compared with standard hip precautions. ⋯ The results of our study suggest that well-trained, high-volume surgeons may potentially relax hip precautions prescribed to the patients after primary THA done via a posterolateral approach without subjecting patients to a markedly higher incidence of dislocation. However, unlike previous studies, this study controlled for femoral head size, which is a well-known confounder for dislocation risk.
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J Am Acad Orthop Surg · Apr 2020
Who Is Prescribing Opioids Preoperatively? A Survey of New Patients Presenting to Tertiary Care Adult Reconstruction Clinics.
Preoperative opioid use is detrimental to outcomes after hip and knee arthroplasty. This study aims to identify the prevalence of preoperative opioid prescriptions and the specialty and practice setting of the prescriber, as well as the percentage of patients who do not report their opioid prescriptions and any variables associated with preoperative opioid prescriptions. ⋯ Level III, retrospective cohort study.