Afleveringen
-
Lumbar spine fusion is one of the most common surgical procedures performed in the operative management of adult degenerative spine disorders. The dual incision, mini-open TLIF surgery uses a minimally invasive surgical technique that decompresses neural elements through placement of an anterior interbody disc spacer and posterior stabilization with pedicle screws.
-
Zijn er afleveringen die ontbreken?
-
rofit margins for ambulatory surgery centers (ASCs) can vary significantly. Top decile ASCs have EBITDA (earnings before interest, taxes and depreciation allowance) profit margins exceeding 40%, while those in the bottom quartile struggle with EBITDA margins below 15%. Increasing ASC profitability is more important than ever for surgeons as the ASC income can help offset reductions in their earnings due to decreasing or stagnant payment rates combined with rising practice costs.
-
After sterile processing, orthopedic instrument trays are occasionally found to have retained bone from prior procedures. This study aims to assess the effect on heavily contaminated bioburden, adjacent tray, and instrument contamination risk of a standard medical facility sterile processing cycle for orthopedic instruments.
-
Orthopaedic care is limited in rural U.S. regions and globally. While telemedicine has improved access, barriers remain when clinicians must perform orthopaedic procedures without prior experience or in-person guidance. Off-grid augmented reality (AR) offers real-time visual feedback and support, potentially expanding orthopaedic care in underserved areas.
-
The use of preoperative three-dimensional (3D) planning software has increased when preparing for reverse total shoulder arthroplasty (RSA). Malpositioning of the glenoid baseplate and, subsequently, the glenosphere has been linked to poor patient outcomes and increased rates of revisions. The purpose of this study was to evaluate the accuracy of the radiographic measurements, version, inclination, and RSA angle, in preoperative imaging, the preoperative plan, and postoperative imaging.
-
Variable operating room (OR) staffing reduces efficiency in total joint arthroplasty (TJA). Prior studies show consistent OR teams improve efficiency; however, the impact of a single dedicated team member (DTM) in variable staffing settings is unknown and may be more achievable for a given surgeon. This study evaluated the impact of adding a DTM on OR efficiency and cost.
-
The purpose of this study was to provide a detailed summary of current publicly available primary and secondary literature, databases, and websites reporting sports-related injuries among male and female collegiate and professional athletes in the United States of America (U.S.A.) to determine whether gender disparities exist in injury reporting.
-
Orthopaedic surgeons who perform primary total knee arthroplasty (TKA) may often refer more complex patients to specialty-trained arthroplasty surgeons for definitive treatment. While this practice is often appropriate for optimal patient care, these internal referrals may represent a population that is associated with higher baseline risk and worse outcomes. This study aims to identify the risk factors and outcomes associated with primary TKA patients who are referred to subspecialists.
-
The recording of the JOEI Zoom "Open Mic" featuring Nirav Amin, MD (moderator), Brian Gilmer, MD, & Oscar Vasquez, MD.
-
Orthopedic oncology depends on strong patient-provider relationships and advanced expertise. Patients in this specialized and nuanced field rely on online platforms, such as U.S. News & World Report (USNWR), to guide their decision-making. While these platforms provide insights into patient satisfaction, they may fail to capture critical nuances such as academic background, research focus, and training recency. This study aims to evaluate the influence of U.S. News physician ratings on patient perceptions of orthopedic oncologists and their correlation with professional credentials.
-
Resident physician unionization has accelerated across the United States in recent years, reflecting broader changes in healthcare systems, physician expectations, and the economics of medical training. At Thomas Jefferson University Hospitals, residents recently voted to unionize and are currently in the midst of contract negotiations, placing these national conversations directly into the daily lives of trainees across all specialties here. Within orthopedic surgery, these issues carry unique complexity. Orthopedic residency has historically embraced an apprenticeship model deeply rooted in long hours, graduated autonomy, mentorship, and personal sacrifice. Residents are not merely employees performing labor, but trainees undergoing professional and personal development. The emergence of organized labor within residency programs therefore raises challenging questions. Are orthopedic residents primarily learners or workers? Can surgical training maintain its apprenticeship ethos within increasingly contractual labor structures? Which aspects of residency hardship are educationally meaningful versus unnecessarily burdensome? This editorial explores the evolving intersection of unionization and orthopedic residency culture through the lens of modern orthopedic resident trainees at Rothman Orthopedics at Thomas Jefferson University Hospital.
-
A few months ago, Dr. Buch called me and asked “Hey Chris, you know cones are expensive. Should we really be using them?” And I thought “that’s a pretty easy question.” We’re using cones all the time! We want to optimize fixation, but did it get me thinking, when should we be using cones in metaphyseal fixation? And what is the evidence? What are the finances behind it? You know really break it down.
-
The wide reach and unique short audiovisual nature of TikTok make it a potential modality for disseminating information about orthopaedic surgery to both patients and medical professionals. However, only a few recent studies have assessed the purpose and creators of orthopaedic surgery content on TikTok.
-
Lower extremity joint replacement is the second largest inpatient expense to U.S. Centers for Medicaid & Medicare Services (CMS), prompting value-based care experimentation most recently seen in the Bundled Payment for Care Improvement Advanced Model (BPCI-A). BPCI-A tested a new target pricing methodology and welcomed acute care hospital, physician group practice (PGP), and convener participants.
-
The recording of The Journal of Orthopaedic Experience & Innovation Zoom "Open Mic" featuring Scott Mabry, MD, Robert Sershon, MD, Charles Taunt, DO, and Ira Kirschenbaum, MD (Moderator).
-
Medial patellar instability is a potentially severe ligamentous condition that significantly impairs normal knee function, with most cases due to iatrogenic injury to the lateral soft tissue restraints. Idiopathic causes are exceedingly rare. We present a unique case of a 32-year-old woman with chronic idiopathic medial patellar instability managed with LPFL reconstruction using a semitendinosus allograft. This report contributes to the limited literature on non-iatrogenic medial patellar instability and supports LPFL reconstruction as a viable treatment option.
-
Peptide therapies have rapidly entered musculoskeletal and orthopaedic care through direct-to-consumer performance clinics and widespread online promotion. Agents such as BPC-157 and thymosin beta-4 derivatives (TB-500) are increasingly used by patients seeking accelerated recovery, despite uncertain efficacy and limited perioperative safety data.
This scoping review aimed to characterize the available evidence regarding commonly used peptide therapies relevant to musculoskeletal pathology and to examine safety considerations and perioperative implications for orthopaedic surgical patients, with emphasis on total joint arthroplasty (TJA). -
Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) are increasingly prescribed for both glycemic control and weight loss, particularly in patients undergoing total joint arthroplasty. While studies on total hip and knee arthroplasty suggest potential perioperative benefits, the impact of GLP-1 RA use on outcomes following total shoulder arthroplasty (TSA) is unclear. Given the unique biomechanical demands of TSA, rising TSA volumes, and increasing GLP-1 RA use, this systematic review aims to evaluate the current literature on the impact of GLP-1 RA therapy on postoperative outcomes in TSA patients.
- Laat meer zien
