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Knee News
Intraosseous vancomycin reduces 90-day periprosthetic joint infection rate after TKA
Intraosseous delivery of vancomycin after tourniquet inflation is safe and effective for reducing periprosthetic joint infection after primary total knee arthroplasty, according to published results.
Tranexamic acid in TJA reduced complications in patients with preoperative coagulopathy
According to published results, tranexamic acid administration reduced intraoperative blood loss and decreased the risk of 90-day complications for patients with preoperative coagulopathy who underwent total hip or knee arthroplasty.
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Opioid prescription laws provide ‘significant but limited outcome’
Laws in 23 states that capped the number of days a Medicare enrollee could receive an initial opioid prescription may have had their intended effect, a recent study showed.
Speaker: Consider costs, functional outcomes when selecting articulating spacers for PJI
Orthopedic surgeons should be familiar with functional outcomes, reported complications and effectiveness of different antibiotics used with articulating spacers implanted to help eradicate joint infection in patients, a presenter said.
Orthopedic specialty hospitals are associated with lower rates of surgical site infection
Compared with tertiary care institutions, orthopedic specialty hospitals are associated with lower rates of deep surgical site infection at 1 year, according to published results.
Patients undergoing TKA for native knee septic arthritis have increased risk of PJI
Published results show that compared with patients undergoing total knee arthroplasty for osteoarthritis, patients who undergo the procedure for native knee septic arthritis have a 6.1-fold increased risk for periprosthetic joint infection.
Opioid tapering significantly increases risk for overdose, mental health crisis
Patients who had their opioids tapered after receiving stable, long-term, higher-dose opioid therapy were at a significantly increased risk for overdose and mental health crisis than those who did not have reduced doses, data showed.
AAOS releases guidelines on pain reduction after orthopedic surgery
The American Academy of Orthopaedic Surgeons released a clinical practice guideline and appropriate use criteria on the appropriateness of pain alleviation strategies to reduce pain after orthopedic surgery and traumatic injury.
Only higher-dose tramadol outperforms placebo for improved pain, function in knee, hip OA
A daily 300 mg dose of tramadol — but not 100 or 200 mg doses — surpassed placebo in improving pain and function related to hip or knee osteoarthritis, but was linked to increasing adverse events, researchers noted in Arthritis Care & Research.
Study finds 15.7% conversion rate from arthroscopic meniscectomy to TKR at 20 years
At 20 years, patients who underwent arthroscopic meniscectomy for degenerative meniscus tears were converted to total knee replacement at a 15.7% rate, according to published results.