Orthocarolina
Preoperative serum albumin test may improve success of two-stage TJR exchange for PJI
Due to low serum album levels in patients who undergo two-stage exchange for infected total joint replacement, a researcher recommended routinely testing the preoperative albumin level of patients indicated for this procedure.
Multiligamentous knee surgery has low intraoperative, high postoperative complication rate
BLOG: Complex periprosthetic tibia fracture
This case involves a 64-year-old diabetic woman who had a left total knee placed in 2001 by an outside surgeon.
Study: Medicare reimbursement for septic revision TKA has not kept up with inflation
Appropriate incision choice is important in conversion TKA
An 81-year-old man with an unclear remote history of right knee surgery developed significant osteoarthritis with severe valgus and flexion contracture deformity of the right knee.
Carefully manage the perils of open wounds in prosthetic joint infection treatment
Revision hip and knee surgery poses some unique challenges with a variety of treatment alternatives.
VIDEO: Targeted muscle reinnervation with pedicled pronator quadratus
In this video, Bryan J. Loeffler, MD, demonstrates the technique orthopedic surgeons at OrthoCarolina use for regenerative peripheral nerve integration of the superficial radial nerve.
Hybrid transtibial ACL reconstruction approach may combine benefits of other techniques
Radiographic outcomes showed hybrid transtibial ACL reconstruction conferred tunnel characteristics and femoral aperture position similar to that attained with transtibial and anteromedial portal techniques, a presenter said.
Orthopedic surgeons seek alternatives to opioid prescribing
The opioid crisis has evolved during the past 2 decades and despite progress made on reducing unnecessary exposure to prescription opioids and preventing the development of opioid use disorder, health care providers wrote 58.5 opioid prescriptions per 100 persons in 2017, according to the CDC.
Increased narcotic use seen after shoulder arthroplasty with interscalene block plus Exparel
Patients who received interscalene brachial plexus block plus soft tissue infiltration with Exparel when undergoing primary shoulder arthroplasty used significantly more narcotics postoperatively and had no significant reduction in pain scores in the early postoperative period compared with patients who received interscalene brachial plexus block alone, according to results published in The Journal of Bone and Joint Surgery.