Total Hip Arthroplasty
Surgeons navigate patient-reported outcome mandate for TJA
As health care in the United States has shifted from a volume-driven to value-driven system, collection of patient-reported outcome measures has become increasingly important as the data provided may enhance patient-centered care.
Use of GLP-1 agonists prior to THA may increase postoperative nausea, vomiting
SAN DIEGO — GLP-1 agonists may lead to increased nausea and vomiting in the early postoperative period after total hip arthroplasty, according to results presented here.
Use of melatonin may yield longer sleep duration after THA
SAN DIEGO — Results presented at American Academy of Orthopaedic Surgeons Annual Meeting showed patients undergoing total hip arthroplasty who were prescribed melatonin reported longer sleep duration in the immediate postoperative period.
Wound therapy may not mitigate risk for wound complications in direct anterior THA
SAN DIEGO — The prophylactic use of negative pressure wound therapy did not mitigate the risk for wound complications in patients undergoing direct anterior total hip arthroplasty, according to results presented here.
Various prophylaxis methods may not impact 3-month PJI rates, complications after TJA
SAN DIEGO — Prophylactic measures such as vancomycin, povidone-iodine and saline irrigation yielded similar rates of periprosthetic joint infection and wound complications at 3 months for high-risk patients undergoing joint arthroplasty.
Weight loss with GLP-1 receptor agonists before THA may increase mortality risk
SAN DIEGO — Results presented here showed patients who had significant weight loss prior to total hip arthroplasty with use of a GLP-1 receptor agonist experienced a decreased risk for complications but an increased risk for mortality.
Patients rate ChatGPT health care descriptions as more credible than those from surgeons
SAN DIEGO — Results presented here showed health care descriptions created by ChatGPT were perceived to be accurate, authentic and believable by patients undergoing total hip arthroplasty compared with descriptions from orthopedic surgeons.
Documentation of surgical decision-making may reduce Medicare audit requests
SAN DIEGO — Standardized documentation of surgical decision-making and preoperative surgical care may reduce Medicare audit requests for total joint arthroplasty cases, according to results.
Optimal timing for cessation of GLP-1 receptor agonists prior to TJA may be 14 days
SAN DIEGO — Stopping GLP-1 receptor agonists 14 days prior to total hip or knee arthroplasty may reduce several key risk factors associated with anesthesia complications, according to results presented here.
Racial disparities exist regarding hemiarthroplasty vs. THA for femoral neck fractures
SAN DIEGO — Results showed white patients were more likely to undergo total hip arthroplasty for displaced femoral neck fracture compared with historically underrepresented groups, who were more likely to undergo hemiarthroplasty.