Advertisement for orthosearch.org.uk
Results 1 - 3 of 3
Results per page:
Applied filters
Content I can access

Include Proceedings
Dates
Year From

Year To
Orthopaedic Proceedings
Vol. 100-B, Issue SUPP_12 | Pages 6 - 6
1 Oct 2018
Rondon AJ Tan TL Kalbian I Bonaddio V Klement MR Foltz C Lonner JH
Full Access

Introduction

The prescription of opioids has increased in the last two decades. Recently, several states have developed online Prescription Drug Monitoring Programs aimed at preventing overprescribing of controlled substances. Unicompartmental knee arthroplasty (UKA) has been shown to provide improved early functional outcomes, faster recovery, and less postoperative morbidity and pain than total knee arthroplasty (TKA). The aim of this study is to evaluate differences in opioid prescription requirements between patients undergoing TKA and UKA.

Methods

We retrospectively reviewed consecutive series of primary TKA from January 2017 to July 2017 and primary UKA from January 2016 to July 2017 using standardized perioperative pain protocols. All patients that underwent any other procedure 6 months prior to and after index surgery were excluded, resulting in 740 TKA and 241 UKA. Demographic and comorbidity information was collected for all patients. Opioid prescriptions, morphine milligram equivalents (MME), sedatives, benzodiazepines, and stimulants were collected from State Controlled Substance Monitoring website 6 months prior and after index procedures. Univariate and multivariate analysis were performed for patients that had a second prescription and continued use (defined as more than 6 months postoperatively).


Orthopaedic Proceedings
Vol. 100-B, Issue SUPP_12 | Pages 11 - 11
1 Oct 2018
Klement MR Luzzi AJ Siddiqi A Valichka K Sharkey PF
Full Access

Introduction

Recovery after total knee arthroplasty (TKA) may take longer than patients expect. Furthermore, there are a subset of patients who still experience pain and dissatisfaction despite normal physical examination, radiographs, and laboratory analysis. Corticosteroid injection (CSI) is commonly used nonsurgical treatment for painful knee arthritis. However, the efficacy of CSI in patients with a painful TKA remains unknown.

Methods

A retrospective charge review was performed to identify a cohort of patients who had a primary TKA performed between 2015 and 2016 and later received a CSI. All TKAs and CSIs were performed by a fellowship-trained arthroplasty surgeon. Patients receiving a CSI underwent a clinical exam, laboratory analysis to rule out infection, and radiographic evaluation prior to injection. Patient variables were recorded and a survey assessed the efficacy of the injection. The survey response rate was 63.6%.


Orthopaedic Proceedings
Vol. 100-B, Issue SUPP_12 | Pages 67 - 67
1 Oct 2018
Ryan SP Dilallo M Luzzi AJ Klement MR Chen AF Jiranek WA Seyler TM
Full Access

Introduction

Total Knee Arthroplasty (TKA) in high risk patients may result in numerous post-operative complications that may ultimately lead to above knee amputation (AKA). There is a paucity of literature regarding AKA in patients with prior TKA. We sought to characterize the factors leading to AKA, as well as patient functional and clinical outcomes post-operatively, with the hypothesis that minimal activity would be achieved.

Methods

This is a multicenter retrospective review for patient identification, with prospective telephone survey completion for assessment of functional status. All patients from January 2001 to December 2015 with AKA and prior TKA at two academic centers were included for possible survey enrollment. Demographic information and medical comorbidities were collected, in addition to perioperative and post-operative mortality data. A 23-item survey was provided to all available patients and analyzed for patient functional status.