Currently, most
joint replacement patients will be given intravenous antibiotics before and after their surgery to help stave off an infection.
«Two new ways to identify
joint replacement patients at risk for post-operative complications.»
The aim of the study, published July 19 in the Journal of Bone and Joint Surgery, was to evaluate the extent of pain relief and functional improvement in total
joint replacement patients with various levels of obesity.
There's good news from UMass Medical School for overweight people with painfully arthritic hips and knees: A new study finds that obese patients who underwent knee or hip replacement surgery reported virtually the same pain relief and improved function as normal - weight
joint replacement patients six months after surgery.
Not exact matches
«It's not going to cure arthritis, but it will delay the progression of arthritis to the damaging stages when
patients need
joint replacements, which account for a million surgeries a year in the U.S.»
«Obese
patients don't need to lose weight before total
joint replacement, study finds: Long - term relief from
joint replacement surgery similar in obese and non-obese
patients.»
«This manuscript adds to our collective knowledge regarding the risk benefit ratio of total
joint replacement surgery in obese
patients.
Will there come a time when a
patient with arthritis can forgo
joint replacement surgery in favor of a shot?
«Yet, the cost - effectiveness of bariatric surgery to achieve weight loss prior to
joint replacement and thus decrease the associated complications and costs in morbidly obese
patients was unknown.»
«Many
patients continue using opioids months after
joint replacement.»
For
patients undergoing total hip or knee
replacement, smoking is associated with an increased risk of infectious (septic) complications requiring repeat surgery, reports a study in the February 15 issue of The Journal of Bone &
Joint Surgery.
For study purposes, researchers assumed that at least one - third of
patients having bariatric surgery lost their excess weight prior to undergoing
joint replacement.
Total knee and hip
replacements are highly effective operations for
patients with severe pain in these
joints, and opioids are the main drugs used for acute pain management after such surgeries.
«Weight - loss surgery before
joint replacement can improve outcomes in severely overweight
patients.»
While randomized clinical trials are the gold standard of clinical research, such trials are not feasible for testing anesthesia technique in
joint replacement surgeries, because the low incidence outcomes would require a huge number of
patients.
«Our findings indicate that surgical weight loss prior to
joint replacement is likely a cost - effective option from a public payer standpoint in order to improve outcomes in obese
patients who are candidates for
joint replacement,» Dr. Dodwell said.
Dr. Goesling and coauthors discuss the implications for short - term and long - term pain management for
patients undergoing
joint replacement surgery.
About 30 percent of the
patients were taking opioids prior to their
joint replacement surgery.
The researchers looked at how smoking history affected the risk of hospital readmissions among
patients undergoing total
joint replacement — either hip or knee
replacement.
The study included data on 15,264
patients who underwent a total of 17,394 total
joint replacements between 2000 and 2014 — 8,917 hip and 8,477 knee
replacements.
In order to test its ability to predict
patients with a higher risk of complications, Dr. Parvizi and colleagues enrolled 829
patients who had a planned total
joint replacement between 2012 and 2013, and assessed their glycemic levels via the traditionally used maker called HbA1c, side by side with fructosamine.
The researchers merged Norwegian national
joint replacement and prescription databases to analyze medication use by nearly 40,000
patients undergoing THA from 2005 to 2011.
Previous studies have shown that bariatric surgery in
patients who are morbidly obese can reduce weight and comorbidities, but clinicians have not known whether the surgery is helpful or harmful to morbidly obese
patients undergoing a
joint replacement.
Statistical analyses showed that bariatric surgery lowered the comorbidity burden of
patients prior to total
joint replacement (P < 0.0001 for TKA and P < 0.005 for THA).
All the cases involved sudden and severe deterioration among
patients undergoing partial hip
replacement, known as hemiarthroplasty, for fractured neck of femur (broken hip), and associated with the use of cement to help hold the artificial hip
joint in place.
Other healthcare claims database studies have been conducted looking at
joint replacement in morbidly obese
patients, but results have been inconsistent, most likely due to selection bias.
This insidious hardening of tissues also grips some
patients following
joint replacement or severe bone injuries.
«The question is how do we optimize these
patients who have a real problem with their hip or knee and the comorbid condition of obesity, so that they can achieve maximal benefit from their
joint replacement.»
«Bariatric surgery impacts
joint replacement outcomes in very obese
patients: Bariatric surgery performed prior to hip or knee
replacement can reduce in - hospital and 90 - day postoperative complications.»
Research from The Shiley Center for Orthopaedic Research and Education at Scripps Clinic could change how
patients are treated to prevent blood clots after
joint replacement surgery.
The multicenter study, led by Scripps Clinic orthopedic surgeon Clifford Colwell, MD evaluated the efficacy of a mobile compression device that is small and portable enough for
patients to use at home for 10 days or longer after
joint replacement surgery.
Using the scale as a benchmark,
patients without a history of chronic obstructive pulmonary disease, congestive heart failure, coronary artery disease, or cirrhosis have only a 3.1 percent probability of developing late, serious complications following
joint replacement surgery.
Every 5 - unit increase in BMI beyond 30 kg / m ² was associated with higher hospitalization costs: in 2010 U.S. dollars, approximately $ 250 to $ 300 for
patients undergoing TKR and $ 600 to $ 650 for
patients undergoing a revision
joint replacement.
This means fewer
patients are routinely being admitted to these units after
joint replacement surgery, resulting in lower overall costs without compromising
patient safety as well as ensuring that relatively scarce critical care beds are available for those who truly need them.»
Obesity is associated with longer hospital stays and higher costs in total knee
replacement (TKR)
patients, independent of whether or not the
patient has an obesity - related disease or condition (comorbidity), according to a new study published in the Journal of Bone and
Joint Surgery (JBJS).
«The bottom line is that obesity is increasingly common among
patients undergoing
joint replacement, which creates a myriad of technical and medical challenges, and likely contributes to the financial burden of the surgery,» said senior author David G. Lewallen, MD, an orthopaedic surgeon, also from Mayo Clinic.
As a result of the findings, the Penn team developed the six - point scale that orthopedic surgeons can use to determine a
patient's candidacy for same - day or short - stay total
joint replacement.
A new study appearing in the Journal of Bone and
Joint Surgery (JBJS) found that these surgeries are generally safe with mortality rates decreasing for total hip (THR) and total knee (TKR)
replacement and spinal fusion surgeries, and complication rates decreasing for total knee
replacement and spinal fusion in
patients with few or no comorbidities (other conditions or diseases).
For
patients undergoing shoulder
joint replacement surgery (arthroplasty), higher body mass index is linked to increased complications — including the need for «revision» surgery, reports a study in the June 7 issue of The Journal of Bone & Joint Sur
joint replacement surgery (arthroplasty), higher body mass index is linked to increased complications — including the need for «revision» surgery, reports a study in the June 7 issue of The Journal of Bone &
Joint Sur
Joint Surgery.
The authors reviewed data on 2,613
patients who were evaluated for unexplained
joint pain after total hip and / or knee
replacement.
Joint replacement overall, by making
patients more mobile and fit tends to save lives.»
Among
patients with unexplained pain after undergoing total
joint replacement with metal - containing components, women are more likely than men to test positive for metal sensitization, according to the report by Nadim J. Hallab, PhD, and colleagues from Rush University Medical Center, Chicago.
Five to seven years down the road, he predicts,
patients recovering from spinal fusion or
joint -
replacement operations will have some of their own fat cells removed, processed, and implanted at the same time as other surgical procedures.
«New medication guidelines for rheumatic disease
patients having
joint replacement: Guidelines aim to reduce risk of infection after knee or hip
replacement.»
Most
patients have a total hip
replacement (THR) where a damaged hip
joint is completely replaced with an artificial one.
Additional tests in tissue samples from osteoarthritic
patients who had
joint replacements at NYU Langone found similarly increased levels of adenosine A2A receptors on chondrocytes.
«When a
patient comes in with a torn ACL or PCL, most orthopedic surgeons recommend surgery to repair the ligament because of its importance to the natural function of the knee,» said William Bryan, M.D., a Houston Methodist orthopedic surgeon specializing in sports medicine and total
joint replacement.
«While evidence shows that
joint replacement surgery improves pain, function, and quality of life for the osteoarthritis
patient, the impact of cardiovascular health has not been confirmed,» explains lead study author Yuqing Zhang, D.Sc., Professor of Medicine and Epidemiology at Boston University School of Medicine in Boston, Massachusetts.
Surgeons can currently create scar - like tissue to repair damaged cartilage, but ultimately most
patients have to have
joint replacements, which reduces mobility.
«Our study examines if
joint replacement surgery reduces risk of serious cardiovascular events among osteoarthritis
patients.»