ORTHOPAEDICS HORIZON SCANNING BULLETIN Volume 6 Issue 8

Low complication rates, excellent clinical outcomes observed with anterior approach THA

Source:  Healio Orthopedics

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Date of publication: August 2015

Publication type: News item

In a nutshell: Researchers retrospectively reviewed 75 patients who had undergone simultaneous bilateral anterior approach total hip arthroplasty. They examined various outcomes such as total operative time, blood loss, length of stay and discharge home.

Length of publication: 1 webpage

Some important notes:You will need an NHS Athens username and password to access this article.  Please contact your local NHS library if you cannot access the full text.  Follow this link to find your local NHS library.

Acknowledgement: Orthopedics, 2015, 38 (7) p. e611-e615

Theatre cost is £16/minute so what are you doing just standing there?

Source:  Journal of Arthroplasty 2015, 14 August [epub]

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Date of publication:  August 2015

Publication type:  Journal article

In a nutshell:  the purpose of this study was to measure the time taken to perform particular activities in the operating room and to calculate the cost per minute to perform each activity using 15 individual activities carried out by orthopaedic trainees during total hip and knee replacement surgery.  Looked at how best to improve efficiency in the operating theatre by suggesting how certain tasks can be safely performed simultaneously with others.

Length of publication:  17 pages

Some important notes:  You will need an NHS OpenAthens username and password to access this article.  Please contact your local NHS library if you cannot access the full text.  Follow this link to find your local NHS library.

Acknowledgement:  Journal of Arthroplasty

Lower periprosthetic bone loss and good fixation of an ultrashort stem compared to a conventional stem in uncemented total hip arthroplasty

Source:  Acta Orthopaedica, 2015, 2 July [epub]

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Date of publication: July 2015

Publication type: Clinical trial

In a nutshell: This randomised controlled trial involved 51 patients with primary hip osteoarthritis. They were randomised to total hip arthroplasty with either an ultra-short stem or a conventional tapered stem.

Length of publication: 8 pages

Some important notes:  You will need an NHS Athens username and password to access this article.  Please contact your local NHS library if you cannot access the full text.  Follow this link to find your local NHS library.

Acknowledgement: TRIP database

Thirty-day unplanned readmission rates low after shoulder, knee arthroscopy

Source:  Healio

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Date of publication: July 2015

Publication type: News item

In a nutshell: Researchers analysed more than 15,000 cases of knee and shoulder arthroscopic procedures, in order to evaluate the incidence, causes and risk factors for unplanned 30-day readmission.

Length of publication: 1 webpage

Some important notes:  You will need an NHS Athens username and password to access this article.  Please contact your local NHS library if you cannot access the full text.  Follow this link to find your local NHS library.

Acknowledgement: Arthroscopy, 2015, 31 (6) p. 1035-1040

Mixing of components from different manufacturers in total hip arthroplasty: prevalence and comparative outcomes. A study of over 90,000 cases of mixed components in the National Joint Registry for England and Wales

Source:  Acta Orthopaedica 2015, 23 July [epub]

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Date of publication:  July 2015

Publication type:  Journal article

Length of publication: 7 pages

In a nutshell:  data from the National Joint Registry was used to investigate the practice of using implants together from different manufacturers to replace a hip, which goes against regulatory guidance, and whether this results in increased revision rates.

Acknowledgement:  Acta Orthopaedica

Longer hospital stay, more complications, and increased mortality but substantially improved function after knee replacement in older patients: a study of 3,144 primary unilateral total knee replacements

Source:  Acta Orthopaedica 2015, 86(4), 451-56

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Date of publication:  August 2015

Publication type:  Journal article

In a nutshell:  Assesses whether elderly patients undergoing TKR had different length of stay, requirements, complication rates and functional outcomes compared to younger counterparts.

Acknowledgement:  Acta Orthopaedica