Editors Choice

Editors' Choice articles & Announcements from the Orthogate Team.

Data from a study published online in the journal Annals of Surgery suggest that implementation of a checklist-based surgical quality improvement program may reduce mortality following inpatient surgery. 

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According to a study published online in The American Journal of Sports Medicine, patients with osteochondritis dissecans (OCD) who are treated with fragment excision may be at greater risk of osteoarthritis (OA) and arthroplasty than those treated with fragment preservation or chondral defect grafting. 

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Data from a study published online in the journal Clinical Orthopaedics and Related Research suggest that many patients may not be adequately dosed with vancomycin prophylaxis prior to total joint arthroplasty (TJA). 

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Findings published online in the journal JAMA Surgery suggest that new persistent opioid use following surgery is more likely to be associated with behavioral and pain disorders than type of surgical procedure. 

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A study published in the April 5 issue of The Journal of Bone & Joint Surgery examines factors associated with unplanned readmission following outpatient hand and elbow surgery. The authors reviewed data on 4,106 outpatient hand or elbow surgery procedures from the American College of Surgeons National Surgical Quality Improvement Program database. 

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More than sixty thousand Canadians per year and climbing get knee replacement surgery. A U.S study published last week in the British Medical Journal finds that a good number of patients south of the border may be getting new knees before they need them.

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About a decade ago, it seemed obvious that Canada was going to need a lot more orthopedic surgeons to replace more hips, knees and other joints, in part due to our aging population. To prepare to meet that need, the number of residency spots for the specialty was increased, so more surgeons could be trained. 

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Looking at selected medical tests, treatments and procedures in Canada, a new report finds that up to 30% of them are potentially unnecessary. The report Unnecessary Care in Canada, released by the Canadian Institute for Health Information (CIHI) and Choosing Wisely Canada, uses data to measure the extent of unnecessary care associated with 8 tests and procedures that span the health system.

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The writers of an article published in the Journal of the American College of Surgeons argue that published studies questioning validation of the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) Surgical Risk Calculator (SRC) "should not be misunderstood as disqualifying the SRC as an accurate and appropriate tool for its intended purpose of providing a general purpose risk calculator, applicable across many surgical domains, using easily understood and generally available predictive information." 

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A study published in the April 5 JBJS compares the use of interscalene block and injectable liposomal bupivacaine in shoulder arthroplasty procedures. The authors conducted a randomized, controlled trial of 78 patients who received interscalene brachial plexus blockade treatment and 78 patients who received bupivacaine liposome injectable suspension treatment. 

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