Articles Tagged With: replacement
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Important Lessons About Edge-to-Edge Repair
This analysis of mitral surgery after failed transcatheter edge-to-edge repair demonstrates high rates of valve replacement as opposed to repair. Surgical mortality was higher than predicted but was significantly lower in high-volume centers. -
COVID-19 Pandemic Exacerbated Perioperative Nursing Shortage
Replacing perioperative nurses is especially challenging because few nursing programs offer designated curricula on this area. -
Racial Disparities Persist in Surgery
A specific cause remains elusive.
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Conversion from Hip Arthroscopy to Total Hip Is High for Certain Patients
A surgery that results in another surgery within two years is a low-value procedure. Leaders in the field of hip arthroscopy should help surgeons define the patient population that will benefit from this procedure.
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Study Results Suggest ASCs May Not Be Lowest-Cost Option for All Procedures
Generally, ASCs are perceived as safe, high-quality, low-cost settings for many surgical procedures. Typically, ASC costs are lower than those in the similarly safe and high-quality settings of hospital outpatient departments, which also handle same-day surgeries. However, the authors of a recent study found there is one striking exception: outpatient joint replacement surgery.
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What Is the Risk of Joint Prosthesis Infection Resulting From Bacteremia?
The risk of periprosthetic joint infection resulting from bacteremia depends on the organism.
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Infection After Placement of Antibiotic Spacers in Prosthetic Joints
Researchers reviewed a case series of 51 patients who received retained “destination spacers” after resection of infected joint prostheses. The researchers noted a significant association between the presence of preoperative sinus drainage and re-infection. Longterm antimicrobial suppression after retention of a destination spacer did not result in significant prevention of re-infections.
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Male Hypogonadism
Testosterone replacement therapy is a growing industry that deserves discussion between patients and their healthcare providers. Recently, many insights into new formulations, advertising, and potential risks have heightened the controversy surrounding low testosterone syndrome, appropriate diagnosis, and risks and benefits of testosterone supplementation. A plethora of non-regulated supplements termed “testosterone boosters” are being marketed directly to the public without adequate assessment. Therefore, it is important for healthcare providers to be familiar with how to conduct and interpret diagnostic tests as well as with appropriate use of TRT as established by various medical organizations, including the Endocrine Society. This review will discuss the definitions, pathophysiology, causes, clinical manifestations, appropriate diagnostic testing procedures, and the role of testosterone supplementation with currently available formulations, with special attention to efficacy and adverse effects in hypogonadism in men.
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Philadelphia Hospital First Certified for Total Hip and Knee
Thomas Jefferson University Hospital in Philadelphia, PA, is the first hospital to be certified by The Joint Commission for Total Hip and Total Knee Replacement.
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CMS launches mandatory joint replacement bundled payment initiative
Beginning April 1, approximately 800 hospitals in 67 geographic areas will begin participating in the first mandatory Medicare bundled payment initiative.