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Patients with late-stage knee OA incur high costs for nonoperative treatments before total knee arthroplasty

by

In the year before total knee arthroplasty (TKA), patients incur considerable costs for nonoperative treatments and other procedures for osteoarthritis (OA) – raising questions about the value of those procedures, reports a study in The Journal of Bone & Joint Surgery. The journal is published in the Lippincott portfolio in partnership with Wolters Kluwer.

The study shows “substantial variation in the type and cost of nonoperative procedures for patients with late-stage knee OA prior to TKA,” according to the report by Eric L. Smith, MD, of New England Baptist Hospital, Boston, and colleagues.

Estimated costs of $2.4 billion over 3 years for nonoperative procedures before TKA

Using nationwide commercial insurance databases, the researchers analyzed claims for nearly 24,500 patients who underwent primary TKA in 2018 and 2019. The study examined the types and costs of nonoperative procedures in the months leading up to TKA.

Average costs for nonoperative procedures in the year before TKA were $1,355 per patient. Knee imaging studies were the most common procedure overall, performed in about 96% of patients. Intra-articular steroid injections were the most frequent treatment procedure, performed in 54%. Bracing was the least common nonoperative treatment, performed in approximately 8% of patients.

Intra-articular injection of hyaluronic acid, excluding professional administration fees, was the most costly procedure: performed in about 13% of patients, it made up 10% of total costs. By comparison, steroid injections were performed in more than half of patients, but accounted to just over 1% of costs. Physical therapy was used in about 27% of patients and accounted for about 17% of costs.

Most patients underwent at least two nonoperative treatments, while more than one-third underwent three or more. Costs increased with time between diagnosis and surgery, exceeding $2,000 in patients with a 12-month duration before undergoing TKA.

Women had higher total costs for nonoperative treatment, with the greatest differences in physical therapy and prescription of nonsteroidal anti-inflammatory drugs. Men had higher costs for opioids. Procedures and costs also varied by region, with the Northeast region having the highest average cost ($1,740).

TKA is a highly effective and cost-efficient treatment for knee OA. The researchers note that decisions about TKA can be “extremely complicated,” involving factors related to patients, providers, and insurers. For example, insurers may require some period of nonoperative treatment before authorizing coverage for TKA. With the national focus on reducing costs while delivering high-value care, the requirement of nonoperative treatment in the months before TKA warrants evaluation.

Extrapolated to the 600,000 TKAs performed each year in the United States, the total costs of nonoperative treatment are estimated at $2.4 billion over a 3-year period and are likely to increase in the future. The authors point out some limitations of their study, mainly related to the use of insurance claims data.

“For patients who eventually undergo TKA, the cost-effectiveness of these nonoperative treatments right before TKA needs to be carefully considered as the health-care system transitions toward a value-based model,” Dr. Smith and coauthors conclude. They also note that some nonoperative treatments – for example, intra-articular steroid or hyaluronic acid injections or bracing – do not have strong evidence of effectiveness. The researchers call for further studies focusing on the benefits of nonoperative treatments at different stages of knee OA.

Source:

Journal reference:

Nin, D.Z., et al. (2022) Costs of Nonoperative Procedures for Knee Osteoarthritis in the Year Prior to Primary Total Knee Arthroplasty. The Journal of Bone and Joint Surgery. doi.org/10.2106/JBJS.21.01415.

Originally Appeared Here

Filed Under: joint replacement, ORTHO NEWS

A Road to Recovery After Knee Surgery: 6 Tips to Follow

by

Recovery from knee surgery can be full of ups and downs, but there are steps you can take to make the process as smooth as possible.

We find that patients who know what to expect and are proactive in their recovery tend to do better overall. With that in mind, here are six tips to follow in your recovery after knee surgery.

1. Get Plenty of Rest

Get_Plenty_of_Rest.png

Most people know that getting a good night’s sleep is essential for feeling rested and alert the next day, but few realize just how important it is for recovering from surgery. This doesn’t mean you have to stay in bed all day – although you should take it easy for the first few days – it does mean getting enough sleep at night and taking periodic naps during the day.

Good rest is crucial for healing because it gives your body the time it needs to repair the damage from surgery. When you’re well-rested, you’ll also have more energy for physical therapy and other essential activities for recovery. The recovery timelines for patients who get adequate rest are usually shorter than for those who don’t. So, make sure to get your ZZZs.

2. Eat a Nutritious Diet

As with sleep, eating a nutritious diet is vital for everyone but especially crucial for people recovering from surgery. A healthy diet will give your body the nutrients it needs to heal properly and fight infection. It’s also essential to avoid constipation, which can be a problem after surgery due to pain medication and inactivity.

Eat_a_Nutritious_Diet.png

To stay on top of your nutrition, eat plenty of fruits, vegetables, and whole grains. These foods are packed with vitamins, minerals, and fiber that will help keep your digestive system moving and your body healthy. It would help if you also drank plenty of water to stay hydrated.

3. Stay Active

It may seem counterintuitive, but staying active is vital for recovery after knee surgery. Of course, you shouldn’t overdo it – too much activity can delay healing – but getting some gentle exercise will help keep your joints mobile and prevent stiffness. Physical therapy is a great way to get the proper exercise for your needs.

Walking is another excellent way to stay active while recovering from knee surgery. Just be sure to start slowly and increase your distance gradually. If walking is painful or makes your incision feel uncomfortable, stop and rest until the pain subsides. As long as you listen to your body, staying active will speed up your recovery.

4. Follow Your Physical Therapy Regimen

Physical therapy is essential to recovering from knee surgery, but it’s important to follow your therapist’s recommendations. Depending on the surgery you had, you may need to start physical therapy a week after your procedure. This may seem like a lot, but getting the rehabilitation process started early is vital.

Your physical therapist will design a customized exercise program that gradually increases in intensity as you heal. Sticking to this program even when you feel like you can do more is essential. Pushing yourself too hard can delay healing and lead to setbacks. Trust your therapist and follow their guidelines for a successful recovery.

5. Use Pain Medication as Directed

Recovering knee surgery can be painful, but taking pain medication only as directed is essential. Taking too much medication can be dangerous and make it difficult to gauge your level of activity. It’s vital to listen to your body and rest when necessary, even if that means taking a little extra medication.

Of course, you shouldn’t suffer unnecessarily. Talk to your doctor or surgeon about adjusting your medication regimen if your pain is severe or persistent. It’s also important to let them know if you have any concerns about the side effects of your medication. In most cases, the benefits of pain relief outweigh the risks, but it’s always best to err on the side of caution.

6. Be Patient

Recovery from knee surgery takes time, so it’s essential to be patient and realistic about your expectations. Depending on the procedure, it may be several months before you’re back to your old self. And even then, you may have some lingering stiffness or pain. It’s important to listen to your body and take things slowly to avoid setbacks.

If you’re having trouble staying positive, talk to your doctor or surgeon about ways to cope with the frustration of a long recovery. In the meantime, focus on following your rehabilitation program and taking care of yourself. The better you take care of yourself now, the sooner you’ll be back to your old self.

Following these tips will help you have a successful recovery after knee surgery. However, every patient is different, so talk to your surgeon about what you should expect during your recovery process. Just remember to listen to your body and take things one day at a time – before you know it, you’ll be back on your feet again.

Originally Appeared Here

Filed Under: KNEE, Knee Surgery, ORTHO NEWS

High costs of nonoperative treatment in the year before total knee replacement

by

In the year before total knee arthroplasty (TKA), patients incur considerable costs for nonoperative treatments and other procedures for osteoarthritis (OA) – raising questions about the value of those procedures, reports a study in The Journal of Bone & Joint Surgery. The journal is published in the Lippincott portfolio in partnership with Wolters Kluwer.

The study shows “substantial variation in the type and cost of nonoperative procedures for patients with late-stage knee OA prior to TKA,” according to the report by Eric L. Smith, MD, of New England Baptist Hospital, Boston, and colleagues.

Estimated costs of $2.4 billion over 3 years for nonoperative procedures before TKA

Using nationwide commercial insurance databases, the researchers analyzed claims for nearly 24,500 patients who underwent primary TKA in 2018 and 2019. The study examined the types and costs of nonoperative procedures in the months leading up to TKA.

Average costs for nonoperative procedures in the year before TKA were $1,355 per patient. Knee imaging studies were the most common procedure overall, performed in about 96% of patients. Intra-articular steroid injections were the most frequent treatment procedure, performed in 54%. Bracing was the least common nonoperative treatment, performed in approximately 8% of patients.

Intra-articular injection of hyaluronic acid, excluding professional administration fees, was the most costly procedure: performed in about 13% of patients, it made up 10% of total costs. By comparison, steroid injections were performed in more than half of patients, but accounted to just over 1% of costs. Physical therapy was used in about 27% of patients and accounted for about 17% of costs.

Most patients underwent at least two nonoperative treatments, while more than one-third underwent three or more. Costs increased with time between diagnosis and surgery, exceeding $2,000 in patients with a 12-month duration before undergoing TKA.

Women had higher total costs for nonoperative treatment, with the greatest differences in physical therapy and prescription of nonsteroidal anti-inflammatory drugs. Men had higher costs for opioids. Procedures and costs also varied by region, with the Northeast region having the highest average cost ($1,740).

TKA is a highly effective and cost-efficient treatment for knee OA. The researchers note that decisions about TKA can be “extremely complicated,” involving factors related to patients, providers, and insurers. For example, insurers may require some period of nonoperative treatment before authorizing coverage for TKA. With the national focus on reducing costs while delivering high-value care, the requirement of nonoperative treatment in the months before TKA warrants evaluation.

Extrapolated to the 600,000 TKAs performed each year in the United States, the total costs of nonoperative treatment are estimated at $2.4 billion over a 3-year period and are likely to increase in the future. The authors point out some limitations of their study, mainly related to the use of insurance claims data.

“For patients who eventually undergo TKA, the cost-effectiveness of these nonoperative treatments right before TKA needs to be carefully considered as the health-care system transitions toward a value-based model,” Dr. Smith and coauthors conclude. They also note that some nonoperative treatments – for example, intra-articular steroid or hyaluronic acid injections or bracing – do not have strong evidence of effectiveness. The researchers call for further studies focusing on the benefits of nonoperative treatments at different stages of knee OA.

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About The Journal of Bone & Joint Surgery

The Journal of Bone & Joint Surgery (JBJS) has been the most valued source of information for orthopaedic surgeons and researchers for over 125 years and is the gold standard in peer-reviewed scientific information in the field. A core journal and essential reading for general as well as specialist orthopaedic surgeons worldwide, The Journal publishes evidence-based research to enhance the quality of care for orthopaedic patients. Standards of excellence and high quality are maintained in everything we do, from the science of the content published to the customer service we provide. JBJS is an independent, non-profit journal.

About Wolters Kluwer

Wolters Kluwer (WKL) is a global leader in professional information, software solutions, and services for the clinicians, nurses, accountants, lawyers, and tax, finance, audit, risk, compliance, and regulatory sectors. We help our customers make critical decisions every day by providing expert solutions that combine deep domain knowledge with advanced technology and services.

Wolters Kluwer reported 2021 annual revenues of €4.8 billion. The group serves customers in over 180 countries, maintains operations in over 40 countries, and employs approximately 19,800 people worldwide. The company is headquartered in Alphen aan den Rijn, the Netherlands.

Wolters Kluwer provides trusted clinical technology and evidence-based solutions that engage clinicians, patients, researchers and students in effective decision-making and outcomes across healthcare. We support clinical effectiveness, learning and research, clinical surveillance and compliance, as well as data solutions. For more information about our solutions, visit https://www.wolterskluwer.com/en/health and follow us on LinkedIn and Twitter @WKHealth.

For more information, visit www.wolterskluwer.com, follow us on Twitter, Facebook, LinkedIn, and YouTube.


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Originally Appeared Here

Filed Under: joint replacement, ORTHO NEWS

Are you planning to have a knee or hip replacement?  | McLaren Health Care News

by

The MAKO® robot may benefit you


June 10, 2022

Author: Sarah Barber

“The benefits of robotic joint replacement for my patients have been numerous. The largest difference I have noticed in my patients is they are walking with confidence right after surgery.”

 

 

According to the Center of Orthopedic and Neurosurgical Care and Research nearly one million hip and knee replacement surgeries are performed in the United States annually, making it one of the most common orthopedic procedures performed today.

With so many Americans needing or considering a knee or hip joint replacement it’s important to know how those surgeries are performed, and what options are available to you.

“The Mako® robotic arm is a surgeon operated and controlled tool, and is one of the latest technologies available for hip and knee replacement surgeries,” said Daniel Mesko, DO, fellowship trained, orthopedic surgeon who works with McLaren Greater Lansing. “This technology has been around since 2006, and has been used for more than half a million cases. The Mako® robotic arm isn’t required to have a great outcome for your joint replacement surgery, but it can be beneficial for many patients.”

What specifically does the MAKO® robot do? And should I find a surgeon who uses it for my joint replacement surgery?

This technology is unique in that it uses a Computed Tomography (CT) scan that provides the surgeon a 3D model of the joint they are replacing before they make a single cut. This road map allows the surgeon to make a clear plan in sizing and implant positioning before surgery begins.

“If the patient has had previous surgeries such as spinal fusions, previous hardware placement, or has experienced traumatic injuries to the area like fractures, the robot can really help us pre-plan and navigate for those specific cases taking into account the altered anatomy,” said Dr. Mesko.

The MAKO® robot can be used for full or partial knee replacements and hip replacements utilizing any approach including anterior, mini-posterior or lateral based approaches. The company is also looking at expanding this technology for shoulder, pelvis, and spinal surgeries in the future.

What are the benefits of MAKO® robotic-assisted surgery?

“The benefits of robotic joint replacement for my patients have been numerous. The largest difference I have noticed in my patients is they are walking with confidence right after surgery,” said Steven Drayer, MD, orthopedic surgeon and robotic specialist who works with McLaren Greater Lansing. “When they come in for their post-operative appointment, they aren’t using a cane or walker.”

Using the MAKO® robotic arm can also include additional benefits like CT based accuracy of component positioning and patient matched sizing, achieving accuracy in areas such as balancing a knee throughout the entire arc of motion as well as leg length accuracy in total hips.

The potential benefits of lower incidence of hip instability, less need for long term revisions and a diminished risk of something unplanned arising during surgery also may exist.  “Although patients experience some pain after surgery, my patients have less anxiety in their recovery and are quicker to ask when they might have their next replacement performed,” said Dr. Drayer.    

To learn more about robotic-assisted knee and hip replacement and the surgeons who perform robotic-assisted surgeries at McLaren Greater Lansing, click here.

 

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Originally Appeared Here

Filed Under: joint replacement, ORTHO NEWS

Myongji upgrades joint replacement precision with surgical robot < Hospital < 기사본문

by

Myongji Hospital said it introduced a surgical robot ‘CUVIS joint’ to increase the precision of joint replacement surgery.

Developed by Curexo, a local firm, CUVIS joint automatizes the entire bone cutting process, required before a joint replacement surgery, the hospital said.

Myongji Hospital’s newly adopted surgical robot CUVIS joint is expected to increase precision of joint replacement surgery.

The surgical robot is expected to be used also for the elderly because it reduces pain, bleeding, and error by accurately cutting the bone based on data of 3D stereoscopic image of the bone.

The hospital could adopt CUVIS joint after the hospital’s orthopedics research project, led by Professor Kim Jin-goo, was chosen as a Korea Institute for Robot Industry Advancement’s (KIRIA) service robot demonstration business in the medical surgical robot area.

“Precise bone cutting in artificial joint surgery directly affects surgical results as an injured bone has to be cut out and an artificial joint has to be inserted,” Kim said. “We will provide advanced medical service utilizing the surgical robot and work sincerely on the national projects to verify the performance of the surgical robot and utilize clinical data.”

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Originally Appeared Here

Filed Under: ORTHO NEWS, ortho news - Google

Knee pain: When is it wise to go for knee replacement surgery?

by

Is someone dear to you constantly complaining about nagging knee pain? Have you shown them to a doctor who may have advised a knee surgery? If the advice left you worried, you’re not alone. Every time a person, especially someone with arthritis, with excruciating knee pain is advised a surgery, a second or third opinion is sought. Many patients are still in two minds to consider knee replacement surgery for arthritic knee even though there may be enough medical evidence to suggest that Total Joint replacement is the only solution for arthritic joints.

There are about 350 million patients every year suffering with knee pain due to arthritis. It has become the second most dreaded condition after cardiovascular issues in the world. India stands at around over 15 million cases every year and this figure may touch 60 million by 2025 as per Arthritis society.

Knee replacement surgeries have evolved over the years.

“Today, a joint replacement surgeon with all his or her expertise can assure the patient of a favorable outcome and give functional ability of the implanted knee joint as good as natural knee,” says Dr Manish Samson, Senior Consultant Orthopedic and Joint Replacement Surgeon, Apollo Hospitals, Bengaluru.

According to him, knee replacement surgeries are recommended when all other treatment options – exercise, medication, dietary tweaks or use of essential oils for knee pain, are tried and exhausted. These surgeries are to make the patient functionally active without or with negligible pain. Knee replacement surgery not only takes away the pain and improves mobility of the patient, but also corrects any deformity of the patient around their knees for the rest of their life.

Knee pain is also affecting younger people. Image courtesy: Shutterstock

Here are some frequently asked questions about surgery for knee pain

Dr Samson explains the procedure and its important, for Health Shots.

1. When is surgery recommended?

There are various reason when a doctor may suggest knee replacement surgery.

* Wear and tear in the knee joint leading to stiffness and severe knee pain that restraints a person from day to day activities including walking, running, climbing stairs and other movements.
* Pain while resting, either day or night
* Chronic inflammation of the knee due to long standing Arthritis due to medical conditions like Rheumatoid, gout or Tuberculosis and that does not improve with medicines and rest.
* Knee deformity
* Failure of non-surgical methods like medications, infra-articular injections and physiotherapy.
* Arthritis due to old fractures which have healed in a non-acceptable position.

2. What is the ideal age for an arthritic patient to undergo knee replacement surgery?

There is no fixed age for knee replacement surgery. It can be at a very young age or at geriatric age. It all depends on how badly the knees are affected. Basically, there are various disease forms of arthritis where a patient can have advanced arthritis of knee joint at young age. In such cases, knee replacement surgery is an early option. There are age-related wear and tear – what is known as osteoarthritis – that comes at very late age after 60 years.

Based on severity and failure of all other non–operative methods, knee replacement surgery is executed.

Also read: 5 common age-related pains you must not ignore

Exercise for knee pain
You should not let go of physical activity due to knee pain. Image courtesy: Shutterstock

3. Can both knees be operated simultaneously?

Yes, knees can be simultaneously operated after strict medical and cardiac evaluation. The final decision is taken based on medical reports on the day prior to surgery and preferably on patients without major medical issues.

4. How fast is the recovery after knee replacement? Can a patient squat after knee replacement?

The patient can be back to normal activity in 3 to 4 weeks. Yes, the patient can squat after surgery if the patient had the ability to do so before surgery. After a period of 6 months of good self-exercise, and use of the modern implants and good surgical techniques by experienced joint replacement surgeons, patients can squat and even sit cross-legged.

5. What happens if the surgery fails?

Unfortunately, if the patient has undergone a knee replacement surgery and has problems, or if the surgery has failed over a period of time – revision knee replacement surgeries can be offered. Practically all problems can be resolved to make the patient active and pain-free again by experienced joint replacement surgeons.

6. Is the knee replacement surgery very painful? Do all patients need physiotherapy after surgery?

Yes, knee replacement surgeries were very painful. However, now orthopedic surgeons take help of pain management experts who use various intervention blocks with sustained medications to mask or block the pain, making it easy for surgeons to operate on both knees simultaneously. This also gets them the same result as from operating one knee at a time.

Regarding the post-surgery physio therapy, it varies from surgeon to surgeon and the surgical technique used. It also depends on the patient’s pre-surgery activity level and motivation status.

Post surgery care for knees
Surgery may alleviate your pain if you’ve tried all other ways and failed. Image courtesy: Shutterstock

7. How to protect your knee replacement?

Post-surgery, the patient should abide by the following rules to protect the new knee:

* Regular light exercise to maintain strength and mobility of the new knee
* Avoid falls and injuries.
* Routine follow ups and examination of the new knee
* Treat any infection elsewhere in the body with immediate attention and antibiotics as suggested by the physicians.

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Originally Appeared Here

Filed Under: joint replacement, ORTHO NEWS

Joint replacement maker Stryker to create 600 new jobs in Cork

by

Med-tech company Stryker announced it will create 600 extra jobs at its facility in Cork, which it recently expanded.

This investment will further grow the US multinational’s presence in Ireland as it employs around 4,000 people across eight facilities in Belfast, Limerick and Cork.

“With our experience and proprietary technology, we are excited to impact more patients and drive growth with this additional investment,” said Viju Menon, group president of global quality and operations at Stryker.

“We are also pleased to expand our talent base in Ireland with engaging roles across a range of disciplines,” he said.

Stryker makes implants used in joint replacements and trauma surgeries and other products for neurotechnology and spinal healthcare.

Stryker claims that its products are used by around 100 million patients annually.

The recent investment into its Cork centre is supported by the State through IDA.

“Stryker has been innovating in additive manufacturing within the MedTech industry for more than 20 years and opened its Anngrove facility in 2016. The expanded facility furthers the company’s four-decade commitment to Ireland,” said IDA Ireland CEO Martin Shanahan.

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Originally Appeared Here

Filed Under: ORTHO NEWS, ortho news - Google

Expert Article: CUVIS Joint, Your Robotic Doctor: Read About World’s First Active Robotic Knee Replacement System

by

bredcrumb

Wellness

oi-Dr Medha Gupta

The world’s first active robotic knee replacement system, the CUVIS Joint, has significantly enhanced joint replacement procedures.

Meril Healthcare Pvt. Ltd., the leading orthopaedic implant manufacturer in India, and Curexo Inc. of South Korea collaborated to bring this technology to India to raise healthcare standards.

A CLASS 3 AUTOMATION ROBOT SURGICAL SYSTEM, the CUVIS Joint robot system, can perform virtual surgery, precise cutting, and 3D pre-planning [1].

It is an ergonomic surgical robot that combines precision, safety, innovation, flexibility, and ease of use for orthopaedic surgeons.

CUVIS Joint, Your Robotic Doctor

Robot-assisted Knee Replacement

It is an AI (Artificial Intelligence ) -based programmed software that helps the surgeon perform the surgery; it is not intended to replace a surgeon.

Trivia! The first robotic knee surgery was done in the United Kingdom as early as 1988.

When should you not opt for robotic surgery:

A traditional approach is preferred when the patient is vulnerable to infections. Robotic surgery requires more time and leaves the surgical site open for longer.

The Advantages of a Robot-assisted Total Knee Replacement:

● Implant positioning that is precise and accurate
● Improved muscle and ligament balance are achieved.
● The bones in the joint are precisely aligned.
● Recovery after surgery is easy.

Parts of THE CUVIS JOINT:

● Planner
● Main console
● The robotic arm

The process of Cuvis Joint Knee Replacement surgery:

1. CT images
2. Conversion of CT images to a 3D model to create a surgical plan –

● Establishing the proper axis between the shin bone and hip bone
● The setting of the bone’s rotation
● Choosing the implant
● Using virtual surgery to see the expected results

3. The patient is connected to the robot during surgery. The system handles the alignment, implant placement, and bone-cutting.

The benefits of the CUVIS Joint:

● Accurate bone measurements
● An accurate joint space check.
● Thorough 3D model
● There are many cutting options (full or partial), and the cutting order can be changed.
● Several cutting speeds, with a top speed of 50 mm per second.
● Cutting, positioning, and alignment accuracy down to the millimetre.
● Optical tracking systems
● Cutting accuracy 0.5mm
● Positional accuracy is 1.0 mm or less.
● Real-time monitoring enables manual operation, and an emergency stops and freeze of the device as needed.

CUVIS Joint, Your Robotic Doctor

The CUVIS joint works on four core principles:

● Simplicity
● Flexibility
● Accuracy
● Safety

Since its debut on December 13, 2020, Bengaluru-based Dr Chandrashekar has completed more than 120 knee replacement surgeries [2].

On A Final Note…

Studies and research have demonstrated that robotic surgeries simulated by AI have many benefits over conventional ones. Knee replacement surgery as a treatment for osteoarthritis has a bright future in India.

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Story first published: Wednesday, August 3, 2022, 11:12 [IST]


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Originally Appeared Here

Filed Under: joint replacement, ORTHO NEWS

2 Hartford HealthCare hospitals lauded for total hip, knee replacement

by

Backus and Windham hospitals have become the first two hospitals in eastern Connecticut to earn The Joint Commission’s gold seal of approval for advanced certification for total hip and knee replacement.

“Windham Hospital is truly a unique community hospital providing robotic joint replacement that meets the rigorous requirements to be deemed an Advanced Center for Total Hip and Total Knee Replacement. This is a huge boost for our community,” Biren Chokshi, MD, an orthopedic surgeon at Windham Hospital, said in an Aug. 1 news release.

To receive the certification, both hospitals had to go through onsite reviews that examined their consultation processes for preoperative and postoperative care. 

The certification is awarded in collaboration with the American Academy of Orthopedic Surgeons, the release said. 

Backus Hospital is based in Norwich, Conn., and Windham and Backus hospitals are part of Hartford HealthCare.

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Originally Appeared Here

Filed Under: ORTHO NEWS, ortho news - Google

Diversity in orthopedic leadership made minimal progress from 2007 to 2019

by

August 02, 2022

2 min read

Source/Disclosures

Published by:

Orthapedics today logo

Disclosures:
Day reports no relevant financial disclosures.




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Although diversity in orthopedic surgery leadership has improved in some key areas, published results showed a decrease in representation of gender and underrepresented groups between orthopedic faculty and orthopedic leadership.

“While numerous other articles have discussed the lack of racial and gender diversity in our field at the resident/faculty level, this is the first article to discuss the further narrowing of current minority chairs of orthopedic surgery nationally as compared to the current minority orthopedic faculty representation,” Charles S. Day, MD, MBA, interim medical director and chair and professor of orthopedic surgery in the department of orthopedic surgery and service line at Wayne State University School of Medicine, Henry Ford Health, told Healio. “There has been no significant improvement in minority orthopedic chairs from 2007 to 2020 despite significant focus on this issue from both the American Academy of Orthopaedic Surgeons and American Orthopaedic Association leadership in this millennium.”

OT0722Meadows_Graphic_01
Charles S. Day, MD, MBA, and colleagues found underrepresented groups represented 20.5% of program directors in orthopedic surgery in 2020. Data were derived from Meadows AM, et al. J Bone Joint Surg Am. 2022;doi:10.2106/JBJS.21.01236.

Day and colleagues collected demographic data from JAMA and the Association of American Medical Colleges and utilized aggregate data to determine the racial, ethnic and gender composition of academic leadership for eight surgical and nonsurgical specialties in 2007 and 2019. Researchers conducted a comparative analysis to identify changes in diversity among chairpersons between the 2 years. Researchers also compared current levels of diversity in orthopedic leadership with those of other specialties.

Charles S. Day

Charles S. Day

Compared with nonsurgical specialties, results showed orthopedic surgery had a significantly lower representation of underrepresented groups among program directors at 20.5% in 2020. Researchers also found that, with the exception of neurological surgery, orthopedic surgery had the lowest proportion of female program directors overall at 9%. Although orthopedic surgery had no change in representation of underrepresented groups among chairpersons from 2007 to 2019, researchers noted orthopedic surgery had a significant increase in female representation among chairpersons from 0% to 4.1%. When comparing the diversity of 2019 orthopedic faculty to orthopedic leadership in 2019/2020, researchers observed a significant decrease in representation of underrepresented groups and women.

“When compared to neurosurgery, [otolaryngology], surgery, OB/GYN, family medicine, internal medicine and pediatrics, orthopedics has the smallest representation of minority chairs,” Day said. “When comparing women chairs, orthopedics is similar to neurosurgery, [otolaryngology] and surgery. Perhaps the most important finding is that across all eight subspecialties analyzed, there was a similar decrease in minority chairs as compared to minority faculty representations in those fields. This suggests that the decrease in minority leadership from faculty representation may be a more pervasive issue across all of academic medicine.”

Perspective

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Ronald A. Navarro, MD)

Ronald A. Navarro, MD, FAAOS, FAOA

The recent well-done study by Austin M. Meadows, BS, and colleagues in the Journal of Bone and Joint Surgery July 2022 showcases the anemic effort to diversify leadership in academic orthopedic departments. In this study, recruitment of a diverse leadership has seemingly not moved for minority representation, while female representation, specifically among chairpersons, has notably improved. Still at 4% as of 2019 for women in chair roles, while higher than in 2007, might be seen as still too low. Only one time point was mentioned for program directors, and this clouds the paper to some degree as no inferences can be made for changes over time.

As a person of color, specifically Hispanic, I find that I take the most pride in achievements that are earned because of my skills and abilities. I also am appreciative of the efforts to increase residency and then faculty/leadership representation of people who look like me because of those persons’ quality skills and abilities. Growth of a more diverse, academic orthopedic leadership will be aided by this move to populate the lower ranks, as proven in many studies. To illustrate an exemplary take-home point, the number of Hispanic chairpersons was two in 2007 and two in 2019 (both rounded). I hope myself and others can help to change that paradigm with meritorious skills and abilities in the future.

Ronald A. Navarro, MD, FAAOS, FAOA

Regional chief of orthopedic surgery

Southern California Permanente Medical Group

Kaiser Permanente

Pasadena, California

Orthopedics Today Editorial Board Member

Disclosures: Navarro reports no relevant financial disclosures.




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Racially diverse paper dolls with stethoscope

Race and Medicine

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Originally Appeared Here

Filed Under: joint replacement, ORTHO NEWS

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ORTHO NEWS

Patients with late-stage knee OA incur high costs for nonoperative treatments before total knee arthroplasty

A Road to Recovery After Knee Surgery: 6 Tips to Follow

High costs of nonoperative treatment in the year before total knee replacement

Joint replacement maker Stryker to create 600 new jobs in Cork

Knee pain: When is it wise to go for knee replacement surgery?

Myongji upgrades joint replacement precision with surgical robot < Hospital < 기사본문

Are you planning to have a knee or hip replacement?  | McLaren Health Care News

2 Hartford HealthCare hospitals lauded for total hip, knee replacement

Expert Article: CUVIS Joint, Your Robotic Doctor: Read About World’s First Active Robotic Knee Replacement System

Ankle injuries: Q&A with Scripps orthopedic surgeon Jacob Braunstein

Diversity in orthopedic leadership made minimal progress from 2007 to 2019

Orthopedic Institute of Southern Illinois celebrates growth of its surgery center | Healthcare

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