Evidence-Based Thresholds for the Volume and Length of Stay Relationship in Total Hip Arthroplasty: Outcomes and Economies of Scale

2018 ◽  
Vol 33 (7) ◽  
pp. 2031-2037 ◽  
Author(s):  
Prem N. Ramkumar ◽  
Sergio M. Navarro ◽  
William C. Frankel ◽  
Heather S. Haeberle ◽  
Ronald E. Delanois ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Length Of Stay ◽  
Hip Arthroplasty ◽  
Economies Of Scale ◽  
Evidence Based ◽  
Total Hip

Evidence-Based Thresholds for the Volume and Cost Relationship in Total Hip Arthroplasty: Outcomes and Economies of Scale

2018 ◽  
Vol 33 (8) ◽  
pp. 2398-2404 ◽  
Author(s):  
Heather S. Haeberle ◽  
Sergio M. Navarro ◽  
William C. Frankel ◽  
Michael A. Mont ◽  
Prem N. Ramkumar
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Economies Of Scale ◽  
Evidence Based ◽  
Total Hip

scholarly journals Total hip arthroplasty through an anterior approach

2018 ◽  
Vol 3 (11) ◽  
pp. 574-583 ◽  
Author(s):  
Georgios Kyriakopoulos ◽  
Lazaros Poultsides ◽  
Panayiotis Christofilopoulos
Keyword(s):  
Total Hip Arthroplasty ◽  
Length Of Stay ◽  
Hip Arthroplasty ◽  
Anterior Approach ◽  
Formal Training ◽  
Long Term Outcomes ◽  
Medium Term ◽  
Total Hip

Total hip arthroplasty through an anterior approach has been increasing in popularity amongst surgeons and patients. Anterior approach hip arthroplasty seems to offer improved early outcomes in terms of pain, rehabilitation and length of stay. No difference in long-term outcomes has been shown between anterior and posterior or lateral approaches. Proper formal training, utilization of fluoroscopy and adequate experience can mitigate risks of complications and improve early and medium-term outcomes. Cite this article: EFORT Open Rev 2018;3:574-583. DOI: 10.1302/2058-5241.3.180023.

Evidence-Based Management of Trunnionosis in Metal-on-Polyethylene Total Hip Arthroplasty: A Systematic Review

2018 ◽  
Vol 33 (10) ◽  
pp. 3343-3353 ◽  
Author(s):  
Assem A. Sultan ◽  
William A. Cantrell ◽  
Anton Khlopas ◽  
Ryan J. Berger ◽  
Nipun Sodhi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Evidence Based ◽  
Total Hip

Neuraxial anaesthesia is associated with improved outcomes and reduced postoperative complications in patients undergoing aseptic revision total hip arthroplasty

2020 ◽  
pp. 112070002097574
Author(s):  
Chapman Wei ◽  
Alex Gu ◽  
Arun Muthiah ◽  
Safa C Fassihi ◽  
Peter K Sculco ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Total Hip Arthroplasty ◽  
Length Of Stay ◽  
General Anaesthesia ◽  
Hip Arthroplasty ◽  
Postoperative Outcomes ◽  
Complication Rates ◽  
Total Hip ◽  
Neuraxial Anaesthesia ◽  
Extended Length

Background: As the incidence of primary total hip arthroplasty (THA) continues to increase, revision THA (rTHA) is becoming an increasingly common procedure. rTHA is widely regarded as a more challenging procedure, with higher complication rates and increased medical, social and economic burdens when compared to its primary counterpart. Given the complexity of rTHA and the projected increase in incidence of these procedures, patient optimisation is becoming of interest to improve outcomes. Anaesthetic choice has been extensively studied in primary THA as a modifiable risk factor for postoperative outcomes, showing favourable results for neuraxial anaesthesia compared to general anaesthesia. The impact of anaesthetic choice in rTHA has not been studied previously. Methods: A retrospective study was performed using the American College of Surgeons National Surgical Quality Improvement Program database. Patients who underwent rTHA between 2014 and 2017 were divided into 3 anaesthesia cohorts: general anaesthesia, neuraxial anaesthesia, and combined general-regional (neuraxial and/or peripheral nerve block) anaesthesia. Univariate and multivariate analyses were used to analyse patient characteristics and 30-day postoperative outcomes. Bonferroni correction was applied for post-hoc analysis. Results: In total, 5759 patients were identified. Of these, 3551 (61.7%) patients underwent general anaesthesia, 1513 (26.3%) patients underwent neuraxial anaesthesia, and 695 (12.1%) patients underwent combined general-regional anaesthesia. On multivariate analysis, neuraxial anaesthesia was associated with decreased odds for any-one complication (OR 0.635; p  < 0.001), perioperative blood transfusion (OR 0.641; p  < 0.001), and extended length of stay (OR 0.005; p = 0.005) compared to general anaesthesia. Conclusions: Relative to those receiving general anaesthesia, patients undergoing neuraxial anaesthesia are at decreased risk for postoperative complications, perioperative blood transfusions, and extended length of stay. Prospective controlled trials should be conducted to verify these findings.

scholarly journals Perioperative factors associated with increased length of stay after revision of metal-on-metal total hip arthroplasty

2019 ◽  
Vol 16 (2) ◽  
pp. 109-112
Author(s):  
Jonathan H. Garfinkel ◽  
Brian P. Gladnick ◽  
Cole S. Pachter ◽  
Niall H. Cochrane ◽  
David W. Romness
Keyword(s):  
Total Hip Arthroplasty ◽  
Length Of Stay ◽  
Hip Arthroplasty ◽  
Factors Associated ◽  
Total Hip ◽  
Metal On Metal

Relationship between length of stay and dislocation rate after total hip arthroplasty

2003 ◽  
Vol 18 (8) ◽  
pp. 963-967 ◽  
Author(s):  
David R Mauerhan ◽  
Robert P Lonergan ◽  
Jeffrey G Mokris ◽  
Gary M Kiebzak
Keyword(s):  
Total Hip Arthroplasty ◽  
Length Of Stay ◽  
Hip Arthroplasty ◽  
Dislocation Rate ◽  
Total Hip

Day of Surgery and Surgical Start Time Affect Hospital Length of Stay After Total Hip Arthroplasty

2016 ◽  
Vol 31 (11) ◽  
pp. 2426-2431 ◽  
Author(s):  
Aakash Keswani ◽  
Christina Beck ◽  
Kristen M. Meier ◽  
Adam Fields ◽  
Michael J. Bronson ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Length Of Stay ◽  
Hip Arthroplasty ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Start Time ◽  
Total Hip
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