122 results on '"Ast, Michael P."'
Search Results
102. Popliteal pseudoaneurysm after unicompartmental knee replacement: A case report
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Tejero-Garcia, Sergio, primary, Criado, Jose F. Lirola, additional, Ast, Michael P., additional, and de Bobadilla, Gabriel Domecq Fernandez, additional
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- 2014
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103. Severe Persistent Synovitis After Cobalt-chromium Total Knee Arthroplasty Requiring Revision
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Thakur, Raman R., primary, Ast, Michael P., additional, McGraw, Michael, additional, Bostrom, Mathias P., additional, Rodriguez, Jose A., additional, and Parks, Michael L., additional
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- 2013
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104. Effects of a Less-invasive Surgical Technique on Cement Mantle Quality in Total Knee Arthroplasty
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Ast, Michael P., primary and Dimaio, Frank R., additional
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- 2012
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105. Acute Posttraumatic Catastrophic Failure of a Second-generation, Highly Cross-linked Ultra-high-molecular-weight Polyethylene Patellar Component
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Goldstein, Matthew J., primary, Ast, Michael P., additional, and DiMaio, Frank R., additional
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- 2012
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106. Cold Saline Lavage for Removal of Incarcerated Porous Ingrowth Stems
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Ast, Michael P., primary, Cabrera, Bryan J., additional, DiMaio, Frank R., additional, and Lementowski, Peter, additional
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- 2011
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107. Sagittal Plane Deformity During Femoral Lengthening
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McCarthy, James J., primary, Davidson, Richard S., additional, Ast, Michael P., additional, Cavorsi, Gina M., additional, and Swick, Jeffrey, additional
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- 2011
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108. Severe Persistent Synovitis After Cobaltchromium Total Knee Arthroplasty Requiring Revision.
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THAKUR, RAMAN R., AST, MICHAEL P., MCGRAW, MICHAEL, BOSTROM, MATHIAS P., RODRIGUEZ, JOSE A., and PARKS, MICHAEL L.
- Abstract
Implant-related hypersensitivity is a well-established cause of failure after total hip arthroplasty but is a rare complication after total knee arthroplasty (TKA). It remains a relatively unpredictable and poorly understood cause of implant-related failure. This article describes 5 patients (6 knees) who presented with persistent pain and hypertrophic synovitis after TKA using a cobalt-chromium component. Extensive perioperative workup, including white blood cell count, erythrocyte sedimentation rate, C-reactive protein, joint aspiration, and intraoperative cultures, ruled out infection as a cause of the symptoms. All knees demonstrated appropriate ligamentous balance and were well aligned, with all components noted to be well fixed at revision. In all patients, the clinical condition improved dramatically after revision to zirconium femoral and titanium metal-backed tibial components. Pain and functional outcome scores improved in all patients. Intraoperative histopathology revealed a thickened synovium with either a predominantly lymphocytic or histiocytic monocellular response. Final pathology confirmed that no infection was present in any patient. The goal of TKA is to produce a well-performing, pain-free joint. When patients present with recurrent pain and synovitis after TKA, infection must be excluded. When infection and instability have been excluded, metal hypersensitivity should be considered as a cause of primary TKA failure. In these patients, revision to a zirconium femoral component can provide predictable and effective clinical improvement. [ABSTRACT FROM AUTHOR]
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- 2013
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109. Outpatient Total Hip Arthroplasty Trends Continue to Shift.
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Martino, Brooks, LeBrun, Drake G., and Ast, Michael P.
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TOTAL hip replacement ,OPERATING room nursing ,TOTAL knee replacement ,AMBULATORY surgery ,OUTPATIENT medical care ,PHYSICIANS ,SURGICAL clinics ,PERIOPERATIVE care - Abstract
Total hip arthroplasty (THA) has seen a shift in recent decades toward shorter inpatient stays, including outpatient procedures in selected patients. This article reviews the current state of outpatient THA compared to traditional inpatient THA, factors contributing to successful outpatient THA, the persistent challenges associated with outpatient THA, and directions for expansion and improvement. [Extracted from the article]
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- 2021
110. High degree of alignment precision associated with total knee arthroplasty performed using a surgical robot or handheld navigation.
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Shen, Tony S., Uppstrom, Tyler J., Walker, Paul J., Yu, Jonathan S., Cheng, Ryan, Mayman, David J., Jerabek, Seth A., and Ast, Michael P.
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TOTAL knee replacement , *SURGICAL robots , *ANATOMICAL planes , *FEMUR , *AGE differences - Abstract
Purpose: The purpose of this study was to compare the precision of bony resections during total knee arthroplasty (TKA) performed using different computer-assisted technologies. Methods: Patients who underwent a primary TKA using an imageless accelerometer-based handheld navigation system (KneeAlign2®, OrthAlign Inc.) or computed tomography-based large-console surgical robot (Mako®, Stryker Corp.) from 2017 to 2020 were retrospectively reviewed. Templated alignment targets and demographic data were collected. Coronal plane alignment of the femoral and tibial components and tibial slope were measured on postoperative radiographs. Patients with excessive flexion or rotation preventing accurate measurement were excluded. Results: A total of 240 patients who underwent TKA using either a handheld (n = 120) or robotic (n = 120) system were included. There were no statistically significant differences in age, sex, and BMI between groups. A small but statistically significant difference in the precision of the distal femoral resection was observed between the handheld and robotic cohorts (1.5° vs. 1.1° difference between templated and measured alignments, p = 0.024), though this is likely clinically insignificant. There were no significant differences in the precision of the tibial resection between the handheld and robotic groups (coronal plane 0.9° vs. 1.0°, n.s.; sagittal plane 1.2° vs. 1.1°, n.s.). There were no significant differences in the rate of overall precision between cohorts (n.s.). Conclusions: A high degree of component alignment precision was observed for both imageless handheld navigation and CT-based robotic cohorts. Surgeons considering options for computer-assisted TKA should take other important factors, including surgical principles, templating software, ligament balancing, intraoperative adjustability, equipment logistics, and cost, into account. Level of evidence: III. [ABSTRACT FROM AUTHOR]
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- 2023
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111. Gonadal Cycle of Northern Quahogs, Mercenaria mercenaria (Linne, 1758), from Fished and Non-fished Subpopulations in Narragansett Bay
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Marroquin-Mora, Dora Carolina and Rice*, Michael A.
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- 2008
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112. THE EMPERADOR LIMESTONE REDISCOVERED: EARLY MIOCENE CORALS FROM THE CULEBRA FORMATION, PANAMA
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JOHNSON, KENNETH G. and KIRBY*, MICHAEL X.
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- 2006
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113. Avoiding complications in medial unicompartmental knee arthroplasty.
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Buchalter DB and Ast MP
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- Humans, Reoperation methods, Reoperation statistics & numerical data, Postoperative Complications prevention & control, Postoperative Complications epidemiology, Knee Prosthesis, Periprosthetic Fractures surgery, Arthroplasty, Replacement, Knee methods, Osteoarthritis, Knee surgery, Prosthesis Failure
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Medial unicompartmental knee arthroplasty (mUKA) is a highly effective treatment for the management of isolated osteoarthritis in the medial compartment. While favorable long-term survivorship is seen in most series, the long-term rate of revision after mUKAs remains higher than that for total knee arthroplasty. Poor indications and poor surgical technique are often responsible for mUKA failure. Understanding why these complications occur and how to avoid them will optimize clinical outcomes, reduce revision rates, and lead to lower healthcare costs. This review will discuss the five most common causes of mUKA failure including progression of arthritis, aseptic loosening, bearing dislocation, periprosthetic fracture, and polyethylene wear and how to avoid them with proper patient selection and meticulous surgical technique., Competing Interests: Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Michael Ast reports a relationship with Smith and Nephew Inc that includes: consulting or advisory, speaking and lecture fees, and travel reimbursement. Michael Ast reports a relationship with Stryker that includes: consulting or advisory and speaking and lecture fees. Michael Ast reports a relationship with Ignite Orthomotion that includes: consulting or advisory and travel reimbursement. Daniel Buchalter reports a relationship with Globus Medical that includes: royalties, consulting or advisory, and travel reimbursement. Daniel Buchalter reports a relationship with Alliant Biotech that includes: consulting or advisory and travel reimbursement. Daniel Buchalter reports a relationship with Johnson & Johnson MedTech that includes: consulting or advisory and travel reimbursement. If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.)
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- 2024
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114. Advanced Concepts in Outpatient Joint Arthroplasty.
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Sershon RA, Ast MP, DeCook CA, Della Valle CJ, and Hamilton WG
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- Humans, Arthroplasty, Replacement, Perioperative Care, Patient Satisfaction, Patient Selection, Robotic Surgical Procedures, Ambulatory Surgical Procedures
- Abstract
As the adoption and utilization of outpatient total joint arthroplasty continues to grow, key developments have enabled surgeons to safely and effectively perform these surgeries while increasing patient satisfaction and operating room efficiency. Here, the authors will discuss the evidence-based principles that have guided this paradigm shift in joint arthroplasty surgery, as well as practical methods for selecting appropriate candidates and optimizing perioperative care. There will be 5 core efficiency principles reviewed that can be used to improve organizational management, streamline workflow, and overcome barriers in the ambulatory surgery center. Finally, future directions in outpatient surgery at the ASC, including the merits of implementing robot assistance and computer navigation, as well as expanding indications for revision surgeries, will be debated., (Copyright © 2024 Elsevier Inc. All rights reserved.)
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- 2024
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115. Nearly 14-Fold Increased Risk of Manipulation Under Anesthesia After Total Knee Arthroplasty When Previous Contralateral Total Knee Arthroplasty Required Manipulation Under Anesthesia.
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Chandi SK, Hawes JD, Kolin DA, Debbi EM, Ast MP, Haas SB, and Chalmers BP
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- Humans, Aged, Middle Aged, Retrospective Studies, Male, Female, Aged, 80 and over, Adult, Risk Factors, Range of Motion, Articular, Knee Joint surgery, Young Adult, Anesthesia adverse effects, Arthroplasty, Replacement, Knee adverse effects, Postoperative Complications etiology, Postoperative Complications epidemiology
- Abstract
Background: Stiffness remains a common complication after primary total knee arthroplasty (TKA). Manipulation under anesthesia (MUA) is the gold standard treatment for early postoperative stiffness; however, there remains a paucity of data on the risk of MUA after primary TKA if a prior contralateral TKA required MUA., Methods: We performed a retrospective review of 3,102 patients who had staged primary TKAs between 2016 and 2021. The mean body mass index was 33 (range, 18 to 59) and the mean age was 67 years (range, 24 to 91). The mean preoperative range of motion for the first TKA was 2 to 104°, and for the contralateral TKA was 1 to 107°. The primary outcomes were MUA following first and second primary TKAs. Multivariable Poisson regressions were used to evaluate associations between risk factors and outcomes., Results: The rate of MUA after the first TKA was 2.6% (n = 83 of 3,102) and 1.3% (n = 40 of 3,102) after the contralateral TKA. After adjustment, there was a nearly 14-fold higher rate of MUA after the second TKA if the patient had an MUA after the first TKA (relative risk, 13.80; 95% CI [confidence interval], 7.14 to 26.66). For the first TKA, increasing age (adjusted risk ratio [ARR], 0.65; 95% CI, 0.50 to 0.83) and increasing body mass index (ARR, 0.65; 95% CI, 0.47 to 0.90) were associated with lower risk for MUA. For the second TKA, increasing age was associated with a lower risk of MUA (ARR, 0.60; 95% CI, 0.45 to 0.80)., Conclusions: For patients undergoing staged bilateral TKA, patients who undergo MUA following the first primary TKA are nearly 14-fold more likely to undergo an MUA following the contralateral primary TKA than those who did not have an MUA after their first TKA., (Copyright © 2024 Elsevier Inc. All rights reserved.)
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- 2024
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116. Functional assessment in patients undergoing total hip arthroplasty.
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Rivera RJ, Karasavvidis T, Pagan C, Haffner R, Ast MP, Vigdorchik JM, and Debbi EM
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- Humans, Recovery of Function, Gait physiology, Arthroplasty, Replacement, Hip rehabilitation, Gait Analysis
- Abstract
Aims: Conventional patient-reported surveys, used for patients undergoing total hip arthroplasty (THA), are limited by subjectivity and recall bias. Objective functional evaluation, such as gait analysis, to delineate a patient's functional capacity and customize surgical interventions, may address these shortcomings. This systematic review endeavours to investigate the application of objective functional assessments in appraising individuals undergoing THA., Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were applied. Eligible studies of THA patients that conducted at least one type of objective functional assessment both pre- and postoperatively were identified through Embase, Medline/PubMed, and Cochrane Central database-searching from inception to 15 September 2023. The assessments included were subgrouped for analysis: gait analysis, motion analysis, wearables, and strength tests., Results: A total of 130 studies using 15 distinct objective functional assessment methods (FAMs) were identified. The most frequently used method was instrumented gait/motion analysis, followed by the Timed-Up-and-Go test (TUG), 6 minute walk test, timed stair climbing test, and various strength tests. These assessments were characterized by their diagnostic precision and applicability to daily activities. Wearables were frequently used, offering cost-effectiveness and remote monitoring benefits. However, their accuracy and potential discomfort for patients must be considered., Conclusion: The integration of objective functional assessments in THA presents promise as a progress-tracking modality for improving patient outcomes. Gait analysis and the TUG, along with advancing wearable sensor technology, have the potential to enhance patient care, surgical planning, and rehabilitation., Competing Interests: M. P. Ast reports royalties or licenses from OrthAlign, consulting fees from BD Biosciences, Bioventus, Confirmis, OrthAlign, Convatec, Smith & Nephew, Stryker, and Surgical Care Affiliates, payment or honoraria for lectures, presentations, speakers bureaus, manuscript writing or educational events from BD Biosciences, OrthAlign, Smith & Nephew, and Stryker, stock or stock options from ConveyMED, HS2, OrthAlign, Ospitek, Osso VS, and Parvizi Surgical Innovations, all of which are unrelated to this study. J. M. Vigdorchik reports royalties or licenses from Corin and DePuy Synthes, consulting fees from DePuy Synthes, Stryker, and Intellijoint Surgical, stock or stock options from Aware, Corin, Intellijoint Surgical, Motion Insights, Ortho AI, and Polaris, and is a member of the editorial board of The Bone & Joint Journal, all of which are unrelated to this study. E. M. Debbi reports royalties or licenses from Ortho Development, consulting fees from DePuy Synthes, payment or honoraria for lectures, presentations, speakers bureaus, manuscript writing or educational events from Ortho Development, and stock or stock options in Think Surgical, all of which are unrelated to this study., (© 2024 The British Editorial Society of Bone & Joint Surgery.)
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- 2024
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117. Frequency and Timing of Postoperative Complications After Outpatient Total Hip Arthroplasty.
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LaValva SM, Bovonratwet P, Chen AZ, Lebrun DG, Davie RA, Shen TS, Su EP, and Ast MP
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Background: Although there have been several studies describing risk factors for complications after outpatient total hip arthroplasty (THA), data describing the timing of such complications is lacking., Methods: Patients who underwent outpatient or inpatient primary THA were identified in the 2012-2019 National Surgical Quality Improvement Program database. For 9 different 30-day complications, the median postoperative day of diagnosis was determined. Multivariable regressions were used to compare the risk of each complication between outpatient vs inpatient groups. Multivariable Cox proportional hazards modeling was used to evaluate the differences in the timing of each adverse event between the groups., Results: After outpatient THA, the median day of diagnosis for readmission was 12.5 (interquartile range 5-22), surgical site infection 15 (2-21), urinary tract infection 13.5 (6-19.5), deep vein thrombosis 13 (8-21), myocardial infarction 4.5 (1-7), pulmonary embolism 15 (8-25), sepsis 16 (9-26), stroke 2 (0-7), and pneumonia 6.5 (3-10). On multivariable regressions, outpatients had a lower relative risk (RR) of readmission (RR = 0.73), surgical site infection (RR = 0.72), and pneumonia (RR = 0.1), all P < .05. On multivariable cox proportional hazards modeling, there were no statistically significant differences in the timing of each complication between outpatient vs inpatient procedures ( P > .05)., Conclusions: The timing of complications after outpatient THA was similar to inpatient procedures. Consideration should be given to lowering thresholds for diagnostic testing after outpatient THA for each complication during the at-risk time periods identified here. Although extremely rare, this is especially important for catastrophic adverse events, which tend to occur early after discharge., (© 2024 Published by Elsevier Inc. on behalf of The American Association of Hip and Knee Surgeons.)
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- 2024
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118. AI-Generated Graduate Medical Education Content for Total Joint Arthroplasty: Comparing ChatGPT Against Orthopaedic Fellows.
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DeCook R, Muffly BT, Mahmood S, Holland CT, Ayeni AM, Ast MP, Bolognese MP, Guild GN 3rd, Sheth NP, Pean CA, and Premkumar A
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Background: Artificial intelligence (AI) in medicine has primarily focused on diagnosing and treating diseases and assisting in the development of academic scholarly work. This study aimed to evaluate a new use of AI in orthopaedics: content generation for professional medical education. Quality, accuracy, and time were compared between content created by ChatGPT and orthopaedic surgery clinical fellows., Methods: ChatGPT and 3 orthopaedic adult reconstruction fellows were tasked with creating educational summaries of 5 total joint arthroplasty-related topics. Responses were evaluated across 5 domains by 4 blinded reviewers from different institutions who are all current or former total joint arthroplasty fellowship directors or national arthroplasty board review course directors., Results: ChatGPT created better orthopaedic content than fellows when mean aggregate scores for all 5 topics and domains were compared (P ≤ .001). The only domain in which fellows outperformed ChatGPT was the integration of key points and references ( P = .006). ChatGPT outperformed the fellows in response time, averaging 16.6 seconds vs the fellows' 94 minutes per prompt ( P = .002)., Conclusions: With its efficient and accurate content generation, the current findings underscore ChatGPT's potential as an adjunctive tool to enhance orthopaedic arthroplasty graduate medical education. Future studies are warranted to explore AI's role further and optimize its utility in augmenting the educational development of arthroplasty trainees., (© 2024 Published by Elsevier Inc. on behalf of The American Association of Hip and Knee Surgeons.)
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- 2024
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119. A Systematic Approach to Revision Total Knee Arthroplasty.
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Dravid AV, Tran J, Ast MP, Levine BR, Scuderi GR, and Sheth NP
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- Humans, Reoperation, Arthroplasty, Replacement, Knee methods, Orthopedic Surgeons
- Abstract
With the recent increase in primary total knee arthroplasties and the associated rise in failures of the index operation, there has been growing demand for orthopaedic surgeons to perform revision procedures. The orthopaedic surgeon performing revision total knee arthroplasty should be knowledgeable about the various etiologies of primary total knee arthroplasty failure, the steps for proper patient evaluation, and important factors in the preoperative planning process. A systematic methodology for obtaining surgical exposure, strategies for reconstruction, fundamentals of soft-tissue closure, and postoperative care also should be reviewed.
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- 2023
120. Orthopaedics in the Real World: The Business and Legal Aspects of Employment in 2022.
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Ast MP, Bhatia S, and Emory CL
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- Humans, United States, Employment, Orthopedics, Surgeons
- Abstract
As more physicians enter hospital employment on completion of their training, the details and complexity associated with these arrangements are increasing. To better position surgeons to succeed in any employment model, it is important to describe several key topics associated with these business models. First, financial modeling can be used to make smarter choices when evaluating employment opportunities. This tool, applied often in the business world, allows surgeons to truly understand the midterm and long-term financial implications of employment decisions and can help surgeons thrive financially as they progress through their careers. There are both positive and negative intricate points associated with different employment models, including hospital-employed positions. Although each model may have its minor unique differences, a thorough understanding of the basics is critical for success. Contracts and some of the common issues of concern that surgeons should be keenly aware of when negotiating their hospital employment contract are important topics for discussion, along with the concept of ancillary revenue, specifically its unique implications as it applies to hospital-employed physicians; these relationships can be very different from traditional private practice models of ancillary income. Orthopaedic surgeons should be knowledgeable about Stark Law, the Anti-Kickback Statute, and Certificate of Need laws and the potential effect of these and other regulations on physicians.
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- 2023
121. Telemedicine in an Outpatient Arthroplasty Setting During the COVID-19 Pandemic: Early Lessons from New York City.
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LeBrun DG, Malfer C, Wilson M, Carroll KM, Wang Ms V, Mayman DJ, Cross MB, Alexiades MM, Jerabek SA, Cushner FD, Vigdorchik JM, Haas SB, and Ast MP
- Abstract
Background: The early months of the coronavirus disease 19 (COVID-19) pandemic in New York City led to a rapid transition of non-essential in-person health care, including outpatient arthroplasty visits, to a telemedicine context. Questions/Purposes: Based on our initial experiences with telemedicine in an outpatient arthroplasty setting, we sought to determine early lessons learned that may be applicable to other providers adopting or expanding telemedicine services. Methods: A cross-sectional study was performed by surveying all patients undergoing telemedicine visits with 8 arthroplasty surgeons at 1 orthopedic specialty hospital in New York City from April 8 to May 19, 2020. Descriptive statistics were used to analyze demographic data, satisfaction with the telemedicine visit, and positive and negative takeaways. Results: In all, 164 patients completed the survey. The most common reasons for the telemedicine visit were short-term (less than 6 months), postoperative appointment ( n = 88; 54%), and new patient consultation ( n = 32; 20%). A total of 84 patients (51%) noted a reduction in expenses versus standard outpatient care. Several positive themes emerged from patient feedback, including less anxiety and stress related to traveling ( n = 82; 50%), feeling more at ease in a familiar environment ( n = 54; 33%), and the ability to assess postoperative home environment ( n = 13; 8%). However, patients also expressed concerns about the difficulty addressing symptoms in the absence of an in-person examination ( n = 28; 17%), a decreased sense of interpersonal connection with the physician ( n = 20; 12%), and technical difficulties ( n = 14; 9%). Conclusions: Patients were satisfied with their telemedicine experience during the COVID-19 pandemic; however, we identified several areas amenable to improvement. Further study is warranted., Competing Interests: Declaration of Conflicting Interests: The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Drake G. LeBrun, MD, MPH, Christina Malfer, BA, Mallory Wilson, BA, Kaitlin M. Carroll, BA, and Victoria Wang declare that they have no conflicts of interest. David J. Mayman, MD, reports stock or stock options from Imagen, Wishbone, and Insight; stock or stock options and royalties from Orthalign; and personal fees, royalties, and research support from Smith and Nephew, outside the submitted work. Michael B. Cross, MD, reports personal fees from Depuy, Smith and Nephew, and Flexion Therapeutics; personal fees and research support from Exactech; personal fees and stock or stock options from Imagen; personal fees, research support, and stock or stock options from Intellijoint; personal fees and research support from KCI; and stock or stock options from Parvizi Surgical Innovation, outside the submitted work. Michael M. Alexiades, MD, reports personal fees and royalties from DJ Orthopedics, outside the submitted work. Seth A. Jerabek, MD, reports stock or stock options from Imagen, personal fees and research support from Stryker, outside the submitted work. Fred D. Cushner, MD, reports personal fees from Acelity and Smith and Nephew, stock or stock options from Canary Medical, personal fees and stock or stock options from Orthalign, outside the submitted work. Jonathan M. Vigdorchik, MD, reports personal fees and research support from Corin, personal fees and stock or stock options from Intellijoint, and personal fees from Medacta, Motion Insights, and Zimmer, outside the submitted work. Steven B. Haas, MD, reports personal fees from Smith and Nephew, outside the submitted work. Michael P. Ast, MD, reports personal fees from Conformis, Stryker, and Surgical Care Affiliates; personal fees, stock or stock options, and royalties from Orthalign; stock or stock options from OSSO VR; and personal fees and research support from Smith and Nephew, outside the submitted work., (© The Author(s) 2020.)
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- 2021
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122. Biological sex has No impact on postoperative complications following simultaneous bilateral total knee arthroplasty.
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Chen AZ, Gu A, Chen FR, Malahias MA, Thomas CE, Liu J, Ast MP, and Sculco PK
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Introduction: Simultaneous bilateral total knee arthroplasty (bTKA) is a viable option for treatment of bilateral knee osteoarthritis. The aim of this study is to identify the impact of biological sex on postoperative outcomes., Methods: A retrospective cohort study was conducted utilizing the ACS-NSQIP database. bTKA patients were identified and stratified into groups based upon biological sex. Adverse events after surgery was evaluated with univariate and multivariate analysis., Results: Biological sex is not an independent risk factor for development of postoperative complications., Conclusion: When determining patient qualification of simultaneous or staged bTKA, biological sex should not be taken into consideration., (© 2019 Professor P K Surendran Memorial Education Foundation. Published by Elsevier B.V. All rights reserved.)
- Published
- 2019
- Full Text
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