Lower limb joint repair and replacement: an overview

Aicale, Rocco; Maffulli, Nicola

doi:10.12688/f1000research.17200.1

Cited by 4 publications

(1 citation statement)

References 95 publications

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“…Length of hospital stay (LOS) plays a crucial role in overall healthcare expenditure and is considered a clinical indicator of care value. Generally, LOS serves as a critical measure of healthcare e ciency and resource utilization [9]. Shorter LOS helps minimize the risk of infections and medication side effects [10], improves the quality of care, and enhances hospital pro ts by optimizing bed management [11].…”

Section: Introductionmentioning

confidence: 99%

Association between preoperative cerebrovascular accidents with length of hospital stay among patients undergoing primary unilateral total knee arthroplasty in Singapore: a single-center retrospective study

Wang,

Hou,

Yue

et al. 2024

Preprint

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Background Multiple studies have suggested that preoperative cerebrovascular accidents (CVA) are linked to unfavorable outcomes in elective orthopedic surgeries. The objective of this study was to evaluate whether a prior history of CVA has an independent association with the length of hospital stay (LOS) in patients who undergo primary unilateral total knee arthroplasty (TKA). Methods For this retrospective cohort study, a total of 2083 patients who underwent unilateral TKA at a tertiary academic medical center in Singapore between January 2013 and June 2014 were included. Univariate and multivariate linear regression analyses were utilized to identify the independent risk factors associated with LOS. Furthermore, subgroup and interaction analyses were conducted to assess the relationship between CVA and LOS. Results A total of 2083 eligible patients, comprising 1576 females and 507 males, were enrolled in the study. Among them, 2039 had a history of CVA, while the remaining 44 did not. The ethnic distribution was as follows: 83.7% (n = 1743) Chinese, 7.3% (n = 152) Indian, 6.0% (n = 125) Malay, and 3.0% (n = 63) from other ethnicities. The mean age of the sample was 66.5 years, with a median LOS of 4.0 days. The risk factors identified for prolonged LOS were as follows: age equal to or older than 65 years, regional anesthesia, perioperative blood transfusion of 1 unit, perioperative blood transfusion of more than 2 units, American Society of Anesthesiologist Physical Status (ASA) class III, diabetes mellitus, ischemic heart disease, CVA, creatinine level greater than 2 mg/dL, preoperative hemoglobin level between 11-12.9 g/dL, preoperative hemoglobin level greater than or equal to 13 g/dL, and TKA performed on Thursday. Furthermore, a significant association between CVA and LOS was observed using multivariable logistic regression analyses after adjusting for potential confounders. The adjusted odds ratio for prolonged LOS in patients with CVA compared to those without CVA was 3.24. Conclusion Patients with a previous history of CVA undergoing unilateral TKA are at a heightened risk of enduring a significantly prolonged LOS compared to those without a history of CVA. To enhance patient care and establish suitable perioperative guidelines, close collaboration among orthopedic, medical, and neurological teams is crucial.

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Section: Introductionmentioning

confidence: 99%

Association between preoperative cerebrovascular accidents with length of hospital stay among patients undergoing primary unilateral total knee arthroplasty in Singapore: a single-center retrospective study

Wang,

Hou,

Yue

et al. 2024

Preprint

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No benefits of minimally invasive total hip arthroplasty via Watson-Jones approach: A retrospective cohort study

et al. 2022

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Quadriceps muscle group function and after total knee arthroplasty—asystematic narrative update

Morelli

Maffulli

Brambilla

et al. 2021

British Medical Bulletin

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Background This article systematically summarizes the present evidences, published in the last 20 years, regarding the pre- and post-operative factors, which may influence recovery of the function of the quadriceps muscle group following total knee arthroplasty (TKA). We following the PRISMA methodology, including meta-analyses and high-level evidence studies (prospective trials, and, when unavailable, retrospective studies). Sources of data Pubmed and Cochrane databases: 582 articles were identified and 54 of them were selected. Areas of agreement Tourniquets inflated at high pressure exert a detrimental effect on the quadriceps muscle group. Faster quadriceps recovery takes place using mini-invasive approaches, an eight-week rehabilitation period including balance training and the use of nutraceuticals. Areas of disagreement Pre-habilitation and pre-operative factors, analgesic methods and different TKA implants. Growing points and areas timely for developing research Telerehabilitation seems a cost-effective tool for rehabilitation after TKA. Patients’ optimization protocols before TKA should include standardized nutraceuticals intake.

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Lower limb joint repair and replacement: an overview

Cited by 4 publications

References 95 publications

Association between preoperative cerebrovascular accidents with length of hospital stay among patients undergoing primary unilateral total knee arthroplasty in Singapore: a single-center retrospective study

Association between preoperative cerebrovascular accidents with length of hospital stay among patients undergoing primary unilateral total knee arthroplasty in Singapore: a single-center retrospective study

No benefits of minimally invasive total hip arthroplasty via Watson-Jones approach: A retrospective cohort study

Quadriceps muscle group function and after total knee arthroplasty—asystematic narrative update

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