National and International Postmarket Research and Surveillance Implementation

Sedrakyan, Art; Paxton, Elizabeth W.; Graves, Stephen; Love, Rebecca; Marinac‐Dabic, Danica

doi:10.2106/jbjs.n.00739

Cited by 26 publications

(16 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this study, the average alpha angle was above normal (indicating cam impingement), and a labral tear was the most common associated articular pathology. This association has also been reported in a recent report of five patients who had concomitant FAI and SC and were treated by surgical hip dislocation [ 18 ]. Although unproven, we feel FAI is a separate disease entity for most patients.…”

Section: Discussionsupporting

confidence: 81%

Arthroscopy provides symptom relief and good functional outcomes in patients with hip synovial chondromatosis

Ferro

Philippon

2015

J Hip Preserv Surg

View full text Add to dashboard Cite

The purpose of this study was to evaluate clinical presentation, associated pathology and clinical outcomes after arthroscopic treatment of hip synovial chondromatosis (SC). A prospective data registry was queried for patients with SC diagnosis from 2005 to 2012. Surgical indications were intra-articular pain after failure of conservative treatment, labral pathology, chondral damage or loose bodies. All patients had femoroacetabular impingement based on radiographic findings. Patient-centered outcomes were collected before and after surgery. Standard hip arthroscopy techniques were used to address associated pathology. Twenty-three patients met the inclusion criteria. Eleven were males. Mean age was 43.7 years. Mean center-edge angle was 33.7 and alpha angle 73. Radiographs were diagnostic in five patients (23.8%). Magnetic resonance imaging identified loose bodies in 14 (66%). Most patients had an uncountable amount of loose bodies in the central and peripheral compartments. The most common associated pathology was a labral tear (100%) and acetabular cartilage injury (85%). All patients had improvement in range of motion. The average Modified Harris Hip score improved from 62 (pre-op) to 84.8 (post-op). Short-Form 12-PCS improved from 41 to 53. Western Ontario and McMaster Osteoarthritis Index improved from 27.1 to 7.2. Median overall satisfaction was 9.5 (out of 10). Hip arthroscopy with thorough removal of loose bodies and subtotal synovectomy, coupled with an aggressive and early rehabilitation program, was effective in ameliorating symptoms associated with from hip SC, yielding high levels of patient satisfaction and functional outcomes, in a 2.5 year follow-up time. Level of evidence: IV (case series)

show abstract

Section: Discussionsupporting

confidence: 81%

Arthroscopy provides symptom relief and good functional outcomes in patients with hip synovial chondromatosis

Ferro

Philippon

2015

J Hip Preserv Surg

View full text Add to dashboard Cite

show abstract

“…19 Our findings are also consistent with research showing pre-surgical opioid use as a predictor of various adverse post-surgical outcomes in spine surgery recipients such as poor self-rated pain, disability and overall health. 35 In addition, pre surgery opioid use has been associated with increased hospital length of stay, delay in returning to work, surgical complications and other adverse functional outcomes after surgery. 13,4,36,37 It is possible that some patients with substantial pre-surgery opioid use might have developed addiction disorders prior to surgery.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Long-term Opioid Use Following Lumbar Fusion Surgery

Connolly

Javed

Raji

et al. 2017

Spine

120

View full text Add to dashboard Cite

Study Design A population-based retrospective cohort study. Objective The aim of this study was to examine risk factors for long-term opioid use following lumbar spinal fusion surgery in a nationally representative cohort of commercially insured adults. Summary of Background Data Opioid prescription rates for the management of low back pain have more than doubled in the US over the past decade. Although opioids are commonly used for the management of pain following lumbar spinal fusion surgery, to date, no large-scale nationally representative studies have examined the risk factors for long-term opioid use following such surgical intervention. Methods Using one of the nation’s largest commercial insurance databases, we conducted a retrospective cohort study of 8,377 adults, aged 21–63 years, who underwent lumbar spinal fusion surgery between January 1, 2009 and December 31, 2012. Long-term opioid use was defined as ≥365 days of filled opioid prescriptions in the 24 months following lumbar fusion. Multivariable logistic regression was used to calculate adjusted odds ratios (ORs) and 95% confidence intervals for the risk of long term opioid use following lumbar fusion. Results After adjusting for covariates, the following factors were associated with an increased risk of long term opioid use following surgery: duration of opioid use in the year before lumbar surgery [Referent (0 days); Quartile 1 (1–22 days) OR=2.27, 95% CI=1.48–3.49; Quartile 2(23–72 days): OR=5.94, 95% CI=4.00–8.83; Quartile 3: (73–250 days) OR=25.31, 95% CI=17.26–37.10; Quartile 4 (≥ 250days) OR=219.95, 95% CI=148.53–325.71 )], re-fusion surgery (OR=1.32, 95% CI=1.02–1.72), and diagnosis of depression (OR=1.43, 95% CI=1.18–1.74). Receipt of anterior fusion was associated with a modest decrease in the risk of long-term opioid use (OR=0.79, 95% CI=0.63–0.99). Conclusions These findings may provide clinically relevant information to physicians, patients, and their families regarding the risk factors for opioid dependence following lumbar fusion surgery.

show abstract

“…The strength of our study was the large number of knee replacements included, and the combination of data from the 2 countries using identical catalogue numbers to identify and compare the same implant types (Sedrakyan et al. 2014 ). Consequently, the external validity of the results is good and the outcomes should be applicable to most orthopedic surgeons around the world (Namba et al.…”

Section: Discussionmentioning

confidence: 99%

Increased risk of aseptic loosening for 43,525 rotating-platform vs. fixed-bearing total knee replacements

et al. 2017

Self Cite

View full text Add to dashboard Cite

Background and purpose — Given similar functional outcomes with mobile and fixed bearings, a difference in survivorship may favor either. This study investigated the risk of aseptic loosening for the most used subtypes of mobile-bearing rotating-platform knees, in Norway and Australia.Patients and methods — Primary TKRs reported to the Norwegian and Australian joint registries, between 2003 and 2014, were analyzed with aseptic loosening as primary end-point and all revisions as secondary end-point. We hypothesized that no difference would be found in the rate of revision between rotating-platform and the most used fixed-bearing TKRs, or between keeled and non-keeled tibia. Kaplan–Meier estimates and curves, and Cox regression relative risk estimates adjusted for age, sex, and diagnosis were used for comparison.Results — The rotating-platform TKRs had an increased risk of revision for aseptic loosening compared with the most used fixed-bearing knees, in Norway (RR =6, 95% CI 4–8) and Australia (RR =2.1, 95% CI 1.8–2.5). The risk of aseptic loosening as a reason for revision was highest in Norway compared with Australia (RR =1.7, 95% CI 1.4–2.0). The keeled tibial component had the same risk of aseptic loosening as the non-keeled tibia (Australia). Fixation method and subtypes of the tibial components had no impact on the risk of aseptic loosening in these mobile-bearing knees.Interpretation — The rotating-platform TKRs in this study appeared to have a higher risk of revision for aseptic loosening than the most used fixed-bearing TKRs.

show abstract

National and International Postmarket Research and Surveillance Implementation

Cited by 26 publications

References 24 publications

Arthroscopy provides symptom relief and good functional outcomes in patients with hip synovial chondromatosis

Arthroscopy provides symptom relief and good functional outcomes in patients with hip synovial chondromatosis

Predictors of Long-term Opioid Use Following Lumbar Fusion Surgery

Increased risk of aseptic loosening for 43,525 rotating-platform vs. fixed-bearing total knee replacements

Contact Info

Product

Resources

About