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HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery

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https://read.qxmd.com/read/30863241/correction-to-patient-and-surgeon-expectations-prior-to-anterior-cruciate-ligament-reconstruction
#1
Mahmoud Michael Khair, Hassan Ghomrawi, Sean Wilson, Robert G Marx
[This corrects the article DOI: 10.1007/s11420-018-9623-7.].
February 2019: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://read.qxmd.com/read/30863240/the-use-of-bone-marrow-concentrate-in-the-treatment-of-full-thickness-chondral-defects
#2
REVIEW
John M Apostolakos, Lionel Lazaro, Riley J Williams
This article is a critical analysis of a study, "Minimally Manipulated Bone Marrow Concentrate Compared with Microfracture Treatment of Full-Thickness Chondral Defects: A One-Year Study in an Equine Model," by Chu et al. ( J Bone Joint Surg Am . 100(2):138-146, 2018). The investigation compared two interventions in the management of full-thickness chondral defects in an equine model: autologous bone marrow concentrate without concomitant microfracture treatment versus microfracture treatment alone...
February 2019: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://read.qxmd.com/read/30863239/the-role-of-peripheral-nerve-catheters-in-buprenorphine-naloxone-management-in-elective-orthopedic-surgery-a-case-report
#3
Michael N Singleton, Jo A Hannafin, Gregory A Liguori, Ellen M Soffin
No abstract text is available yet for this article.
February 2019: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://read.qxmd.com/read/30863238/radiographic-musculoskeletal-findings-indicating-opioid-misuse-an-overview-for-orthopedic-surgeons
#4
REVIEW
Harry G Greditzer, Dustin H Massel, Carlos M Barrera, Christopher P Emerson, Michael G Rizzo, Nisreen Ezuddin, Camila Brasil, Ane Ugarte Nuno, Jean Jose
Background: Given the high prevalence of musculoskeletal conditions in the USA, it is important for orthopedic surgeons to promptly identify patients who may be at risk for opioid misuse. Questions/Purposes: The aim of this literature review was to elucidate various musculoskeletal pathologies and complications, as seen on imaging, that may indicate opioid misuse or opioid use disorder. Methods: A literature search was conducted using the PubMed, Scopus, and Cochrane Library databases for articles related to imaging findings associated with chronic opioid use or misuse in orthopedic patients...
February 2019: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://read.qxmd.com/read/30863237/systemic-complications-and-radiographic-findings-of-opioid-use-and-misuse-an-overview-for-orthopedic-surgeons
#5
REVIEW
Harry G Greditzer, Dustin H Massel, Carlos M Barrera, Nisreen S Ezuddin, Christopher P Emerson, Jean Jose
Amid growing concern about the misuse of prescribed opioids, the rising rates of opioid use disorder, and the use of illicit opioids, clinicians in ambulatory, inpatient, and operative environments are encountering opioid-related complications in their patients. These complications can affect multiple organ systems including cardiovascular, pulmonary, gastrointestinal, and neurologic and are related to excess opioid levels in the body or contamination from non-sterile injection. It is important for the orthopedic surgeon to have a general understanding of the pathologies associated with opioid use disorder and their appearance on diagnostic imaging...
February 2019: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://read.qxmd.com/read/30863236/interdisciplinary-mitigation-of-opioid-misuse-in-musculoskeletal-patients
#6
REVIEW
Ammar N Saigal, Henderson M Jones
Background: The opioid prescribing patterns of orthopedic surgeons have been shown to play a role in exacerbating rates of opioid misuse among post-surgical patients. Demonstrable success has been appreciated by combining policy-level approaches and clinical education-based strategies to inform patients of alternative modalities of post-operative analgesia. Questions/Purposes: The purpose of this review was to address two questions: What are the most substantiated measures orthopedic surgeons can take to limit opioid misuse or addiction among their patients? What advantages are gained in orthopedic surgeons' collaborating with other healthcare professionals with influence over patients' post-operative opioid exposure? Methods: We searched two databases for articles on multidisciplinary policy-based solutions to mitigating the opioid overdose crisis among musculoskeletal patients...
February 2019: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://read.qxmd.com/read/30863235/fighting-back-institutional-strategies-to-combat-the-opioid-epidemic-a-systematic-review
#7
REVIEW
Francis Lovecchio, Ajay Premkumar, Jeffrey G Stepan, Todd J Albert
Background: Current research on opioid use within orthopedic surgery has focused on efforts to identify patients at risk for chronic opioid use. Studies addressing prevention of opioid misuse related to orthopedic care are lacking. Evidence-based interventions to reduce the reliance on opioids for post-operative pain relief will be a key component of any comprehensive institutional opioid policy. Questions/Purposes: The purpose of this systematic review was to evaluate institutional strategies that reduce opioid administration or consumption after orthopedic surgery...
February 2019: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://read.qxmd.com/read/30863234/regional-and-multimodal-analgesia-to-reduce-opioid-use-after-total-joint-arthroplasty-a-narrative-review
#8
REVIEW
Ellen M Soffin, Christopher L Wu
Background: Elective total joint arthroplasty may be a gateway to long-term opioid use. Questions/Purpose: We sought to review the literature on multimodal and regional analgesia as a strategy to minimize perioperative opioid use and control pain in patients undergoing total hip arthroplasty (THA) or total knee arthroplasty (TKA). Methods: We conducted a narrative review to assess the state of the evidence informing opioid-sparing analgesics for THA and TKA...
February 2019: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://read.qxmd.com/read/30863233/use-of-a-prescription-drug-monitoring-program-by-emergency-and-surgical-prescribers-results-of-a-hospital-survey
#9
Daniel Leas, Rachel B Seymour, Meghan K Wally, Joseph R Hsu
Background: Drug overdoses are the leading cause of death due to injury in the USA. Currently, 49 states have prescription drug-monitoring programs (PDMPs) available to prescribers. Questions/Purposes: We aimed to assess knowledge and practice of two groups of acute-care prescribers regarding controlled substances. Methods: A 16-question survey was distributed to a list of surgical and emergency medicine prescribers at our institution. The survey asked about prescriber demographics, previous experiences with a PDMP, and opinions about patient risk factors available within an electronic medical record (EMR)...
February 2019: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://read.qxmd.com/read/30863232/reduced-opioid-use-after-surgeon-administered-genicular-nerve-block-for-anterior-cruciate-ligament-reconstruction-in-adults-and-adolescents
#10
George L Caldwell, Michael A Selepec
Background: Pain management after anterior cruciate ligament reconstruction (ACLR) may pose a risk of prolonged opioid use. Questions/Purposes: The purposes of this study in ACLR were to investigate the efficacy of a surgeon-administered local-regional block of specific genicular nerves on post-operative analgesia following ACLR and to quantify the outpatient opioid consumption and duration through the complete post-operative course. Methods: Prospectively, all patients undergoing primary ACLR by a single surgeon were studied over a 10-month period...
February 2019: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://read.qxmd.com/read/30863231/a-novel-mobile-phone-text-messaging-platform-improves-collection-of-patient-reported-post-operative-pain-and-opioid-use-following-orthopedic-surgery
#11
Ajay Premkumar, Francis C Lovecchio, Jeffrey G Stepan, Cynthia A Kahlenberg, Jason L Blevins, Todd J Albert, Michael B Cross
Background: Prospective collection of patient-reported opioid consumption and pain levels post-surgically may hold value in highlighting solutions related to the opioid crisis. Traditional methods for collecting patient-reported outcomes after surgery, such as paper surveys, often have poor response rates, and electronic messaging may offer more convenience and therefore yield more robust data. Questions/Purposes: The purpose of this study was to evaluate whether a novel mobile phone short message service (SMS) platform would lead to better patient response rates to surveys on pain and opioid use than data-collection tools...
February 2019: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://read.qxmd.com/read/30863230/improvement-in-residents-attitudes-toward-individuals-with-substance-use-disorders-following-an-online-training-module-on-stigma
#12
Jonathan Avery, Daniel Knoepflmacher, Elizabeth Mauer, Kristopher A Kast, Miranda Greiner, Joseph Avery, Julie B Penzner
Background: Resident physicians have been shown to possess negative attitudes toward individuals with substance use disorders (SUDs), even if the residents believe they have adequate knowledge and skills to care for these patients. Residents' negative attitudes may have an adverse impact on patient engagement, treatment, and outcomes. Questions/Purposes: The goal of this study was to examine the impact of an online training module on residents' attitudes toward people with SUDs...
February 2019: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://read.qxmd.com/read/30863229/institutional-guidelines-can-decrease-the-amount-of-opioids-prescribed-after-total-joint-replacement
#13
Cynthia A Kahlenberg, Jeffrey G Stepan, Ajay Premkumar, Francis D Lovecchio, Michael B Cross
Background: In the midst of the nationwide opioid epidemic, our institution began an effort to improve the education of opioid prescribers and disseminate procedure-specific guidelines for the number of opioid pills to prescribe post-operatively for total joint arthroplasty. The number of opioid pills suggested for total hip or knee replacement was 70 tablets. Questions/Purposes: We sought to evaluate the impact of the new institutional guideline on opioid prescribing practices, hypothesizing that it would lead to a decrease in the number of pills prescribed but an increase in patient call volume after discharge...
February 2019: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://read.qxmd.com/read/30863228/opioid-prescribing-and-physician-autonomy-a-quality-of-care-perspective
#14
EDITORIAL
Mark Barnes, John Giampa, Minal Caron
No abstract text is available yet for this article.
February 2019: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://read.qxmd.com/read/30863227/opioid-free-total-knee-arthroplasty-local-infiltration-analgesia-plus-multimodal-blood-loss-prevention-make-it-possible
#15
EDITORIAL
E Carlos Rodriguez-Merchan, Alfonso Vaquero-Picado, Juan S Ruiz-Perez
Opioids have been widely used in the USA for pain control after total knee arthroplasty (TKA). However, adverse effects, especially the possibility of addiction, have increased interest in opioid-free pain management after surgery. We therefore sought to review current pain management protocols after TKA, focusing especially on opioid-free alternatives. We reviewed the literature on pain management after TKA using Medline (PubMed), through June 30, 2018, using the keywords "TKA" and "analgesia...
February 2019: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://read.qxmd.com/read/30863226/opioids-and-ethics-is-opioid-free-the-only-responsible-arthroplasty
#16
EDITORIAL
Travis N Rieder
No abstract text is available yet for this article.
February 2019: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://read.qxmd.com/read/30863225/danger-close-what-opioid-prescribers-can-learn-from-the-way-the-air-force-drops-a-bomb
#17
EDITORIAL
Alex Rich
No abstract text is available yet for this article.
February 2019: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://read.qxmd.com/read/30863224/consensus-statement-toward-opioid-free-arthroplasty-a-leadership-forum
#18
EDITORIAL
Seth Waldman, Charles N Cornell, Louis A Shapiro, Todd J Albert, William Schairer, E Carlos Rodriguez-Merchan, Ellen M Soffin, Christopher Lee Wu, Mark Barnes, Alex Rich, Jonathan Avery, Travis N Rieder
No abstract text is available yet for this article.
February 2019: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://read.qxmd.com/read/30863223/how-hss-the-most-trusted-educator-in-musculoskeletal-health-is-addressing-the-opioid-crisis
#19
EDITORIAL
Louis A Shapiro
No abstract text is available yet for this article.
February 2019: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://read.qxmd.com/read/30863222/orthopedic-surgery-and-its-relationship-to-the-opioid-epidemic-a-forum-and-consensus
#20
EDITORIAL
Charles N Cornell
No abstract text is available yet for this article.
February 2019: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
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