Tag Archives: arthroplasty

The role of malnutrition in 90-day outcomes after total joint arthroplasty

Via a cohort study of 4,047 cases, the researchers sought to determine the role of preoperative albumin in total joint arthroplasty (TJA) patients for prediction of length of stay (LOS) and 90-day outcomes. For malnutrition, the albumin cutoff of ≤3.5 g/dL is used as proxy, however the value remained understudied. In some patients at risk for adverse events post TJA, the pre-operative albumin level could be missing. For 90-day readmission, the optimal albumin cutoff was concluded as 3.94 g/dL in a univariable model. Screening for malnutrition as a preoperative evaluation could serve a role. The albumin cutoff value of 3.5 g/dL might be missed.

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Outcomes of superficial and deep irrigation and debridement in total hip and knee arthroplasty

Researchers performed a retrospective study of 176 patients. that underwent irrigation and debridement(I&D) within 28 days of  TJA, to examine the role and outcomes of both superficial and deep I&D in patients with wound-related issues and/or suspected periprosthetic joint infection (PJI). For superficial I&D, the overall success was 84.28% compared to 68.86% for deep I&D. Outcomes support the viability of superficial I&D in patients with wound-related issues as long as joint aspiration is performed to rule out infection involving the prosthesis. They suggest opening fascia and exploring deeper tissues in case there are findings of no fluid or purulence.

 

Read the Full Article On : https://www.arthroplastyjournal.org/article/S0883-5403(19)30255-4/fulltext?rss=yes

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