The complete Medicare Part B claims databases for the years 2000 through 2010 were queried. Musculoskeletal procedures were grouped into 12 anatomical or functional groups for multiyear analysis. Utilization rates per 1000 Medicare beneficiaries and spending per Medicare beneficiary were calculated. Compound annual growth rates were used to compare spending trends with national health care spen...

Computer-assisted navigation has a role in some orthopedic procedures. It allows the surgeons to obtain real-time feedback and offers the potential to decrease intra-operative errors and optimize the surgical result. Computer-assisted navigation systems can be active or passive. Active navigation systems can either perform surgical tasks or prohibit the surgeon from moving past a predefined zon...

Orthopedic surgery is common in pediatric patients because of the wide variety of bone and muscle injury or disease during childhood.These entities range from simple fractures in healthy children to complex spinal fusions in children with debilitating neuromuscular disorders. Anesthetic considerations for children with these specific disorders are covered in Chapter 5. This chapter focuses on c...

pseudoaneurysms (psa) of deep femoral artery (dfa) have been reported following penetrating and blunt trauma to the thigh and orthopedic procedures of the proximal femur. we describe a case of pseudoaneurysm of dfa as a late complication of limb trauma which was confirmed by exploration in an urgent surgery. after two operations successful surgical repair was performed.

BACKGROUND Control of surgical site infections (SSI) is imperative for the safety of our patients. As orthopedic surgeons we strive to have the lowest infection rate possible for all our surgical procedures. this study evaluates the effects of a simple outpatient peri-operative patient cleaning protocol (The Steiros Algorithm(®) Outpatient Surgery Protocol) on SSI rates. METHODS We retrospect...

After the COVID-19 outbreak worldwide, we will sooner or later encounter trauma patients with COVID-19 in thedeveloping countries. It is a challenging decision-making process for an orthopedic surgeon to provide the patients withthe best practice in the crisis. Here we discuss the issue in terms of clinical severity of COVID-19 pneumonia, priorityof orthopedic surgical trauma ...

BACKGROUND Procedure time is a clinically important variable that is often analyzed when studying quality and efficiency. Norms for procedure length have not been reported from Medicare data sets, nor has the influence of patient and hospital characteristics on procedure time been estimated using Medicare data. METHODS The authors obtained Medicare claims on all patients aged 65-85 years who ...

When planning an anesthetic for patients undergoing orthopedic oncologic surgeries, numerous factors must be considered. Preoperative evaluation may elucidate significant co-morbidities or side effects secondary to chemotherapy or radiation, which can affect anesthetic choices. Procedures vary in length and complexity and pose challenges in both positioning and in planning to minimize blood los...