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Clinics in Geriatric Medicine Feb 2019As more patients live longer, it is probable that an increasing number of geriatric patients will require surgery. An organized, systematic, coordinated,... (Review)
Review
As more patients live longer, it is probable that an increasing number of geriatric patients will require surgery. An organized, systematic, coordinated, multidisciplinary approach to the perioperative management of these patients will result in fewer complications, improved outcomes, and reduced cost of care. Details are herein provided on the preoperative diagnostic evaluation and assessment as well as perioperative care provided to optimize outcomes. The diagnosis, workup, and treatment of osteoporosis and fragility fractures are presented. The article concludes with a review of the care of the geriatric orthopedic patient in the posthospital time period.
Topics: Aged; Geriatric Assessment; Hip Fractures; Humans; Orthopedics; Osteoporotic Fractures; Patient Care Team; Perioperative Care; Risk Adjustment
PubMed: 30390985
DOI: 10.1016/j.cger.2018.08.007 -
Injury Oct 2020Embedding physiological markers into treatment algorithms has helped trauma teams rationalise interventions safely and signifies a departure from the dichotomy of damage...
Embedding physiological markers into treatment algorithms has helped trauma teams rationalise interventions safely and signifies a departure from the dichotomy of damage control orthopaedics (DCO) and early total care (ETC) to early appropriate care (EAC). This has been shown to reduce length of stay and cost to treating centres. This article seeks to provide a clear summary of current concepts for managing orthopaedic injuries in the multiply injured patient.
Topics: Humans; Multiple Trauma; Orthopedic Procedures; Orthopedics
PubMed: 32758368
DOI: 10.1016/j.injury.2020.07.051 -
The Orthopedic Clinics of North America Jul 2017
Topics: Bone Regeneration; Bone Substitutes; Fracture Healing; Humans; Orthopedic Procedures; Orthopedics
PubMed: 28577787
DOI: 10.1016/j.ocl.2017.03.012 -
The Bone & Joint Journal Mar 2020
Topics: Economics, Hospital; Hospitals; Humans; Musculoskeletal Diseases; Orthopedic Procedures; Orthopedics; Specialization; United Kingdom
PubMed: 32114819
DOI: 10.1302/0301-620X.102B3.BJJ-2020-0067 -
Journal of Surgical Orthopaedic Advances 2021Military orthopaedic surgeons are faced with hardship and decreased morale. Surgeons have frequent deployments and practice inefficiencies resulting in poor retention...
Military orthopaedic surgeons are faced with hardship and decreased morale. Surgeons have frequent deployments and practice inefficiencies resulting in poor retention rates. The purpose of this analysis is to report demographics and factors effecting military retention. A survey was sent to all members of the Society of Military Orthopedic Surgeons. The survey obtained demographic information, as well as factors affecting retention and termination of service. Data was compared between subset groups within the total respondent population. Of active-duty personnel, 38.5% plan on staying in the military until retirement. Most surgeons entered into the military due to a desire to serve their country, while most people leave service due to higher pay as a civilian. A minority of military orthopaedic surgeons achieve military retirement; however, increased pay, increased control over practice, and decreased frequency of deployments are factors that could improve retention rates. (Journal of Surgical Orthopaedic Advances 30(2):116-119, 2021).
Topics: Humans; Military Personnel; Orthopedic Procedures; Orthopedic Surgeons; Orthopedics; Surgeons
PubMed: 34181530
DOI: No ID Found -
British Journal of Hospital Medicine... Mar 2022There is a paucity of literature analysing the importance of leadership within trauma and orthopaedics. However, such skills are essential to make an orthopaedic surgeon... (Review)
Review
There is a paucity of literature analysing the importance of leadership within trauma and orthopaedics. However, such skills are essential to make an orthopaedic surgeon proficient in their various roles. This literature review on leadership within orthopaedics enables an understanding of current issues. A narrative literature review was conducted using Pubmed, Medline and The National Centre for Biotechnology databases. The search string used to conduct the narrative literature review was (orthopaedic) and (leadership[Title]). The articles were screened by title, abstract and full text. A reference search was subsequently conducted on these papers using the same inclusion and exclusion criteria. The papers then underwent a thematic analysis to understand the issues surrounding leadership in orthopaedics. The critical themes recognised were quality improvement, training, women in leadership, inequality and traits of a leader. Through reviewing the themes in this article, a framework was developed to identify the current issues and potential avenues of advancing orthopaedic leadership. This narrative literature review has demonstrated a paucity of research in orthopaedic leadership. Further work would create a robust evidence base, outline ideal orthopaedic leadership and standardise training to create better orthopaedic leaders.
Topics: Delivery of Health Care; Female; Humans; Leadership; Orthopedic Procedures; Orthopedics
PubMed: 35377201
DOI: 10.12968/hmed.2021.0617 -
Emergency Medicine Clinics of North... May 2015
Topics: Emergencies; Emergency Medicine; Humans; Orthopedic Procedures; Orthopedics
PubMed: 25892732
DOI: 10.1016/j.emc.2015.03.004 -
The Orthopedic Clinics of North America Jul 2019Data from the US Census Bureau, the Accreditation Council for Graduate Medical Education, and the American Academy of Orthopaedic Surgeons reveal that orthopedic surgery... (Review)
Review
Data from the US Census Bureau, the Accreditation Council for Graduate Medical Education, and the American Academy of Orthopaedic Surgeons reveal that orthopedic surgery is the least diverse of any surgical specialty and that diversity within orthopedics is not improving. Considerable data from both medicine and business suggest that improving diversity within the orthopedic surgery specialty would be of significant benefit to the orthopedic surgery profession and to patients. Multiple avenues for increasing diversity exist, including large-scale pipeline programs as well as personal and institutional efforts examining biases and decision-making processes.
Topics: Cultural Competency; Cultural Diversity; Forecasting; Health Services Accessibility; Humans; Internship and Residency; Orthopedics; Patient Satisfaction; Physician-Patient Relations; Racial Groups; United States
PubMed: 31084836
DOI: 10.1016/j.ocl.2019.03.010 -
Veterinary and Comparative Orthopaedics... Mar 2021
Topics: Animals; Dog Diseases; Dogs; Minimally Invasive Surgical Procedures; Orthopedic Procedures; Orthopedics; Osteochondritis Dissecans; Shoulder
PubMed: 33725735
DOI: 10.1055/s-0041-1725062 -
International Orthopaedics Apr 2023
Topics: Humans; Orthopedics; Orthopedic Procedures; Writing
PubMed: 36897360
DOI: 10.1007/s00264-023-05758-1