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Impact of time between meniscal injury and isolated meniscus repair on post-operative outcomes:A systematic review

World Journal of Clinical Cases 2025年第7期13卷 39-45页

作者： Kashif Javid Xavier Akins Nicole G Lemaster Amer Ahmad Austin V Stone Department of Orthopaedic surgery and Sports Medicine University of KentuckyLexingtonKY 40504United States

BACKGROUND Meniscal tears are one of the most common knee *** the diagnosis of a meniscal tear has been made,there are several factors physicians use to guide clinical *** influence of time between injury and isolated meniscus repair on patient outcomes is not well *** this relationship is important as it may influence clinical decision-making and can add to the preoperative patient education *** hypothesized that increasing the time from injury to meniscus surgery would worsen postoperative *** To investigate the current literature for data on the relationship between time between meniscus injury and repair on patient *** PubMed,Academic Search Complete,MEDLINE,CINAHL,and SPORTDiscus were searched for studies published between January 1,1995 and July 13,2023 on isolated meniscus *** criteria included concomitant ligament surgery,incomplete outcomes or time to surgery data,and *** demographics,time to injury,and postoperative outcomes from each study were abstracted and *** Five studies met all inclusion and exclusion *** were 204(121 male,83 female)patients *** of five(60%)studies determined that time between injury and surgery was not statistically significant for postoperative Lysholm scores(P=0.62),Tegner scores(P=0.46),failure rate(P=0.45,P=0.86),and International Knee Documentation Committee scores(P=0.65).Two of five(40%)studies found a statistically significant increase in Lysholm scores with shorter time to surgery(P=0.03)and a statistically significant association between progression of medial meniscus extrusion ratio(P=0.01)and increasing time to *** Our results do not support the hypothesis that increased time from injury to isolated meniscus surgery worsens postoperative ***-making primarily based on injury interval is thus not recommended.

关键词： Meniscus Meniscal Meniscus repair Meniscectomy Patient reported outcomes Postoperative outcomes time to surgery Injury interval

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Effect of weekend admission on geriatric hip fractures

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World Journal of Orthopedics 2020年第9期11卷 391-399页

作者： Jordan B Pasternack Matthew L Ciminero Michael Silver Joseph Chang Ronald J Simon Kevin K Kang Department of Orthopaedic surgery Maimonides Medical CenterBrooklynNY 11219United States Department of Trauma surgery Maimonides Medical CenterBrooklynNY 11219United States

BACKGROUND The care discrepancy for patients presenting to a hospital on the weekend relative to the work week is well *** respect to hip fractures,however,there is no consensus about the presence of a so-called“weekend effect”.This study sought to determine the effects,if any,of weekend admission on care of geriatric hip fractures admitted to a large tertiary care *** was hypothesized that geriatric hip fracture patients admitted on a weekend would have longer times to medical optimization and surgery and increased complication and mortality rates relative to those admitted on a *** To determine if weekend admission of geriatric hip fractures is associated with poor outcome measures and surgical *** A retrospective chart review of operative geriatric hip fractures treated from 2015-2017 at a large tertiary care hospital was *** cohorts were compared:patients who arrived at the emergency department on a weekend,and those that arrived at the emergency department on a *** outcome measures included mortality rate,complication rate,transfusion rate,and length of *** outcome measures included time from emergency department arrival to surgery,time from emergency department arrival to medical optimization,and time from medical optimization to *** There were no statistically significant differences in length of stay(P=0.2734),transfusion rate(P=0.9325),or mortality rate(P=0.3460)between the weekend and weekday *** rate was higher in patients who presented on a weekend compared to patients who presented on a weekday(13.3%vs 8.3%;P=0.044).time from emergency department arrival to medical optimization(22.7 h vs 20.0 h;P=0.0015),time from medical optimization to surgery(13.9 h vs 10.8 h;P=0.0172),and time from emergency department arrival to surgery(42.7 h vs 32.5 h;P<0.0001)were all significantly longer in patients who presented to the hospital on a weekend compared to patients

关键词： Hip fracture Weekend admission time to surgery Morbidity Mortality Complication

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Two surgical pathways for isolated hip fractures:A comparative study

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World Journal of Orthopedics 2023年第6期14卷 399-410页

作者： Alexander A Fokin Joanna Wycech Knight Maral Darya Ryan Stalder Ivan Puente Russell D Weisz Trauma and Critical Care Services Delray Medical CenterDelray BeachFL 33484United States Department of surgery Charles E.Schmidt College of MedicineFlorida Atlantic UniversityBoca RatonFL 33431United States Trauma and Critical Care Services Broward Health Medical CenterFort LauderdaleFL 33316United States Charles E.Schmidt College of Medicine Florida Atlantic UniversityBoca RatonFL 33431United States Department of surgery Herbert Wertheim College of MedicineFlorida International UniversityMiamiFL 33199United States Department of Orthopedics South Palm OrthopedicsDelray BeachFL 33445United States

BACKGROUND Hip fractures(HF)are common among the aging population,and surgery within 48 h is *** can be hospitalized for surgery through different pathways,either trauma or medicine admitting *** To compare management and outcomes among patients admitted through the trauma pathway(TP)vs medical pathway(MP).METHODS This Institutional Review Board-approved retrospective study included 2094 patients with proximal femur fractures(AO/Orthopedic Trauma Association Type 31)who underwent surgery at a level 1 trauma center between *** were 69 patients admitted through the TP and 2025 admitted through the *** ensure comparability between groups,66 of the 2025 MP patients were propensity matched to 66 TP patients by age,sex,HF type,HF surgery,and American Society of Anesthesiology *** statistical analyses included multivariable analysis,group characteristics,and bivariate correlation comparisons with theχ^(2)test and *** After propensity matching,the mean age in both groups was 75-years-old,62%of both groups were females,the main HF type was intertrochanteric(TP 52%vs MP 62%),open reduction internal fixation was the most common surgery(TP 68%vs MP 71%),and the mean American Society of Anesthesiology score was 2.8 for TP and 2.7 for *** majority of patients in TP and MP(71%vs 74%)were geriatric(≥65-years-old).Falls were the main mechanism of injury in both groups(77%vs 97%,P=0.001).There were no significant differences in pre-surgery anticoagulation use(49%vs 41%),admission day of the week,or insurance *** incidence of comorbidities was equal(94%for both)with cardiac comorbidities being dominant in both groups(71%vs 73%).The number of preoperative consultations was similar for TP and MP,with the most common consultation being cardiology in both(44%and 36%).HF displacement occurred more among TP patients(76%vs 39%,P=0.000).time to surgery was not statistically different(23 h in both),but length of surgery was sig

关键词： Isolated hip fractures Admitting service Trauma center time to surgery American Society of Anesthesiologists score Preoperative consultations

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