Systemic Effects of Perineural Glucocorticoids on Fasting Serum Glucose, Potassium, and White Blood Cell Count in Total Hip Arthroplasty.

Purpose: Glucocorticoids are commonly used as regional anesthesia adjuvants to improve blockade quality and duration. There are limited data in the literature regarding the potential systemic effects and safety of perineural glucocorticoids. This study examines the effects of perineural glucocorticoids on serum glucose, potassium, and white blood cell count (WBC) in the immediate postoperative period after primary total hip arthroplasty (THA).

Transmuscular Quadratus Lumborum and Lateral Femoral Cutaneous Nerve Block in Total Hip Arthroplasty.

Objectives: Adequate pain control after total hip arthroplasty is essential for patient satisfaction and surgical outcome.

Methods: A retrospective study with before and after design was performed in 210 elective total hip arthroplasty patients. The control group (N=132) received spinal anesthesia with periarticular injection (PAI) and the treatment group (N=78) received transmuscular quadratus lumborum block and lateral femoral cutaneous nerve block in addition to spinal anesthesia and PAI.

Perioperative Considerations for a Patient with a Left Ventricular Assist Device Undergoing Thyroidectomy.

As the population ages, ventricular assist devices (VADs) are becoming more prevalent, even in the outpatient perioperative setting. Patients with VADs present unique challenges for the anesthesiologist, who needs to have a thorough understanding of device physiology and design an appropriate anesthetic plan. This case report demonstrates an alternative monitored anesthesia care (MAC) anesthetic technique for a patient with a left VAD undergoing total thyroidectomy.

Medial Oblique Meniscomeniscal Ligament of Knee.

An aberrant meniscus attachment was found in the setting of an anterior cruciate ligament injury. An anomalous cordlike attachment ran from the anterior horn of the medial meniscus to the posterior horn of the lateral meniscus through the intercondylar notch. Surgeons should be aware of the anatomical variability in the knee in order to provide the best care for their patients.

Does Gracilis Preservation Matter in Anterior Cruciate Ligament Reconstruction? A Systematic Review.

Purpose: To analyze the effect of gracilis harvest on hamstring strength, patient-reported outcomes, and anterior knee laxity after anterior cruciate ligament (ACL) reconstruction.

Methods: A systematic review of the literature was performed to identify studies comparing the results of semitendinosus (ST) versus semitendinosus-gracilis (ST-G) harvest for ACL reconstruction. A meta-analysis using a random effects model was performed to determine overall pooled estimates of effect for the influence of additional gracilis harvest on hamstring strength, patient-reported outcomes, and anterior knee laxity after ACL reconstruction.

The Relationship between Body Mass Index and Risk of Failure following Meniscus Repair.

It is unknown whether body mass index (BMI) influences outcomes of meniscus repair. We hypothesized that increased BMI would be associated with increased risk of failure. A retrospective study was performed involving patients who had undergone meniscus repair between 2008 and 2012.