Operative Efficiency in Military Total Joint Arthroplasty Is Superior at an External Resource Sharing Agreement Facility as Compared to a Military Treatment Facility.

Introduction: Surgeries within the Military Health System (MHS) are often performed by military physicians at External Resource Sharing Agreement (ERSA) hospitals to offload the operative demand at Military Treatment Facilities (MTFs). These agreements allow physicians flexibility in selecting where to treat military service members and other TRICARE beneficiaries. However, there is a paucity of military orthopedic literature comparing ERSA hospitals and MTFs.

Patient Resilience Does Not Conclusively Affect Clinical Outcomes Associated With Arthroscopic Surgery but Substantial Limitations of the Literature Exist.

Purpose: To determine whether low resilience is predictive of worse patient-reported outcomes (PROs) or diminished improvements in clinical outcomes after joint preserving and arthroscopic surgery.

Methods: A comprehensive search of PubMed, Medline, Embase, and Science Direct was performed on September 28, 2022, for studies investigating the relationship between resilience and PROs after arthroscopic surgery in accordance with the Preferred Reported Items for Systematic Reviews and Meta-analyses guidelines.

Results: Nine articles (level II-IV studies) were included in the final analysis.

Orthopaedic Operating Room Fire Risks: FDA Database and Literature Review.

»: Inadvertent activation of electrosurgical device was more likely to result in patient burns and harm.

»: There are significant knowledge gaps in the orthopaedic surgery community relating to fire prevention, fire safety, and fire management.

»: Arthroplasty was the most common procedure with reported fire events.

Integrated lower extremity trauma simulator.

Severe limb trauma is prevalent in deployed U.S. Military forces since the advent of body armor.

Design and evaluation of International Video Teleconference (iVTC) for orthopedic trauma education.

This poster describes the design and evaluation of an International Video Teleconference (iVTC) system for orthopedic trauma case studies. Three medical facilities in the United States and one in Australia participated in monthly sessions where past and ongoing military and civilian cases were discussed. Participant feedback indicated that iVTC fully met their expectations as an educational tool and that remote participation did not adversely impact their ability to engage in discussion.

Conversion from external fixation to definitive fixation: periarticular injuries.

Extremity injuries sustained by uniformed service combatants pose a significant challenge to military orthopaedic surgeons. The wounding mechanisms in Operation Iraqi Freedom and Operation Enduring Freedom consist of blasts, penetrating injuries, and blunt injuries. The mortality of warriors has decreased overall because of the improvements in head, neck, and torso body armor.

Operation Iraqi Freedom: the Landstuhl Regional Medical Center experience.

Landstuhl Regional Medical Center, Germany, the only American medical center in Europe, received approximately 80% of American military patients evacuated out of theater during the first 4 months of Operation Iraqi Freedom. 1236 patients arrived at Landstuhl Regional Medical Center from the beginning of Operation Iraqi Freedom until May 15, 2003, consisting of 256 battle casualties (20.7%), 510 injury patients (41.

The incidence of neurovascular injury during external fixator placement without radiographic assistance for lower extremity diaphyseal fractures: a cadaveric study.

Background: During military operations or mass casualty situations, trauma surgeons are called on to place external fixation without the use of fluoroscopy. However, the safety and efficacy of this procedure has not been investigated.

Methods: Orthopedic surgeons, with varying experience, externally stabilized 20 fractured cadaver femora and tibiae.

Identification of the optimal intercondylar starting point for retrograde femoral nailing: an anatomic study.

Background: Retrograde nailing of femoral shaft fractures is an effective and increasingly more popular method of fracture fixation. However, concern remains regarding the effect of the intercondylar entry-portal location on knee function.

Methods: The optimal entry-portal location was identified in cadaver femurs.