Publications by authors named "Grace McCann"

Purpose: To perform a review of the literature focusing on rehabilitation protocols in patients with acromioclavicular (AC) joint injuries treated operatively and nonoperatively and to provide an updated rehabilitation treatment algorithm.

Methods: Studies were identified by searching the MEDLINE database from 01/1995 to 09/2020. Included studies contained detailed rehabilitation protocols with physiologic rationale for AC joint injuries.

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Article Synopsis
  • Spinal anesthesia for total hip arthroplasty (THA) is becoming more popular due to fewer complications, but the choice of local anesthetic can affect recovery time.
  • Bupivacaine is commonly used but has a long-acting effect, while ropivacaine may be a better option because of its shorter duration.
  • A study involving 503 patients found that those receiving ropivacaine had better ambulation times, quicker transitions from the post-anesthesia care unit, and similar complication rates compared to those receiving bupivacaine, making ropivacaine preferable for faster recovery.
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Background: Early ambulation of patients with total joint replacement (TJR) has been shown to improve outcomes while reducing length of stay and postoperative complications. Limited physical therapy (PT) resources and late-in-the-day cases may challenge day-of-surgery (POD0) ambulation. At our institution, a Mobility Technician (MT) program, composed of specially trained nurse's aides, was developed to address this issue.

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Background: Mitigating common complications such as postoperative urinary retention (POUR) following elective spine surgery is prudent. Identifying patients at risk for POUR and recognizing associated factors, to avoid a more complicated postoperative episode should be a priority and easily achievable. Understanding the financial burden of complications, such as POUR, is also important for value-based healthcare, not only for providers, but for employers and payors as well.

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