Factors Contributing to Patient Satisfaction Among VA Medical Center and Non-VA Medical Center Hospitals.

Introduction: Veteran satisfaction of care within the Veterans Affairs is typically very high. Yet recommendation ratings of VA medical center (VA) hospitals as measured by Hospital Consumer Assessment of Healthcare Providers and Systems are generally lower than non-VA hospitals.Therefore, it was our objective to assess Veteran satisfaction and recommendation scores and then examine whether satisfaction correlates to recommendation.

Health-related quality of life outcomes after surgical treatment of atypical femur fractures: a multicenter retrospective cohort study.

The objective of this study was to examine the health-related quality of life (HRQOL) outcomes for surgically-treated atypical femur fractures (AFFs) compared to typical femoral diaphyseal fractures. Two large trauma center databases were retrospectively queried for surgically-treated femur fractures. Fractures were grouped into AFFs and compared to a control cohort.

Outpatient total hip and knee arthroplasty exhibit similar early complication rates to inpatient procedures.

Purpose: The purpose of this study was to compare early post-operative complications and readmissions between total joint arthroplasty (TJA) patients completed as outpatient versus inpatient procedures.

Methods: A review of 2648 primary total hip arthroplasty (THA) and total knee arthroplasty (TKA) patients between 2015 and 2019 was performed. Patients who underwent same-day discharge were matched to the inpatient cohort using age, gender, body mass index (BMI), and smoking status.

Understanding Nail Gun Injuries in Orthopedics: Mechanisms and Treatment.

Nail gun injuries are common among users, and most frequently involve the hands and lower extremities. A wide variation in costs and time are missed from work due to these injuries, and training on the proper use of nail guns has been shown to decrease workplace-related injuries. Minimal long-term disability can be expected, and orthopedic evaluations provide an opportunity to inform patients on proper use of these devices.

Massive Gluteal Muscle Necrosis after Iliac Arterial Embolization in Pelvic Trauma: A Literature Review and Illustrative Case Report.

Introduction: Traumatic pelvic injuries causing retroperitoneal bleeding can be managed with angiographic embolization. This procedure carries a small but potentially devastating risk of gluteal muscle necrosis.

Case Report: An 18-year-old trauma patient suffered from massive gluteal muscle necrosis following angiographic embolization for hemorrhage from pelvic fracture was reported.

A Medical Mystery: Unexplained Renal Failure in Burn Patients.

The objective of this study was to review the investigation that uncovered the medical mystery of burn patients developing unexpected renal failure. The authors examined published and unpublished manuscripts and case reports, as well as conducted personal interviews with primary sources. In the late 1970s, emergence of resistant bacterial strains to the topical antimicrobial silver sulfadiazine occurred at the University of Virginia Medical Center.