Publications by authors named "J Florance"

Article Synopsis
  • * A total of 499 THA patients were analyzed by measuring hip offset on radiographs preoperatively and postoperatively, using a standardized method and assessed by two raters.
  • * Results showed excellent inter-observer reliability with high correlation coefficients (ICC of 0.91 for preoperative and 0.93 for postoperative measurements), supporting the Sundsvall method as a reliable measurement tool for clinical use.
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Background: Acetabular and femoral offset play an important role in total hip arthroplasty (THA) for postoperative stability and biomechanical function. However, it is unknown whether offset impacts patient-reported outcomes (PROs). This study evaluated patients undergoing direct anterior (DA) THA with the hypothesis that patients who have a decrease in hip offset postoperatively would have lower physical function scores and higher pain interference.

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Introduction: The Centers for Medicare and Medicaid Services removed total hip arthroplasty (THA) from the inpatient-only list but continued to classify admissions as inpatient if they include two midnights, complicating care if an outpatient THA requires extended hospitalization. This study evaluates risk factors of patients undergoing outpatient-designated THA with a length of stay (LOS) ≥ 2 days.

Methods: A total of 17,063 THA procedures designated as outpatient in the National Surgical Quality Improvement Program database between 2015 and 2020 were stratified by LOS < 2 days (n = 2,294, 13.

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Article Synopsis
  • Calcium-sensing receptors (CaSRs) are critical in regulating calcium levels and hormone release related to calcium metabolism by acting in the kidneys, gut, and bones.
  • Genetic variations, particularly single nucleotide polymorphisms in CaSR genes, can lead to various conditions affecting calcium balance, such as autosomal dominant hypercalciuric hypocalcaemia.
  • A case study highlights a female patient who developed severe kidney issues after treatment for hypocalcaemia in childhood, but post-kidney transplant, her condition improved and she now has stable calcium and phosphate levels.
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Social media is increasingly used for health queries and subspecialist selection, but physicians receive little training in its use. This case study describes use of the free data tool Facebook Audience Insights to understand population demographics relevant to an orthopedic practice. Facebook Audience Insights was used to compare demographics and activity patterns of two patient samples typical of total joint arthroplasty (TJA)-young TJA (ages 55-64 years) and Medicare TJA (age ≥65 years)-in May 2020.

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