Publications by authors named "Joseph McCahon"
Background: Occupational exposure to high levels of noise increases the risk of noise-induced hearing loss (NIHL), resulting in significant long-term quality of life implications. Hearing protection is recommended if occupational noise exposure routinely exceeds 85 decibels (dB). The purpose of this study was to determine if foot and ankle surgeons are exposed to excessive levels of noise, thus putting them at an increased risk for NIHL.
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- - The study examined trends in pickleball-related Achilles tendon injuries over the past decade, particularly among the aging population, due to the sport’s growing popularity.
- - Researchers identified 43 cases of Achilles tendon ruptures related to pickleball from a larger pool of 2,684 injuries, noting an increase since 2016, with a significant dip in 2020 likely due to COVID-19.
- - Findings showed older players (average age 64.5) had these injuries and were more likely to require surgery (67.4%) compared to the general population with Achilles injuries.
Background: Resiliency is the ability to recover from stressful events and has been shown to correlate with patient outcomes following certain orthopaedic procedures. The purpose of this study was to determine the relationship between resiliency and outcomes following TAA.
Methods: A retrospective analysis of patients undergoing primary TAA between April 2015 and September 2022 was performed (N = 83).
Article Synopsis
- * A total of 385 patients answered the survey, with findings showing that most were immobilized for 2-6 weeks, and 27.5% needed unplanned adjustments or replacements, particularly with thermoplastic splints.
- * Many patients (47.3%) attempted to clean their orthotics, but 59.5% were unsure if they received proper instructions on orthotic care, indicating a gap in education and support.
Background: Patients being evaluated for revision total joint arthroplasty (RTJA) are often referred to tertiary care centers, which may decrease their access to adequate health care and overburden these health care systems. The purpose of this study was to evaluate the feasibility and effectiveness of RTJA patient evaluation via telehealth.
Materials And Methods: We identified a consecutive series of patients newly evaluated for a symptomatic TJA by two academic surgeons during a 1-year period.
Background: Patients undergoing total joint arthroplasty (TJA) may receive unexpected medical bills. Such "surprise" bills may cause financial hardship for patients, which prompted policymakers to pass the No Surprises Act. The purpose of this study was to determine the incidence of surprise bills for patients undergoing TJA and the effect of surprise billing on patient satisfaction.
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- This study compared foot and ankle patient education materials generated by AI chatbots (ChatGPT, Google Bard, and Bing AI) to the American Orthopaedic Foot and Ankle Society's recommended site, FootCareMD.org.
- The AI-generated content for 10 common foot and ankle conditions was analyzed for accuracy, scoring below 60% across all categories compared to the AOFAS website.
- Overall, the AI platforms provided limited accuracy, with ChatGPT averaging 46.2% accurate information, while Google Bard and Bing AI scored 36.5% and 28.0%, respectively.
Patients often receive multiple bills following surgery, which may come as a surprise to them if they are not appropriately informed or educated prior to surgery. The purpose of this study was to identify whether surprise billing occurs following shoulder rotator cuff repair and its effect on patient satisfaction. The study surveyed adult patients who underwent elective rotator cuff repair from January 2020 to October 2021.
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- There is a lack of consensus among orthopedic surgeons on the diagnosis and treatment of subscapularis tendon tears (SCTs), potentially affecting surgical outcomes.
- The study aimed to review existing SCT classification literature and surveyed surgeons to understand their surgical decision-making processes related to these injuries.
- Findings showed significant variability in classification criteria and recommendations, but a majority agreed on key aspects, such as the timing and conditions for surgery on SCTs.
Introduction Two-stage revision is frequently used for the treatment of periprosthetic joint infection (PJI). Because antibiotic-loaded cement spacers are constructed and implanted as temporary devices, mechanical complications are possible. The purpose of our study was to define the incidence of such mechanical complications, determine associated risk factors, and establish if such complications influence the subsequent success of PJI treatment.
View Article and Find Full Text PDFIntroduction Periprosthetic joint infection (PJI) is one of the most devastating complications of total joint arthroplasty. Systemic symptoms of infection may indicate a patient who is at a higher risk of serious complications. The goal of this study was to determine if systemic symptoms of infection in the setting of PJI were associated with greater in-hospital mortality.
View Article and Find Full Text PDFWork hour restrictions imposed on orthopedic surgery residents since the early 2000s have reduced educational opportunities at the workplace and encouraged alternative strategies for teaching outside the clinical setting. Preoperative templating is essential for safe and effective total hip arthroplasty (THA) and is accurate in predicting final implants. We sought to determine the effectiveness of a video tool for teaching orthopedic residents basic THA templating skills.
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