Thirty-Day Outcomes After Acute Total Hip Arthroplasty Combined With Internal Fixation of Acetabular Fractures: A Multi-Institutional Database Analysis.

Introduction: The purposes of this study were to characterize the 30-day surgical risk of patients undergoing open reduction and internal fixation (ORIF) and total hip arthroplasty stratified by an acetabular fracture pattern and to compare postoperative complications with ORIF alone using a large database.

Methods: The American College of Surgeons National Surgical Quality Improvement Program database was queried to determine 30-day outcomes after the combined hip procedure (CHP) compared with ORIF alone between 2005 and 2020. Current Procedural Terminology codes categorized fracture patterns.

Effect of Preoperative Corticosteroids on Postoperative Glucose Control in Total Joint Arthroplasty.

Background: Dexamethasone is a commonly used perioperative medication for the management of postoperative nausea and vomiting following total joint arthroplasty (TJA). However, concerns have been raised about its potential to cause hyperglycemia. This study aimed to investigate the impact of dexamethasone administration on glucose levels and complications in both diabetic and nondiabetic patients undergoing TJA.

Diagnosing periprosthetic joint infection.

Aims: The diagnosis of periprosthetic joint infection (PJI) can be challenging as the symptoms are similar to other conditions, and the markers used for diagnosis have limited sensitivity and specificity. Recent research has suggested using blood cell ratios, such as platelet-to-volume ratio (PVR) and platelet-to-lymphocyte ratio (PLR), to improve diagnostic accuracy. The aim of the study was to further validate the effectiveness of PVR and PLR in diagnosing PJI.

Utility of Blood Cell Ratio Combinations for Diagnosis of Periprosthetic Joint Infection.

Background: Periprosthetic joint infection (PJI) is a serious complication following joint replacement surgery, and its diagnosis can be challenging due to the similarity of symptoms to other conditions and the lack of confirmatory imaging tests. Platelet/mean platelet volume ratio (PVR), platelet/lymphocyte ratio, monocyte/lymphocyte ratio, and neutrophil/lymphocyte ratio have been proposed as potential markers to aid in the diagnosis of PJI. This study aimed to further assess the utility of these blood cell ratio combinations for the diagnosis of PJI.

Limited transmission of SARS-CoV-2 in schools in Ireland during the 2020-2021 school year.

BackgroundThe role of schools in SARS-CoV-2 transmission has been a debated topic since the beginning of the COVID-19 pandemic.AimTo examine SARS-CoV-2 transmission in all schools in Ireland during the 2020-21 school year.MethodsIn a national descriptive cross-sectional study, we investigated PCR-confirmed cases of COVID-19 among students (aged < 20 years) and staff (aged ≥ 20 years) who attended school during their infectious period to identify school close contacts.