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Article Synopsis
- This review and meta-analysis evaluated the effectiveness of single-bundle (SB) vs. double-bundle (DB) techniques in ACL reconstruction, analyzing ten different studies to primarily assess knee stability and functional outcomes.
- Results indicated no significant differences in knee stability (Lachman and pivot-shift tests) or patient-reported outcomes (IKDC and Lysholm scores) between SB and DB techniques, suggesting both are equally effective.
- Moderate variability among the studies pointed to the need for more standardized research methods to confirm these findings across various patient groups.
The Appropriate Use and Care of Peripheral Intravenous Cannulas: A Quality Improvement Project.
Cureus
January 2025
Diabetes and Endocrinology, Peterborough City Hospital, Peterborough, GBR.
Article Synopsis
- More than a third of peripheral intravenous cannulas (PIVCs) inserted in hospitals remain unused, highlighting issues with documentation and potential complications.
- A quality improvement project involved conducting an initial audit, implementing changes, and a follow-up audit to assess adherence to a PIVC care bundle.
- The project aimed for a target adherence score of 90-100% on PIVC documentation and care; results showed a comparison between the first and second cycles, with improved scores indicating successful implementation.
Measurement of Tip Load With a Pacemaker Lead Stylet and Guiding Catheter Using a Silicone Heart Model.
Cureus
November 2024
Cardiology, Akita Cerebrospinal and Cardiovascular Center, Akita, JPN.
Background Ventricular septal pacing has long been performed using a stylet during pacemaker implantation, but with the availability of guiding catheters, His bundle pacing and left bundle branch area pacing have also been performed. However, it is not known to what extent the tip load of the ventricular lead differs when a guiding catheter is used compared with a stylet alone. In this study, the tip load was measured for different stylet stiffness and guiding catheter geometries at sites where His bundle pacing and left bundle branch area pacing were assumed.
View Article and Find Full Text PDFA staged approach to managing a combination of a terrible triad injury and an Essex-Lopresti fracture dislocation: an open forearm crush injury-a case report.
J Med Case Rep
December 2024
Department of Hand & Reconstructive Microsurgery Surgery, Rashid Hospital, Dubai, United Arab Emirates.
Background: Open and crushed forearm injury is a complex and rare injury affecting the upper extremity. It results in damage to various structures, including bones, soft tissues, and neurovascular bundles, ultimately leading to functional impairment. Typically, these injuries occur owing to high-energy trauma.
View Article and Find Full Text PDFEpisode-Based Bundled Payments in Hand Surgery: An Affordable Solution to Overwhelming Health Care Costs.
Hand (N Y)
December 2024
Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Article Synopsis
- The review focuses on episode-based bundled payment models for hand surgery as a means to reduce healthcare costs and improve patient care.
- Traditional fee-for-service models are ineffective in promoting collaboration among healthcare providers, while bundled payments encourage team-based approaches and resource optimization.
- Current literature suggests that implementing these models could lead to cost savings and better patient outcomes, warranting further trials in hand surgery.
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