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Application of machine learning to identify risk factors for outpatient opioid prescriptions following spine surgery.
Biomedicine (Taipei)
December 2024
Division of Spine Surgery, Duke University Health, Durham, NC 27710, USA.
Introduction: Spine surgery is a common source of narcotic prescriptions and carries potential for long-term opioid dependence. As prescription opioids play a role in nearly 25 % of all opioid overdose deaths in the United States, mitigating risk for prolonged postoperative opioid utilization is crucial for spine surgeons.
Purpose: The aim of this study was to employ six ML algorithms to identify clinical variables predictive of increased opioid utilization across spinal surgeries, including anterior cervical discectomy and fusion (ACDF), posterior thoracolumbar fusion (PTLF), and lumbar laminectomy.
Comparing Patient Communication Event Demand for External Ring Fixators to Other Common Foot and Ankle Orthopaedic Procedures: A Retrospective Study.
J Am Acad Orthop Surg Glob Res Rev
December 2024
From the Department of Orthopedics, The University of Arizona College of Medicine Phoenix, Phoenix, AZ (Ms. Kisiel, Mr. Logan-Baca, Mr. Reyes, Mr. Henderson); and the OrthoArizona, Scottsdale, AZ (Dr. Jaffe).
Background: Surgeons may hesitate to apply external ring fixators (ERFs) due to perceived high clinical burden. This study aims to quantify the relative demand of ERFs compared with other common foot and ankle procedures. Understanding the demand of ERFs can provide insights into postoperative experiences, potentially decreasing intimidation of their use.
View Article and Find Full Text PDFPrevalence and Associated Factors of Ankle Osteoarthritis in Achondroplasia: A Retrospective Radiographic Assessment of 134 Patients.
Cartilage
December 2024
Department of Orthopaedic Surgery, Korea University Guro Hospital, Seoul, South Korea.
Article Synopsis
- The study investigates how common ankle osteoarthritis is in patients with achondroplasia and how surgical adjustments to lower limb alignment affect this.
- The research included 134 patients over a period of nearly nine years, assessing various angles and scores to evaluate ankle health.
- Findings show a moderate prevalence of ankle osteoarthritis (29%), with a strong link to the talar tilt angle, suggesting the importance of monitoring this angle in achondroplasia patients to manage potential osteoarthritis.
Suture Suspensionplasty Compared With Ligament Reconstruction and Tendon Interposition for Surgical Treatment of Thumb Carpometacarpal Arthritis.
J Hand Surg Glob Online
November 2024
University of Pittsburgh Medical Center Department of Orthopedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA.
Purpose: Thumb carpometacarpal (CMC) arthritis is the most common arthritis of the hand, with most studies demonstrating little difference in outcomes between various surgical treatment techniques. However, trapeziectomy, followed by ligament reconstruction and tendon interposition (LRTI), remains the technique of choice among hand surgeons in the United States. In 2009, suture suspensionplasty (SS) was first described as a less invasive alternative to LRTI.
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