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  ERAS vs Non-ERAS: A Hospital Performance Metrics Comparsion in Patients Undergoing Spinal Fusion

  Richard W. Easton, Gregory Smith, Matthew Lipphardt, Nai-Wei Chen, Pestano Cecile, Hermeli Mateo, Austin Ahlgren, Brady Vibert, Andrew Sagante, and Susan Vander Beek

  Publication Date: 5-2022

  Hospital metrics are measures used to evaluate surgical quality. The goal is to improve standards of care (SOC). Hospital performance is made publicly available and has reimbursement ramifications.

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  Patient Perception of Outpatient Ambulatory Clinics and COVID-19 Vaccines

  James E. Feng, Irene Z. Chen, Phillip Vartanyan, Marvee Espiritu, and Mark S. Karadsheh

  Publication Date: 4-28-2022

  Objectives

  - Elucidate different patient population perceptions with respect to outpatient clinics and telehealth during the Covid 19 pandemic

  - Evaluate what actions can be taken to improve patient perception of the outpatient clinic safety

  - Evaluate the public's perception of the Covid 19 vaccine 1 year after the pandemic

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  Parsonage-Turner Syndrome After COVID-19 Vaccination

  Kyle Flikkema and Kelley Brossy

  Publication Date: 5-2022

  Introduction • Parsonage-Turner syndrome (PTS), also referred to as brachial plexus neuritis or neuralgia amyotrophy, is an uncommon yet debilitating condition affecting the brachial plexus • PTS is characterized by the sudden onset of severe shoulder pain without antecedent trauma followed by muscle paralysis and sensory loss of the shoulder girdle and upper extremity • Although the etiology of this rare condition is largely unknown, it has been linked to numerous predisposing factors that may trigger an immune-mediated response including recent vaccine administration

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  Applying the Periprosthetic Joint Infection Consensus Definition to Ankle Implant-Associated and Infection-Suspected Procedures to Assess Diagnosis

  Jackson Harley, Erin Baker, Corinn K. Gehrke, David Ciufo, Zachary M. Vaupel, and Paul T. Fortin

  Publication Date: 5-2-2022

  INTRODUCTION
  Periprosthetic joint infection (PJI) affects 2-3% of all total joint replacement cases. In 10-30% of these cases, the organism is unidentifiable, which may impact treatment planning and outcomes. In this study, suspected periprosthetic infections of foot and ankle procedures treated by four foot and ankle-trained orthopedic surgeons were retrospectively reviewed to determine culture status and applicability of the 2018 International Consensus Meeting on Orthopedic Infections (ICM) classification system.

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  Evaluating Taper Junction Fretting and Corrosion in Reverse Total Shoulder Arthroplasty

  Ian R. Penvose, Erin A. Baker, J. Michael Wiater, Corinn K. Gehrke, Jonathan O Wright, Omar N. Khatib, and Brett P Wiater

  Publication Date: 5-2-2022

  INTRODUCTION
  Taper junction fretting and corrosion (F&C) has been identified in total hip arthroplasty (THA) as an implant failure mode. Studies have reported taper F&C in in anatomic total shoulder arthroplasty (ATSA) implants, but limited literature has described comparable analyses in reverse shoulder arthroplasty (RTSA) implants. In this study, taper junction F&C in retrieved RTSA implants was assessed and analyzed.

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  Acute Post-Operative Pain Following Anterior Cruciate Ligament Reconstruction: A comparison of Patellar Tendon vs Hamstring Autograft

  Dustin J Randall, Denise Koueiter, Brandon Luczak, and Kyle Anderson

  Publication Date: 5-2-2022

  INTRODUCTION
  Choosing between a bone-patellar tendon-bone (BTB) or hamstring tendon (HS) graft for primary anterior cruciate ligament (ACL) reconstruction has long been a topic of debate and discrepancy in orthopaedic literature, with many factors contributing to the decision process. The purpose of this study is to analyze acute post-operative pain scores of patients who underwent ACL reconstruction and compare the results between BTB autograft and the HS autograft techniques.

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  Defining Functional Shoulder Range of Motion in Middle-Aged to Elderly Populations to Guide Shoulder Surgical Treatment

  Tyler Sargent, Justin Smith, Christie Smith, John Krauss, Michelle Jankowski, and J Michael Wiater

  Publication Date: 5-2-2022

  INTRODUCTION
  Functional range of motion (ROM) is defined as the minimal required mobility of a joint to complete activities of daily living (ADL). Defining functional ROM will allow surgeons to decide which aging patients would benefit from surgical intervention aimed at improving shoulder functionality.

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  Asymmetric bilateral hip dislocations with an associated unstable pelvic ring injury: A Case Report

  Jacob Shermetaro, Jourdan Gard, and Kelley Brossy

  Publication Date: 5-2022

  Introduction • Asymmetric bilateral hip dislocations are rare injuries with one hip dislocating posteriorly while the contralateral hip dislocates anteriorly • .01%-0.02% of all joint dislocations1 • Even fewer of these injuries have been reported with an associated unstable pelvic ring injury • We report a case of asymmetric bilateral hip dislocations with an associated unstable pelvic ring injury and femoral head fracture

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  What is the Incidence of QT Prolongation and Life-Threatening Arrhythmia Following IV Methadone Administration in Patients Undergoing Lumbar Fusion?

  Gregory Smith, Richard W. Easton, Kuldeep Shah, Daniel Silvasi, Matthew Lipphardt, Julie George, Shengchuan Dai, Brian Williamson, Brady Vibert, Bradley Ahlgren, and Nicholas Papakonstantinou

  Publication Date: 5-2022

  Postoperative analgesia is a significant challenge following major spine surgery. Utilizing a combination of opioid and non-opioid medications, optimizing their analgesic benefits while decreasing unwanted side effects, has been an effective multi-modal strategy in an Enhanced Recovery After Surgery (ERAS) protocol.

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  Evaluating Trunnion-Taper Fretting and Corrosion Damage in Anatomic Total Shoulder and Shoulder Hemiarthroplasty Prostheses: A Retrieval Study

  Trevor Tooley, Michael Maxwell, Ian R. Penvose, Denise Koueiter, and J. Michael Wiater

  Publication Date: 4-28-2022

  Objectives:

  - To identify wear patterns in the male and female components of hemi and total shoulder arthroplasty implants

  - To assess the impact of different metal compositions between implant components

  - To determine what component combination has the lowest trunnion tribo-corrosion

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  An Irreducible Posterior Shoulder Fracture-Dislocation: A Case Report

  Josiah Valk, Jacob Shermetaro, David Sosnoski, and Kelley Brossy

  Publication Date: 5-2022

  Introduction • The shoulder is the most frequently dislocated joint in the body, but most commonly dislocated anteriorly • Posterior fracture-dislocations of the shoulder are exceedingly rare orthopedic injuries that only account for 2-5% of traumatic shoulder dislocations • These injuries have a reported annual prevalence of 0.6/100,0001 • Most commonly they are a result of high energy trauma, electrocution, or seizures caused by forced flexion, adduction and internal rotation of the shoulder • Timely diagnosis is critical for appropriate early treatment in order to help prevent complications such as avascular necrosis • Thorough physical and radiographic examination are needed to confirm diagnosis which may be missed or delayed in up to 79% of cases.