RESUMO
ABSTRACT: The COVID-19 pandemic resulted in many challenges for the healthcare system. This article describes how an ambulatory orthopedic practice transitioned to telemedicine in order to continue to provide effective, efficient, and safe care for patients. Although this discipline relies heavily on physical assessment and examination, telemedicine can be successfully implemented in this area.
Assuntos
COVID-19 , Ortopedia , Telemedicina , Assistência Ambulatorial , COVID-19/epidemiologia , Humanos , Pandemias , SARS-CoV-2 , Telemedicina/métodosRESUMO
The treatment of chondral hip injuries is challenging. However, for young patients with hip disorders, orthopedic surgeons now have the opportunity to intervene early in the development of debilitating joint disease. As understanding of the hip joint continues to evolve, more effective treatment strategies are emerging. There are several reportedly successful options for surgical treatment. This article reviews the clinical presentation of chondral injuries and the surgical modalities, arthroscopic and open, available to treat them.
Assuntos
Doenças das Cartilagens/cirurgia , Cartilagem Articular/cirurgia , Lesões do Quadril/cirurgia , Articulação do Quadril/cirurgia , Artropatias/cirurgia , Aloenxertos , Artroscopia , Transplante Ósseo , Cartilagem Articular/lesões , Condrócitos/transplante , Lesões do Quadril/patologia , Articulação do Quadril/patologia , Humanos , Artropatias/patologiaRESUMO
BACKGROUND: Wound breakdown of the operative incision is commonly encountered as a complication following ankle replacement surgery. Healing problems can progress to full thickness necrosis of the skin and deeper tissues jeopardizing the ultimate retention of the implants leading to compromised patient outcomes. MATERIALS AND METHODS: The medical records of 57 consecutive primary total ankle arthroplasties (TAA) were retrospectively reviewed after observing a higher than expected rate of wound-healing problems consistently involving the central third of the operative incision. RESULTS: The rate of wound breakdown was 28% in this series. Analysis of various possible risk factors showed a statistically significant increase in rate of wound breakdown associated with smoking greater than 12 pack years, peripheral vascular disease, and cardiovascular disease. CONCLUSION: Preoperative identification of patient risk factors associated with breakdown of the operative incision after TAA should improve outcome of the procedure. Screening of those patients with risk factors for wound breakdown is recommended prior to total ankle arthroplasty.
