The orthopedic trauma patient group has not been subjected to research on the issue of food insecurity.
A single institution's survey encompassed patients who underwent operative fixation of pelvic and/or extremity fractures within six months of the procedure, conducted from April 27, 2021, to June 23, 2021. Using the standardized United States Department of Agriculture Household Food Insecurity questionnaire, an assessment of food insecurity was undertaken, yielding a food security score within the 0 to 10 range. Scores of 3 or above were identified as food insecure (FI), while scores below 3 designated food security (FS). Surveys on demographics and dietary intake were also filled out by patients. Tiplaxtinin Employing the Wilcoxon sum rank test for continuous variables and Fisher's exact test for categorical variables, a comparative analysis of FI and FS was conducted. To explore the correlation between food security scores and the characteristics of participants, Spearman's correlation was applied. A logistic regression analysis was conducted to evaluate the relationship between patient demographics and the likelihood of FI.
Among the 158 participants (48% female), the mean age was 455.203 years. In a food insecurity screening, 21 patients (representing 133% of the total) were flagged as positive. This categorized breakdown included 124 individuals in the high security category (785%), 13 with marginal security (82%), 12 with low security (76%), and 9 with very low security (57%). Those earning $15,000 per household were 57 times more likely to be classified as FI (95% CI 18-181). Among patients who were widowed, single, or divorced, a striking 102-fold increase in the incidence of FI was observed (95% confidence interval: 23-456). FI patients experienced a substantially longer median journey time to the nearest full-service grocery store (ten minutes) than FS patients (seven minutes), a difference that proved statistically significant (p=0.00202). Age (r = -0.008, p = 0.0327) and hours spent working (r = -0.010, p = 0.0429) exhibited a negligible correlation in relation to food security scores.
Food insecurity represents a common challenge for the orthopedic trauma patients seen at our rural academic trauma center. Those who earn less and those living independently are often faced with financial instability. Multicenter research is imperative to determine the rate of food insecurity and its contributing factors amongst a more diverse trauma patient population, enhancing comprehension of its influence on patient results.
.
Our rural academic trauma center observes a common issue of food insecurity among its orthopedic trauma patients. Lower household income earners and individuals living alone are frequently more susceptible to financial instability. The impact of food insecurity on patient outcomes within a more diverse trauma patient group merits further investigation via multicenter studies, which would also assess the incidence and risk factors. The strength of evidence is at level III.
Wrestling, a sport renowned for its high incidence of injuries, frequently results in knee-related trauma. The diversity in treating these wrestling injuries, dictated by both the injury and wrestler characteristics, results in varying levels of complete recovery and the capacity for a return to wrestling competition. The focus of this study on competitive collegiate wrestling was to evaluate the patterns of knee injuries, treatment approaches, and return-to-sport criteria.
An institutional Sports Injury Management System (SIMS) was employed to pinpoint NCAA Division I collegiate wrestlers who sustained knee injuries between January 2010 and May 2020. To identify any recurring trends in wrestling-related injuries, specifically to the knee, meniscus, and patella, treatment strategies were documented. Descriptive statistical methods were applied to analyze the quantities of missed days, practices, and competitions, the time it took to return to sports activities, and the frequency of reoccurring injuries among wrestlers.
Following the investigation, 184 knee injuries were located. Removing non-wrestling injuries from the dataset (n=11), 173 remaining injuries affected 77 wrestlers. Concerning the mean age at injury, it was 208.14 years; the mean BMI was 25.38 kg/m². The 74 wrestlers experienced a total of 135 primary injuries; these injuries were distributed as follows: 72 (53%) ligamentous injuries, 30 (22%) meniscus injuries, 14 (10%) patellar injuries, and 19 (14%) other injuries. A substantial percentage (93%) of ligamentous injuries and (79%) of patellar injuries were treated non-operatively; conversely, surgical treatment was required for 60% of meniscus tears. A subsequent knee injury, affecting 22% of the 23 wrestlers, was treated non-operatively in 76% of instances, following their initial injury. Of the recurrent injuries, 12 (32%) involved ligaments, 14 (37%) involved the meniscus, 8 (21%) involved the patella, and 4 (11%) involved other structures. Fifty percent of recurring injuries were addressed through operative treatment. Primary injuries compared to recurrent injuries revealed a substantial difference in the duration of return-to-sport time. Recurrent injuries exhibited a significantly extended time frame of 683 to 960 days, contrasted with the time for recovery from primary injuries. In the primary group of 260 individuals followed for 564 days, a statistically significant result (p=0.001) was detected.
Knee injuries amongst NCAA Division I collegiate wrestlers were predominantly initially treated conservatively, and an approximate one-fifth of those wrestlers suffered recurrences. The recovery period, in relation to sports, was significantly prolonged after the injury recurred.
.
In NCAA Division I collegiate wrestling, non-operative treatment was initially provided to most wrestlers who sustained knee injuries; approximately one in five of these athletes subsequently sustained a recurrence of their injury. The time needed to return to sports activity substantially lengthened after the recurring injury. The presented data corresponds to Level IV evidence standards.
This study's objective was to predict the prevalence of obesity within the population of patients undergoing aseptic revision total hip and knee arthroplasty up to 2029.
Over the period of 2011 to 2019, data from the National Surgical Quality Improvement Project (NSQIP) was examined. Revision total hip arthroplasty (THA) was identified using CPT codes 27134, 27137, and 27138, while CPT codes 27486 and 27487 were used to mark revision total knee arthroplasty (TKA). Revisions of THA/TKA due to infectious, traumatic, or oncologic issues were not part of the dataset. Based on body mass index (BMI) categories, participant data were grouped into underweight/normal weight, <25 kg/m², overweight, 25-29.9 kg/m², and class I obesity, 30-34.9 kg/m². Obesity is categorized as kg/m2, class II obesity ranges from 350-399 kg/m2, and morbid obesity is at or above 40 kg/m2. nonviral hepatitis Using multinomial regression analyses, the prevalence of each BMI category was projected for the period between 2020 and 2029.
The study population consisted of 38325 cases, including a breakdown of 16153 undergoing revision THA and 22172 undergoing revision TKA. Between 2011 and 2029, patients undergoing aseptic revision total hip arthroplasty (THA) experienced an increase in the rates of class I obesity (24% to 25%), class II obesity (11% to 15%), and morbid obesity (7% to 9%). Analogously, the frequency of class I obesity (28% to 30%), class II obesity (17% to 29%), and morbid obesity (16% to 18%) increased in the population of aseptic revision total knee arthroplasty cases.
Among patients undergoing revision total knee and hip replacements, the increase in class II obesity and morbid obesity cases was most pronounced. Our projections for 2029 suggest a prevalence of obesity and/or morbid obesity in approximately 49% of aseptic revision THA cases and 77% of aseptic revision TKA procedures. The need for resources that help lessen complications for this patient population is critical.
.
Patients undergoing revision total knee and hip replacements exhibited a considerable increase in cases associated with class II obesity and morbid obesity. By 2029, we project that 49% of revision total hip arthroplasty (THA) and 77% of revision total knee arthroplasty (TKA) cases, characterized as aseptic, are predicted to encompass cases associated with obesity or morbid obesity. The necessity of resources to lessen difficulties experienced by this patient group is evident. The level of evidence is III.
Intra-articular fractures, a complex category of injuries, can affect various anatomical sites. For successful peri-articular fracture treatment, the accurate restoration of the articular surface is of paramount importance, working in conjunction with achieving mechanical alignment and stability in the extremity. Diverse techniques have been implemented for visualizing and subsequently diminishing the articular surface, each presenting a specific collection of advantages and disadvantages. The critical evaluation of the joint's reduction requires a careful consideration of the soft tissue damage associated with the extensive surgical approach. The application of arthroscopic techniques to assist in the reduction of various articular injuries has increased in popularity. biomass liquefaction Needle-based arthroscopy has been recently developed, primarily to diagnose intra-articular conditions on an outpatient basis. Our initial experience and essential techniques for using a needle-based arthroscopic camera are detailed in the management of lower extremity peri-articular fractures.
All cases of lower extremity peri-articular fractures treated with needle arthroscopy as a reduction aid were retrospectively examined at a single, academic, Level One trauma center.
Using open reduction internal fixation, supplemented by adjunctive needle-based arthroscopy, five patients, each with six injuries, received care.