IRVINE, CA (January 2, 2019) – Hoag Orthopedic Institute, one of the largest
volume orthopedic hospitals in the country, conducts and submits research
to multiple prestigious organizations annually to share its findings with
the medical community to enhance the specialty of orthopedic surgery.
These research projects are a way for Hoag Orthopedic Institute to extend
its reach into the global medical community and improve patient outcomes
on a broader scale. Several of our findings have been selected by The
American Academy of Orthopedic Surgeons for presentation at this coming
year’s annual meeting. Additionally, the American Association of
Hip and Knee Surgeons (AAHKS), which received 1,615 research abstracts
this year, selected Hoag Orthopedic Institute to present two poster presentations
of the 250 that were chosen.
Dr. Travis Scudday (2017-2018 Total Joint Fellow) was selected to present
a poster at AAHKS and a paper at AAOS on the research project titled,
“Successful Outcomes in Enhanced Recovery Program Patients Following
Joint Replacement Surgery.” The study is believed to be the largest
single institution study for early experience with same day discharges
of total hip replacement from an inpatient hospital. The enhanced recovery
program (ERP) does not increase hospital readmission rates and accomplishes
its goal of decreased cost and shorter hospital stays.
“With increased emphasis on value-based care, minimizing hospital
stay and cost while maintaining quality is of paramount importance. Short
stay and outpatient total hip arthroplasty (THA) has been shown to be
safe while the majority of procedures continue to be done at inpatient
facilities,” said Dr. Scudday. “We hypothesize a same day
discharge enhanced recovery protocol (ERP) implemented at an inpatient
orthopedic specialty hospital is safe and cost effective when compared
to a standard inpatient tract.”
Dr. Zachary Thielen (2017-2018 Total Joint Fellow) was selected to present
a poster at AAHKS on the research project titled, “Opioid Use After
Discharge Following Primary THA – How Much Are We Over-prescribing?”
In this prospective cohort study, it was determined that patients were
significantly more narcotics than needed for adequate post-operative pain
control. Unused narcotics are a potential source for abuse and diversion.
Based on our findings we recommend prescribing 300 MME or less for opioid
naïve, routine THA patients.
The study titled “Intraoperative comparison of measured resection
and gap balancing using a force sensor: A prospective, randomized controlled
trial”, by Krishna Cidambi MD, Nicholas Robertson MD, Camille Borges,
BA, Nader Nassif MD, and Steven Barnett MD was published in The Journal
of Arthroplasty’s Vol.33 Issue 7. It demonstrates that gap balancing
resulted in a greater range of femoral component rotation compared to
measured resection and greater variation of thickness of the posterior
condylar cuts. Force sensor data showed a decreased intercompartmental
force difference at full flexion in the balanced group and more similar
forces within the medial compartment between extension and full flexion.
Hoag Orthopedics is a 501(c)(3) non-profit organization that was established
in 2004 with a commitment to making new and meaningful discoveries through
research that would benefit the orthopedic community. Since 2004, Hoag
Orthopedics has matured into a comprehensive orthopedic clinical research
organization with research that ranges from translational research (from
the lab to bedside) to investigational medical devices and drug development.
The research team expertise includes consultative services for all aspects
of clinical research, from feasibility assessment and protocol development,
to clinical trial management and regulatory compliance. Consultative work
has helped develop exciting projects with innovative drug and device sponsors,
as well as faculty – and fellow-initiated research projects. Presently,
Hoag Orthopedics is conducting close to 30 research studies.
About Hoag Orthopedic Institute
Hoag Orthopedic Institute (HOI) is located in Orange County, California.
It consists of a specialty hospital located in Irvine and two ambulatory
surgery centers: Hoag Orthopedic Institute Surgery Center in Newport Beach
and Main Street Specialty Surgery Center in Orange. HOI has more than
300 physicians on staff, including more than 80 orthopedic specialists.
HOI ranks in the 99th percentile for patients’ likelihood to recommend the hospital and 98th percentile for overall hospital rating, according to Press Ganey’s
national database of hospitals. HOI focuses in the treatments of the knee,
hip and spine disorders, and takes pride in specialty care related to
sports medicine, orthopedic trauma and extremities care. Since opening
in 2010, HOI’s hospital has been named by
U.S. News & World Report and
Becker’s Orthopedic, Spine & Pain Management Review as one of the top orthopedic hospitals in the nation. Most recently, HOI
was recognized by the Centers for Medicare & Medicaid Services (CMS)
as one of 112 hospitals nationwide, and one of 10 in California to earn
the highest, five-star rating for overall quality of care. For more information, visit