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Hoag Orthopedic Institute Physicians Receive Multiple Acceptances

02-19-2019

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 prescribed

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.

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