Optimization of Orthopedic Surgical Instrument Trays: Lean Principles to Reduce Fixed Operating Room Expenses
Abstract Background: Optimization of surgical instrument trays improves efficiency and reduces cost. The purpose of this study is to assess the economic impact of optimizing orthopedic instrument trays at a tertiary medical center. Methods: Twenty-three independent orthopedic surgical instrument trays at a single academic hospital were reviewed from 2017 to 2018. Using Lean methodology, surgeons agreed upon […]
Ensuring critical instruments and devices are appropriate for reuse
The Joint Commission Division of Healthcare Improvement Quick Safety Issue 64, February 2022. Ensuring critical instruments and devices are appropriate for reuse Surgical instruments and other critical devices – those that enter sterile tissues1 – are reprocessed and reused every day in hospitals, ambulatory surgery centers, and other health care facilities. Because of the costs […]
Thermal Effect of Bone Reaming
Thermal Effect of Bone Reaming Acetabular reaming in Total Hip Arthroplasty measured with the aid of an Infrared Thermal Camera Total hip replacement surgery is common in modern medicine and it provides patients with pain free gait. During surgery, high speed mechanical tools such as reamers (Figure 1) are used to prepare bone to receive […]
Single-use peripheral” vs “conventional” reaming in total hip arthroplasty: how to respect native centre of rotation and acetabular offset? A CT study
International Orthopaedics 2023 Nov;47(11):2737-2742. doi: 10.1007/s00264-023-05899-3. Epub 2023 Aug 5 “Single-use peripheral” vs “conventional” reaming in total hip arthroplasty: how to respect native centre of rotation and acetabular offset? A CT study Edoardo Viglietta 1, Leonardo Previ 2, Veronica Giuliani 2, Giulia Rescigno 2, Yuri Gugliotta 2, Andrea Redler 2, Raffaele Iorio 2 Abstract Purpose: The respect of native hip offset represents a mainstay for satisfying results in total hip arthroplasty […]
Inaccuracy of acetabular reaming under surgical conditions
Journal of Arthroplasty 1999 Sep;14(6):730-7. doi: 10.1016/s0883-5403(99)90229-2 Inaccuracy of acetabular reaming under surgical conditions Abstract Press-fit uncemented acetabular components require accurate implant-bone cavity fit. Ten cavities produced during actual hip arthroplasty using debris-retaining reamers were replicated in dental alginate. An experimental reamer with better cutting prepared 12 acetabulae in mortuo under similar conditions. Positives in dental […]
How much stability do we need in the 1mm press-fit implantation of a porous-coated acetabular component without screws during surgery?
Journal of Musculoskeletal Research, Vol. 26, No. 1 (2023) How much stability do we need in the 1mm press-fit implantation of a porous-coated acetabular component without screws during surgery? A. Cataltepe and K. Unay Background: Press-fit implantation of a porous-coated acetabular component without screws can be used for total hip arthroplasty (THA). The purpose of […]