Is The Practice of Overlapping Surgery Safe in Total Knee and Hip - - PowerPoint PPT Presentation

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Dec 24, 2022 419 likes •570 views

Is The Practice of Overlapping Surgery Safe in Total Knee and Hip Arthroplasty? 1 Ahmed Al-Mansoori, MD; 2 Juan C. Suarez, MD, 1 Vani J. Sabesan, MD, 3 Wilfredo J. Borroto MD; 1 Jesus M. Villa, MD; 1 Preetesh Patel, MD 1 Levitetz Department of

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Is The Practice of Overlapping Surgery Safe in Total Knee and Hip Arthroplasty?

1Ahmed Al-Mansoori, MD; 2Juan C. Suarez, MD, 1Vani J. Sabesan, MD, 3Wilfredo J. Borroto MD; 1Jesus M. Villa, MD; 1Preetesh Patel, MD

1 Levitetz Department of Orthopaedic Surgery, Cleveland Clinic Florida, Weston, FL 2 Department of Orthopaedic Surgery, Baptist Hospital, Miami, FL 3 Ponce School of Medicine and Health Sciences, Ponce PR

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Disclosures

Juan C. Suarez, MD

Consultant - DePuy Royalties - Corin

Preetesh Patel, MD

Consultant - Stryker

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Overlapping surgeries in the States over the last two decades Growing. Importance in healthcare based on quality and cost.

Introduction

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The increase correlates with high demand for TJA. Emphasis on volume and productivity to meet demand. Overlapping approach allows the surgeons to do more cases in a more efficient way…Running Two Rooms. Regulatory bodies concern over safety and quality for patients

Introduction

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Objectives

Assess how overlapping surgery affect outcomes in TJA

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Retrospective Review of 2,833 Consecutive Primary THA/TKA The cohort was divided into two groups:

Overlapping Surgeries (n=1,610; 57%)
Control Group (n=1,223; 43%)

Definition of Overlapping Room Time Of ≥ 30 minutes.

Methods

Sub-analysis for: Obese patients (BMI >30) ASA Class 3 or 4

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Outcomes included 90-day:

Readmissions
Reoperations
Complications

Methods

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Results

The Groups Matched for Demographics Including: age, sex, race, and ethnicity.

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Results

P=0.104 P= 0.235 P= 1.0 P= 0.140 P= 0.359 P= 1.0

Outcomes of the entire cohort

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Results

P=0.366 P= 1.0 P= 0.284 P= 1.0 P= 0.574 P= 0.379

Overlapping Group (n=737)
Control Group (n=541)

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Results

P=0.424 P= 0.475 P= 0.463 P= 1.0 P= 1.0 P= 0.308

Overlapping Group (n=530)
Control Group (n=412)

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From almost 3000 patients we looked at, there was no significant difference in outcomes for overlapping surgery in patients undergoing TJA. Moreover, no significant difference in the difficult or complex cases

f high BMI or those with high ASA class.

Conclusion

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Is The Practice of Overlapping Surgery Safe in Total Knee and Hip Arthroplasty?

Disclosures

Juan C. Suarez, MD

Consultant - DePuy Royalties - Corin

Preetesh Patel, MD

Consultant - Stryker

Overlapping surgeries in the States over the last two decades Growing. Importance in healthcare based on quality and cost.

Introduction

The increase correlates with high demand for TJA. Emphasis on volume and productivity to meet demand. Overlapping approach allows the surgeons to do more cases in a more efficient way…Running Two Rooms. Regulatory bodies concern over safety and quality for patients

Introduction

Objectives

Assess how overlapping surgery affect outcomes in TJA

Retrospective Review of 2,833 Consecutive Primary THA/TKA The cohort was divided into two groups:

Definition of Overlapping Room Time Of ≥ 30 minutes.

Methods

Outcomes included 90-day:

Methods

Results

Results

Results

Results

From almost 3000 patients we looked at, there was no significant difference in outcomes for overlapping surgery in patients undergoing TJA. Moreover, no significant difference in the difficult or complex cases

Conclusion

Thank You