Extraction of total knee arthroplasty intramedullary stem extensions.

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Abstract

[Indexed for MEDLINE] 15. Arch Orthop Trauma Surg. 2024 Aug;144(8):3823-3831. doi: 10.1007/s00402-024-05453-9. Epub 2024 Aug 8. Clinical outcomes of total joint arthroplasty in patients with bowel ostomies. Katzman JL(1), Passano B(2), Manjunath A(1), Habibi AA(1), Schwarzkopf R(1), Davidovitch RI(3). Author information: (1)Department of Orthopedic Surgery, NYU Langone Health, The New York Hip Institute, 485 Madison Ave. 8th Floor, New York, NY, USA. (2)Department of Orthopedic Surgery, NYU Langone - Long Island, Mineola, NY, USA. (3)Department of Orthopedic Surgery, NYU Langone Health, The New York Hip Institute, 485 Madison Ave. 8th Floor, New York, NY, USA. Roy.Davidovitch@nyulangone.org. INTRODUCTION: The influence of prior colostomy or ileostomy on patients undergoing joint arthroplasty remains poorly understood. Our study aimed to assess whether patients with an ostomy undergoing hip and knee arthroplasties have worse postoperative outcomes and increased rates of revisions. METHOD: A single-center, retrospective review of patients with a history of bowel ostomy who underwent a primary total hip arthroplasty (THA), hemiarthroplasty (HA), and total knee arthroplasty (TKA) from 2012 to 2021. A total of 24 THAs, 11 HAs, and 25 TKAs in patients with open small or large bowel stoma were identified. A ten-to-one propensity score match was utilized to establish cohorts with comparable demographics but no prior ostomy procedure. RESULTS: Patients with stomas undergoing elective THA showed greater 90-day ED visits (20.0 vs. 5.0%, P = 0.009), 90-day all-cause readmissions (20.0 vs. 5.0%, P = 0.009), 90-day non-orthopedic readmissions (10.0 vs. 0.5%, P