2023
Total Joint Arthroplasty Time-of-Day Start Time Has Minimal Effect on Intraoperative Efficiency
Hammoor B, Kaidi A, Hickernell T, Cooper H. Total Joint Arthroplasty Time-of-Day Start Time Has Minimal Effect on Intraoperative Efficiency. Journal Of Orthopaedic Experience & Innovation 2023, 4 DOI: 10.60118/001c.72786.Peer-Reviewed Original ResearchSurgical start timeTotal hip arthroplastyTotal joint arthroplastyOperative durationPatient demographicsMultivariate linear regressionOperative lengthIntraoperative efficiencySingle academic medical centerPrimary TJA patientsCommon elective proceduresAcademic medical centerChi-squared testTJA patientsLater operationOperative dayRetrospective studyTotal hipElective proceduresTotal kneeJoint arthroplastyInclusion criteriaHip arthroplastyMedical CenterFirst-start casesIs There an Implicit Racial Bias in the Case Order of Elective Total Joint Arthroplasty?
Kaidi A, Hammoor B, Tyler W, Geller J, Cooper H, Hickernell T. Is There an Implicit Racial Bias in the Case Order of Elective Total Joint Arthroplasty? Journal Of Racial And Ethnic Health Disparities 2023, 11: 1-6. PMID: 37095288, DOI: 10.1007/s40615-022-01492-3.Peer-Reviewed Original ResearchConceptsSurgical start timeTotal joint arthroplastyTotal hip arthroplastyMultivariable logistic regressionOdds ratioJoint arthroplastyArthroplasty fellowship-trained surgeonsElective total joint arthroplastyNon-Hispanic black patientsElective total hip arthroplastyPrimary total joint arthroplastySurgical case orderLarge academic medical centerFellowship-trained surgeonsAcademic medical centerSelf-reported raceTKA patientsBlack patientsAdverse outcomesSurgical typePatient raceTotal kneeInclusion criteriaHip arthroplastyMedical Center
2022
Perioperative Intravenous Glucocorticoids in Total Joint Arthroplasty: A Systematic Review
Ruberto R, Farah O, Lopez C, Hickernell T. Perioperative Intravenous Glucocorticoids in Total Joint Arthroplasty: A Systematic Review. Journal Of The American Academy Of Orthopaedic Surgeons 2022, 31: e94-e106. PMID: 36580055, DOI: 10.5435/jaaos-d-22-00232.Peer-Reviewed Original ResearchConceptsTotal joint arthroplastyPostoperative surgical complicationsPostoperative painSystematic reviewPerioperative glucocorticoidsPerioperative steroidsPostoperative nauseaSurgical complicationsGlucocorticoid administrationJoint arthroplastyMultimodal pain controlPerioperative glucocorticoid administrationPerioperative steroid administrationPostoperative opioid utilizationRescue medication useAdditional randomized trialsCommon orthopaedic proceduresNotable adverse effectsRange of motionIntravenous glucocorticoidsHospital lengthOpioid utilizationPain controlPain scoresPostoperative length
2021
Machine Learning Model Developed to Aid in Patient Selection for Outpatient Total Joint Arthroplasty
Lopez C, Ding J, Trofa D, Cooper H, Geller J, Hickernell T. Machine Learning Model Developed to Aid in Patient Selection for Outpatient Total Joint Arthroplasty. Arthroplasty Today 2021, 13: 13-23. PMID: 34917716, PMCID: PMC8666332, DOI: 10.1016/j.artd.2021.11.001.Peer-Reviewed Original ResearchOutpatient total joint arthroplastyShorter LOSLength of stayTotal joint arthroplastySame-day dischargeTotal knee arthroplastyPatient selectionJoint arthroplastySurgeons National Surgical Quality Improvement ProgramNational Surgical Quality Improvement ProgramElective total knee arthroplastySurgical Quality Improvement ProgramTotal hip arthroplasty casesPreoperative patient selectionHip arthroplasty casesBroader patient populationLogistic regression analysisQuality Improvement ProgramElectronic medical recordsMedical comorbiditiesSurgical candidatesTKA casesKnee arthroplastyPatient populationTHA casesIntraoperative Scrub Nurse Handoffs Are Associated With Increased Operative Times for Total Joint Arthroplasty Patients
Kaidi A, Hammoor B, Tatka J, Neuwirth A, Levine W, Hickernell T. Intraoperative Scrub Nurse Handoffs Are Associated With Increased Operative Times for Total Joint Arthroplasty Patients. Arthroplasty Today 2021, 10: 35-40. PMID: 34286054, PMCID: PMC8274244, DOI: 10.1016/j.artd.2021.05.009.Peer-Reviewed Original ResearchTotal knee arthroplastyTotal joint arthroplastyLonger operative timeOperative timeMultivariable linear regressionNurse handoffsTHA patientsIntraoperative handoffsTotal joint arthroplasty patientsPrimary total hipJoint arthroplasty patientsRetrospective chart reviewNurse staffing modelsLong caseTJA patientsChart reviewArthroplasty patientsTotal hipKnee arthroplastyMultiple confoundersJoint arthroplastySurgeon characteristicsSurgical casesPatientsPatient information
2020
What Is the Learning Curve for New Technologies in Total Joint Arthroplasty? A Review
Sarpong N, Herndon C, Held M, Neuwirth A, Hickernell T, Geller J, Cooper H, Shah R. What Is the Learning Curve for New Technologies in Total Joint Arthroplasty? A Review. Current Reviews In Musculoskeletal Medicine 2020, 13: 675-679. PMID: 32827304, PMCID: PMC7661627, DOI: 10.1007/s12178-020-09671-7.Peer-Reviewed Original ResearchOpioid Prescription Consumption Patterns After Total Joint Arthroplasty in Chronic Opioid Users Versus Opioid Naive Patients
Kaidi A, Lakra A, Jennings E, Neuwirth A, Geller J, Shah R, Cooper H, Hickernell T. Opioid Prescription Consumption Patterns After Total Joint Arthroplasty in Chronic Opioid Users Versus Opioid Naive Patients. JAAOS Global Research And Reviews 2020, 4: e20.00066. PMID: 32656479, PMCID: PMC7322780, DOI: 10.5435/jaaosglobal-d-20-00066.Peer-Reviewed Original ResearchConceptsChronic opioid usersOpioid-naive patientsMorphine equivalent dosesOpioid prescriptionsOpioid useChronic usersOpioid usersOrthopaedic departmentChronic preoperative opioid useTotal joint arthroplasty outcomesEquivalent dosesElective total hipJoint arthroplasty outcomesMore opioid prescriptionsPreoperative opioid useTotal joint arthroplastyUrban medical centerCurrent opioid epidemicNaive patientsOpioid prescribingPostoperative periodPrescribing patternsPostoperative intervalsTotal hipArthroplasty outcomes
2019
Consensus on Reducing Risk in Total Joint Arthroplasty: Revision Surgery
Hickernell T, Cooper H. Consensus on Reducing Risk in Total Joint Arthroplasty: Revision Surgery. Techniques In Orthopaedics 2019, 34: 216-221. DOI: 10.1097/bto.0000000000000395.Peer-Reviewed Original ResearchSurgical site infectionSurgical complicationsSite infectionRevision surgeryRevision hipHigh-volume medical centerNegative wound pressure therapyFrequent surgical complicationsRevision arthroplasty patientsTotal joint arthroplastyRenal complicationsUnplanned readmissionWound complicationsArthroplasty patientsPreoperative settingPressure therapyTranexamic acidPrimary arthroplastyCell salvageJoint arthroplastyRevision arthroplastyMedical CenterComplicationsArthroplastyPatients
2018
Should Cannabinoids Be Added to Multimodal Pain Regimens After Total Hip and Knee Arthroplasty?
Hickernell T, Lakra A, Berg A, Cooper H, Geller J, Shah R. Should Cannabinoids Be Added to Multimodal Pain Regimens After Total Hip and Knee Arthroplasty? The Journal Of Arthroplasty 2018, 33: 3637-3641. PMID: 30170713, DOI: 10.1016/j.arth.2018.07.027.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAnalgesics, OpioidArthroplasty, Replacement, HipArthroplasty, Replacement, KneeCannabinoid Receptor AgonistsCannabinoidsClinical ProtocolsCohort StudiesDronabinolFemaleHumansLength of StayMaleMiddle AgedMorphinePain ManagementPain MeasurementPain, PostoperativePatient SatisfactionPhysical Therapy ModalitiesRetrospective StudiesConceptsLength of stayNausea/vomitingMorphine equivalentsTotal joint arthroplastyDronabinol groupTJA patientsPhysical therapyVisual analog scale pain scoreVisual analog scale scoreMultimodal pain regimenOpioid morphine equivalentsPost-arthroplasty patientsPrimary TJA patientsTotal morphine equivalentsScale pain scoresAnalog scale scoreBody mass indexEffects of dronabinolMann-Whitney U testT-testStudent's t-testAnesthesiologists (ASA) scoreMultimodal painPain regimenPain scores