2024
Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization
Kebeh M, Dlott C, Tung W, Wiznia D. Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization. Orthopaedic Nursing 2024, 43: 132-140. PMID: 38861742, PMCID: PMC11178248, DOI: 10.1097/nor.0000000000001026.Peer-Reviewed Original ResearchConceptsNurse navigatorMental healthHousing statusTotal joint arthroplastyHousing concernsTotal joint arthroplasty patientsEligibility criteriaScreening toolPrevent patientsHealthImplement protocolsImproving postoperative outcomesLiterature searchIncreased focusLack of standardized protocolsJoint arthroplastyStatusStandard protocolNursesOutcomesPatientsConcernsPostoperative outcomesDecrease surgical riskRiskFemoral Head Core Decompressions: Characterization of Subsequent Conversion to Total Hip Arthroplasty and Related Complications
Jiang W, Sanchez J, Dhodapkar M, Li M, Wiznia D, Grauer J. Femoral Head Core Decompressions: Characterization of Subsequent Conversion to Total Hip Arthroplasty and Related Complications. JAAOS Global Research And Reviews 2024, 8: e24.00024. PMID: 38437034, PMCID: PMC10906578, DOI: 10.5435/jaaosglobal-d-24-00024.Peer-Reviewed Original ResearchOrthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization
Kebeh M, Dlott C, Kurek D, Morris J, Wiznia D. Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization. Orthopaedic Nursing 2024, 43: 75-83. PMID: 38546679, PMCID: PMC10987043, DOI: 10.1097/nor.0000000000001013.Peer-Reviewed Original ResearchConceptsNurse navigatorTotal joint arthroplastyModifiable risk factorsAssessment of nutritional statusLong-term interventionsTotal joint arthroplasty patientsNursesPractice standardsNutritional statusObesityRisk factorsImprove outcomesPatients to worse outcomesTargeted assessmentMalnutritionInterventionJoint arthroplastyLiterature reviewWorse outcomesPreoperative optimizationOutcomesRecommendationsBariatric treatmentPatientsPracticeOrthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization
Kebeh M, Dlott C, Kurek D, Morris J, Johnson C, Wiznia D. Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization. Orthopaedic Nursing 2024, 43: 2-9. PMID: 38266257, PMCID: PMC10832337, DOI: 10.1097/nor.0000000000000997.Peer-Reviewed Original ResearchConceptsNurse navigatorCardiovascular disease managementTotal joint arthroplastyCardiovascular diseaseCoordination of interventionsDisease managementImprove patient healthOptimal diabetesPatient educationPatient healthNursesPreoperative optimization protocolRisk factorsDiabetesCurrent practicesJoint arthroplastyLiterature reviewProgramRiskRecommendationsSurgical outcomesHealthInterventionOrthopaedicsDisease
2023
The Use of Computer Navigation and Robotic Technology in Complex Total Hip Arthroplasty.
Ross K, Wiznia D, Long W, Schwarzkopf R. The Use of Computer Navigation and Robotic Technology in Complex Total Hip Arthroplasty. Bulletin Of The NYU Hospital For Joint Disease 2023, 81: 232-239. PMID: 37979140.Peer-Reviewed Original ResearchConceptsTotal hip arthroplastyCAS navigationRobotic technologySurgical navigationNavigationHip arthroplastySignificant leg length discrepancyComplex total hip arthroplastyRobot-assisted total hip arthroplastyRobotic-assisted total hip arthroplastyConventional total hip arthroplastyLeg length discrepancyTechnologyCases of deformityComputer navigationComponent accuracyComplex casesComputerOperative timePreoperative deformityLength discrepancyPossible complicationsAccurate component positioningTha dataRevision casesOrthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization
Kebeh M, Dlott C, Kurek D, Morris J, Wiznia D. Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization. Orthopaedic Nursing 2023, 42: 334-343. PMID: 37989152, PMCID: PMC10664865, DOI: 10.1097/nor.0000000000000983.Peer-Reviewed Original ResearchConceptsPreoperative optimization protocolNurse navigatorSubstance useAlcohol usePreoperative optimization programsCommon risk factorsTotal joint arthroplastyPreoperative optimizationOpioid usePain specialistsCessation programsRisk factorsJoint arthroplastyPatientsPractice recommendationsSemistructured formatLiterature reviewOpioidsComplicationsSmokingArthroplastyInternistsAn analytical model of lateral condylar plate working length
Roytman G, Beitler B, LaMonica J, Spero M, Toy K, Ramji A, Yoo B, Leslie M, Baumgaertner M, Tommasini S, Wiznia D. An analytical model of lateral condylar plate working length. Clinical Biomechanics 2023, 110: 106129. PMID: 37871506, PMCID: PMC10848195, DOI: 10.1016/j.clinbiomech.2023.106129.Peer-Reviewed Original ResearchMovement Is Life and NAON
Kebeh M, Dlott C, Wiznia D. Movement Is Life and NAON. Orthopaedic Nursing 2023, 42: 278-278. PMID: 37708522, DOI: 10.1097/nor.0000000000000967.Peer-Reviewed Original ResearchOrthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization
Kebeh M, Dlott C, Tung W, Kurek D, Johnson C, Wiznia D. Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization. Orthopaedic Nursing 2023, 42: 279-288. PMID: 37708523, PMCID: PMC10662942, DOI: 10.1097/nor.0000000000000968.Peer-Reviewed Original ResearchConceptsPreoperative optimization programsNurse navigatorPreoperative optimizationRisk factorsTotal joint arthroplastySpecific risk factorsPostoperative complicationsSurgical candidatesNurse navigationImproved outcomesJoint arthroplastyPatient's abilityBiopsychosocial factorsLiterature reviewIntegral roleArticle seriesComplicationsReviewArthroplastyFactorsSome Offset Restoration Options Can Paradoxically Lead to Decreased Range of Motion in Primary Total Hip Arthroplasty: A 3-Dimensional Computer Simulation Study
Pour A, Donnelley C, Tung W, Tommasini S, Wiznia D. Some Offset Restoration Options Can Paradoxically Lead to Decreased Range of Motion in Primary Total Hip Arthroplasty: A 3-Dimensional Computer Simulation Study. The Journal Of Arthroplasty 2023, 39: 514-519.e3. PMID: 37625464, PMCID: PMC10843541, DOI: 10.1016/j.arth.2023.08.057.Peer-Reviewed Original ResearchConceptsTotal hip arthroplastyRange of motionPrimary total hip arthroplastyHip flexionHip arthroplastyParadoxical increaseHigh-offset stemsRobotic arm-assisted total hip arthroplastyGroup of patientsSubset of patientsSagittal pelvic tiltVarus neckMaximum internal rotationPelvic tiltOptimizing outcomesImplant design featuresDecreased rangeHip extensionExternal rotationImplant choiceProsthetic headMaximum external rotationFlexionImpingement riskLiner useMetrics for Monitoring Preoperative Optimization Programs for Total Joint Arthroplasty
Dlott C, Miguez S, Wilkins S, Khunte A, Johnson C, Kurek D, Wiznia D. Metrics for Monitoring Preoperative Optimization Programs for Total Joint Arthroplasty. Orthopaedic Nursing 2023, 42: 158-164. PMID: 37262375, DOI: 10.1097/nor.0000000000000942.Peer-Reviewed Original ResearchConceptsPreoperative optimization programsTotal joint arthroplastySurgical factorsJoint arthroplastyOutcomes of patientsLength of stayElectronic medical recordsPatient characteristicsOrthopaedic nursesMedical recordsPatient outcomesLong-term effectsPatientsArthroplastyOutcomesReadmissionStayFactorsNursesLimited researchCharacterizing the lack of diversity in musculoskeletal urgent care website content
Dlott C, Metcalfe T, Bahel A, Jain S, Donnelley C, Kayani J, Wiznia D. Characterizing the lack of diversity in musculoskeletal urgent care website content. BMC Health Services Research 2023, 23: 297. PMID: 36978168, PMCID: PMC10053459, DOI: 10.1186/s12913-023-09270-5.Peer-Reviewed Original ResearchConceptsUrgent care centersCare centerUnivariate logistic regressionMedicaid insuranceEmergency departmentObese individualsPatient populationSpecialty carePatients' perceptionsOrthopedic injuriesOrthopaedic careMedical providersMedical careLogistic regressionMethodsOur groupMedicaid acceptanceBody typeCarePatientsThe Use of Risk Scores in Patient Preoperative Optimization for Total Joint Arthroplasty
Dlott C, Wilkins S, Miguez S, Khunte A, Johnson C, Kurek D, Wiznia D. The Use of Risk Scores in Patient Preoperative Optimization for Total Joint Arthroplasty. Orthopaedic Nursing 2023, 42: 123-127. PMID: 36944208, DOI: 10.1097/nor.0000000000000931.Peer-Reviewed Original ResearchConceptsPreoperative optimizationNurse navigatorTotal joint arthroplastyRisk scoreJoint arthroplastyPreoperative decision-making processVariety of comorbiditiesRisk of complicationsBody mass indexPatient-specific factorsPatient comorbiditiesMass indexOrthopaedic nursesComorbiditiesScoresArthroplastyComplicationsDiabetesPatientsNursesHip Abduction Can Be Considered the Sole Posterior Precaution Strategy to Lower the Rate of Impingement After Posterior Approach Total Hip Arthroplasty With Large Femoral Head: A Computer Simulation Study
Eslam Pour A, Tung W, Donnelley C, Tommasini S, Wiznia D. Hip Abduction Can Be Considered the Sole Posterior Precaution Strategy to Lower the Rate of Impingement After Posterior Approach Total Hip Arthroplasty With Large Femoral Head: A Computer Simulation Study. The Journal Of Arthroplasty 2023, 38: 1385-1391. PMID: 36709882, PMCID: PMC10257737, DOI: 10.1016/j.arth.2023.01.027.Peer-Reviewed Original ResearchConceptsTotal hip arthroplastyAnterior pelvic tilt angleHip abductionPelvic tilt angleHip arthroplastyHip precautionsPosterior approach total hip arthroplastyPrimary total hip arthroplastyAnterior inferior iliac spineLarger prosthetic headsHip internal rotationRisk of dislocationHip external rotationCup anteversion angleLarge femoral headsAbsolute riskBony impingementHip flexionIliac spineFemoral headExternal rotationProsthetic headAnteversion anglePatientsAcetabular implantsOrthopaedic Nurse Navigator Involvement in Preoperative Optimization for Total Joint Arthroplasty
Dlott C, Miguez S, Wilkins S, Khunte A, Johnson C, Kurek D, Wiznia D. Orthopaedic Nurse Navigator Involvement in Preoperative Optimization for Total Joint Arthroplasty. Orthopaedic Nursing 2023, 42: 48-52. PMID: 36702096, DOI: 10.1097/nor.0000000000000916.Peer-Reviewed Original ResearchConceptsTotal joint arthroplastyPreoperative optimization programsNurse navigatorPreoperative optimizationJoint arthroplastyNurse navigator programSpecific medical comorbiditiesOrthopaedic surgical teamStandardized referralMedical comorbiditiesPostoperative complicationsOrthopaedic nursesCare pathwayHeart diseaseNavigator programSurgical teamArthroplastyPatientsInvolvementComorbiditiesComplicationsDiabetesReferralNursesDisease
2022
Evaluating musculoskeletal urgent care center triage and transfer of emergency conditions for emergency surgical assessment and intervention
Dlott C, Metcalfe T, Khunte A, Jain S, Bahel A, Hsiang W, Donnelley C, Kayani J, Wiznia D. Evaluating musculoskeletal urgent care center triage and transfer of emergency conditions for emergency surgical assessment and intervention. Medicine 2022, 101: e32519. PMID: 36595864, PMCID: PMC9794202, DOI: 10.1097/md.0000000000032519.Peer-Reviewed Original ResearchConceptsEmergency departmentCompartment syndromeLower extremity compartment syndromeExtremity compartment syndromeUrgent surgical interventionUrgent care centersDelay of careClinician suspicionEmergency surgeryJoint painOrthopedic emergencySurgical interventionAnkle sprainCare centerCritical patientsOrthopedic injuriesSurgical assessmentTriage questionsPrognostic studiesPatientsED resourcesOrthopedic conditionsReferral frequencyTriage practicesLevel IIHow metal augments, polyethylene thickness and stem length affect tibial baseplate load transfer in revision total knee arthroplasty
LaMonica J, Pham N, Milligan K, Tommasini S, Schwarzkopf R, Parisi R, Wiznia D. How metal augments, polyethylene thickness and stem length affect tibial baseplate load transfer in revision total knee arthroplasty. The Knee 2022, 40: 283-291. PMID: 36529046, DOI: 10.1016/j.knee.2022.11.021.Peer-Reviewed Original ResearchThe Use of Race in Risk Assessment Tools Contributes to Systemic Racism
Dlott C, O’Connor M, Wiznia D. The Use of Race in Risk Assessment Tools Contributes to Systemic Racism. Journal Of Racial And Ethnic Health Disparities 2022, 10: 1-3. PMID: 36414930, DOI: 10.1007/s40615-022-01451-y.Peer-Reviewed Original ResearchConceptsTotal joint arthroplastyRisk of complicationsRisk of surgeryTotal joint replacementRisk assessment toolPerioperative riskRisk calculatorPatient raceJoint arthroplastyDecision-making discussionsJoint replacementInclusion of raceComplicationsPatientsSurgeryRiskAssessment toolReadmissionArthroplastyOsteoarthritisHipRaceSurgeonsPreoperative Risk Management Programs at the Top 50 Orthopaedic Institutions Frequently Enforce Strict Cutoffs for BMI and Hemoglobin A1c Which May Limit Access to Total Joint Arthroplasty and Provide Limited Resources for Smoking Cessation and Dental Care
Dlott CC, Metcalfe T, Jain S, Bahel A, Donnelley CA, Wiznia DH. Preoperative Risk Management Programs at the Top 50 Orthopaedic Institutions Frequently Enforce Strict Cutoffs for BMI and Hemoglobin A1c Which May Limit Access to Total Joint Arthroplasty and Provide Limited Resources for Smoking Cessation and Dental Care. Clinical Orthopaedics And Related Research® 2022, 481: 39-47. PMID: 35862861, PMCID: PMC9750556, DOI: 10.1097/corr.0000000000002315.Peer-Reviewed Original ResearchConceptsWeight loss clinicHemoglobin A1cDental careLoss clinicSmoking cessationDental clinicsCessation programsInstitutional review boardWeight lossOrthopedic institutionsGlycemic controlMedicaid insuranceBMI cutoffsOrthopaedic HospitalOrthopaedic surgeonsExternal referralsPatient accessElective orthopaedic surgeryDental care clinicsTotal joint arthroplastyLow risk profilePreoperative risk managementInstitution's institutional review boardA1C cutoffPreoperative hemoglobinCORR Synthesis: What Triage Recommendations Are Available for Emergent or Urgent Musculoskeletal Conditions?
Dlott CC, Wiznia DH. CORR Synthesis: What Triage Recommendations Are Available for Emergent or Urgent Musculoskeletal Conditions? Clinical Orthopaedics And Related Research® 2022, 480: 1980-1988. PMID: 35901435, PMCID: PMC9473775, DOI: 10.1097/corr.0000000000002312.Peer-Reviewed Original Research