Survey of Orthopaedic Practice 2017
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1.
Approach to Total Hip Arthroplasty (THA)
Never
0 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
Anterior
Never
0 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
Posterior
Never
0 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
Other (please specify)
2.
For THA
Never
1 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
Flowable hemostatic matrix
Never
1 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
Urinary catheter
Never
1 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
Same-day discharge
Never
1 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
Tranexamic acid
Never
1 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
Drains
Never
1 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
Apex Hole Eliminator
Never
1 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
3.
What THA bearing surface do you usually use for the following age groups:
Metal on Metal
Metal on Poly
Ceramic on Poly
Ceramic on Ceramic
<65
Metal on Metal
Metal on Poly
Ceramic on Poly
Ceramic on Ceramic
65-80
Metal on Metal
Metal on Poly
Ceramic on Poly
Ceramic on Ceramic
>80
Metal on Metal
Metal on Poly
Ceramic on Poly
Ceramic on Ceramic
Other (please specify)
4.
Total Knee (TKA) Approach:
Never
1 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
Peripatellar
Never
1 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
Sub-vastus
Never
1 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
Mid-vastus
Never
1 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
Other (please specify)
5.
Total Knee Arthroplasty practice:
Never
1 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
Patellar resurfacing
Never
1 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
All Poly Tibia
Never
1 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
UKA
Never
1 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
Urinary catheter
Never
1 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
Bilateral
Never
1 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
Flowable hemostatic matrix
Never
1 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
Tranexamic acid
Never
1 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
Drain (no other)
Never
1 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
Same Day Discharge
Never
1 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
Other (please specify)
6.
What percentage of the time do you utilize these options for your TKAs?
Never
1 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
Fixed bearing
Never
1 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
Rotating platform
Never
1 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
Posterior stabilized
Never
1 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
Cruciate retaining
Never
1 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
Tibial stem extension ("stubby stem")
Never
1 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
Kinematic knee
Never
1 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
Gap balancing
Never
1 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
Measured Resection
Never
1 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
Antibiotic cement
Never
1 - 20%
20 - 40%
40 - 60%
60 - 80%
80 - 100%
7.
Do you use a tourniquet for TKA?
Never
During cementing only
Entire case
Other (please specify)
8.
DVT Prophylaxis for TJA in low risk patients
Coumadin
LMWH
Aspirin
Other (please specify)
9.
DVT Prophylaxis for TJA in high risk patients
Coumadin
LMWH
Aspirin
Other (please specify)
10.
What is your cutoff for patients with diabetes
No cutoff
A1C of 7.0
A1C of 8.0
Other (please specify)
11.
What is your cutoff value for patients with high BMI (no surgery until risk modified)
45
40
35
No cutoff
12.
With your patients who smoke, what is your cutoff protocol?
Counseling only
Verify with patients - cessation at least 6 weeks pre-op
Confirmed with nicotine lab test
Other (please specify)