Browsing by Author "Ledford, Cameron K"

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    Arthroplasty in organ transplant patients.
    (Arthroplast Today, 2015-06) Nickel, Brian T; Ledford, Cameron K; Watters, Tyler Steven; Wellman, Samuel S; Bolognesi, Michael P
    The number of solid organ transplants performed in the United States continues to increase annually as does survival after transplant. These unique patients are increasingly likely to present to arthroplasty surgeons for elective hip or knee replacement secondary to a vascular necrosis from chronic immunosuppression, or even age-related development of osteoarthritis. Transplant recipients have a well-documented increased risk of complications but also excellent pain relief and dramatic improvement in quality of life. A multidisciplinary approach with the assistance of the medical transplant services for risk stratification and perioperative medical optimization is necessary. Prior solid organ transplant is not a contraindication to surgery; however, it is the responsibility of the surgeon to educate patients about the relative risks and benefits of prior to surgery.
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    Percent body fat more associated with perioperative risks after total joint arthroplasty than body mass index
    (The Journal of arthroplasty, 2014-09-01) Ledford, Cameron K; Ruberte Thiele, Ramon A; Appleton, J Stephen; Butler, Robert J; Wellman, Samuel S; Attarian, David E; Queen, Robin M; Bolognesi, Michael P
    Copyright © 2014 Elsevier Inc. All rights reserved.Understanding the impact of obesity on elective total joint arthroplasty (TJA) remains critical. Perioperative outcomes were reviewed in 316 patients undergoing primary TJA. Higher percent body fat (PBF) was associated with postoperative blood transfusion, increased hospital length of stay (LOS) >3 days, and discharge to an extended care facility while no significant differences existed for BMI. Additionally, PBF of 43.5 was associated with a 2.4× greater likelihood of blood transfusion, PBF of 36.5 with a 1.9× greater likelihood for LOS >3 days, and PBF of 36.0 with a 1.4× greater likelihood for discharge to an extended care facility. PBF may be a more effective measure than BMI to use in screening for perioperative risks and acute outcomes associated with obese total joint patients.