Richard Iorio
Brigham and Women's Hospital
SurgeryHealth careRetrospective cohort studyPhysical therapyEmergency medicineOperations managementOsteoarthritisMedicaidPeriprostheticArthroplastyProsthesisImplantTotal knee arthroplastyJoint arthroplastyTotal hip arthroplastyBundled paymentsPerioperativeOrthopedic surgeryMedicineCohort
Publications 263
#1Ryan P. Roach (NYU: New York University)H-Index: 3
#2Andrew J. Clair (NYU: New York University)H-Index: 6
Last. Ajit J. Deshmukh (NYU: New York University)H-Index: 16
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Bone loss often complicates revision total knee arthroplasty (TKA). Management of metaphyseal defects varies, with no clearly superior technique. Two commonly utilized options for metaphyseal defect management include porous-coated metaphyseal sleeves and tantalum cones. A systematic review was conducted according to the international Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We combined search terms "Total knee arthroplasty" AND/OR "Sleeve," "Cone" ...
12 CitationsSource
Abstract null null Background null On December 20, 2020, the Centers for Medicare and Medicaid Services (CMS) finalized its proposed rule: CMS-1734-P. This 2021 Final Rule significantly changed Medicare total joint arthroplasty (TJA) reimbursement. The precise impact on surgeon productivity and reimbursement is unknown. In the present study, we sought to model the potential impact of these changes for multiple unique practice configurations. null null null Methods null A mathematical model was a...
#1L. ChuH-Index: 2
#2Peter S. WalkerH-Index: 24
Last. Ran SchwarzkopfH-Index: 31
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BACKGROUND To measure functional outcome, patient reported outcome measures (PROMs) are most often used but biomechanical tests can provide valuable supplementary data. The objective of this study was to investigate instrumented insoles for measuring ground-to-foot forces during basic activities. METHODS Three groups were evaluated: normal controls, preoperative, and postoperative total knees. The Knee Society Scoring System (KSS) Short Form was used, and with foot pressure sensor insoles, a tim...
#1Richard Iorio (Brigham and Women's Hospital)H-Index: 59
#2Patrick R. Peavy (Brigham and Women's Hospital)
Last. James D. Kang (Brigham and Women's Hospital)H-Index: 58
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Abstract We have an academic medical center (AMC), an associated community-based hospital (CBH) and several ambulatory care centers (ASC) which are being prepared to provide same day discharge (SDD) TJA and UKA. The near-capacity AMC cared for medically and technically complicated TJA patients. The CBH wanted to increase volume, improve margins, and become a Center of Excellence with an efficient Hospital Outpatient Department (HOPD) and SDD TJA experience. Methods We transitioned primary, uncom...
#1Joseph J. Kavolus (Brigham and Women's Hospital)H-Index: 1
Last. Richard IorioH-Index: 59
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The modern era is an increasingly digital and connected world. Most of the Americans now use a smartphone irrespective of age or income level. As smartphone technologies become ubiquitous, there is tremendous interest and growth in mobile health applications. One segment of these new technologies are the so-called patient engagement platforms. These technologies present a host of features that may improve care. This article provides an introduction to this growing technology sector, offers insig...
#1Jaret M. Karnuta (Cleveland Clinic)H-Index: 9
#2Heather S. Haeberle (HSS: Hospital for Special Surgery)H-Index: 17
Last. Nicolas S. Piuzzi (Cleveland Clinic)H-Index: 25
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Abstract Background The surgical management of complications surrounding patients who have undergone hip arthroplasty necessitates accurate identification of the femoral implant manufacturer and model. Failure to do so risks delays in care, increased morbidity, and further economic burden. Because few arthroplasty experts can confidently classify implants using plain radiographs, automated image processing using deep learning for implant identification may offer an opportunity to improve the val...
8 CitationsSource
#1David B. MerkowH-Index: 2
#2Alex TangH-Index: 3
Last. Ran SchwarzkopfH-Index: 31
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Abstract Introduction Venous thromboembolism (VTE) is a known complication after total knee arthroplasty (TKA) with well-established morbidity, mortality, and significant healthcare expenditure. However, no standard form of prophylaxis against VTE currently exists. Methods A retrospective review was performed identifying 12,866 TKA cases and post-operative VTE events using either 325 mg aspirin or 81 mg aspirin twice daily (BID). Results 133 VTE cases were diagnosed of the 9,413 TKA on 325 mg as...
1 CitationsSource
#1Cameron R. Egan (Harvard University)
Last. Richard IorioH-Index: 59
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#1Richard IorioH-Index: 59
#2Kelvin Y. Kim (UNLV: University of Nevada, Las Vegas)H-Index: 2
Last. William J. LongH-Index: 13
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Osteoarthritis (OA) currently affects over 27 million people and ranks among the top 5 most costly conditions to manage in the United States along with heart disease, cancer, mental disorders, and trauma-related injuries. There has been a vast amount of research dedicated to understanding the clinical and economic implications of primary OA; however, less is known about the secondary causes of degenerative joint disease. This gap in knowledge is particularly relevant as the current healthcare cl...
#1Daniel B BuchalterH-Index: 4
#2David J. KirbyH-Index: 2
Last. William J. LongH-Index: 13
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Abstract Background Vancomycin powder and dilute povidone-iodine lavage (VIP) was introduced to reduce periprosthetic joint infection (PJI) incidence in high-risk total knee arthroplasty (TKA) patients. We hypothesize that VIP can reduce early PJI incidence in all primary TKA patients, regardless of risk. Methods An infection database of primary TKAs performed before a VIP protocol was implemented (January 2012 through December 2013), during a time when only high-risk TKAs received VIP (January ...
4 CitationsSource