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Preoperative Risk Stratification and Risk Reduction for Total Joint ReconstructionAAOS Exhibit Selection
Vincent Y. Ng, MD1; David Lustenberger, BS1; Kimberly Hoang, BS1; Ryan Urchek, BS1; Matthew Beal, MD1; Jason H. Calhoun, MD1; Andrew H. Glassman, MD1
1 Department of Orthopaedics, Wexner Medical Center, The Ohio State University, 4110 Cramblett Hall, 456 West 10th Avenue, Columbus, Ohio 43210. E-mail address for V.Y. Ng: Vincent.Ng@osumc.edu
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Investigation performed at the Department of Orthopaedics, Wexner Medical Center, The Ohio State University, Columbus, Ohio



Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. One or more of the authors, or his or her institution, has had a financial relationship, in the thirty-six months prior to submission of this work, with an entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. No author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2013 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2013 Feb 20;95(4):e19 1-15. doi: 10.2106/JBJS.L.00603
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Extract

Demand for primary total hip arthroplasty and demand for total knee arthroplasty in the United States are anticipated to grow by 174% and 673%, respectively, over the next twenty years1. Satisfaction rates are good to excellent in most patients2-4. Modern techniques and perioperative care have reduced systemic and local complications5-7. Nevertheless, the risks of major adverse outcomes (2.2% to 7.4%)8-10 and death (0.1% to 0.8%)5,7-9,11-19 remain real. Careful preoperative clearance and targeted therapeutic interventions are necessary to minimize complications.
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