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Instructional Course Lecture   |    
The Effects of Nutritional Deficiencies, Smoking, and Systemic Disease on Orthopaedic Outcomes
Byron F. Stephens, MD1; G. Andrew Murphy, MD1; William M. Mihalko, MD, PhD1
1 Department of Orthopaedic Surgery & Biomedical Engineering, University of Tennessee-Campbell Clinic, 1211 Union Avenue, Suite 510, Memphis, TN 38104. E-mail address for W.M. Mihalko: wmihalko@campbellclinic.com
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Printed with permission of the American Academy of Orthopaedic Surgeons. This article, as well as other lectures presented at the Academy’s Annual Meeting, will be available in March 2014 in Instructional Course Lectures, Volume 63. The complete volume can be ordered online at www.aaos.org, or by calling 800-626-6726 (8 a.m.-5 p.m., Central time).

An Instructional Course Lecture, American Academy of Orthopaedic Surgeons



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 Dec 04;95(23):2152-2157
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Extract

Many patients undergoing elective orthopaedic procedures have multiple comorbidities and nutritional deficiencies. During the preoperative medical assessment, several correctable factors important to the outcome of surgery are overlooked because of a focus on the risk of heart attack, stroke, and death from surgery. These overlooked risk factors can have a clinically important impact on the orthopaedic procedure. As Medicare and other third-party payers begin the shift toward a so-called pay-for-performance model, orthopaedic surgeons need to be more aware of these modifiable risk factors that can alter outcomes.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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