Moonlight surgery: no influence of moon phase or Friday 13th on outcomes of total knee arthroplasty

doi:10.1007/s00402-023-04919-6

. 2023 Oct;143(10):6169-6175.

doi: 10.1007/s00402-023-04919-6. Epub 2023 Jun 12.

Moonlight surgery: no influence of moon phase or Friday 13th on outcomes of total knee arthroplasty

Collaborators, Affiliations

Collaborators

Tyrol Arthroplasty Group:
Kerstin Gruber, David Wippel, Nadine Kogler, Sebastian Ender, Alexander Brunner, Martin Fischer, Martin Lutz, Moritz Wagner, Koller Benedikt

Affiliations

¹ Department of Orthopaedics and Traumatology, Medical University of Innsbruck, Innsbruck, Austria.
² University Hospital of Psychiatry II, Medical University of Innsbruck, Innsbruck, Austria.
³ Orthopädie, Hüfte, Knie und Fuß im Zentrum, Innsbruck, Austria.
⁴ Clarahof Clinic of Orthopaedic Surgery, Merian-Iselin-Hospital Swiss Olympic Medical Center, Basel, Switzerland.
⁵ Institute for Clinical Epidemiology, Tirol Kliniken GmbH, Innsbruck, Austria.
⁶ Department of Orthopaedics and Traumatology, University Hospital Krems, Krems, Austria.
⁷ ReSurg SA, Rue Saint-Jean 22, 1260, Nyon, Switzerland.
⁸ Clinique Trenel, Sainte Colombe, France.
⁹ ReSurg SA, Rue Saint-Jean 22, 1260, Nyon, Switzerland. journals@resurg.com.
¹⁰ Clinique Trenel, Sainte Colombe, France. journals@resurg.com.

PMID: 37306775
DOI: 10.1007/s00402-023-04919-6

Moonlight surgery: no influence of moon phase or Friday 13th on outcomes of total knee arthroplasty

Paul Nardelli et al. Arch Orthop Trauma Surg. 2023 Oct.

. 2023 Oct;143(10):6169-6175.

doi: 10.1007/s00402-023-04919-6. Epub 2023 Jun 12.

Authors

Collaborators

Tyrol Arthroplasty Group:
Kerstin Gruber, David Wippel, Nadine Kogler, Sebastian Ender, Alexander Brunner, Martin Fischer, Martin Lutz, Moritz Wagner, Koller Benedikt

Affiliations

¹ Department of Orthopaedics and Traumatology, Medical University of Innsbruck, Innsbruck, Austria.
² University Hospital of Psychiatry II, Medical University of Innsbruck, Innsbruck, Austria.
³ Orthopädie, Hüfte, Knie und Fuß im Zentrum, Innsbruck, Austria.
⁴ Clarahof Clinic of Orthopaedic Surgery, Merian-Iselin-Hospital Swiss Olympic Medical Center, Basel, Switzerland.
⁵ Institute for Clinical Epidemiology, Tirol Kliniken GmbH, Innsbruck, Austria.
⁶ Department of Orthopaedics and Traumatology, University Hospital Krems, Krems, Austria.
⁷ ReSurg SA, Rue Saint-Jean 22, 1260, Nyon, Switzerland.
⁸ Clinique Trenel, Sainte Colombe, France.
⁹ ReSurg SA, Rue Saint-Jean 22, 1260, Nyon, Switzerland. journals@resurg.com.
¹⁰ Clinique Trenel, Sainte Colombe, France. journals@resurg.com.

PMID: 37306775
DOI: 10.1007/s00402-023-04919-6

Abstract

Objectives: The purpose of the present study was to investigate associations between revision-free survival and functional scores of total knee arthroplasty (TKA) and moon phase on the day of surgery, as well as operations performed on a Friday 13th.

Participants: The data of all patients that received TKA between 2003 and 2019 were extracted from the Tyrol arthroplasty registry. Patients that had undergone previous total or partial knee arthroplasty as well as patients that had missing pre- or post-operative WOMAC were excluded. Patients were allocated to one of the following four groups according to moon phase on the day of surgery: new, waxing, full and waning. Patients operated on a Friday 13th were also identified and compared to patients operated on any other days/dates. A total of 5923 patients met the inclusion criteria, with mean age of 69 ± 9 years, and comprising 62% women.

Results: There were no significant differences in revision-free survival among the four moon phase groups (p = 0.479), and no significant differences in preoperative and postoperative total WOMAC (p = 0.260, p = 0.122), There were no significant differences in revision-free survival patients operated on Friday 13th vs. other days/dates (p = 0.440). The preoperative total WOMAC was significantly worse for patients operated on a Friday 13th (p = 0.013), which was observed in the pain (p = 0.032) and function (p = 0.010) subscales. There were no significant differences in postoperative total WOMAC at 1 year follow-up (p = 0.122).

Conclusions: Neither moon phase on the day of surgery nor Friday 13th were associated with revision-free survival or clinical scores of TKA. Patients operated on a Friday 13th had significantly worse preoperative total WOMAC but similar postoperative total WOMAC at 1-year follow-up. These findings could help reassure patients that TKA renders consistent outcomes regardless of the preoperative pain or function, and in spite of bad omens or moon phases.

Keywords: Day of surgery; Friday 13th; Lunar; Moon phase; TKA; Total knee arthroplasty.

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Daxhelet J, Delfosse G, Lavand'homme P, Fennema P, Thienpont E. Daxhelet J, et al. Arch Orthop Trauma Surg. 2024 Nov;144(11):4715-4723. doi: 10.1007/s00402-024-05559-0. Epub 2024 Sep 13. Arch Orthop Trauma Surg. 2024. PMID: 39271495
Are Postoperative Complications of Joint Replacement Correlated With the Phase of the Moon? An Analysis of Data From the Medicare Registry.
Walter N, Hinterberger T, Loew T, Lowenberg DW, Alt V, Lau EC, Rupp M. Walter N, et al. Dtsch Arztebl Int. 2023 Dec 27;120(51-52):888-889. doi: 10.3238/arztebl.m2023.0249. Dtsch Arztebl Int. 2023. PMID: 38315655 Free PMC article. No abstract available.

References

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1. Alves DW, Allegra JR, Cochrane DG, Cable G (2003) Effect of lunar cycle on temporal variation in cardiopulmonary arrest in seven emergency departments during 11 years. Eur J Emerg Med 10(3):225–228 - DOI - PubMed
1. Andrews EJ (1960) Moon talk: the cyclic periodicity of postoperative hemorrhage. J Fla Med Assoc 46:1362–1366 - PubMed
1. Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW (1988) Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol 15(12):1833–1840 - PubMed
1. Brown J, Usmani B, Arnaoutakis G et al (2021) 10-year trends in aortic dissection: mortality and weekend effect within the US Nationwide Emergency Department Sample (NEDS). Heart Surg Forum 24(2):E336–E344 - DOI - PubMed

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[1] Alonso Y (1993) Geophysical variables and behavior: LXXII. Barometric pressure, lunar cycle, and traffic accidents. Percept Mot Skills 77(2):371–376 - DOI - PubMed

[2] Alonso Y (1993) Geophysical variables and behavior: LXXII. Barometric pressure, lunar cycle, and traffic accidents. Percept Mot Skills 77(2):371–376 - DOI - PubMed

[3] Alves DW, Allegra JR, Cochrane DG, Cable G (2003) Effect of lunar cycle on temporal variation in cardiopulmonary arrest in seven emergency departments during 11 years. Eur J Emerg Med 10(3):225–228 - DOI - PubMed

[4] Alves DW, Allegra JR, Cochrane DG, Cable G (2003) Effect of lunar cycle on temporal variation in cardiopulmonary arrest in seven emergency departments during 11 years. Eur J Emerg Med 10(3):225–228 - DOI - PubMed

[5] Andrews EJ (1960) Moon talk: the cyclic periodicity of postoperative hemorrhage. J Fla Med Assoc 46:1362–1366 - PubMed

[6] Andrews EJ (1960) Moon talk: the cyclic periodicity of postoperative hemorrhage. J Fla Med Assoc 46:1362–1366 - PubMed

[7] Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW (1988) Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol 15(12):1833–1840 - PubMed

[8] Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW (1988) Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol 15(12):1833–1840 - PubMed

[9] Brown J, Usmani B, Arnaoutakis G et al (2021) 10-year trends in aortic dissection: mortality and weekend effect within the US Nationwide Emergency Department Sample (NEDS). Heart Surg Forum 24(2):E336–E344 - DOI - PubMed

[10] Brown J, Usmani B, Arnaoutakis G et al (2021) 10-year trends in aortic dissection: mortality and weekend effect within the US Nationwide Emergency Department Sample (NEDS). Heart Surg Forum 24(2):E336–E344 - DOI - PubMed

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Moonlight surgery: no influence of moon phase or Friday 13th on outcomes of total knee arthroplasty

Collaborators

Affiliations

Moonlight surgery: no influence of moon phase or Friday 13th on outcomes of total knee arthroplasty

Authors

Collaborators

Affiliations

Abstract

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Cited by

References

MeSH terms

LinkOut - more resources

Full Text Sources

Medical

Research Materials

Miscellaneous