Today’s Top Story

Study: Do Pelvic Ring Fracture Patients Have Good Long-term Quality of Life?

Five- and 10-year health-related quality of life (HRQOL) outcomes were positive for pelvic ring fracture patients in a study published online in Injury. Pelvic ring fracture patients admitted to two centers in the Netherlands between 2006 and 2011 were asked to complete the Majeed Pelvic Score (MPS), EuroQol-5D (EQ-5D), and Short Musculoskeletal Function Assessment (SMFA) questionnaires. A total of 136 patients returned the questionnaires, and median follow-up was 8.7 years. The mean MPS score was 85.1; mean EQ-5D visual analog scale score was 74; mean EQ-5D index scores were 0.87, 0.81, and 0.82 in tile B, A, and C patients, respectively; and mean SMFA index was 24.

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Other News

Study: Injection Timing Associated with SSI After Shoulder Arthroscopy

Receiving corticosteroid injections within one month of arthroscopic rotator cuff repair could increase the risk of surgical site infection (SSI), according to a study published in the April 17 issue of The Journal of Bone & Joint Surgery. Researchers reviewed the PearlDiver database for arthroscopic rotator cuff repair cases from 2007 to 2016 and stratified cases into two groups: those who received injection within one year prior to surgery (n = 12,060) and those without previous injection (n = 48,763). The prior injection group was also categorized based on the duration of time (in months) from injection to surgery. However, the one-year injection did not significantly increase the incidence of SSI: 0.7 percent in the injection group compared to 0.8 percent in the control cohort; however, the one-month injection group had a 1.3 percent SSI incidence. Male sex, obesity, diabetes, and smoking status were also independently associated with SSI risk.

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Study Evaluates Relationship Between Posterior Condylar Axis and Epicondylar Axis

A study published online in the Journal of Orthopaedic Surgery and Research found that the relationship of posterior condylar axis (PCA) to epicondylar axis (EA) may not be affected by increasing valgus coronal deformity. A total of 474 MRI scans for 398 total knee replacement patients provided the PCA, EA, Whiteside’s line, and mechanical axis, which allowed researchers to create patient-specific instrumentation for tools used during surgery. In varus and valgus patients, a heterogeneous relationship was observed in EA relative to the PCA. The valgus group had greater external rotation of the EA from the PCA compared to the valgus group (2.52 degrees versus 2.03 degrees, respectively). This did not significantly change as coronal malalignment severity increased.

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Study Evaluates Epidemiology of Low Back Pain and Injury in Dancers

A systematic review published in the April issue of the Journal of Orthopaedic & Sports Physical Therapy found that dancers are at an increased risk for low back pain and injury. A search of electronic databases, back catalogs of dance science-specific journals, and reference lists of relevant articles and a forward citation search yielded 50 relevant full-text articles. The median point of low back pain was 27 percent. Yearly and lifetime low back pain prevalence was 73 percent and 50 percent, respectively; 11 percent of time loss and 11 percent of medical-attention injuries involved the lower back.

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Medicare Costs Predicted to Surge by 2038

A report from the Medicare Board of Trustees estimated that total Medicare costs will jump from 3.7 percent of gross domestic product (GDP) in 2018 to 5.9 percent by 2038. The report also projected that the Hospital Insurance Trust Fund will be able to pay full benefits until 2026. The rise in spending and GDP growth can be attributed to the growing Medicare population, as well as an increase in volume and intensity of healthcare services.

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AAOS Now

Effective Leadership Is Needed to Ensure Quality and Safety in the Workplace

In the final article in a series of roundtable discussions from a September 2017 meeting of the AAOS Patient Safety Committee, David C. Ring, MD, PhD, chair; and committee members Michael S. Pinzur, MD; Michael R. Marks, MD, MBA; Dwight W. Burney III, MD; Andrew W. Grose, MD; and Alan M. Reznik, MD, MBA, address the importance of leadership in establishing a culture of safety.

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Your AAOS

Final Call: Apply for the Health Care Systems Committee Member Position

The Health Care Systems Committee has two open member positions. The committee helps orthopaedic surgeons cultivate relationships with providers, the federal government, private and public payers, and patient groups. Over the course of a two-year term, the members will work collaboratively with other committee members to produce articles or other deliverables that inform AAOS leadership and fellows of healthcare issues affecting the delivery of musculoskeletal care. The application deadline is April 30.

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