Today’s Top Story

Study Assesses Independent Risk Factors for Infection Following Operative Tibial Plateau Fracture Treatment

According to a retrospective study published online in Injury, excessive alcohol consumption is an independent risk factor for postoperative infection in patients with tibial plateau fracture who undergo surgical treatment. The study included 175 consecutive patients (mean age, 46.9 years; 56.6 percent were male) who underwent treatment at two centers. Researchers evaluated the following risk factors: smoking, alcohol intake > 13 units/week, diabetes, and body mass index > 30 kg/m 2. In multivariate analysis, only excessive alcohol intake was a significant risk factor for postoperative infection.

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In Other News

Study Identifies Risk Factors for THA Patients with Systemic Lupus Erythematosus

A retrospective study published online in Lupus assessed risk factors for complications and transfusion during hospitalization in patients with systemic lupus erythematosus (SLE) undergoing total hip arthroplasty (THA). The study included 100 patients who underwent THA between January 2012 and June 2018. Perioperative complications that were considered included high fever, infection, impaired wound healing, venous thrombosis of the lower extremities, hematoma, arrhythmia, and implant complications. The independent risk factors associated with perioperative complications were age ≥ 45 years, SLE with other connective tissue diseases, high temperature, positive anti-double stranded DNA antibody, and Systemic Lupus International Collaborative Clinics/American College of Rheumatology Damage Index ≥ 3; independent perioperative transfusion risk factors were bilateral THA, low hemoglobin, and abnormal renal function.

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Study: Is Cement Necessary in Reverse TSA?

According to a study published in the July issue of the Journal of Orthopaedic Trauma, uncemented reverse total shoulder arthroplasty (rTSA) may be effective in older patients and reduce complications associated with cemented rTSA. The study included 30 patients (average age, 71 years; 26 were female) with proximal humerus fractures undergoing rTSA as a first-line treatment. Upon radiographic analysis, 97 percent of patients achieved stable humeral stem fixation, while 70 percent achieved healing of the tuberosities in the anatomical position. The average American Shoulder and Elbow Surgeons shoulder score was 82.0, the average Simple Shoulder Test score was 69.4 percent, and the average range of motion was 130 degrees of forward flexion and 32 degrees of external rotation.

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Study: Myocardial Infarction Following Lumbar Spine Surgery

A study published online in the European Spine Journal analyzed risk factors associated with myocardial infarction after lumbar spine surgery. The researchers queried the Humana database (PearlDriver) for data on lumbar spine surgeries performed from 2007 through 2016. Of the 105,505 patients included in the study, 644 (063 percent) sustained a 30-day myocardial infarction after surgery. Myocardial infarction rates differed between fusion and nonfusion patients (0.08 percent versus 0.05 percent). The following factors were associated with myocardial infarction: male sex, older age, and a Charlson Comorbidity Index score > 3.

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Bipartisan Effort to Curb ‘Surprise’ Billing

Two lawmakers are pushing for an alternative policy to cease “surprise” medical bills that would be more beneficial to hospitals and physicians compared to previously approved legislation. The latest effort comes from Representatives Donna Shalala (D-Fla.), a cosponsor of the bill, and Phil Roe (R-Tenn.), who introduced the bill along with Representative Raul Ruiz (D-Calif.), an emergency physician.

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‘As a Joint Surgeon, I Was Told I Needed a TKA’

In part one of a two-part series, Kevin J. Bozic, MD, MBA, a joint replacement surgeon in Austin, Texas, discusses how he went from surgeon to patient several years ago when he underwent total knee arthroplasty (TKA). From the outset, unique considerations emerged. His preoperative physician-turned-patient experience is illuminating.

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Today is the Day—Start Your Job Search the AAOS Way

The new AAOS Career Center is more than just jobs. You can see data on orthopaedic physician career concerns, salary satisfaction, and more. This information can help strengthen your pitch in cover letters, interviews, and job offer negotiations. Start your search today.

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