Today’s Top Story

Study: Mental Health Factors Associated with TKA Complications

Patients with psychiatric disorders may have an increased risk for complications following total knee arthroplasty (TKA), according to a study published online in The Journal of Arthroplasty. Patient data from the National Inpatient Sample spanning from 2002–2014 were stratified into four categories: patients diagnosed with depression, patients diagnosed with anxiety, patients diagnosed with both depression and anxiety, and patients without depression or anxiety. Final analysis included 7,153,750 patients. The proportion of patients with anxiety and/or depression significantly increased over time. Patients with anxiety and/or depression had increased hospital costs, as well as higher odds ratios for most complications and all pain-related symptoms. However, these patients had shorter periods of hospitalization.

Read the abstract…

Read the AAOS guideline on risk factors associated with TKA…

Other News

Study Evaluates Efficacy of a Tool to Predict Quality and Cost for Operative Ankle Fractures

A prospective cohort study published in the June issue of the Journal of Orthopaedic Trauma found that the Score for Trauma Triage in Geriatric and Middle Aged (STTGMA) tool was useful to predict hospital quality metrics and cost for middle-aged and older operative ankle fracture patients. The STTGMA score was calculated for 50 patients aged ≥ 55 years and stratified patients into minimal-, low-, moderate-, and high-risk groups. The overall mean length of stay was 7.8 days, but there was a 4.6-day difference between the low- and high-risk groups. Nearly three-quarters (73.1 percent) of minimal-risk patients were discharged home, but none of the high-risk patients were. Complication risks did not differ between the groups. Compared to minimal-risk patients, the mean total inpatient cost was double for high-risk patients.

Read the abstract…

Study Evaluates Outpatient Shoulder Arthroplasty Outcomes

Shoulder arthroplasty in the outpatient setting may be safe for certain patients, according to a study published in the June issue of the Journal of Shoulder and Elbow Surgery. A total of 50 consecutive outpatient shoulder arthroplasty patients (mean age, 56.9 years) were evaluated (44 anatomic total shoulder arthroplasties [TSAs], four reverse TSAs, and two hemiarthroplasties). Of the six complications (12 percent) recorded—hematoma, deep venous thrombosis, axillary nerve injury, acute infection, and two subscapularis failures—four took place within the 90-day global period, and only one patient was readmitted. The subscapularis failures took place three months after surgery and required additional operation. After a minimum follow-up of three months, all patients demonstrated significant improvement in range of motion and American Shoulder and Elbow Surgeons, Single Assessment Numeric Evaluation, and visual analog scale (VAS) scores.

Read the abstract…

Study Evaluates Intraosseous Basivertebral Nerve Ablation in Chronic Low Back Pain

Patients with chronic low back pain may benefit from intraosseous radio frequency (RF) ablation of the basivertebral nerve (BVN), according to a prospective study published online in the European Spine Journal. The study included patients with at least six months of chronic low back pain and with Modic type 1 or 2 vertebral endplate changes between L3 and S1. Outcomes included changes in Oswestry Disability Index (ODI) and VAS score. At baseline, median ODI was 48.5 and VAS was 6.36. Three-quarters of patients reported having low back pain for at least five years. After three months, mean change in ODI was -30.07 points, and mean change in VAS was -3.50. ODI improved by at least 10 points in 93 percent of patients and by at least 20 points in 75 percent of patients.

Read the study…

Cyberattacks, on the Rise in Health Care, Are Increasingly Complex

According to a report published by Carbon Black, 83 percent of healthcare organizations have observed an uptick in cyberattacks over the last year. And according to 66 percent of survey respondents, the attacks are becoming more sophisticated. Most organizations (84 percent) stated that their employees receive cybersecurity training at least once a year.

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Read the report…


Know Thy Masses

At the AAOS 2019 Annual Meeting Instructional Course Lecture titled “Top Tips for Your Practice,” AAOS President Kristy L. Weber, MD, offered pointers for assessing lesions and masses—“lumps and bumps and more”—that orthopaedic surgeons may see in their patients.

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Apply for the AAOS Now Deputy Editor Position

AAOS Now has a new open deputy editor position. Over the course of a one-year term, which is renewable for up to three years, the deputy editor will serve as a backup for the editor-in-chief. The deputy editor is responsible for generating article ideas; seeking potential authors and subject matters; and identifying potential event coverage from the AAOS Annual Meeting, AAOS National Orthopaedic Leadership Conference, AAOS Fall Meeting, and other meetings. The application deadline is July 8.

Learn more and submit your application…(member login required)


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