Today’s Top Story

Study: Does Prior ED Admission Predict 90-day Readmission in TJA?

Total joint arthroplasty (TJA) patients who presented to the emergency department (ED) within one year preoperatively had higher rates of 90-day readmission, according to a retrospective study published online in The Journal of Arthroplasty. A total of 6,996 elective TJA patients (2,453 total hip arthroplasty [THA], 4,543 total knee arthroplasty [TKA]) were included in the study. THA patients with one preoperative ED visit had a 2.0 odds ratio (OR) of returning to the ED postoperatively. In TKA patients, the OR was 1.9. Increasing ED visit frequency was associated with greater ORs for a return trip after TJA.

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Other News

Study Compares Single- Versus Double-row Suture-bridge Technique

In a study published in the May issue of The American Journal of Sports Medicine, there were no significant clinical differences in patients who underwent single- versus and double-row suture-bridge repair of isolated full-thickness subscapularis tears. A total of 56 patients underwent repair with either a single- (n = 31) or double-row (n = 25) suture-bridge technique. The visual analog scale (VAS) for pain; Subjective Shoulder Value (SSV); American Shoulder and Elbow Surgeons (ASES) score; University of California, Los Angeles (UCLA) shoulder score; and active range of motion (ROM) were used to evaluate functional outcomes. After two years, single- and double-row patients had similar outcomes in VAS (1.2 versus 1.1), SSV (91.3 versus 91.8), ASES (91.0 versus 91.4), and UCLA (31.9 versus 32.1). Both groups had significantly improved active ROM.

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Study Measures Dentists’ Risk of Cervical Herniated Intervertebral Disk

Younger dentists may be more likely to develop cervical herniated intervertebral disk (C-HIVD) than the general population, according to a retrospective study published online in BMC Musculoskeletal Disorders. Researchers matched 10,930 dentists based on age and sex to members of the general population and 73,718 other healthcare providers (nondentists) using the Taiwan National Health Insurance Research Database. In adjusted analysis, dentists and the general population had no difference in C-HIVD risk, but stratified analysis found that dentists aged ≤ 34 years were more likely than age-matched members of the general population to develop C-HIVD. Dentists and other healthcare providers had no difference in C-HIVD risk.

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Supreme Court Throws Out Ruling on Osteoporosis Drug

The U.S. Supreme Court unanimously voted to toss a lower court’s ruling that Merck failed to warn patients of significant fracture risk associated with its osteoporosis drug Fosamax. The justices said that a judge—not a jury—should decide whether hundreds of lawsuits against Merck should move forward. More than 500 patients allege sustained unusual thigh fractures between 1999 and 2010 after taking Fosamax.

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Take Part in a Survey to Update WHO’s Surgical Safety Checklist

AAOS has been asked to take part in an international, government-funded study aimed at revising the World Health Organization’s (WHO) Surgical Safety Checklist (SSC). The WHO SSC was developed as a simple communication-based tool to decrease the global burden of adverse outcomes after surgery. Ten years after its introduction, WHO is evaluating its successes and failures in a real-world setting. The goal of the study is to generate a new evidence-based surgical safety tool through redevelopment of the SSC.

Complete the survey…


Interpreting Vitamin D Controversies Continue to Pose Challenges

Vitamin D has come under public scrutiny in recent years, as articles and studies have explored conflicts of interest in vitamin D research and questioned the efficacy of the hormone’s use as a supplement. Consequently, those revelations may detract from an important topic in orthopaedics. This article discusses the latest controversies surrounding vitamin D.

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Personalize Your OVT Member Profile

Take five minutes to update your member profile on the newly expanded Orthopaedic Video Theater (OVT). Click on the person icon in the top right corner of the OVT landing page, select “My Profile,” and choose the specialty topics of most interest to you. You can also update your contact information and add an image and brief biography. By keeping your profile current, you get a much more personalized learning experience that addresses your needs, interests, and preferences.

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