November 1, 2019
 
Today’s Top Story

Study Assesses Influence of Preoperative Psychosocial Factors on Postoperative TKA Outcomes

A study published online in The Journal of Arthroplasty analyzed the effects of preoperative anxiety, depression, and locus of control (LoC) on outcomes in total knee arthroplasty (TKA). Patients completed the Short Form (SF)-12, Hospital Anxiety and Depression Score, and LoC surveys to determine psychosocial state. Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was used to evaluate surgery outcomes. Final analysis included 136 patients. Associations were observed between greater postoperative depression and anxiety and poorer total WOMAC score at six and 18 weeks postoperatively, respectively, as well as poorer preoperative SF-12 mental score and six-week postoperative total WOMAC score. Internal preoperative LoC was associated with better 18-week WOMAC pain and function scores, but external preoperative LoC was not correlated with postoperative WOMAC score. No preoperative psychosocial measures had any bearing on WOMAC score one year postoperatively.

Read the abstract…

 
 
 
 
In Other News

Study: Differences in Newer versus Older Database Data on THA

A study published in the October issue of the Journal of the AAOS Global Research & Reviews found significant differences between newer and older total hip arthroplasty (THA) data collected from the National Surgical Quality Improvement Program (NSQIP) database. NSQIP data on THA patients were stratified into two groups: 2005–2010 and 2011–2015 eras. Demographics and 30-day perioperative outcomes were compared. Of the 102,411 total THA patients, 8,088 were from the earlier era and 94,313 were from the later era. Several preoperative characteristics and perioperative outcomes significantly differed between the groups. In the 2005–2010 group, increasing age was significantly associated with urinary tract infection (UTI) and length of stay (LOS). In the 2011–2015 group, age was also significantly associated with UTI and LOS, as well as 30-day mortality, unplanned reintubation, extended LOS, pneumonia, deep vein thrombosis/thrombophlebitis, blood transfusion, and return to the operating room.

Read the study…

 
 
 
 
Study Compares Three Treatments for Recurrent Anterior Shoulder Instability

A retrospective study published online in the Journal of Orthopaedic Surgery and Research analyzed clinical and patient-reported outcomes for patients with recurrent anterior shoulder instability who underwent three different surgical techniques. Between September 2010 and December 2013, patients were treated with arthroscopic Bankart repair (n = 53), capsular shift (n = 45), or open Latarjet (n = 52). Average follow-up was 67.6 months, and the average shoulder instability index score was 6.4. All treatments improved shoulder functional status and reduced symptoms. Rowe scores were 92.3 in the arthroscopic Bankart group, 962 in the open Latarjet group, and 93.2 in the capsular shift group; no other significant differences were observed in functional outcomes. The Latarjet group had superior subjective outcomes compared to the other groups, including subjective shoulder value (SSV) and SSV for sport practice. Two relapsed cases occurred in the arthroscopic Bankart and capsular shift group; no cases of recurrence presented in the open Latarjet group.

Read the study…

 
 
 
Study: How Common Are Serious Pathologies Among Patients Undergoing MRI for Low Back Pain?

A retrospective study published online in The Spine Journal analyzed the prevalence of serious pathologies in patients with low back pain referred for a lumbar MRI in a private secondary care or public tertiary care setting. The study included 2,383 consecutive lumbar MRI referral patients from Oct. 1, 2013, through July 31, 2014. All studied serious pathologies were significantly more common in the public tertiary care setting than the private secondary care setting: malignancy, 4.4 percent versus 0.3 percent; fracture, 6.7 percent versus 2.2 percent; cauda equina compression, 2.3 percent versus 0.6 percent; and infection, 34 percent versus 0.1 percent. Collective prevalence in tertiary care was 14.8 percent compared to 3.2 percent in secondary care.

Read the study…

 
 
 
FDA Says Hospitals May Face Shortages of Vital Surgical Tools

The Food and Drug Administration (FDA) issued a warning that hospitals may soon face shortages of important surgical tools, including those used for hip and knee replacements, following several closures of equipment sterilization plants that use ethylene oxide gas to sterilize the surgical tools prior to use. In addition to the closure of a Sterigenics ethylene oxide sterilization facility in Illinois, another Sterigenics facility in Georgia has been temporarily closed, and a large Becton Dickinson sterilization facility in Georgia faces potential closure.

Read more…

Read the FDA press release…

 
 
 
AAOS Now

How To Choose a Healthcare Consultant

This article outlines three important steps for choosing the right consultant and having a successful working relationship: clearly define the problem and scope of the engagement, perform due diligence, and determine cultural fit. This article is part two of a two-part series on healthcare consultants.

Read more…

Read part one…(member login required)

 
 
 
Your AAOS

Apply for Volunteer Opportunities

Consider applying for the following positions:

  • Diversity Advisory Board chair position—applications are accepted until Nov. 2
  • Liaison Activities member position (Liaison to Core Quality Measures Collaborative – Implementation Workgroup)—applications are accepted until Nov. 18
  • Basic Science Content Committee chair designee position—applications are accepted until Dec. 10
  • Hip & Knee Content Committee vice chair position—applications are accepted until Dec. 10
  • Pediatrics Content Committee member position—applications are accepted until Dec. 10
  • Spine Content Committee member position—applications are accepted until Dec. 10
  • Sports Medicine Content Committee member position—applications are accepted until Dec. 10

Learn more and submit applications…(member login required)

 

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