September 30, 2019
Today’s Top Story

Study Compares Two TKA Designs

A study published online in The Journal of Arthroplasty compared short-term functional outcomes for cruciate retraining (CR) and medially stabilized (MS) total knee arthroplasty (TKA). The prospective comparison included 90 patients: 44 CR-TKA and 46 MS-TKA patients. The Knee Injury and Osteoarthritis Outcome Score (KOOS), KOOS-12, KOOS-Shortform, KOOS-JR, Oxford Knee Score, Western Ontario and McMaster Universities Osteoarthritis Index, UCLA Activity Scale, and EQ-5D-5L were completed preoperatively and one year postoperatively, and range of motion (ROM) was also calculated. The Forgotten Joint Score (FJS) and visual analog scale satisfaction score were completed one year postoperatively. MS-TKA patients had significantly better outcomes on the FJS, KOOS-12 quality of life subscale, and KOOS quality of life subscale. There were no significant between-group differences in the other measured outcomes or ROM one year post-surgery.

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In Other News

Study Measures Effect of Preoperative Anxiety on Foot and Ankle Surgery Outcomes

According to a retrospective study published in the September issue of Foot & Ankle International, preoperative emotional anxiety could be predictive of worse pain and function in foot and ankle surgery patients. Patient-reported Outcomes Measurement Information System (PROMIS) anxiety, pain interference, and physical function scores were measured pre- and postoperatively for patients undergoing elective foot and ankle surgeries. Patients were stratified into two groups based on lower (n = 146) or higher (n = 59) preoperative anxiety; a PROMIS anxiety score above 59.4 was considered higher than traditional anxiety. The average PROMIS anxiety score in the lower anxiety group was 47.2 compared to 63.9 in the higher anxiety group. The higher anxiety group, compared to the lower anxiety group, had greater preoperative pain (63.5 versus 59.1) and lower physical function (37.9 versus 42.0, respectively). In postoperative analysis, the higher anxiety group had more residual pain (58.6 versus 52.9, respectively) and greater functional disability (39.8 versus 44.4, respectively).

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Study Identifies Predictors of Hip/Groin Injury in Soccer Players

Preseason hip/groin strength and the Copenhagen Hip and Groin Outcome Score (HAGOS) may be reliable indicators of subsequent injury in professional male soccer players, according to a prospective cohort study published online in the Journal of Orthopaedic & Sports Physical Therapy. Elite male soccer players were recruited from 10 professional Hyundai A-League and English Championship League clubs and underwent hip abductor and adductor strength assessments and completed the HAGOS. Team medical staff reported subsequent in-season injuries of the hip/groin. Of 204 players included in the study, 24 suffered at least one hip/groin injury during the 2017–2018 season. The following principal components independently predicted reduced hip/groin injury risk: between-limb abduction imbalance, peak adduction and abduction strength, and HAGOS.

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Study: Risk Factors for Low Lumbar Spine BMD in Cancer Survivors

A cross-sectional study published online in Cancer examined factors associated with reduced bone mineral density (BMD) and the risk of fracture in long-term survivors of childhood leukemia and lymphoma. The study included childhood leukemia and lymphoma survivors attending two survivorship clinics for routine, guideline-recommended service from Jan. 1, 2004, to Aug. 31, 2016. Final analysis included 542 patients (mean age, 15.5 years; 51.5 percent were female) who were six years post-therapy. Of the total cohort, 116 sustained a post-therapy fracture. Low BMD and very low BMD in the lumbar spine was present in 17.2 percent and 3.5 percent, respectively, of survivors. However, subgroup analyses yielded significant between-group differences: In the cohort of survivors aged 15 to 19 years, 10.8 percent had very low BMD. Multivariable analyses found the following factors to be significantly associated with low BMD: older age at diagnosis, white race, and being underweight.

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CMS Announces Patients Over Paperwork Final Rule

The Centers for Medicare & Medicaid Services (CMS) announced the Omnibus Burden Reduction (Conditions of Participation) Final Rule, which eliminates some of the administrative burden faced by hospitals and healthcare providers. It moves forward CMS’ Patients Over Paperwork Initiative by saving about 4.4 million annual hours previously spent on paperwork. According to CMS, this will result in about $8 billion in savings over the next 10 years.

Read the CMS press release…


Ambulatory Surgery Centers Versus Hospital-based Outpatient Departments: What’s the Difference?

When performing outpatient procedures, many orthopaedic surgeons operate in either an ambulatory surgery center (ASC) or a hospital-based outpatient department (HOPD). This article discusses the cost differences between an ASC and HOPD, the advantages of each setting, and current trends.

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Nominate a Story for the 2020 Media Orthopaedic Reporting Excellence (MORE) Awards

Have you been quoted in a news article or interviewed by a consumer radio or television outlet? Did you know the Academy recognizes members of the media for accurate orthopaedic reporting via its MORE Awards? This program recognizes journalists and media outlets for stories published between Oct. 1, 2018, and Oct. 1, 2019, that effectively report on musculoskeletal health issues, healthy behaviors, high-quality care, and prevention and treatment of orthopaedic issues or injuries. Send a link to the story to and staff will follow up. The last day to submit nominations is Oct. 8, at 5 p.m. C.T.

Learn more and submit nominations…


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