Today’s Top Story

Study: Risk Factors of Blood Transfusion after Total Joint Arthroplasty

Factors associated with blood transfusion after total joint arthroplasty include lower preoperative hematocrit, a history of bleeding disorders, and preoperative transfusion, according to a retrospective study published online in The Journal of Arthroplasty. A national database was queried for primary and revision total hip and total knee arthroplasties between 2011 and 2019. Overall transfusion rates decreased from 21.4 percent to 2.5 percent during the study period. Transfusion was also more frequent in patients who were older or female, had greater comorbidities, received nonspinal anesthesia, and had longer operative time.

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In Other News

Study: High Rate of Femoral or Acetabular Abnormalities among Patients with FAI

A systematic review published online in Knee Surgery, Sports Traumatology, Arthroscopy, found that up to half of patients presenting with symptomatic femoroacetabular impingement (FAI) display femoral abnormalities. Forty-three articles were evaluated (n = 8,861). “Normal” femoral or acetabular version in FAI was defined as 10 to 25 degrees. An estimated 31 percent and 51 percent of patients with FAI displayed abnormal central acetabular and femoral version, respectively.

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Study: Low-intensity Pulsed Ultrasound after Screw Fixation for Metatarsal Stress Fracture

A retrospective study found that low-intensity pulsed ultrasound (LIPUS) for bone healing after intramedullary screw fixation for proximal fifth metatarsal stress fractures did not significantly improve return to sport or radiographic bone union, compared to patients who did not receive LIPUS. These findings were published online in BMC Musculoskeletal Disorders. In total, 101 feet were assessed (LIPUS, n = 57). Mean time to return to sport was 13.7 weeks and 13.2 weeks in the LIPUS versus non-LIPUS groups. Mean time to radiographic bone union was 11.96 weeks and 12.0 weeks, respectively.

Read the study…

 
 
 
COVID-19 Vaccination Requirements Expanded to Medicare- and Medicaid-certified Facilities

On Thursday, the Biden-Harris Administration announced that COVID-19 vaccinations will be required for staff in all Medicare- and Medicaid–certified facilities. Vaccinations were previously required for workers in nursing home facilities, but Thursday’s decision expands the mandate to require vaccines for staff at hospitals, ambulatory surgical settings, home health agencies, and more, for the facility to qualify for participation in the Medicare and Medicaid programs. The Centers for Medicare and Medicaid Services are expected to release an Interim Final Rule with Comment Period on this issue in October.

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HHS Announces Additional $25.5 Billion in COVID-19 Provider Funding

On Friday, the Department of Health and Human Services (HHS) announced $255 billion in new funding for healthcare providers affected by the COVID-19 pandemic, including funds for the Provider Relief Fund (PRF) Phase 4 and the American Rescue Plan for providers serving rural Medicaid, Children’s Health Insurance Program, or Medicare patients. HHS also announced a final 60-day grace period for PRF Reporting requirements for providers who do not meet the Sept. 30 deadline for the first Reporting Time Period. HHS will not initiate collection activities or similar enforcement actions for noncompliant providers during this grace period, but deadlines to use funds and the Reporting Time Period will not change.

Read the press release for more information…

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AAOS Now

Academy Leadership and the CEO: How This Partnership Spells Success for AAOS

On any given day, AAOS is involved in educational programs, annual meeting planning, development of clinical practice guidelines, and advocacy efforts that benefit patients. Accomplishing all these goals requires an effective working relationship between the AAOS Board and the CEO. In this article, AAOS Past President Kristy L. Weber, MD, FAAOS, details the interaction between the Board and CEO, which “sets the tone for the entire enterprise.”

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Your AAOS

Hundreds of Surgical Techniques Modules Available Free to AAOS Members

Build your surgical and clinical decision-making skills with unique educational experiences available on the AAOS online learning platform. Explore the surgical instruction interactive learning modules that assess your knowledge, patient management, and clinical decision making. Available free to AAOS members, these microlearning experiences provide quick and exciting lessons for hundreds of procedural techniques. Topics include advanced reconstruction, foot and ankle, hand and wrist, shoulder and elbow, hip and knee, spine, and sports medicine.

View the learning platform… (member login required)