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| Today’s Top Story
Study: Prior Nonshoulder PJI Is a Risk Factor for SSIs, Sepsis, and Revision in Primary TSA
In primary total shoulder arthroplasty (TSA), prior nonshoulder periprosthetic joint infection (PJI) was a risk factor for 90-day readmission, surgical site infection (SSI), and sepsis, as well as two-year all-cause revision, according to a study published in the Journal of the AAOS ®. A matched cohort of TSAs for osteoarthritis in patients with and without prior nonshoulder PJI was identified using a national database. Rates of SSIs and sepsis were 7.61 percent and 1.7 percent, respectively, in patients with prior PJI. Ninety-day readmission and two-year revision rates were both 3.36 percent in the PJI group.
Read the study… |
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| In Other News
Study: Outpatient Simultaneous Bilateral TKA Does Not Increase Risk of 30-day Complications
Outpatient simultaneous bilateral total knee arthroplasty (si-BTKA) was not associated with greater 30-day complications compared to inpatient si-BTKA, according to a retrospective study published online in The Journal of Arthroplasty. A national surgical database was queried for si-BTKAs between 2015 and 2019. Use of outpatient si-BTKA increased from 0.6 percent to 10.5 percent, and this procedure was associated with significantly lower odds of overall, minor, and severe complications and postoperative transfusion than inpatient cases.
Read the abstract… |
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| Study: Hemiarthroplasty with Short External Rotators Preserving Approach for Hip Fracture in Older Patients
A study published online in Injury reported a low rate of fracture after hemiarthroplasty (HA) using short external rotators (SER) preserving posterolateral approach for management of femoral neck fractures in patients aged >70 years. In total, 307 patients underwent cementless bipolar HA using the SER preserving approach and were followed for at least one year (mean, 22.1 months). One patient (0.3 percent) experienced dislocation with dementia during hospitalization, and two periprosthetic femoral fractures occurred. No surgical site or periprosthetic infections occurred.
Read the abstract… |
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| Randomized Study: No Benefit with Autologous Blood in Dry-needling for Plantar Fasciitis
A randomized controlled study published online in Foot & Ankle International found no benefit of coadministration of a 3 mL autologous blood injection (ABI) compared to dry needling alone for treatment of chronic plantar fasciitis. Ninety patients were randomized to a dry needle fenestration procedure with or without ABI. All patients underwent structured rehabilitation and were followed for 26 weeks. There were no differences between groups at any timepoint in terms of local foot pain, validated patient-reported outcome measures, functional assessments, physical activity levels, sleep, or mood.
Read the abstract… |
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| Additional $2 Billion Being Distributed in Provider Relief Fund Payments
The U.S. Department of Health and Human Services announced on Jan. 25 that it is distributing $2 billion more in Provider Relief Fund (PRF) payments to more than 7,600 healthcare professionals across the country this week. A total of nearly $11 billion in PRF Phase 4 payments have now been distributed to more than 74,000 individuals in all 50 states, Washington, D.C., and five territories. These funds are in addition to the distribution of American Rescue Plan Rural payments in December 2021, totaling nearly $7.5 billion in funding to more than 43,000 healthcare professionals.
Read the full announcement…
Learn more about the payments… |
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| AAOS Now
January Issue of AAOS Now Is Online Now
Due to supply chain issues and labor shortages negatively impacting paper supply, AAOS Now’s printer, and the U.S. Postal Service, the delivery of the January issue’s print version will be delayed. We anticipate these delays will continue and impact future issues of AAOS Now. However, the January issue’s content is available on the AAOS Now website. This month’s issue features an analysis of the healthcare labor shortage, a look into the history of the AAOS Board of Councilors, stories from orthopaedic surgeons managing their own disabilities, and more.
Read more… |
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| AAOS Volunteer Opportunities
Take Part in an AAOS Review Period
The AAOS Committee on Devices, Biologics, and Technology is seeking volunteers to review the Platelet-rich Plasma for Knee Osteoarthritis Technology Overview.
Submit your application here… |
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