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| Today’s Top Story
Study: Variability in All-cause Mortality Risk with Several Anti-osteoporosis Drugs after Hip Fractures
A study published in the August issue of the Journal of Bone and Mineral Research found variability in all-cause mortality associated with several anti-osteoporosis regimens after hip fracture surgery. In total, 45,226 patients were included. Compared with patients who did not receive postoperative anti-osteoporosis drugs, lower all-cause mortality rates were associated with use of oral bisphosphonates, ibandronate, zoledronic acid, and denosumab. Denosumab and zoledronic acid were associated with a similar risk of mortality, and zoledronic acid was associated with a lower risk than oral bisphosphonates. In general, longer duration of treatment was associated with lower mortality rates.
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| In Other News
Study: Differences in Rotator Cuff Muscle Area in Patients with Posterior versus Anterior Instability
A study of 189 patients with shoulder instability, published online in the Journal of Shoulder and Elbow Surgery, found that the direction of instability is associated with the size of the rotator cuff muscle area. Sixty-three patients each had anterior, posterior, and multidirectional instability. The anterior instability group had an infraspinatus and teres minor muscle area that was significantly smaller than that of the posterior and multidirectional groups. All groups had a smaller anterior (versus posterior) deltoid muscle. Compared with the other groups, the anterior instability group had a greater ratio of the subscapularis to infraspinatus and tarsus minor muscle area.
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| Systematic Review Investigates Trends in ACLR Revision between 1969 and 2018
A systematic review of data from 1969 to 2018, published in the Orthopaedic Journal of Sports Medicine, reported an overall rate of revision ACL reconstruction (ACLR) of 3.14 percent, at a median of 2.3 years postoperatively. Overall, 330 articles comprising 52,878 patients were included. Bone–patellar tendon–bone (BPTB) autografts had the lowest revision rate (2.38 percent), followed by hamstring autografts (271 percent) and other graft types (5.24 percent). There was an increase in revision for ACLR using hamstring autografts over the study period, as well as a slight decrease in revision with BPTB autografts.
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| Study: Favorable Outcomes of Conversion to Total Ankle Arthroplasty after Ankle Fusion
In a retrospective study published online in Foot & Ankle International, patients who had their ankle fusion converted to total ankle arthroplasty had positive functional outcomes at an average of 4.2 years postoperatively. Outcomes measured included the Veterans Rand Health Survey (VR-12), Ankle Osteoarthritis Scale (AOS), visual analog scale for pain, and patient satisfaction. Of the 51 patients included, there were no significant differences between preoperative and postoperative patient-reported outcomes; however, VR-12 physical and mental scores and AOS pain and disability subscales improved. Postoperatively, dorsiflexion and plantarflexion improved 10.9 degrees and 14.1 degrees, respectively.
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| Hospital Employee Arrested after Police Find Weapons in Office Closet
On Aug. 7, an employee of the Hudson Regional Hospital in Secaucus, N.J., was arrested in connection to the discovery of guns and ammunition in an office closet at the hospital. Police were investigating a separate bomb threat at the hospital on July 18 when they discovered 39 guns, including an assault rifle, and ammunition in an office closet. Authorities have not disclosed how the weapons were acquired or transported to the hospital.
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| AAOS Now
Scenarios Illustrate Coding Changes for Musculoskeletal Drug-delivery Devices
This article is part two of a series on updated CPT add-on codes addressing musculoskeletal drug-delivery devices. This edition features five clinical scenarios involving treatment of infected total joint arthroplasties warranting the use of these new add-on codes, including irrigation and debridement, acute infections, and more.
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| Your AAOS
Access AAOS Quality Resources
After more than a decade of developing Clinical Practice Guidelines (CPGs), AAOS has expanded its reach into the quality space. With the transition to value-based care, AAOS sought to produce quality products that provide the most benefit to the membership. AAOS continues to develop CPGs, with more than 25 currently available, but the Academy now uses them to create Appropriate Use Criteria (AUC), care pathways, and other derivative materials. These tools help members answer the question, “What does quality care look like?” All AAOS quality resources are free to members.
View CPGs and AUC…
View all quality resources… |
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