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| Today’s Top Story
Study: Increased Risk of Infection and Revision Associated with Manipulation under Anesthesia after TKA
The Journal of Arthroplasty published a study online investigating the risk of revision and infection in patients undergoing manipulation under anesthesia (MUA) after total knee arthroplasty (TKA). In total, 142,400 patients were retrospectively reviewed, of which 3,652 underwent MUA. The main outcome measurements included incidence of revision and periprosthetic joint infection (PJI) at one-, two-, and five-year follow-up. Black patients had a higher incidence of MUA compared with white patients. Risk of revision and PJI were significantly greater in MUA patients.
Read the abstract… |
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| In Other News
Retrospective Study Finds No Association between TXA and Deep Infection Rates after TSA
A retrospective cohort study published online in the Journal of Shoulder and Elbow Surgery suggested that the use of preoperative tranexamic acid (TXA) is not associated with a decrease in the five-year probability of revision for deep infection after primary total shoulder arthroplasty (TSA). The incidence of revision for deep infection was collected in 9,276 patients within five years of TSA. Patients who received preoperative TXA had a five-year probability for deep infection of 0.8 percent, compared with 0.7 percent of patients who did not receive TXA.
Read the abstract… |
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| Study: Complications of Cast Removal with Conventional Methods versus a Novel Method
According to a comparative study published online in the Journal of Bone & Joint Surgery, a novel cast removal technique was associated with fewer complications and decreased removal time compared with conventional methods. Patients (n = 208) were divided according to cast removal method: conventional protection methods (group 1) or the use of tong-shaped, externally guided steel plate aids (group 2). Outcome measurements included skin injuries, patient anxiety, and cast removal processing time. Moderate anxiety and removal time were reduced by 14 percent and 25 percent, respectively, in group 2 patients. Patients in group 2 also experienced fewer skin laceration and visible burns.
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| Study: Earlier Return to Sport in Deltoid Ligament Repair for Rotational Ankle Instability
Knee Surgery, Sports Traumatology, Arthroscopy published a retrospective study comparing the clinical outcomes after arthroscopic deltoid ligament (DL) repair versus DL nonrepair in patients with rotational ankle instability. Overall, 50 patients with a minimum follow-up of two years were included in the study. Measurements included the American Orthopaedic Foot and Ankle Society (AOFAS) score, Karlsson Ankle Functional Score (KAFS), and Tegner activity score. There were no significant differences between repair versus nonrepair cohorts in AOFAS, KAFS, or Tegner activity scores; however, the repair group had a significantly shorter return to sport time compared with the nonrepair group.
Read the abstract… |
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| Study: Complications Associated with Spinal Osteotomies Performed for Fixed Sagittal Imbalance
A blinded retrospective study published online in the European Spine Journal investigated complications and risk factors in three-column spinal osteotomies performed for fixed sagittal imbalance from multiple etiologies. Clinical and radiologic data were compared pre- and postoperatively in 273 patients. At one-year follow-up, clinical and radiologic scores were significantly improved. Fifty-nine percent of patients experienced at least one complication one-year postsurgery. Complications-free survival was 30 percent at five years. Regarding complications, 32.5 percent were mechanical, 17.6 percent were general, 17.2 percent were surgical site infections, and 10.9% were neurological.
Read the abstract… |
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| AAOS Now
Value-based Healthcare Delivery Starts with You
Value-based healthcare continues to evolve, and orthopaedic surgeons and practice managers are often tasked with determining what is best for their offices and patients, with few trusted resources available to guide them. The upcoming AAOS virtual course, “Value-based Orthopaedic Care: A Tactical Field Guide for Surgeons” on Nov. 12, will provide participants with practical knowledge, tools, and strategies to help achieve winning partnerships with health plans, employers, and government. The day-long course, led by Eric C. Makhni, MD, MBA, FAAOS, will focus on fundamental principles of value-based care, outcome measurement, and next-generation alternative payment models.
Read more… |
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| Your AAOS
Hands-on Surgical Skills Course: AAOS/ASES Anatomic and Reverse Total Shoulder Arthroplasty
Refresh your surgical techniques in total shoulder arthroplasty (TSA) at this dynamic course from AAOS and the American Shoulder and Elbow Surgeons (ASES), taking place Nov. 4 to 5 in Rosemont, Ill., The course features hands-on cadaver surgeries with state-of-the-art implants and instrumentation. Explore hot topics and controversies including the difficult B2 glenoid, outpatient shoulder arthroplasty, reverse TSA for fracture, revisions, and complications.
Learn more and register… |
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