Study Examines Association between Sleep Disturbances and Pain, Mood, and Physical Function following Orthopaedic Trauma Surgery
According to a prospective study in the Journal of the AAOS®, patients with orthopaedic trauma had worse sleep disturbance scores two weeks postoperatively compared with healthy control subjects. The outcome measurements used for comparison included the visual analog scale, numerical pain rating scale, and Patient-Reported Outcomes Measurement Information System Physical Function and Sleep Disturbance. Information was collected from the control subjects once and from patients with trauma at two, six, and 24 weeks postoperatively. Patients with trauma that had better sleep disturbance scores reported a better mood and less pain for all pain metrics.
Randomized Clinical Trial Tests the Efficacy of General Anesthesia and Multimodal Analgesia on Outcomes of ACLR
The Journal of Bone and Joint Surgery published a randomized clinical trial investigating the effects of general anesthesia plus multimodal analgesia (MA) on outcomes of hamstring tendon autograft ACL reconstruction (ACLR). The primary outcome measurement was postoperative opioid use (measured in morphine milligram equivalents [MMEs]). Fifty-seven patients were randomized to placebo and 55 to combination MA. Patients in the MA group required fewer postoperative opioids (9.81 MMEs versus 13.88 MMEs) and reported less posteromedial knee pain at one hour postoperatively.
Systematic Review Characterizes Excessive Opioid Consumption after Upper Extremity Surgery
A systematic review in HAND, which examined opioid prescription practices and consumption by patients after upper extremity surgery, found that most patients took less than half of the prescribed opioids. Twenty-one articles and 4,195 patients undergoing upper extremity surgery comprised the review. The percentage of opioids consumed ranged from a low of 11 percent to a high of 77 percent. Additionally, the researchers noted a moderate to severe risk of bias among the included studies.
Study Investigates Outcomes of Surgical Treatment for End-stage Ankle Osteoarthritis in Patients Aged ≥75 years
The Journal of Orthopaedic Surgery and Research published a retrospective study comparing the outcomes of surgery for end-stage ankle osteoarthritis in patients aged ≥75 years and patients aged <75 years. Overall, 58 older patients and 90 younger patients were included in the analysis. The Japanese Society for Surgery of the Foot Hindfoot Scale and a self-administered foot evaluation questionnaire were administered pre- and postoperatively to evaluate patient outcomes. Following multivariate analysis, improvements in all outcomes were reported but were not significantly different between groups.
Yesterday, the Centers for Medicare & Medicaid Services (CMS) issued the fiscal year 2024 Medicare hospital inpatient prospective payment system (IPPS) proposed rule. Among the changes, which will update fee-for-service payment rates and policies for inpatient hospitals, CMS is proposing a 2.8 percent increase in payments to hospitals that meet all quality and electronic health records reporting requirements in 2024. The agency is also proposing to clarify factors considered for physician-owned hospital expansion requests and proposing the addition of mechanical complications ICD-10 to the Hospital-level Risk-standardized Complication Rate Following Elective Primary Total Hip Arthroplasty and/or Total Knee Arthroplasty measure. AAOS will be providing more details to members and formally commenting on the rule
Alex Jahangir, MD, Receives Tipton Leadership Award
AAOS presented its 2023 William W. Tipton Jr, MD, Leadership Award to Alex Jahangir, MD, FAAOS. Dr. Jahangir, a professor and vice chair of the Department of Orthopaedic Surgery at Vanderbilt University Medical Center in Nashville, Tenn., has not only made an impact in the field of orthopaedic surgery through his practice, but also has made a lasting impression on his community by simultaneously heading the Nashville COVID-19 task force during the height of the pandemic.
AAOS 2023 Annual Meeting OnDemand Flash Sale through April 12
Do not miss out on the chance to access cutting-edge orthopaedic education at a discounted price. The AAOS 2023 Annual Meeting OnDemand is offering a 20 percent off flash sale until tomorrow, April 12. With more than 500 hours of OnDemand content recorded live last month in Las Vegas, this is the perfect opportunity to learn from world-renowned experts in the field. Take advantage of this limited-time offer and elevate your orthopaedic knowledge today.
