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| Today’s Top Story
Study: Current Relative Value Unit Model Does Not Factor Accurate Surgical Time for Revision Shoulder Arthroplasty
According to a study published in the May 1 issue of the Journal of the AAOS ®, the current relative value unit (RVU) model does not account for surgical time for revision shoulder arthroplasty A notable difference was found in yearly reimbursement that favors primary shoulder arthroplasty. A total of 4,948 shoulder arthroplasty patients from the National Surgical Quality Improvement Program database were evaluated (4,657 primary and 291 revision). RVUs for primary and revision shoulder arthroplasty was 22.1 and 26.4, respectively, and surgical time for revision was significantly higher, translating to an estimated reimbursement difference of $174,554.40 per year.
Read the abstract… |
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| In Other News
Study: PROMIS Scores Correlate with Legacy Hip-specific Instruments in Hip Arthroscopy for FAI
A longitudinal study published online in Arthroscopy found Patient Reported Outcomes Measurement Information System (PROMIS) scores for hip arthroscopy patients treated for femoroacetabular impingement (FAI) correlated with other legacy hip-specific instruments and demonstrated high responsiveness to change and low test burden. A total of 660 patients were assessed. PROMIS Mobility (MO) had a strong correlation with PROMIS Physical Function (PF) and Pain Interference (PI) subscales, International Hip Outcomes Tool 33, and modified Harris Hip Score. PROMIS MO, PI, and PF did not meet conventional criteria for floor or ceiling effects.
Read the abstract… |
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| Study: Distal Radioulnar Reconstruction Using Rib Perichondrium Transplants for Unilateral Osteoarthritis
Reconstruction of an osteoarthritic distal radioulnar joint with rib perichondrium transplantation delivered favorable clinical outcomes over time, according to a study published online in BMC Musculoskeletal Disorders. Four patients were assessed. Preoperative visual analog scale (VAS) scores were 8.5 under load and 4.2 at rest, with a forearm rotation range of motion of 118 degrees and 86 percent grip strength compared with the contralateral hand. At a mean of 3.1 years of follow-up, postoperative VAS was 1.5 under load and all patients were pain-free at rest, with average forearm rotation of 156 degrees and 97 percent grip strength.
Read the study… |
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| Study: Longer Careers and Decreased Premature Retirement in Female Tennis Players after Establishment of Age Eligibility Rule
According to a retrospective study published online in the British Journal of Sports Medicine, female tennis players who began playing during adolescence had decreased risk of premature retirement after the 1995 implementation of the Women’s Tennis Association Age Eligibility Rule (AER) and Player Development Programs (PDP). Overall, 811 athletes were analyzed, including 51 percent who began playing prior to the AER/PDP. Median career duration was 12.1 years in the pre-AER/PDP group and 14.2 years in the later group. Post-AER/PDP players had higher likelihoods of 10 and 15-year careers. Pre-AER/PDP players had shorter careers and increased risk of premature retirement.
Read the abstract… |
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| Study: Safety, Cost, Efficacy, and Convenience Are Most Important to Osteoporosis Patients Choosing Anabolic Therapy
For osteoporosis patients at high risk of fracture, safety, cost, efficacy, and convenience were the most important factors when choosing between anabolic therapies, with a high preference for solid microstructured transdermal systems (sMTS), according to a study published online in the Archives of Osteoporosis. Twenty-seven patients with a mean age of 65 years were evaluated and 24 treatment characteristics were identified via literature review and focus groups. Patients identified out-of-pocket costs, strength of evidence, self-administered treatment options, efficacy, and safety as the most important factors when selecting therapy.
Read the study… |
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| AAOS Now
AAOS Endorses AAHKS CPG on Multimodal Analgesia for Total Joint Arthroplasty: Focus on Medications
AAOS has endorsed a clinical practice guideline (CPG) on multimodal analgesia in total joint arthroplasty, created in collaboration with the American Association of Hip and Knee Surgeons (AAHKS), the Knee Society, the Hip Society, and the American Society of Regional Anesthesia and Pain Medicine. The guideline provides recommendations on oral therapies (i.e., opioids, acetaminophen, NSAIDs, gabapentinoids, regional nerve blocks of the knee or the hip, corticosteroids, periarticular injections, and ketamine) and non-oral therapies (i.e., periarticular injection, regional nerve blocks in total hip and knee arthroplasty, corticosteroids, and ketamine).
Read more about oral therapies…
Read more about non-oral therapies… |
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| Your AAOS
The AAOS MOC and General Orthopaedic Review Course, Virtual Package
For those preparing for the Maintenance of Certification (MOC) exam or simply looking for a general review, the virtual AAOS MOC and General Orthopaedic Review Course provides the latest orthopaedic advances across 11 specialty areas. Content is focused on the most current, evidence-based updates on the testable material to refresh your knowledge. The virtual package is delivered in three phases, with content available beginning July 1.
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