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| Today’s Top Story
Study: Length of Stay for Black and Hispanic Patients after Primary TKA
According to a study published in the April 1 issue of the Journal of AAOS ®, Black and Hispanic patients did not have a prolonged length of stay (LOS) after primary total knee arthroplasty (TKA) compared with white patients. Of 3,093 patients, 47.9 percent were Hispanic, and 38.3 percent were Black. Mean LOS was 2.9 days. White race, nonhome discharge, low socioeconomic status, weekday of surgery, smoking, BMI >40, and increased American Society of Anesthesiologists and Charlson Comorbidity Index classifications were independent risk factors for increased LOS The overall 30-day readmission rate was 3.6 percent, with no significant differences between racial groups.
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| In Other News
Study: Infolded Limbus Not Associated with Increased Residual Dysplasia after Closed Reduction
A retrospective study published online in the Journal of Pediatric Orthopaedics found no associations between an infolded lumbus on hip arthrogram and increased residual dysplasia in pediatric patients who underwent closed reduction for hip dysplasia. Infolded limbus was found in 20.3 percent of 182 hips. Patients with infolded limbus tended to be older and had higher mean acetabular index at two-year follow-up compared with hips without infolded limbus. Mean acetabular index was similar at four years postoperatively regardless of infolded limbus. Avascular necrosis and rate of secondary surgery were similar overall.
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| Study: High Survival Rates with Transfibular Total Ankle Arthroplasty
Transfibular total ankle arthroplasty was found to be safe and effective for treating end-stage osteoarthritis, according to a study published online in The Bone & Joint Journal. At a mean follow-up of 65.4 months, 86 patients were evaluated using the American Orthopaedic Foot & Ankle Society Ankle Hindfoot Score. Pain and mean ankle dorsiflexion and plantarflexion significantly improved at follow-up. Eight patients had tibial or talar radiolucency, but none were symptomatic. At follow-up, 97.7 percent of implants did not need revision or removal. Eighty-four implants were “at risk” of failure. Two cases of septic loosening occurred.
Read the asbtract… |
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| Study: Yellow Card Policies Ineffective at Preventing High School Soccer Injuries
A retrospective study published online in the Clinical Journal of Sports Medicine found that yellow card policies (YCP) did not lower injury rates in high school soccer athletes, although states with YCPs had fewer injuries requiring >3 weeks of time loss (TL). Competition contact injuries (CCIs) from states with YCPs and those without were compared. Fifteen states with YCPs reported 901 athlete-athlete CCIs out of 352,775 competition athlete exposures (AE), and 3,525 injuries were reported during 1,459,708 competition AEs in states with no YCPs. Other than decreased TL in states with YCPs, there were no notable differences between the two groups.
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| Study: Cement Diskoplasty Effectiveness in Older Patients with Lumbar Spine Pseudarthrosis
A retrospective cohort study published online in the European Spine Journal reported reliable outcomes with cement diskoplasty in senior patients with symptomatic lumbar pseudarthrosis. Forty-five patients aged ≥65 years were included. Thirty-five patients who underwent diskoplasty after primary fusion received cement injection. Twenty-three patients received diskoplasty only, and 22 had diskoplasty plus an additional screw change, including 14 cases with extension of instrumentation. At a mean follow-up of 32 months, only 4 percent of patients need reoperation for screws loosening, and 15.5 percent had asymptomatic cement leakage in the paravertebral space.
Read the abstract… |
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| AAOS Now
Referral Discrepancies between Female and Male Surgeons
Pay gaps between men and women in medicine continue to exist today, and several theories about the differences in incomes have been proposed, with speculation that not all salary disparities can be explained by factors such as lifestyle or career choices. In this article, Carmelita A. Teeter, MD, MBA, FAAOS, speaks with Nancy Baxter, MD, PhD, about recent research that looked at the pattern of sex differences between referring physicians and consulting male and female surgeons as a potential explanation for differences in workload and incomes.
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| Your AAOS
Refresh Your Surgical Skills: Surgical Strategies on Trending Foot and Ankle Topics from AAOS and AOFAS
Make plans to attend this course, taking place June 10 to 12 in Rosemont, Ill., and presented by AAOS and the American Orthopaedic Foot and Ankle Society (AOFAS). Leading faculty will deliver current knowledge on congenital, acquired, and traumatic disorders across the forefoot, midfoot, hindfoot, and ankle. Explore how treatment methods have evolved, gain experience with new equipment, and master state-of-the-art techniques to improve your patient outcomes. Early bird savings end April 11.
Learn more and register… |
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