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| Today’s Top Story
Study: Outpatient TKAs Showed Comparable Outcomes to Inpatient TKAs in Patients Aged >80 Years
The Journal of Arthroplasty published a retrospective, propensity-matched study online assessing the risk of readmissions and complications following outpatient total knee arthroplasty (OP-TKA) in patients aged >80 years. Utilizing the National Surgical Quality Improvement Program database, 709 OP-TKA patients were matched with patients undergoing inpatient TKA (IP-TKA) for a total of 1,418 patients. Thirty-day complications, readmissions, reoperations, and mortality were assessed. Readmission rates were identical between IP- and OP-TKA patients, at 35 percent. Additionally, both groups showed comparable incidence of complications and rates of reoperation and mortality.
Read the abstract… |
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| In Other News
Correction: Study Finds Higher Incidence of Intraoperative Periprosthetic Fractures in THA Patients with Osteopetrosis
This abstract was featured in Wednesday’s issue of Headline News Now (HNN) but incorrectly listed “osteoporosis,” rather than “osteopetrosis.” HNN regrets the error. The following summary includes the corrected text: A retrospective study published online in The Journal of Arthroplasty found that patients with a history of osteopetrosis undergoing total hip arthroplasty (THA) had an increased risk of intraoperative periprosthetic fractures while patients undergoing total knee arthroplasty (TKA) did not. Patients with osteopetrosis (534 THA and 972 TKA) were compared with matched cohorts. The primary outcomes included postoperative surgical complications, hospital readmissions, and ED visits. When compared to the matched cohort, osteopetrosis THA patients had a significantly higher incidence of intraoperative periprosthetic fractures. There were no significant differences between osteopetrosis TKA patients and the matched cohort.
Read the abstract… |
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| Study: COVID-positive Status Is Associated with Higher Mortality Rates after Proximal Femur Fracture Surgery
A systematic review published online in Hip International determined that COVID-19 infection represents a substantial risk factor for postoperative mortality in patients with proximal femur fractures (PFF). Ten articles met inclusion criteria. Participants’ characteristics and mortality rates were extracted. The total number of PPF patients was 1,882, with 351 of those patients being COVID-positive. The mortality rate for COVID-positive patients ranged from 14.8 percent to 60 percent. Hip patients with concomitant COVID-19 had a 3.65 times higher mortality rate than COVID-negative patients.
Read the study… |
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| Study: Underreporting of Race, Ethnicity, and Socioeconomic Status in Studies in Top Orthopaedic Journals
A study published in The Journal of Bone & Joint Surgery (JBJS) found low rates of reporting race, ethnicity, and socioeconomic status (SES) data in studies published in two orthopaedic journals. A total of 156 articles published in 2019 in Clinical Orthopaedics and Related Research and JBJS were reviewed for reporting of race, ethnicity, and any SES variables (i.e., income, education, and insurance status). Patient race was reported in 56 articles, and 24 articles reported patient ethnicity. Education and insurance status were reported in 23 articles and 18 articles, respectively. Income was the least reported in 13 articles.
Read the abstract… |
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| Study: Preexisting Mental Health Diagnoses Associated with Complications, Readmissions, and Reoperations after Arthroscopic RCR
A retrospective cohort study published online in Arthroscopy found that patients with preexisting mental health diagnoses experience higher rates of 90-day postoperative complications and readmissions following arthroscopic rotator cuff repair (RCR). CPT and International Classification of Diseases codes were used to compare RCR patients with and without mental health disorders. The prevalence of a preoperative mental health disorder was 14.6 percent. Patients with a preexisting mental health disorder were more than twice as likely to experience conversion to shoulder arthroplasty and nearly twice as likely to undergo revision procedures.
Read the abstract… |
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| AAOS Now
Letter to Representatives: AAOS Supports the ‘SAVE’ Act
Earlier this year, AAOS President Felix H. Savoie III, MD, FAAOS, and AAOS leadership penned a letter to U.S. Representatives Madeleine Dean (D-Pa.) and Larry Bucshon, MD (R-Ind.), in support of the Safety from Violence for Healthcare Employees (SAVE) Act of 2022. “Physicians and other health professionals are essential workers and must feel safe in the workplace. With the increase in physician burnout during the pandemic, threats and workplace violence are unnecessary distractions that will delay quality care,” Dr. Savoie writes.
Read more… |
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| Your AAOS
The AAOS Workers’ Compensation Course Returns to In-person Learning
Make plans to attend the 24th annual course, Nov. 4 to 6 in San Antonio, Texas. Growing in popularity every year, this CME event is designed to help orthopaedic surgeons develop and improve their handling of the medical and non-medical components of workers’ compensation cases. Attendees will explore the current legal, administrative, ethical, and insurance issues in their cases and how to address them.
Learn more and register… |
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