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  Today's Top Story Study Assesses the Impact of Frailty on TJA Complications and Resource Use An epidemiology and propensity score-weighted analysis in the Journal of the AAOS ® examined the effect of frailty on postoperative inpatient complications and hospital resource utilization following total joint arthroplasty (TJA). The study compared epidemiology, medical comorbidities, and postoperative clinical and economic outcomes between 136,516 TJA patients who met the criteria for frailty and 7,718,374 who were classified as non-frail. Frail patients [...]

  Today's Top Story Study: How Does BMI Affect Revision Rates of Cemented versus Cementless UKAs? The Journal of Bone and Joint Surgery published a study assessing the effect of BMI on the rates of revision of cemented and cementless unicompartmental knee arthroplasty (UKA) in more than 10,000 patients. Patients were grouped according to BMI: underweight ( <18.5 kg/m 2), normal weight (18.5 to <25 kg/m 2), overweight (25 to <30 kg/m 2), and obese ( ≥30 kg/m [...]

  Today's Top Story Study Examines Risk Factors and Outcomes of Chronic Opioid Use after Hip Fracture in Patients Aged >65 Years A retrospective study in the Journal of the AAOS ® investigated the risk factors for prolonged opioid use after surgery in patients aged >65 years with hip fractures, as well as the effects of prolonged use on mortality and readmission rates. Overall, 322 patients were included in the analysis. Patients on antidepressants and those with prior [...]

  Today's Top Story Study: Timing of Adverse Events within 90 Days of Hip Fracture Surgery A database study in the Journal of the AAOS ® found that 30 percent of adverse events following hip fracture surgery occurred 31 to 90 days postoperatively in patients aged >65 years. Median, interquartile range, and middle 80 percent for time of diagnosis was calculated from the 90-day incidence and time of diagnosis of 10 common adverse events, and the number of [...]

  Today's Top Story Study Analyzes Effect of Preoperative Staphylococcal Colonization Status on Complications in TJA Patients In a retrospective analysis of 711 patients undergoing total joint arthroplasty (TJA), those who tested positive for methicillin-resistant staphylococcus aureus (MRSA) had longer lengths of stay and higher rates of readmission. The study, published in the Journal of Arthroplasty, aimed to evaluate the complications associated with patients’ preoperative staphylococcal colonization status postsurgery. Compared against patients who were methicillin-sensitive staphylococcus aureus (MSSA)-positive [...]

At the center of the West Virginia state Capitol is an area known as The Well. It is the informal gathering place for lobbyists, reporters, constituents and lawmakers. Centrally situated between the chambers of the House of Delegates and Senate, The Well is where information is often shared, alliances are formed, and deals are made.   86th West Virginia Legislature Sine Die   March 12, 2023   Welcome! Click here to subscribe to HC/GR Morning Clips.   Senate [...]

At the center of the West Virginia state Capitol is an area known as The Well. It is the informal gathering place for lobbyists, reporters, constituents and lawmakers. Centrally situated between the chambers of the House of Delegates and Senate, The Well is where information is often shared, alliances are formed, and deals are made.   86th West Virginia Legislature Countdown: 2 days to go   March 9, 2023   Welcome! Click here to subscribe to HC/GR Morning [...]

  Today's Top Story Study: Intraoperatively Administered Liposomal Bupivacaine Decreases IV Opioid Use in Patients with Hip Fractures According to a retrospective review in the Journal of the AAOS ®, intraoperative administration of liposomal bupivacaine resulted in notable decreases in IV opioid requirements postsurgery in patients with hip fractures. Eighty-two of the 109 patients included in the study received intraoperative liposomal bupivacaine. Opioid requirements, delirium, and visual analog scale pain scores were measured at one, two, and three [...]

At the center of the West Virginia state Capitol is an area known as The Well. It is the informal gathering place for lobbyists, reporters, constituents and lawmakers. Centrally situated between the chambers of the House of Delegates and Senate, The Well is where information is often shared, alliances are formed, and deals are made.   86th West Virginia Legislature Countdown: 4 days to go   March 7, 2023   Welcome! Click here to subscribe to HC/GR Morning [...]