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  Today's Top Story Study: Racial and Ethnic Disparities and TJA Utilization in Universally Insured Patients The Journal of the AAOS ® published a retrospective cohort study assessing whether racial and ethnic disparities in total joint arthroplasty (TJA) utilization persist in universally insured patients within a managed healthcare system. The population included patients aged >50 years with hip or knee osteoarthritis. In total, there were 99,548 patients in the hip analysis and 290,324 in the knee analysis. Of [...]

  Today's Top Story Study: Patients with Multiligamentous Knee Injuries with ACL Tear Are at Greater Risk of Peroneal Nerve Injury A retrospective study published online in the Journal of the AAOS ® investigated the relationship between peroneal nerve injuries and multiligamentous knee injuries (MLKIs). The outcomes obtained through chart review included radiographs, advanced imaging, and surgical characteristics. Of 221 MLKI patients included in the study, 43 patients incurred a clinical peroneal nerve injury. All of those patients [...]

  Today's Top Story Study: Safe Perioperative Opioid Use to Reduce Persistent Usage in Opioid-naïve Patients after TJA A retrospective study published online in The Journal of Arthroplasty examined the relationship between perioperative opioid exposure and persistent usage among opioid-naïve patients following total joint arthroplasty (TJA). Perioperative opioid exposure was measured in morphine milligram equivalents (MME) between one month before and two weeks after TJA. Persistent usage was defined as at least one opioid prescription between 90 to [...]

  Today's Top Story Study: The Efficacy of Bone Wax in Reducing Perioperative Blood Loss in THAs A randomized controlled clinical trial published in The Journal of Bone & Joint Surgery found that bone wax on the cut surface of the femoral neck significantly reduced perioperative blood loss (PBL) during total hip arthroplasty (THA) through the direct anterior approach. Bone wax was used in 75 of 152 patients. Primary outcomes included apparent and total PBL on days three [...]

  Today's Top Story Study: Association between Intraoperative Dexamethasone Utilization and Periprosthetic Joint Infection after TJA The Journal of Arthroplasty published a retrospective study online that investigated the rates of periprosthetic joint infection (PJI) and complications in patients undergoing elective total knee (TKA) and total hip arthroplasty (THA) who received intraoperative dexamethasone. Utilizing a national database, a total of 1,322,025 patients undergoing primary elective total joint arthroplasty (TJA) were identified. Of the 857,496 TKA patients, dexamethasone was associated [...]

  Today's Top Story Study: Aspirin as Prophylaxis for TJA Patients with a History of VTE The Journal of Bone & Joint Surgery published a retrospective cohort study assessing the effectiveness of aspirin as a prophylactic agent in total joint arthroplasty (TJA) patients with a history of venous thromboembolism (VTE). Demographics, comorbidities, intraoperative factors, and postoperative complications were collected from 36,333 patients, including 1,087 with a history of VTE. In patients with a history of VTE, rates of [...]

  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 [...]