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  Today's Top Story Systematic Review Finds Surgical Approach Is Not Associated with Instability after THA Surgical approach (direct anterior or posterolateral) in total hip arthroplasty (THA) was not associated with postoperative dislocation rates (risk difference, -0.00; P = 0.92), according to a systematic review of 25 studies published in the Nov. 15 issue of the Journal of the AAOS ®. In total, 7,172 THA cases were assessed. Neither cup positioning nor surgical factors were associated with increased [...]

  Today's Top Story Study: Uncontrolled Hypertension Is Not an Independent Risk Factor of TJA Complications In a retrospective analysis of 4,345 patients, published online in The Journal of Arthroplasty, uncontrolled hypertension was not found to be an independent risk factor for adverse short-term outcomes of total joint arthroplasty (TJA) for osteoarthritis. Uncontrolled hypertension, defined as systolic blood pressure >140 mm Hg or diastolic blood pressure >90 mm Hg, was present in 55.1 percent of patients. Elevated baseline [...]

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 located between the chambers of the House of Delegates and Senate, The Well is often where information is shared, alliances are formed, and deals are made.   Senior Citizens   AARP suggests ideas to enhance adult care   AARP representatives spoke Monday to members of the Legislative Interim Committee [...]

  Today's Top Story Study: High Transfusion Risk in Tibial Plateau Fracture Surgery in Patients Aged ≥80 Years A study published in the October issue of the Journal of the AAOS: Global Research and Reviews ® reported that ORIF (open reduction–internal fixation) of tibial plateau fractures in appropriately selected octogenarian patients is associated with increased risk of postoperative anemia requiring transfusion and longer length of stay compared with patients aged between 65 to 79 years. For this study, [...]

  Today's Top Story Study: Elevated Preoperative HbA1c Is Associated with Increased Episodic Costs in TJA Hemoglobin A1c (HbA1c) levels above 7.5 percent are associated with increased episode-of-care costs, complications, and readmissions after total joint arthroplasty (TJA), according to a study published in the Nov. 15 issue of the Journal of the AAOS ®. In total, 9,511 TJA cases were retrospectively reviewed. Diabetic patients had higher episodic costs than patients without diabetes ($20,577 versus $19,414; P <0.001). Higher [...]

  Today's Top Story Study: Using Machine Learning to Predict 30-day Mortality after Hip Fracture A study published in the Nov. 15 issue of the Journal of the AAOS ® reported that a neural networks machine learning model successfully predicted 30-day mortality following hip fracture. The National Surgical Quality Improvement Program database was queried, and 19,835 patients with hip fracture between 2016 and 2017 were identified. Thirty-day mortality was 5.3 percent. Of the three models developed, use of [...]

  Today's Top Story Study: Trends and Disparities in Use of Computer-assisted Knee Arthroplasty From 2010 through 2017, the quarterly proportion of computer-assisted knee arthroplasty (compared with conventional arthroplasty) grew from 4.89 percent to 9.45 percent of procedures in New York and from 4.03 percent to 5.73 percent in Florida, according to a study published in the Nov. 15 issue of the Journal of the AAOS ®. Patients who were Black or Hispanic or who had Medicaid coverage [...]