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  Today's Top Story Study: Risk of Complications in Knee and Hip Fracture in Geriatric Patients A retrospective study published in the Nov. 1 issue of the Journal of the AAOS ® found comparable rates of acute complications, mortality, and readmission after surgery for geriatric knee and hip fractures. The National Surgical Quality Improvement Program database was queried for all patients aged ≥70 years who underwent surgery for hip or knee fractures (distal femur and tibial plateau fracture) [...]

  Today's Top Story Study: Favorable Safety Outcomes in Risk-screened Early THA Discharge A retrospective study of patients treated at an urban tertiary care hospital reported that early discharge total hip arthroplasty (THA) with appropriate risk screening demonstrated risks of complications, ED visits and readmission, or revision comparable to standard discharge. This study was published in the Oct. 15 issue of the Journal of the AAOS ®. The researchers reviewed 236 patients. Patients in the early-discharge group were [...]

  Today's Top Story Study: C-reactive Protein/Albumin Ratio Predicts Complications in PJI Revision A higher preoperative C-reactive protein/albumin ratio (CAR), particularly in combination with serum and synovial fluid markers, is associated with significantly greater risk of infection and 30- and 60-day readmission after revision total joint arthroplasty for periprosthetic joint infection (PJI), according to a study published in the Oct. 15 issue of the Journal of the AAOS ®. In total, 213 patients were analyzed. There was a [...]

From the Well October Special Session   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.   Inquiry from Maryland   3 counties interested in joining West Virginia   Legislators who represent [...]

  Today's Top Story Study: Impact of Anxiety and Depression on In-hospital TJA Complications A study published in the Oct. 15 issue of the Journal of the AAOS ® found that anxiety and depression are major risk factors for postoperative anemia and in-hospital complications in total joint arthroplasty (TJA). The National Inpatient Sample database was queried for all TJA cases between 2006 and 2015, and then divided based on concomitant diagnoses of depression, anxiety, depression and anxiety, or [...]

  Today's Top Story Study: Trends in Triage and Management of PJI across the U.S. A study published online in Current Orthopaedic Practice investigated triage and management of periprosthetic joint infection (PJI) transfer cases at academic medical centers. Ninety-six adult reconstruction programs were surveyed, and 34 centers responded. Most programs (97.5 percent) accepted PJI transfer cases, regardless of index procedure location. Eighty-three percent reported that fellowship-trained reconstruction surgeons provide initial care. Septic or critically ill patients were first [...]

  Today's Top Story Randomized Study Assesses Adductor Canal Block with IPACK for TKA A randomized study published in The Journal of Arthroplasty found that an adductor canal block (ACB) plus an infiltration between the popliteal artery and capsule of the posterior knee (IPACK) block during total knee arthroplasty (TKA) is safe and led to a small but statistically significant improvement in immediate postoperative pain compared to ACB alone. In total, 120 patients received either ACB alone, IPACK [...]