Top Stories

7 08, 2020

The Sobering Story of SARS-CoV-2 Seroprevalence: What You May Have Heard About Herd Immunity

By |2020-08-07T13:41:28+00:00August 7th, 2020|Top Stories|

Authored by OrthoEvidence More than 7 months have passed since the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the pathogen of COVID-19, was first identified. We are still trying to learn more about the virus and the disease. With the help of lab tests, involving clinical molecular diagnostic technology such as reverse transcription polymerase chain reaction (RT-PCR) (Carter et al., 2020), we are able to detect the RNAs of SARS-CoV-2 in subjects who are tested.  Notably, the clinical [...]

6 08, 2020

Mass Casualties in Lebanon: “We Urgently Need Medical Supplies”

By |2020-08-06T19:22:21+00:00August 6th, 2020|Top Stories|

Dear Friends and Colleagues, Dr. Fadi Zein El- Abidine (Chief of Orthopaedic Surgery at the Najjar Hospital in Beirut, Lebanon) shared insights about the tragic explosion and subsequent healthcare crisis in the past 24 hours. With thousands injured, and hundreds seeking orthopaedic healthcare by the hour, he warned of the immediate, 2nd and 3rd waves of orthopaedic care including emergent wound and fracture care, semi-elective and definitive care, and rehabilitation (prosthetics) care, respectively. We wanted to rapidly disseminate [...]

5 08, 2020

August 5, 2020 | Today’s News

By |2020-08-06T19:25:42+00:00August 5th, 2020|Top Stories|

  Today's Top Story CMS Issues Proposed Changes to the Medicare Physician Fee Schedule for 2021 Late on Aug. 3, the Centers for Medicare & Medicaid Services (CMS) released its proposed changes for Medicare payments under the Physician Fee Schedule (PFS) as well as other Medicare Part B issues for calendar year 2021 Among other changes, the agency is proposing to reduce the work relative value units for hip and knee arthroplasty by 5.4 percent. As a result [...]

3 08, 2020

August 3, 2020 | Today’s News

By |2020-08-04T16:19:58+00:00August 3rd, 2020|Top Stories|

  Today's Top Story Study Evaluates Tool to Assess Postoperative TKA Recovery A retrospective study published online in BMC Musculoskeletal Disorders described and validated a reference chart to monitor knee flexion after total knee arthroplasty (TKA). The reference charts were created with Generalized Additive Models for Location Scale and Shape, as well as 1,173 observations from 327 TKA patients during the first 120 days postoperatively. The best fitting model used a nonlinear time trend and incorporated smoothing splines [...]

1 08, 2020

A Vexing Virus and the Valuation of Vaccines

By |2020-08-03T17:10:23+00:00August 1st, 2020|Top Stories|

August 1, 2020 OEINSIGHTS Evidence, Analytics, Decisions Contributors Ayesha Siddiqua Msc, PhD Mohit Bhandari MD FRCSC PhD Editor-in-Chief, OrthoEvidence Insights The scientific community and vaccine industry have come together to develop a vaccine for COVID-19 at remarkable speed. As of July 24, 2020, there have been 25 and 141 vaccine candidates in clinical evaluation and preclinical evaluation, respectively. A wide range of platforms are used for the vaccine candidates, including DNA, inactivated, live attenuated virus, nonreplicating viral vector, [...]

31 07, 2020

July 31, 2020 | Today’s News

By |2020-08-03T17:15:30+00:00July 31st, 2020|Top Stories|

  Today's Top Story Academy Reschedules AAOS 2021 Annual Meeting The AAOS 2021 Annual Meeting will now take place Aug. 31, 2021, to Sept. 4, 2021, at the San Diego Convention Center. Registration will open in April 2021, and the meeting will include both in-person and online educational programming. The AAOS Board of Directors approved the recommendation to reschedule the meeting, originally slated to occur in March 2021, after significant evaluation and scenario planning focusing on the health [...]

29 07, 2020

July 29, 2020 | Today’s News

By |2020-07-30T15:33:42+00:00July 29th, 2020|Top Stories|

  Today's Top Story Study: Does Surgeon Experience Impact Preoperative THA Planning? A study published online in International Orthopaedics compared preoperative total hip arthroplasty (THA) planning accuracy between fellow-trained orthopaedic surgeons versus residents. A fellow-trained surgeon and a resident separately performed preoperative digital templating for 101 THA patients. The fellow-trained group had a higher overall rate of adequate preoperative acetabular cup planning compared to the resident group (77.2 percent versus 64.3 percent) but a lower overall rate of [...]

27 07, 2020

July 27, 2020 | Today’s News

By |2020-07-28T14:15:34+00:00July 27th, 2020|Top Stories|

  Today's Top Story Study Compares Single- versus Two-stage Revision of Infected TKA A study published online in The Journal of Arthroplasty compared single- versus two-stage revision total knee arthroplasty (TKA) for periprosthetic joint infection (PJI) Single-stage revision TKA patients (n = 44) were matched to two-stage revision TKA patients (n = 88). Preoperative patient-reported outcome measures did not largely differ between the groups; postoperatively, the single-stage revision TKA group had significantly higher Knee Injury and Osteoarthritis Outcome [...]

25 07, 2020

Health Care Heroes: Are We Asking Too Much?

By |2020-07-27T17:24:09+00:00July 25th, 2020|Top Stories|

Insights While the 'hero' label is well-intentioned and the acknowledgement of the actions of healthcare workers is appreciated, there are certain implications from this use of language that are causing discomfort. It causes a shift in the hero narrative. It creates a story of healthcare workers who are deemed heroic only when making extreme personal sacrifices that go well beyond the limits of their already heroic profession. It is politically convenient to label healthcare workers as heroes as [...]

24 07, 2020

July 24, 2020 | Today’s News

By |2020-07-27T17:28:07+00:00July 24th, 2020|Top Stories|

  Today's Top Story Study Assesses Predictive Value of Hospital Frailty Risk Score for AEs After Joint Arthroplasty A retrospective study published online in The Journal of Arthroplasty evaluated the use of the Hospital Frailty Risk Score (HFRS) to predict adverse events (AEs) following total hip arthroplasty (THA) and total knee arthroplasty (TKA). The HFRS was calculated for 8,250 THA and TKA patients. Patients with immediate or high frailty risk had higher rates of reoperation; transfusion; readmission; and [...]