Top Stories

  Today's Top Story Randomized Study: Impact of Preoperative Carbohydrate Loading on Acute TKA Outcomes A randomized study in the June 1 issue of the Journal of the AAOS ® found that consumption of a carbohydrate-rich drink prior to total knee arthroplasty (TKA) did not improve immediate postoperative outcomes or increase risk of adverse events compared to a control group. In total, 153 patients received either a carbohydrate-rich drink, a placebo drink, or no drink prior to TKA. [...]

  Today's Top Story Study: Variable Reliability in Leg Length Discrepancy Measures in Total Hip Arthroplasty A systematic review published online in The Journal of Arthroplasty found wide variability in the intra- and interrater reliability of most measurement techniques for leg length discrepancies in patients undergoing total hip arthroplasty. Forty-two articles, including 2,059 patients, were analyzed. Biplanar radiography demonstrated excellent intra- and interrater reliability. The authors noted that the tape measure method was a valid clinical measure of [...]

  Today's Top Story Study: Hospital and Surgeon Volume Are Associated with Rates of Revision THA and TKA A study published in the June 1 issue of the Journal of the AAOS ® found a greater number of complications after total hip arthroplasties (THAs) and total knee arthroplasties (TKAs) in low-volume hospitals with low-volume surgeons compared with high-volume centers and surgeons. The researchers identified Medicare-eligible total joint arthroplasties from 2012 to 2017 via the American Joint Replacement Registry [...]

          From The Well   May 24, 2022 Interim Meetings/Morgantown , 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.     Energy     Industry reps focus [...]

  Today's Top Story Study: Lower Transfusion and Readmission Rates with Extramedullary versus Intramedullary Implants for Stable Intertrochanteric Fractures Compared with intramedullary implants, extramedullary implants were associated with lower rates of transfusion, readmission, and discharge to a nonhome location in patients with closed nondisplaced stable intertrochanteric fractures, according to a retrospective study published in the May 15 issue of the Journal of the AAOS ®. The researchers identified 3,244 patients from the National Surgical Quality Improvement Program Database (intramedullary [...]

  Today's Top Story Study: Favorable Outcomes with Remimazolam versus Propofol in Elderly Hip Replacement Patients According to a study published online in BMC Anesthesiology, remimazolam had equivalent analgesic effects in elderly patients receiving hip replacement compared with propofol and significantly relieved respiratory and circulatory suppression, stress response, and cognitive dysfunction. Thirty patients received remimazolam and 29 received propofol. Heart rate and mean arterial pressure were significantly decreased after anesthesia in the remimazolam group and significantly higher in [...]

  Today’s Top Story Study: Preoperative OA Severity Predicts Improvement after TKA without Patellar Resurfacing A retrospective study published in the April issue of the Journal of the AAOS: Global Research & Reviews ® found that greater preoperative osteoarthritis (OA) severity predicted higher postoperative patient-reported outcome measure (PROM) scores after total knee arthroplasty (TKA) without patellar resurfacing. In total, 193 patients with at least one year of follow-up were included. A preoperative lateral patella Kellgren-Lawrence score of ≥2 [...]

  Today's Top Story Study: Disparities in Travel Distance for Patients Receiving Total Hip Arthroplasty According to a study published in the April issue of the Journal of the AAOS: Global Research & Reviews ®, insurance provider, race, and income are associated with differences in travel distance to receive total hip arthroplasty (THA). Data from 211,806 THA patients were included. Patients who were white, had commercial insurance or Medicare, and were in top income quartile zip codes traveled [...]

  Today's Top Story Study: Relationship between Tibiofemoral Contact Forces and Intraoperative Kinematic Pivot Patterns in TKA A study published in the April issue of the Journal of the AAOS: Global Research & Reviews ® found that tibiofemoral compartments with greater contact force had less anteroposterior translation at certain flexion ranges and correlated with kinematic pivot patterns after primary total knee arthroplasty (TKA). Sensor-embedded tibial trials were used intraoperatively in 157 TKAs. For ligament-intact TKAs, increased medial and [...]

  Today's Top Story AAOS President Issues Statement on Women’s Healthcare The American Association of Orthopaedic Surgeons (AAOS) President Felix H. “Buddy” Savoie III, MD, FAAOS, released the following statement today in response to the recent public discussions on women’s health and security: “As a medical organization, the AAOS would like to affirm that we strongly support the primacy of the patient-physician relationship and full access to healthcare for women in all cases.”         In [...]