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| Today’s Top Story
Study Evaluates 90-day Outcomes in Between TSA vs. Reverse TSA
A study published in the February issue of the Journal of the AAOS ® compared rates of 90-day complication and readmission in patients who received total shoulder arthroplasty (TSA) or reverse TSA (RTSA) with same-day discharge. Of 98 patients who underwent 104 shoulder arthroplasties, 52 received TSA and 52 received RTSA. Three minor postoperative complications occurred among the TSA cohort (5.8 percent), compared to four in the RTSA cohort (7.7 percent). No patients who underwent TSA required readmission, while one patient in the RTSA cohort was readmitted within 90 days.
Read the abstract… |
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| In Other News
Study: Timing and Associated Characteristics of TKR After HTO in Patients with OA
A study published in the February issue of CMAJ assessed the frequency, timing, and associated factors of conversion from high tibial osteotomy (HTO) to total knee replacement (TKR) in patients with osteoarthritis (OA). Of 556 total patients who underwent HTO procedures, incidence of TKR was 5 percent after five years and 21 percent after 10 years. Using the Cox proportional hazards multivariable model, the researchers identified that radiographic OA severity, pain, female sex, age, and BMI were significantly associated with increased odds of conversion to TKR.
Read the study… |
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| Study Tracks Changes in Patient Income Five Years After Surgery for Orthopaedic Fracture
A study published online in JAMA Network Open calculated changes in patient income following orthopaedic surgery. In total, 9,997 patients who received surgery for a fracture between 2003 and 2014 were compared to 34,570 control patients. Changes in individual and household annual earnings up to five years postinjury were determined using tax records. The mean annual decline in individual earnings was $9,865, and in household income, $5,259. A mean annual increase of $206 in Social Security benefits was seen. Relative income loss was higher among individuals in the top three income quartiles compared to those in the bottom quartiles.
Read the study… |
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| Study: Characteristics and Complications Associated with Dorsal Bridge Plating for DRF
A review published online in The Journal of Hand Surgery evaluated patient and injury characteristics, complications, and outcomes associated with dorsal bridge plating (DBP) for the treatment of distal radius fracture (DRF). A total of 12 studies were included, comprising 310 patients who underwent DBP between 1988 and 2018. Intra-articular, comminuted DRF was the most common injury, and more than half (58 percent) of injuries were due to a fall. Complications occurred in 13 percent of cases, with hardware failure (3 percent), symptomatic malunion or nonunion (3 percent), and persistent pain (2 percent) the most common events.
Read the abstract… |
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| Study: Sarcopenia Associated with AEs in Thoracolumbar Spine Surgery
A retrospective study published online in The Spine Journal assessed the association between sarcopenia and perioperative adverse events (AEs) in patients undergoing complex revision thoracolumbar spine surgery. Sarcopenia was identified via preoperative MRI in 49 of 114 total patients. Patients with sarcopenia had higher rates of AEs than patients without sarcopenia (75.5 percent versus 27.7 percent). Sarcopenia was also associated with higher rates of 30-day reoperation, 30-day readmission, nonhome discharge, and longer length of stay.
Read the abstract… |
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| AAOS Now
Secondary Fracture Prevention: Multistakeholder Coalition Shares Recommendations
A major risk factor for sustaining a fragility fracture is having had a previous fragility fracture. Secondary fracture prevention is an attempt to reduce the risk of additional fractures. The process includes evaluation of bone status, correction of nutritional and metabolic abnormalities, and prescription of medications, if warranted, to prevent future fracture. This article offers fundamental recommendations for secondary fracture prevention that apply to patients aged 65 years or older who have had a hip or spine fracture.
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| Your AAOS
Take Part in Virtual AAOS Governance Events
Orthopaedic Excellence will march on—in the month of March—virtually with key governance activities, including the transition of AAOS leadership, nominations for the AAOS Nominating Committee, and consideration of the proposed AAOS Resolutions and AAOS Bylaws Amendments. Learn how you can participate in the Open Hearings and Business Meetings virtually.
Learn more and register… |
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