Study: Low Rates of Voluntary Arthroscopy Simulation Training among Orthopaedic Residents
A study published in the Feb. 15 issue of the Journal of the AAOS ® reported that only 21 percent of orthopaedic surgery residents met or exceeded a minimum of three hours of voluntary arthroscopy simulation training. Fifty-eight months of simulator use data from a single institution were analyzed, then compared with comparable data from two additional programs. Average annual use was 27.7 hours and average use per resident was 1.7 hours. In a survey of 31 residents at the study institution, 86 percent said they thought simulator use should be a mandated component of resident training.
Study: PLAN and AM-PAC “6-Clicks” Predict Discharge Disposition after Primary TJA
The Predicting Location after Arthroplasty Nomogram (PLAN) and Activity Measure for Post-Acute Care (AM-PAC) “6-Clicks” tools were good-to-excellent predictors of discharge disposition after total joint arthroplasty (TJA), according to a retrospective study published in the Journal of Bone & Joint Surgery. Preoperative PLAN scores and postoperative 6-Clicks scores from 11,672 TJA patients were assessed. When used together, the concordance index was 0.836 for both hip and knee arthroplasty. When the two tests agreed on home discharge, higher rates of discharge to home and fewer readmissions occurred than when the tools disagreed on this variable.
Study: Postoperative Nausea, Vomiting after Delayed Second Stage in Bilateral TKA
A retrospective study published online in Knee Surgery, Sports Traumatology, Arthroscopy investigated incidence of postoperative nausea and vomiting after a one-week interval between the first and second stage in bilateral total knee arthroplasty (TKA). Fifty-eight patients were included. Incidence of nausea and vomiting on postoperative day (POD) 0 were significantly reduced after the second procedure, with lower rates of antiemetic use than after the first procedure. Nausea on POD 1 was also significantly lower after the second stage. Total opioid consumption at 72 hours postoperatively was significantly higher after the second operation.
Study: Increased Risk of Dislocation after TSA in Patients with Parkinson Disease
Patients with Parkinson disease have three-fold higher odds of periprosthetic dislocation at 90 days after total shoulder arthroplasty (TSA) for osteoarthritis compared with patients without Parkinson disease, according to a retrospective study published online in the Journal of Shoulder and Elbow Surgery. In total, 478 patients with Parkinson disease were matched to 4,715 controls. Odds of other complications at 90 days were similar between groups. Implant survival at five years was also similar between groups.
Study: Two-year Outcomes of Surgery for Nondisplaced Femoral Neck Fracture in Older Patients
A retrospective study published online in BMC Musculoskeletal Disorders investigated outcomes of older patients with nondisplaced (“occult”) Garden classification I and II femoral neck fractures treated with internal fixation. Ninety-three patients with a mean age of 82 years were included. Minimum follow-up was two years. Six patients (6 percent) required major reoperation, and 2 percent had minor reoperations. The one-month mortality rate was 7 percent, one-year mortality was 20 percent, and two-year mortality was 31 percent.
AAOS Files Amicus Brief in Support of Lawsuit Challenging No Surprises Act Rule
The American Association of Orthopaedic Surgeons joined in filing an amicus brief signed by nine national medical specialty organizations that challenges the federal government’s implementation of the No Surprises Act. The brief warned that the regulations, which took effect Jan. 1, “bluntly undercut” carefully crafted legislation and will greatly diminish patient access to care. “In turning to legal action, we remain committed to protecting patients from the heavy hand of insurers and ensuring that the imbalance of power in good faith negotiations over payment disputes is not further exacerbated,” said AAOS President Daniel K. Guy, MD, FAAOS.
Do you have timely research or an interesting story to tell? AAOS Now is seeking editorial submissions from orthopaedic surgeons and orthopaedic- and practice-related product and service providers that qualify as subject matter experts. The magazine features various formats and opportunities to highlight your information or topic. AAOS Now encourages interested authors to contact staff prior to writing in order to review suggestions and provide feedback. Submit an article suggestion online or email AAOS Now Publisher Dennis Coyle at coyle@aaos.org.
