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| Today’s Top Story
AJRR Study: Do Surgeon and Hospital Volume Affect PROMs after THA?
The Journal of the AAOS ® published a study online that utilized the American Joint Replacement Registry (AJRR) to assess the association between surgeon and hospital volumes and patient-reported outcome measures (PROMs) following total hip arthroplasty (THA). A total of 4,447 elective THAs with pre- and one-year postoperative Hip Dysfunction and Osteoarthritis Outcome Score for Joint Replacement (HOOS-JR) scores were analyzed. High-volume hospitals had significantly higher preoperative HOOS-JR scores (49.66) when compared with low- (47.68) and medium-volume hospitals (48.34). There were no significant differences between one-year HOOS-JR scores with regards to different surgeon volumes.
Read the abstract… |
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| In Other News
Retrospective Study Investigates 12-year Survival Rate after Open Wedge HTO
A retrospective study of examined the long-term survival of 247 open wedge high tibial osteotomies (HTOs) and investigated the independent predictors of conversion to total knee arthroplasty (TKA). The study was published in Orthopaedic Surgery. Overall, 13.4 percent of HTOs were converted to knee replacement. The overall rate of survival at the mean 12-year follow-up was 86.6 percent. The risk of conversion to TKA was significantly increased in obese patients. Additionally, severity of pre-existing cartilage damage and increased age were found to contribute to the risk of conversion to TKA.
Read the abstract… |
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| Systematic Review Studies VTE Incidence, Risk Factors, and Prophylaxis Methods after Shoulder Surgery
The Journal of Orthopaedic Surgery and Research published a systematic review characterizing the incidence, risk factors, diagnosis methods, prophylaxis methods, and treatment of venous thromboembolism (VTE) after arthroscopic shoulder surgery. Forty-two studies met the inclusion criteria. The overall incidence of VTE was 0.26 percent, and most VTE events occurred between zero and 14 days postsurgery. The most common method of prophylaxis was mechanical prophylaxis (13 out of 15). BMI >30, age >70 years, diabetes mellitus, thrombophilia, history of VTE, prolonged operation time, hormone use, and immobilization after surgery were possible risk factors for VTE.
Read the abstract… |
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| Systematic Review Compares Clinical and Functional Outcomes between Patients Undergoing Limb Salvage versus Primary Amputation
In a systematic review and meta-analysis of 16 studies with 645 patients, published in Archives of Orthopaedic and Trauma Surgery, there were no significant differences in functional outcomes between patients with severe open tibial fractures who underwent limb salvage and those who underwent primary amputation. The average age was 36.6 years, and the majority of patients were males. There were no differences regarding length of hospitalization, return to work rates, return to sport rates, and quality of life scores; however, patients undergoing primary amputation had a significantly lower risk of total complications, infections, and number of surgeries.
Read the abstract… |
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| Advocacy News
Bill Reintroduced to Repeal Ban on Physician-owned Hospital Expansion
On Feb. 21, Sen. James Lankford (R-Okla.) and Rep. Michael Burgess, MD (R-Texas) reintroduced the Patient Access to Higher Quality Health Care Act. The bill removes the Affordable Care Act’s ban on the creation and expansion of new physician-owned hospitals and allows these facilities to participate in Medicare and Medicaid. During the 117th Congress, AAOS also supported the bill, which the congressmen say will increase competition among hospitals, decrease costs, and expand access to quality care for more Americans.
Read Sen. Lankford’s op-ed on this issue… |
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| AAOS Now
Experience Innovation in the Exhibit Hall at AAOS 2023
The Exhibit Hall, your go-to destination for orthopaedic solutions is at the AAOS 2023 Annual Meeting, will have more than 500 companies ready to connect and show you the latest and greatest. The Exhibit Hall is open Wednesday, March 8, through Friday, March 10. Take advantage of the show floor, which includes more than 10 hours of dedicated exhibit time. Back by popular demand, explore innovations, attend in-booth presentations, and enjoy libations at Happy Hour in the Hall, taking place Thursday, March 9, from 3 to 5 p.m.
Read more… |
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| Your AAOS
MSTS Clinical Practice Guideline on the Management of Humeral Metastatic Disease
The Musculoskeletal Tumor Society (MSTS) Guidelines and Evidence Based Medicine Committee, in conjunction with AAOS methodologists and MSTS volunteers, has just completed the draft manuscript for the first MSTS-only Clinical Practice Guideline on the Management of Humeral Metastatic Disease. The peer and public review process is now open for this guideline until March 17. Visit the link below to review and submit your comments for this guideline
Access the peer review instructions… |
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