| |
| Today’s Top Story
Study: Utilization, Costs Associated with ASCs versus Hospital Outpatient Departments
From 2013 to 2018, use of ambulatory surgery centers (ASCs) for outpatient procedures rose from 31 percent to 34 percent, with lower overall costs than hospital outpatient departments, according to a study of administrative claims data published in the Journal of the AAOS ®. In total, 990,980 cases were analyzed. There were significant increases in lumbar microdiskectomy, knee arthroscopy, ACL repair, carpal tunnel release, and arthroscopic rotator cuff repair in procedures performed in the ASC setting. Average costs were 26 percent lower in the ASC group than in the hospital group; average technical fees were 33 percent lower.
Read the abstract… |
| |
|
|
|
| |
| In Other News
Study: Opioid Usage and Duration after TJA in Opioid-naïve Patients
In opioid-naïve total joint arthroplasty (TJA) patients, postoperative opioid use differs depending on procedure type, according to a study published in The Journal of Arthroplasty. Overall, 123 total hip arthroplasties (THA) and 120 total knee arthroplasties (TKA) were assessed. On average, THA patients consumed 75.1 morphine milligram equivalents (MMEs) over 1.7 weeks, and TKA patients consumed 384.7 MMEs over 4.3 weeks. Patient-reported fatigue scores were significantly associated with 8.4 hours of longer opioid usage in THA and 15.1 hours in TKA. Fatigue was also associated with an additional 12.7 MMEs in the TKA group.
Read the abstract… |
| |
|
|
|
| |
| Study: Suture Button Tensioning Modality Is Related to Bone Block Healing in Arthroscopic Latarjet Procedures
For suture button use in coracoid fixation in arthroscopic Latarjet procedures, mechanical tensioning (using a tensioning device) led to significantly higher bone block healing rates than manual tensioning (using a knot pusher), according to a study published in the Journal of Shoulder & Elbow Surgery. Sixty-nine patients were included (mechanical, n = 35; manual, n = 34). Ninety-four percent of the mechanical group achieved bone block healing, compared with 74 percent of the manual group. At a mean follow-up of 34 months, stability and clinical outcomes were similar overall, and no neurologic or hardware complications occurred.
Read the abstract… |
| |
|
|
|
| |
| Systematic Review Assesses DRF Fixation with Arthroscopic-assisted Volar Plating
A systematic review published online in the Journal of Hand Surgery evaluated outcomes of arthroscopic-assisted distal radius fracture (DRF) fixation using volar locking plates (VLPs). Six studies, comprising 280 patients, were included. Postoperative stepoff was significantly improved with the use of VLPs versus without. Arthroscopic-assisted VLP use was associated with greater identification of soft tissue injuries, as well as increased wrist extension and longer operation time
Read the abstract… |
| |
|
|
|
| |
| Study: Predictors of SSI after Pediatric Spine Deformity Surgery
A study published in the Journal of Bone & Joint Surgery evaluated a risk probability calculator for surgical site infections (SSIs) after pediatric spinal deformity surgery. Data from 3,092 patients were included in the model. The SSI rate was 4.3 percent. The model achieved adequate discrimination and calibration, with no overfitting. Predictors of SSI included nonambulatory status, neuromuscular etiology, pelvic instrumentation, procedure time ≥7 hours, American Society of Anesthesiologists status of >2, revision procedure, hospital spine surgical cases of <100 per year, abnormal hemoglobin level, and overweight or obese BMI.
Read the abstract… |
| |
|
|
|
| |
| AAOS Now
OVT Review: Lower Trapezius Transfer for Irreparable Posterosuperior Rotator Cuff Tear
Ronald A. Navarro, MD, FAAOS, reviews a video—available via the AAOS Orthopaedic Video Theater—that demonstrates lower trapezius transfer as a recent transfer option to restore external rotation in patients with irreparable rotator cuff tears. “The video teaches a surgeon with nominal experience in shoulder tendon transfers to become more knowledgeable about the concepts of transfer in general, providing a great springboard to learn about other transfers,” Dr. Navarro writes.
Read more… |
| |
|
|
|
| |
| Your AAOS
The Virtual Resident Rumble Is Back: Sign Up Your Program Today
It’s back: The Resident Rumble trivia competition is back, beginning Wednesdays in April. Teams can participate in this free event virtually. The games will be one hour long and take place every Wednesday evening in April and May from 8 to 9 p.m. This fierce competition is tournament style, meaning your team will play a maximum of three dates. The winner of each week plays in a final game at the end of April or May to determine who plays in the championship game on June 1. Do you think you have what it takes to be crowned the champion? Resident programs sign up today!
Sign up to play or learn more… |
| |
|
