January 15, 2021 | Today’s News

Study: What Causes Retear After Arthroscopic RCR?

A study published in the January issue of the Journal of Shoulder and Elbow Surgery identified risk factors for retear following arthroscopic rotator cuff repair (RCR). Patients who underwent MRI six months postoperatively were stratified into two groups: healed (intact tendon, n = 254) and retear (ruptured tendon, n = 32). The mean age of the overall cohort was 64.9 years; 177 patients had a small/medium tear, and 109 had a large/massive tear. Surgical repair techniques were single row (n = 42), double row (n = 60), and suture bridging (n = 216) The combined factors that were most significantly associated with retear following arthroscopic RCR were an anteroposterior tear size ≥ 40 mm, hyperlipidemia, and critical shoulder angle ≥ 37 degrees.

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Study Examines Relationship Between Admission and Surgical Timing on Hospital LOS in Hip Fracture Cases

A study published in the Jan. 15 issue of the Journal of the AAOS ® (JAAOS ®) assessed the correlation between the day of the week and time of day (TOD) of both admission and surgery and hospital length of stay (LOS) in patients with hip fracture. Patients were stratified by LOS: one to four days (short stay, n = 58) and five to 12 days (long stay, n = 42). Demographics were similar between the groups. Long-stay patients were 4.2 times more likely to have been admitted and 4.8 times more likely to have undergone surgery on a Thursday, but TOD of admission/surgery was not correlated with LOS.

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According to a study published in the January issue of The Journal of Arthroplasty, the Patient-reported Outcomes Measurement Information System (PROMIS) was feasible and time-efficient in Bundled Payment for Care Improvement (BPCI) patients undergoing total knee arthroplasty (TKA). The number of questions and time needed for PROMIS completion were used to evaluate burden. Of 172 knees assessed, 54 were BPCI. Patients needed 140 seconds and 16 questions to complete three PROMIS domains. The proportion of patients who achieved minimum clinically important difference was: pain interference, 67 percent; physical function, 60 percent; and depression, 44 percent. Outcomes did not differ between the groups.

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A retrospective study published online in the Journal of Orthopaedic Surgery and Research assessed wrist tuberculosis (TB). Eighteen patients (average age, 53.5 years) received a puncture biopsy-confirmed diagnosis of wrist TB. The average disease course was 15.1 months. All patients underwent surgery and chemotherapy, three patients received wrist fusion, and 15 underwent focus removal. Average follow-up was 39.7 months. In the 15 focus removal cases, the Gartland and Werley scores changed from 21.73 at admission to 5.07 at final follow-up. Disabilities of the Arm, Shoulder, and Hand scores changed from 45.87 to 6.73, respectively. Range of motion and grip strength significantly improved.

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COVID-19 Relief Changes Related to Latest Stimulus Package

This week, changes to federal COVID-19 economic relief programs began following the passage of the Consolidated Appropriations Act, 2021. The Small Business Administration announced the reopening of applications for new loans through the Paycheck Protection Program. Small businesses and certain other industries may begin applying for the lesser of up to $10 million or an amount calculated using a payroll-based formula in forgivable federal loans to offset the impact of COVID-19. The Department of Health and Human Services also announced the release of new reporting requirements for recipients of the Provider Relief Fund.

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Research Productivity Varies Based on Gender and Academic Rank

Previous studies have identified several factors that contribute to gender disparities in orthopaedics. There are also gender disparities in research productivity, which is essential for academic advancement. Mary Mulcahey, MD, FAAOS, is the senior author of a recent article published in the JAAOS ®, which evaluated research productivity among male and female orthopaedic surgeons at academic residency programs. In an interview with AAOS Now, Joseph Zuckerman, MD, FAAOS; Antonia Chen, MD, MBA, FAAOS; Mary I. O’Connor, MD, FAAOS; and Regis O’Keefe, MD, PhD, FAAOS, shared their insights on the study results.

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Preparing for Excellence—Register For Annual Meeting Housing Risk-free Today

AAOS is planning for a better than ever Annual Meeting. Member safety is a top priority, and AAOS is working hard to ensure all the necessary measures are in place. Book your housing today at no risk. Let onPeak, the official hotel provider for the AAOS Annual Meeting, help coordinate your stay in San Diego. Members are encouraged to regularly visit the Annual Meeting website for additional information and frequent updates.

Learn more and reserve your housing today…