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| Today’s Top Story
Study: 93 Percent Survival Rate following Plug Osteochondral Allograft Transplantation with or without Concomitant Osteotomy
Using prospectively collected data, a study in the Jan. 15 issue of the Journal of the AAOS® investigated survivorship and outcomes of osteochondral allograft transplantation using plug grafts with and without concomitant osteotomy in the knee. Modified Hospital for Special Surgery (mHSS) scores were used to assess clinical outcomes. Concomitant realignment osteotomy occurred in 66 of the 86 patients included in the study. Graft survivorship was 100 percent, 93.8 percent, and 89.7 percent after two, five, and 10 to 15 years, respectively. Six grafts required knee arthroplasty. The mean mHSS score improved significantly from preoperative values (90.8 versus 72.5).
Read the abstract… |
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| In Other News
Retrospective Study Finds Current Smokers Have Higher Rates of Revision after TSA
The Journal of Orthopaedics published a retrospective chart review assessing the impact of tobacco use on the clinical outcomes following total shoulder arthroplasty (TSA). The primary outcomes were range of motion (ROM) and patient-reported outcomes (PROs). Seventy-eight non-smokers, 49 former smokers, and 16 current smokers comprised the study population. Non-smokers and former smokers had significant improvements in all ROM and PROs, while smokers reported significant improvements in all PROs and external and internal rotation. The rates of revision were lower in non-smokers (7.7 percent) versus former smokers (20.4 percent) and current smokers (37.5 percent)
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| Study: Increased THA Procedures and Shorter Lengths of Stay following COVID-19 Restrictions
A database study in Arthroplasty Today analyzed the effects of disparities in access to care for total knee (TKA) and hip arthroplasty (THA) patients before COVID-19 restrictions (May to December 2019) and after the easing of restrictions (May to December 2020). Overall, there was an increase in the percentage of THA procedures (26.9 percent) compared with TKA procedures (18.8 percent) following the restrictions. Additionally, there was an increase in patients with Medicaid, and a decrease in patients with private insurance was observed. The average length of stay decreased, with more procedures being performed in outpatient settings.
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| Study: Does Arthroscopic Remplissage Combined with Bankart Repair Result in Higher RTS Rates?
A systematic review and meta-analysis in the American Journal of Sports Medicine investigated return to sport (RTS) rates, outcomes, and adverse events in athletes who underwent arthroscopic Bankart repair with remplissage compared with other surgical alternatives. Eight and 33 studies met inclusion criteria for the meta-analysis and systematic review, respectively. Overall, 538 athletes undergoing remplissage were included. RTS was achieved by 86 percent of athletes, and the odds of RTS were significantly higher in remplissage patients compared with any surgical alternative. Furthermore, the rates of recurrence and reoperation were significantly lower after remplissage.
Read the abstract… |
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| Study Analyzes Effect of Social Factors on Patient-reported Outcomes in Children with Congenital Upper Limb Differences
According to a study in the Journal of Hand Surgery, pediatric patients with medical comorbidities demonstrated worse outcomes in multiple Patient-Reported Outcomes Measurement Information System domains. To assess the effects of geographic location, parent education, sex, ethnicity, race, age, and presence of additional medical comorbidities in pediatric patients, the Congenital Upper Limb Difference registry was utilized. Black patients had higher scores in parent- and child-reported domains of depression, pain, and anxiety and lower scores in upper extremity function when compared with Asian and White patients. There were no significant differences regarding sex or parent education.
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| AAOS Now
CPT® Changes to E/M Coding Start Jan. 1
The CPT ® guidelines for many categories of Evaluation and Management (E/M) Services were updated starting on Jan. 1. In 2021, coding guidelines for Office or Other Outpatient Services were changed to require level determination via medical decision making (MDM) or time. The new changes for 2023 will align the coding principles for the remaining E/M Services. This article provides an overview of these changes as well as other relevant coding revisions that impact orthopaedic surgeons.
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| Your AAOS
Access AAOS Quality Resources
After more than a decade of developing Clinical Practice Guidelines (CPGs), AAOS has expanded its reach into the quality space. With the transition to value-based care, AAOS sought to produce quality products that provide the most benefit to the membership. AAOS continues to develop CPGs, with more than 20 currently available, but the Academy now uses them to create Appropriate Use Criteria (AUC), care pathways, and other derivative materials. These tools help members answer the question, “What does quality care look like?” All AAOS quality resources are free to members.
View CPGs and AUC…
View all quality resources… |
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