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| Today’s Top Story
Study Finds Significantly Lower HCAHPS Scores in Revision versus Primary TJA
Revision total joint arthroplasty (TJA) was associated with significantly lower Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores compared with primary TJA, according to a retrospective study published in the Feb. 15 issue of the Journal of the AAOS ®. Of 2,707 TJAs, 2.2 percent were revision hip arthroplasties and 2.77 percent were revision knee arthroplasties. Revision patients presented with poorer baseline function, had longer length of stay, and reported significantly lower total top-box HCAHPS ratings than primary patients. Revision TJA was also associated with lower scores for the “care from doctors” subsection.
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| In Other News
Study: Fracture Location Is Related to Outcomes of Nonoperative Treatment for Acromial Fracture after RSA
A study published online in the Journal of Shoulder & Elbow Surgery reported that outcomes of nonoperative treatment of acromion/scapular spine fractures (ASF) following reverse shoulder arthroplasty (RSA) differed according to fracture location. Forty-four patients with ASF were compared with 108 matched controls. Lateral fracture outcomes were similar to controls. Fractures at or medial to the glenoid face had worse clinical outcomes and lower patient satisfaction. Medial fractures and fracture nonunion were associated with “concerning” rates of scapular tilt, progressive scapular notching, and osteolysis.
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| Study: Is Cannabis Use Associated with Increased Opioid Use after Arthroscopy?
Self-reported cannabis use after hip arthroscopy was not associated with increased postoperative opioid use or costs, according to a retrospective study published online in Arthroscopy. Patients who underwent hip arthroscopy between 2010 and 2019 were identified from a national database. The rate of self-reported preoperative cannabis use (up to five years pre-arthroscopy) was 0.71 percent. Among patients with full financial and opioid use data, there were no significant differences in either category during the episode of care.
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| Study Validates In-shoe Plantar Pressure Measure in Diabetic Patients with Neuropathy
A study published in Current Orthopaedic Practice found the Pedar in-shoe plantar pressure measurement system offered reliable measurements within the same day and between different days for patients with diabetes with or without neuropathy. However, reliability differed depending on neuropathy severity. Forty-seven patients underwent measurement twice in one day and again after a mean of 7 days. “Excellent” reliability was found for same-day measurements, regardless of neuropathy severity. Mean pressure and pressure time integral showed excellent reliability across different days in patients without or with mild neuropathy, and “fair-to-excellent” reliability in patients with moderate and severe neuropathy.
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| Randomized Trial: Neuromuscular Training after Concussion May Reduce Subsequent Injury Risk
A randomized clinical trial of youth athletes who experienced a concussion, published online in the American Journal of Sports Medicine, reported that an eight-week neuromuscular training (NMT) intervention initiated after return-to-play clearance led to significantly fewer sports-related time-loss injuries in the following year. Twenty-seven athletes were enrolled, including 11 who received NMT (mean age, 14.7 years) and 16 who received standard care (15.3 years). The adjusted incidence of injuries was 3.4 per 1,000 competitive exposures in the NMT group, compared with 10.2 per 1,000 for the controls.
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| AAOS Now
AAOS Nominating Committee Announces 2022 Slate
On Nov. 22, 2021, the AAOS Nominating Committee, chaired by Kristy L. Weber, MD, FAAOS, announced its slate of nominees. The committee was charged with identifying and recommending candidates for second vice president, member-at-large (age 45 and over), member-at-large (under age 45), and six nominees to the American Board of Orthopaedic Surgery. The AAOS Fellowship will have the opportunity to vote on the recommendations during the business meeting of the American Association of Orthopaedic Surgeons during the AAOS 2022 Annual Meeting in Chicago.
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| Your AAOS
2022 Kappa Delta and OREF Award Winners
The AAOS is pleased to announce recipients of the 2022 Kappa Delta and Orthopaedic Research Education Foundation (OREF) Clinical Research Awards. Recognized for their achievements in the field of orthopaedic research and their efforts to advance patient care, each recipient will present their work during the Orthopaedic Research Society (ORS) 2022 Annual Meeting on Feb. 4-8 in Tampa, Fla. The awards will also be celebrated during the AAOS 2022 Annual Meeting in Chicago.
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