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| Today’s Top Story
Population-based Database Study Assesses Risk of Revision following Anatomic and Reverse TSA
The Journal of the AAOS ® published a study in the Jan. 1 issue investigating the survivorship of anatomic total shoulder arthroplasty (TSA) and reverse TSA in a large population over a four-year follow-up period. Additionally, the study sought to identify potential risk factors for revision surgery. Of the 43,990 patients included in the study, 4 percent underwent revision or implant removal. Patients who underwent the primary surgery for malunion and nonunion had higher risk of revision and removal. Increased age, length of stay, and Elixhauser comorbidity scores were found to be predictors of revision surgery.
Read the abstract… |
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| In Other News
Retrospective Study Compares Coronal Laxity and Outcomes following Posterior-stabilized and Cruciate-retaining TKA
Coronal laxity at 80 degrees of flexion was larger in patients who underwent posterior-stabilized total knee arthroplasty (PS-TKA) compared with those who underwent cruciate-retaining TKA (CR-TKA), according to a study was in the Journal of Arthroplasty. The coronal laxity, radiological, and clinical outcomes were compared between 75 CR-TKA patients and 72 PS-TKA patients. PS-TKA patients had significantly larger varus, valgus, and total laxities at flexion; however, there were no significant differences between groups regarding extension. CR-TKA patients showed slightly better functional score compared with PS-TKA patients.
Read the abstract… |
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| Study Compares the Rates of Mortality between Operative and Nonoperative Geriatric Hip Fracture Patients
A matched cohort analysis in the Journal of Orthopaedic Trauma found that hip fracture patients aged >65 years treated nonoperatively had one-year mortality rates that were more than double the rates in patients treated operatively. Over a 10-year period, 299 nonoperative and 840 operative patients were identified. The mortality rates at 30 days, 90 days, and one year after fracture were compared between groups. At one year, the mortality rate in operative patients was 18 percent. In comparison, the one-year mortality rate in nonoperative patients was 46.1 percent.
Read the abstract… |
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| Randomized Trial Assesses the Effect of Fibular Allograft Augmentation in ORIF Patients
The Journal of Bone & Joint Surgery published a randomized controlled trial comparing the outcomes in patients undergoing ORIF (open reduction–internal fixation) with a locking plate (LP) or with an LP augmented with a fibular allograft (FA). The primary outcome measurement was the Disabilities of the Arm, Shoulder, and Hand (DASH) score. Secondary outcomes included complications and shoulder function. Forty-one and 39 patients were randomized to the FA and LP group, respectively. There were no significant differences observed between groups regarding secondary outcomes. The mean difference in DASH scores was -1.4 in favor of those in the FA group.
Read the abstract… |
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| Database Analysis Evaluates the Incidence, Costs, and Complications following Ankle Fracture
BMC Musculoskeletal Disorders published a database analysis evaluating the incidence, costs, and complications in patients presenting with ankle fractures requiring surgery. Utilizing the IBM MarketScan Commercial and Medicare Supplemental databases, the one-year outcomes included complication rates, reoperations, and one-year payments. Overall, 0.14 percent of patients presented with ankle fractures. Of these, 23.4 percent required surgery. Of the Medicare patients, 5.9 percent required a new surgery and 9.8 percent had infections. The rate of new surgery and infection in commercially insured patients was 5.5 and 4.4 percent, respectively. Elderly and pediatric patients were at an increased risk of ankle fracture.
Read the study… |
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| AAOS Now
The AAOS 2023 Annual Meeting Is All About the Education
The AAOS Annual Meeting—coming up on March 7 to 11, 2023, in Las Vegas—is the place where orthopaedic surgeons from around the globe gather to connect with each other and to encounter the latest in research, technology, and trends in the profession. While retaining the myriad educational sessions that make up its foundation, the 2023 meeting has been reimagined to integrate specialty society programming into a new “bookend” format. Register today and explore an education program that is more focused, more fun, and more interactive than ever before.
Read more… |
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| Your AAOS
AAOS Board of Directors Approves the Update to the CPG on the Surgical Management of Osteoarthritis of the Knee
The AAOS approved an update to the 2015 Clinical Practice Guideline (CPG) for the Surgical Management of Osteoarthritis of the Knee. This CPG updated 18 of the 38 evidence-based recommendations included in the 2015 CPG. This update resulted in 10 strong and six moderate recommendations for the surgical management of skeletally mature patients diagnosed with osteoarthritis of the knee.
View the new CPG… |
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