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| Today’s Top Story
Study Assesses TKA with or Without Intramedullary Tibial Nail
A study published online in The Journal of Arthroplasty compared total knee arthroplasty (TKA) patients with versus without an indwelling tibial intramedullary nail (IMN). A total of 24 TKAs performed after ipsilateral tibial IMN were matched 1:2 to controls. The tibial IMN and control cohorts had a 10-year revision-free survivorship rate of 100 percent and 96 percent, respectively, and 10-year reoperation-free survivorship rate of 91 percent and 89 percent, respectively. When the tibial IMN was removed, a trend was observed toward increased acquired idiopathic stiffness (17 percent versus 6 percent) and operative time (135 minutes versus 118 minutes), but overall complication rates were similar.
Read the study… |
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| In Other News
Study: Does a Focused Gap Year Affect Orthopaedic Surgery Match Rate?
A study published in the July 15 issue of the Journal of the AAOS ® examined the effect of a dedicated year of orthopaedic research on eventual orthopaedic surgery match rate. Between 2001 and 2018, 103 learners completing a gap year after college, during or after medical school, or after an unsuccessful match completed a questionnaire. The match rate among those who applied to and ranked orthopaedic surgery was 91.0 percent compared to the 67.9 percent rate of the 2006 to 2018 U.S. orthopaedic match. The study group was 23 percent female and 40 percent minorities—greater than the respective proportions of practicing orthopaedic surgeons.
Read the abstract… |
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| Study Assesses Use of Tension Band Wiring in Olecranon Fractures
A retrospective study published in the July issue of the Journal of Orthopaedic Trauma evaluated outcomes in simple and comminuted olecranon fractures treated with tension band wiring. Final analysis included 89 fracture patients who were followed for a mean 7.1 years. Overall, 84 percent of patients underwent reoperation for implant removal. The median Disabilities of the Arm, Shoulder, and Hand (DASH) score was 0.83. Most patients (n = 85) had an excellent Mayo Elbow Performance Index (MEPI) score. DASH and MEPI scores and range of motion did not largely differ between simple and comminuted fracture patients.
Read the abstract… |
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| Study Evaluates Impact of Dementia on Surgical Outcomes
A study published online in JAMA Network Open compared outcomes for major surgeries between older adults with versus without dementia. Adults aged 65 years or older were stratified by those with (n = 164,551) and without (n = 2,320,668) dementia. The most common procedure performed in dementia patients was hip or femur repair (16.5 percent), while the most common in nondementia patients was knee arthroplasty (8.6 percent). In adjusted analyses, dementia patients had a higher in-hospital mortality rate, lower home discharge incidence, and increased hospital length of stay. Patients undergoing total or partial hip replacement were the least likely to be discharged to home.
Read the study… |
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| Study: Aminocaproic Acid Versus Placebo for Blood Loss After Bilateral Varus Rotational Osteotomy
A randomized trial published in the July issue of the Journal of Pediatric Orthopaedics measured the impact of intravenous ε-aminocaproic acid (EACA) versus placebo on blood loss and transfusion requirements after bilateral varus rotational osteotomy. Twelve patients each (mean age, eight years) randomly received EACA or saline. Intraoperative blood loss was 536 mL in the EACA group and 628 mL in the placebo group; 62 percent of EACA patients and 67 percent of placebo patients required transfusion. Total 24-hour drain output was 72.5 mL and 103.3 mL in the EACA and placebo groups, respectively.
Read the study… |
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| AAOS Now
Do Bundled Payments Impact Patient Care or Satisfaction?
Alternative payment models, specifically bundled payments, are a frequent topic of discussion. It is important for AAOS fellows to lead the way in crafting payment options to meet the needs of patients. It remains to be seen whether bundled payments are the answer. Assessing patient satisfaction and access to orthopaedic services will be critical to the success or failure of bundled payment programs. In part two of a three-part series, Gary W. Stewart, MD, FAAOS, interviewed three AAOS fellows and experts in the field to discuss access to care and patient satisfaction.
Read more…
Read part one… |
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| Your AAOS
AAOS Recognizes Members with Diversity, Humanitarian, and Tipton Leadership Awards
AAOS annually recognizes three of its living members with the following awards that are presented at the Annual Meeting: the Diversity Award; Humanitarian Award; and William W. Tipton, Jr, MD Leadership Award. The AAOS Awards Committee has oversight of the review process for all award nominees and recommends the award winners to the AAOS Board of Directors for approval.
AAOS Awards nominations will remain open through Aug. 7. Questions about the AAOS Awards should be directed to governance@aaos.org.
Learn more and submit applications…
Read about Scott Beecher Scutchfield, MD, FAAOS, 2020 Tipton Leadership Award winner…
Read about Steven J. Meyer, MD, 2020 Humanitarian Award winner…
Read about James A. Hill, MD, FAAOS, 2020 Diversity Award winner… |
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