Today’s Top Story

Study: Influences on Racial and Ethnic Differences in TKA Indication

A retrospective study published in the June 15 issue of the Journal of the AAOS ® found that race did not predict disparities in total knee arthroplasty (TKA) indications, while comorbidity burden and preoperative baseline differences was more strongly associated with differences in indications. Researchers identified 54,582 patients from a large surgical registry (Caucasian, 83.2 percent; African American, 9.2 percent; Hispanic, 4.5 percent; Asian, 2.4 percent; Native American, 0.6 percent). African American patients had the lowest rate of outpatient TKA (18.3 percent) and Asian patients had the highest rate (31.4 percent). When controlling for comorbidities, race was not an independent risk factor for surgical indication, 30-day complications, or inpatient or outpatient TKA.

Read the abstract…

 
 
 
 
In Other News

Study: Cerebral Palsy Associated with Increased Risk of 90-day Complications after THA

A study published online in The Journal of Arthroplasty found that patients with cerebral palsy (CP) undergoing total hip arthroplasty (THA) have an increased risk of 90-day complications. In total, 864 patients with CP were identified from the PearlDiver Mariner database and compared to 3,448 controls. The researchers found that patients with CP had higher risk of urinary track infection, pneumonia, and periprosthetic fracture within 90 days postoperatively. Rates of five-year implant survival were similar between groups, at 94.2 percent and 95.2 percent among patients with CP and without CP, respectively.

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Study: Impact of Functional Somatic Syndromes on TSA Outcomes and Costs

Functional somatic syndromes, or chronic physical symptoms with no identifiable organic cause, are correlated with poorer outcomes and increased resource use after total shoulder arthroplasty (TSA), according to a study published online in the Journal of Shoulder and Elbow Surgery. In total, 480 patients were followed for at least two years postoperatively, including 17 percent of patients with at least one somatic syndrome (fibromyalgia, irritable bowel syndrome, chronic headaches, and chronic low back pain). These syndromes independently predicted lower two-year functional assessment scores, greater residual pain, and higher hospitalization costs compared to patients without somatic syndromes.

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Study Assesses Efficacy of DRF Fixation with 3D-printed Prototype Planning

A study published online in Injury found that prototype planning via three-dimensional (3D) printing prior to corrective osteotomy was an effective method for treating symptomatic distal radius fracture (DRF). Nine patients with malunion of the distal radius were included, and surgically treated after 3D-printed prototype planning. Postoperative DASH (Disabilities of the Arm, Shoulder, and Hand) scores and Visual Analog Scale pain scores were 24.9 and 3.6, respectively. Palmar tilt had an average radiographic improvement of 25.22 degrees, and radial inclination had an average improvement of 2 degrees.

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HHS Revises Reporting Requirements and Timeline for Provider Relief Fund Payments

On June 11, the U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration, released revised reporting requirements for recipients of Provider Relief Fund (PRF) payments. The revisions include expansion of time allotments for providers to report information, which aims to reduce burdens on smaller providers, and extension of deadlines for expending PRF payments for recipients who received payments after June 30, 2020. These revised requirements are applicable to providers who received at least one or more payments exceeding $10,000 during a single Payment Received Period from the PRF General Distributions, Targeted Distributions, and/or Skilled Nursing Facility and Nursing Home Infection Control Distributions.

Read the press release…

 
 
 
AAOS Now

Orthopaedic Surgeon Rethinks Career Path and Approach to Patient Care After Sarcoma Diagnosis

On his fifteenth birthday, Kevin Weiss, DO, received a diagnosis that changed his life: osteosarcoma. At that time, Dr. Weiss was a typical high school athlete, playing basketball and running track when he began to experience pain in his leg that became unbearable and rendered him unable to continue training for track. What the trainers first thought was a stress fracture turned out to be osteosarcoma. Now a hip and knee adult reconstruction specialist, Dr. Weiss’ personal experiences influence his patient care and communication.

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Your AAOS

Submit Manuscripts for the KD and OREF Awards

AAOS is soliciting manuscripts for the 2022 Kappa Delta Orthopaedic Research Awards and the Orthopaedic Research and Education Foundation (OREF) Clinical Research Award. Up to two $20,000 Kappa Delta awards (Elizabeth Winston Lanier Award and Ann Doner Vaughn Award), one $20,000 Kappa Delta Young Investigator award, and one $20,000 OREF award will be bestowed, provided manuscripts of requisite quality are submitted. Manuscripts should represent a large body of cohesive scientific work generally reflecting years of investigation. Manuscripts must be submitted by members (or candidate members) of AAOS, the Orthopaedic Research Society (ORS), the Canadian Orthopaedic Association, or the Canadian Orthopaedic Research Society. The awards will be presented at the AAOS 2022 Annual Meeting, and recipients will be invited to speak at the ORS 2022 Annual Meeting. Submissions are due by 11:59 p.m. CDT on July 1.

Learn more and submit your application…