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| Today’s Top Story
Study: Preoperative OA Severity Predicts Improvement after TKA without Patellar Resurfacing
A retrospective study published in the April issue of the Journal of the AAOS: Global Research & Reviews ® found that greater preoperative osteoarthritis (OA) severity predicted higher postoperative patient-reported outcome measure (PROM) scores after total knee arthroplasty (TKA) without patellar resurfacing. In total, 193 patients with at least one year of follow-up were included. A preoperative lateral patella Kellgren-Lawrence score of ≥2 was associated with greater improvements in the Knee Society Score for pain with level walking and the Knee Injury and OA Outcome Score for Joint Replacement.
Read the study… |
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| In Other News
Study: Complications, Mortality after Nonoperative Treatment of Proximal Femoral Fractures in Elderly Patients
A study published in the May issue of JAMA found that nonoperative management of femoral neck or pertrochanteric fractures, selected through a shared decision-making model, is a viable option for older, frail patients. In total, 172 patients aged ≥70 years were evaluated (nonoperative treatment, n = 88). At six months follow-up, adverse events were less common in the nonoperative group. The 30-day mortality rate was 83 percent in the nonoperative group and 25 percent in the operative group. Twenty-six proxies and caregivers in the nonoperative group (51 percent) reported a good or almost perfect quality of dying. Both groups had high treatment satisfaction.
Read the abstract… |
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| Study: TFCC Central Tear with Distal Radioulnar Instability is Associated with Coexistent Foveal Tear
Identifying a triangular fibrocartilage complex (TFCC) central tear with even subtle distal radioulnar joint (DRUJ) instability should lead to consideration of a coexistent foveal tear, according to a study published online in The Journal of Hand Surgery. Combined central and foveal TFCC tears were confirmed by wrist arthroscopy in 17 patients. Sixty-five percent received injury from a fall and all had some degree of DRUJ instability. Eight out of 17 patients had a history of distal radius or ulnar styloid fracture during initial injury, and all patients received debridement of the central tear.
Read the abstract |
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| Study: Significant Improvements after ACL Reconstruction in Patients with Mild Depressive Symptoms
Patients with ACL injuries who met the Patient-reported Outcome Measurement Information System (PROMIS) threshold for mild depression without a clinical depression diagnosis (“situationally” depressed) demonstrated significant improvement at ≥2 years follow-up after ACL reconstruction, according to a study published online in Arthroscopy. Ninety-five patients were included, and 22 percent were situationally depressed at baseline. Clinically depressed patients had higher noncompliance in physical therapy and lower postoperative PROMIS physical function scores than situationally depressed patients. Postoperative outcomes were similar overall, and 90.5 percent of situationally depressed patients had postoperative resolution of depressive symptoms.
Read the abstract… |
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| Study: High Satisfaction and Success Rates for Virtual Orthopaedic Surgery Away Rotations
A study published in the May/June issue of Current Orthopaedic Practice found high satisfaction rates with virtual orthopaedic surgery away rotations (VOSARs) during medical school. Thirty-eight fourth-year medical students who attended a VOSAR completed a 22-question satisfaction and quality survey between October and December 2020 Most students felt course objectives were clear and consistent with coursework, were pleased with the case and presentation variety, and felt they could meaningfully interact with residents and faculty. Most stated they would participate again and recommend VOSAR to others.
Read the abstract… |
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| AAOS Now
AAOS’ Advocacy Efforts Focus on Access to Quality Care
In this edition of his Advocacy 201 series, AAOS Advocacy Council Chair Douglas W. Lundy, MD, MBA, FAAOS, spotlights one of the broad healthcare policy areas that is a major focus of the AAOS Advocacy Council: access to quality care. “In addition to affordability, primary factors include geographic proximity and transportation to a doctor or hospital, an adequate healthcare workforce, and the availability and timeliness of services,” writes Dr. Lundy. “These factors are intertwined with cost and must be considered when determining obstacles to patients receiving necessary medical care.”
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| Your AAOS
New Bone Beat Podcast Episode Focuses on the Role of Physicians in Public Policy
In the latest episode of the Bone Beat Advocacy Podcast, Al Olszewski, MD, FAAOS, congressional candidate from Montana and state healthcare advisor since 2006, and Advocacy Council Chair and host Douglas W. Lundy, MD, MBA, FAAOS, discuss the role of physicians in public policy. Dr. Olszewski shares his support for orthopaedic surgeons and physicians’ goals of affordable, patient-centered, and physician-guided healthcare. He believes physicians bring “active listening” to public policy and considers patients the “ultimate employer.”
Listen to the episode… |
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