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| Today’s Top Story
Study Evaluates Impact of TJA on Return to Sport for Golf Players
A retrospective study published in the May 15 issue of the Journal of the AAOS ® assessed return to sport after total joint arthroplasty (TJA) among golf players. In total, 120 patients from a regional golf association were identified, including 50 hip arthroplasties (41.7 percent) and 70 knee arthroplasties (58.3 percent). Plays per month increased from 5.2 to 5.6 post-TJA, with an average time to return to play of 62 days. Golf handicap differentials increased from 15.8 to 17.3. Twenty-eight patients required second TJA, and this group saw increases in post-TJA plays per month (4.2 to 6.3) and handicap differentials (19.3 to 20.2).
Read the abstract… |
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| In Other News
Study: Incidence and Risk Factors of VTE after DRF Fixation
A study published online in the Journal of Hand Surgery measured the incidence and risk factors of upper-extremity venous thromboembolism (VTE) after distal radius fracture (DRF) fixation. The investigators used commercial insurance claims data to identify 24,494 patients who received ORIF (open reduction internal fixation) for DRFs between 2012 and 2016. There were 79 cases of upper-extremity VTE (0.3 percent) and 19 cases of pulmonary embolism (0.08 percent overall; 24.1 percent of VTE cases). Coexisting heart failure and estrogen use were found to be associated with increased risk of VTE.
Read the abstract… |
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| Study: Higher Incidence of Adverse Events after Hip Surgery for Patients with Dementia
A retrospective study published online in PLOS One evaluated whether dementia increases the risk of adverse events following hip surgery in patients aged ≥65 years. The researchers used the Japanese Diagnosis Procedure Combination database to identify 48,797 patients treated between 2016 and 2017, including 20,638 patients (42.3 percent) with dementia. Rates of in-hospital death, in-hospital pneumonia, and in-hospital fracture were higher for patients with dementia than patients without. Median hospital length of stay (LOS) for patients with and without dementia were 26 days versus 25 days. Dementia was not associated with LOS.
Read the study… |
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| Study: Risk Factors of Pseudarthrosis after Spinal Fusion for Adult Spinal Deformity
A study published online in the European Spine Journal identified risk factors for pseudoarthrosis after long-segment spinal fusion for adult spinal deformity. Radiographs were collected preoperatively and <3 months and ≥2 years postoperatively for 524 total patients. Overall, 65 patients (12.4 percent) developed pseudoarthrosis, including 53 who underwent revision surgery. The majority of pseudoarthrosis cases (88 percent) were associated with fusion length, osteotomy requirement, pelvic fixation, and combined approaches. Sagittal alignment was not associated with development of pseudoarthrosis, and functional scores were similar between patients with and without arthrodesis.
Read the abstract… |
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| Study: Survey Shows Drop in Physicians Working in Physician-owned Practices in 2020
Less than half of patient care physicians work in physician-owned medical practices, according to the American Medical Association’s (AMA’s) biennial Physician Practice Benchmark Survey. Between September and October 2020, AMA surveyed 3,500 physicians in the U.S. regarding practice arrangements, including ownership, size, structure, and specialty. In 2020, 49.1 percent of respondents worked in physician-owned practices, compared to 54 percent in the 2018 survey, the largest two-year change since the survey began in 2012. Incidence of practices with ≥50 physicians rose 17.2 percent, up from 14.7 percent in 2018. Results also showed a decrease in self-employed physicians and a rise in employment in hospital or hospital systems.
Read the press release… |
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| AAOS Now
First Vice President Felix H. Savoie III, MD, Looks Ahead to Turn as AAOS Leader
In this article, AAOS First Vice President Felix H. “Buddy” Savoie III, MD, looks back on the journey that led him from his father’s sugarcane farm to a career in orthopaedic surgery and explains his vision for his term and the future of the Academy. “It’s all about teamwork,” says Dr. Savoie about the style and tone of his upcoming service at the AAOS helm. “We are all orthopaedic surgeons, and we should all work together for the good of our patients. There has to be give and take. There should not be an autocratic process in medicine or orthopaedics.”
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| Your AAOS
Call for Content: Submit an Article for AAOS Now
Do you have timely research or an interesting story to tell? AAOS Now is seeking editorial submissions from orthopaedic surgeons and orthopaedic- and practice-related product and service providers that qualify as subject matter experts. The magazine features various formats and opportunities to highlight your information or topic. AAOS Now encourages interested authors to contact staff prior to writing in order to review suggestions and provide feedback. Submit an article suggestion online or email AAOS Now Publisher Dennis Coyle at coyle@aaos.org.
Learn more and submit articles… |
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