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| Today’s Top Story
Study Identifies Relationship between OR Size and SSI Rates
A retrospective study published in the Dec. 1 issue of the Journal of the AAOS ® reported that OR size affects the rate of surgical site infections (SSIs) in orthopaedic procedures. The researchers evaluated 11,163 patients who underwent total joint arthroplasties, laminectomies, or spinal fusions between January 2018 and January 2020. Overall, 137 patients developed SSIs (1.2 percent). Across small (250-399 net square feet [NSF]), medium (400-459 NSF), and large (550-699 NSF) ORs, incidence rates for SSIs were 0.7 percent, 1.3 percent, and 1.8 percent, respectively.
Read the abstract… |
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| In Other News
Study Identifies Predictors of Postoperative Delirium after TJA in Elderly Patients
A systematic review published online in BMC Musculoskeletal Disorders reported that factors such as hypertension, dementia, stroke, diabetes, psychiatric illness, and low preoperative hemoglobin levels are predictors of postoperative delirium after total joint arthroplasty (TJA) in elderly patients. Fifteen studies were analyzed. Other factors associated with delirium included advanced age, use of sedative-hypnotics, and low preoperative mini-mental state examination scores.
Read the study… |
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| Study Finds Improvement after Hip Arthroscopy Regardless of Patient Socioeconomic Status
A retrospective, single institution study, published online in The American Journal of Sports Medicine, found significant improvements in patient-reported outcome measures after hip arthroscopy, regardless of patient socioeconomic status. In total, 680 hips were assessed. Mean follow-up was 30.25 months. Socioeconomic status was determined based on the Social Deprivation Index (SDI) rating of patients’ residential zip codes. Rates of achieving minimal clinically important difference or patient acceptable symptom state were similar regardless of SDI rating, and there were no differences in the rate of secondary surgeries on the basis of socioeconomic status.
Read the abstract… |
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| Study: Favorable Long-term Functional Outcomes after Radial Head Resection
A retrospective study of 25 patients, published online in the Journal of Orthopaedic Trauma, reported “encouraging” long-term hand and wrist functional outcomes in patients who underwent radial head resection for isolated Mason type III radial head fractures. Average follow-up was 18 years. Functional and patient satisfaction scores were favorable overall. Elbow range of motion and grip strength were lower in the operated hand, and mean proximal radial migration was 1.6 mm.
Read the abstract… |
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| Study: LMWH Prophylaxis Is Associated with Reduced VTE after Ankle Fracture Treatment
A retrospective study of 14,954 ankle fracture cases, published online in Injury, found that routine use of low molecular weight heparin (LMWH) prophylaxis was associated with a reduced incidence of subsequent venous thromboembolism (VTE) compared with no LMWH prophylaxis. Data were collected from the Swedish Fracture Register. The overall VTE rate was 1.7 percent. Lower VTE incidence was found in ankles managed conservatively at orthopaedic departments with higher-than-average use of LMWH prophylaxis and ankles treated surgically in departments with average use of LMWH. Prophylaxis was associated with later VTE onset compared with no prophylaxis (56 versus 39 days).
Read the abstract… |
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| AAOS Now
November Issue of AAOS Now Is Online Now
Due to supply chain issues and labor shortages negatively impacting paper supply, AAOS Now’s printer, and the U.S. Postal Service, the delivery of the November issue’s print version will be delayed. We anticipate these delays will continue into 2022 and impact future issues of AAOS Now. However, the November issue’s content is available on the AAOS Now website. This month’s issue features clinical practice guideline updates for knee osteoarthritis, how orthopaedic surgeons can serve as first responders, information on Medicare payment changes for 2022, and more.
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| Your AAOS
Nominate a Story for the 2022 MORE Awards
Have you been quoted in a news article or interviewed by a consumer radio or television outlet? Did you know the Academy recognizes members of the media for accurate orthopaedic reporting via its Media Orthopaedic Reporting Excellence (MORE) Awards? This program recognizes journalists and media outlets for stories published between Jan. 1 and Dec. 31, 2021, that effectively report on musculoskeletal health issues, healthy behaviors, high-quality care, and prevention and treatment of orthopaedic issues or injuries. Send a link of the story to media@aaos.org, and staff will follow up. The last day to submit nominations is Dec. 31.
Learn more and submit nominations… |
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