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| Today’s Top Story
Study: Uncontrolled Hypertension Is Not an Independent Risk Factor of TJA Complications
In a retrospective analysis of 4,345 patients, published online in The Journal of Arthroplasty, uncontrolled hypertension was not found to be an independent risk factor for adverse short-term outcomes of total joint arthroplasty (TJA) for osteoarthritis. Uncontrolled hypertension, defined as systolic blood pressure >140 mm Hg or diastolic blood pressure >90 mm Hg, was present in 55.1 percent of patients. Elevated baseline blood pressure was found to be a poor predictor of operation duration, blood pressure drop, allogenic transfusions, length of stay, complications, and readmissions.
Read the abstract… |
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| In Other News
Study Compares Psychometric Properties in PROMIS UE and ASES Scores for RCR
Patient-reported Outcome Measurement Information System Upper Extremity (PROMIS UE) scores underperformed in psychometric properties relative to the American Shoulder and Elbow Surgeons (ASES) score in patients undergoing primary rotator cuff repair (RCR), according to a study published online in the Journal of Shoulder and Elbow Surgery. In total, 107 shoulders were evaluated. All PROMIS UE computer-adapted test items except “Difficulty putting on a jacket” demonstrated non-sequentially ordered responses, which indicates poor correspondence to shoulder function.
Read the abstract… |
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| Study: One Year Outcomes of Bioresorbable Magnesium Screws for Medial Malleolar Fracture
At one year, bioresorbable magnesium screws demonstrated excellent patient-reported, clinical, and functional outcomes for fixation of medial malleolar fractures, according to a study of 20 patients published online in Injury. Screws were made of magnesium, 0.45 weight percent calcium, and 0.45 weight percent zinc. Among 19 patients with data available at 12 months postoperatively, no complications, shoe conflict, or misalignment were reported, and all patients were free of pain. Screw heads could not be detected via plane radiographs in 17 patients at follow-up, and the majority degraded without adverse reactions.
Read the abstract… |
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| Study: Self-reported Return to Duty Is an Inadequate Indicator of Return to Full Function in Military Patients
According to a study of 84 patients published online in Clinical Orthopaedics and Related Research, self-reported return-to-duty status alone is not an adequate measure of full functional recovery after orthopaedic surgery among military patients. Mean follow-up was 13 months. Compared to pre-surgery levels, 67 percent of patients reported an overall lower level of physical activity, and 27 percent did not return to the same work level. Thirty-two percent of patients were nondeployable, 23 percent were undergoing evaluation for medical separation from the military, and 11 percent changed military occupation specialty after their return.
Read the abstract… |
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| Study: Bedside Entertainment Reduces Fear, Anxiety in Pediatric Orthopaedic Procedures
A randomized controlled trial of 66 children, published online in the Journal of Pediatric Orthopaedics, found favorable outcomes of Bedside Entertainment and Relaxation Theater (BERT) during orthopaedic procedures in pediatric patients treated in an outpatient setting. Patients aged between 2 to 6 years undergoing cast and/or pin removal received standard care or were given headphones and watched a projected movie during the procedure. The BERT group reported significantly less fear and anxiety overall compared with the control group, and these differences were significant when controlling for pin removal procedures specifically.
Read the abstract… |
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| AAOS Now
Many Strides Yet to Go: The Imperative to Increase Diversity in Orthopaedics and Serve the Entire Patient Population
During the symposium “Racial Disparities in Orthopaedic Surgery: Patients, Residents, and Faculty,” moderator Toni M. McLaurin, MD, FAAOS, set the tone for the session by stating, “The history of medicine in America is the history of racial disparities in American medicine.” She and a panel of orthopaedic surgeons comprising mostly underrepresented minorities at various stages of their careers then discussed health disparities in the United States, institutional policies that facilitate racism, and interventions to correct inequities in care and to increase diversity in the profession.
Read more… |
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| Your AAOS
New Podcast Episodes: Navigating the Fellowship Process; Plus, Preventing Surprise Billing
The November episodes of The Bone Beat Orthopaedic Podcast Channel aired earlier this month. In the latest “AAOS Career Podcast” episode, Scott Steinmann, MD, FAAOS, Fellowship Committee Chair of the Board of Specialty Societies, and newly matched Fellow Jacquelyn Dunahoe, MD, discuss timely advice for navigating fellowship interview season. This month’s “AAOS Advocacy Podcast” episode discusses recent regulations to stop surprise medical billing and includes an interview with Adam Bruggeman, MD, FAAOS, senior health legislative assistant to U.S. Rep. Tom Suozzi (D-N.Y.), regarding the new process for resolving payment disputes.
Listen to the episode on Navigating Fellowship Decisions…
Listen to the episode on Surprise Billing… |
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