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| Today’s Top Story
Study Investigates Incidence of ED Visits for DVT after TJA
At a single center, 1 percent of patients who underwent primary total joint arthroplasty (TJA) visited the ED due to concerns of postoperative deep vein thrombosis (DVT), according to a study published in the Dec. 1 issue of the Journal of the AAOS ®. In total, 10,445 TJA patients were compared with 252 propensity-matched controls. The most common reason for accessing the ED was self-referral (64 percent). Fifteen of the 108 patients with suspected DVT (14 percent) had confirmed DVT. Mean costs for ED visits for DVT was $834 for patients with public insurance (range, $394–$2,877).
Read the abstract… |
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| In Other News
Study: Bone Bruising at Tibial Plateau in ACL Injury Is Associated with Meniscus Tear
In patients with an ACL injury, bone bruising at the lateral or medial tibial plateau is associated with meniscus tear, according to a study published online in Knee Surgery, Sports Traumatology, Arthroscopy. In total, 176 patients undergoing ACL reconstruction were assessed, and bone bruising was present in 80.1 percent. Bruising at the lateral tibial plateau was significantly associated with lateral meniscus tears, and there was a significant association between medial tibial plateau bruising and medial meniscus tears.
Read the abstract… |
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| Meta-analysis Compares Joint-preserving Therapies for Osteonecrosis of the Femoral Head
A meta-analysis of 17 randomized clinical trials, published online in BMC Musculoskeletal Disorders, reported no statistical difference between various joint-preserving therapy methods and nonoperative treatment for osteonecrosis of the femoral head. Analyzed interventions included core decompression with or without bone graft, tantalum rod implantation, and/or cell therapy, and vascularized bone graft. No procedures demonstrated significant differences in rates of conversion to total hip arthroplasty or Harris Hip Scores versus conservative management.
Read the study… |
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| Study: Preoperative Ulnar Neuritis May Impact Return to Sport after UCL Reconstruction in Baseball Pitchers
A retrospective study of 500 ulnar collateral ligament (UCL) reconstruction cases in baseball pitchers, published online in the American Journal of Sports Medicine, found that preoperative ulnar neuritis may adversely impact odds of returning to sport. Ulnar neuritis was present in 19.4 percent of patients and was more common in patients with acute-onset UCL injury. Ulnar nerve transposition at the time of UCL reconstruction was not found to impact return to sport.
Read the abstract… |
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| Study Assesses Orthopaedic Surgeon Practice Consolidation between 2008 and 2019
A retrospective study published online in The Journal of Arthroplasty reported significant horizontal (i.e., larger group practices) and vertical (i.e., acquisition by health systems) consolidation among U.S. orthopaedic surgeon practices between 2008 and 2019. Using IQVIA data, the researchers found significant consolidation nationally and across all regions. They noted that consolidation was consistent with trends among other types of providers.
Read the abstract… |
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| AAOS Now
The Orthopaedic CMO Role during the Pandemic and Beyond
Alan M. Reznik, MD, MBA, FAAOS, became chief medical officer (CMO) of Connecticut Orthopaedics in February 2020, right before the COVID-19 pandemic was to drastically impact U.S. orthopaedic practices and strain hospital resources. In this article, Dr. Reznik revisits the letters he wrote to staff as CMO, looking back on the actions taken in the early days of the COVID-19 pandemic and how those actions could better prepare practices for whatever may come in the future.
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| Your AAOS
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