| |
| Today’s Top Story
Study Evaluates Outcome Calculators for TJA
A systematic review published online in The Journal of Arthroplasty compared existing post-total joint arthroplasty (TJA) calculators. Three major databases were searched for publications that discussed TJA risk stratification tools for readmission, discharge disposition, and early complications. Final analysis incorporated 10 publications that determined risks for readmission (n = 3), discharge disposition (n = 5), and early complications (n = 2). Seven used single-institution data, and three incorporated data from large administrative datasets. Four tools were validated by external studies. More studies used preoperative data points (n = 7) than intraoperative or post-surgical data (n = 3) in their risk assessments.
Read the abstract… |
| |
|
|
|
| |
| In Other News
Study: Which Patients Are at Risk for Re-revision in Shoulder Arthroplasty?
A study published in the Dec. 1 issue of the Journal of the AAOS ® identified risk factors for re-revision surgery in shoulder arthroplasty patients. Between 2005 and 2017, revisions accounted for 5.3 percent to 7.8 percent of all shoulder arthroplasties. In hemiarthroplasty primary surgeries, re-revision risk factors were increasing BMI and hemiarthroplasty revision procedure versus reverse total shoulder arthroplasty (RTSA) revision procedure. For RTSA primary surgeries, risk factors were diabetes, revision because of instability, and lower cumulative surgeon revision procedure volume. For TSA primary surgeries, risk factors were TSA revision procedure versus RTSA revision procedure.
Read the abstract… |
| |
|
|
|
| |
| Study: Topical TXA Use in Early Operation for Thoracolumbar Burst Fracture
A randomized, double-blinded, controlled study published online in the European Spine Journal found that topical tranexamic acid (TXA) use may help reduce intraoperative blood loss (IBL) in early operation for thoracolumbar burst fracture. Patients were randomized to either a TXA (n = 39) or control (n = 37) group. TXA patients had their wound surface soaked with TXA for five minutes, and control patients received normal saline. The TXA group had significantly decreased IBL and operation time. TXA patients also had significantly less postoperative ambulation time, removal time of drainage tube, hospital length of stay, and blood transfusion rate.
Read the study… |
| |
|
|
|
| |
| Joe Biden Receives Care for Injured Foot at Delaware Orthopaedic Practice
President-elect Joe Biden had a mishap while playing with one of his dogs on the Saturday after Thanksgiving and sustained an injury to his right foot that would subsequently be diagnosed as hairline fractures of the lateral and intermediate cuneiform bones. Although initial radiographs revealed no obvious fracture, a follow-up CT scan revealed the fractures in the midfoot bones, said Kevin O’Connor, DO, the director of executive medicine at GW Medical Faculty Associates and Mr. Biden’s primary care physician, in a statement distributed by Mr. Biden’s office. Following the initial examination, Mr. Biden visited Delaware Orthopaedic Specialists in Newark, Del., on Nov. 29, and then visited an imaging center. It was reported that Mr. Biden will wear a walking boot for several weeks.
Read more…
Read more…(login may be required) |
| |
|
|
|
| |
| COVID-19 Updates
CMS Announces Flexibilities to Care for Patients Outside Hospital Setting
The Centers for Medicare & Medicaid Services (CMS) released a comprehensive strategy to allow for flexibility in caring for patients outside the traditional hospital setting in order to increase capacity during a surge in COVID-19 cases. The new flexibilities, as part of the Acute Hospital Care at Home program, include allowances for safe, in-home hospital care for certain patients and allowing ambulatory surgery centers to provide more inpatient care when needed. Interested hospitals and healthcare systems must submit the necessary information via an online portal to ensure they meet the program’s criteria to participate.
Read the CMS press release…
Access the online portal… |
| |
|
|
|
| |
| AAOS Now
AAOS Registry Data Show SCR Has Gained Popularity
According to data from the AAOS Shoulder & Elbow Registry, superior capsular reconstruction (SCR) has gained significant popularity in the United States since 2015, accounting for approximately 8 percent of rotator cuff procedures reported to the registry. Stephen F. Brockmeier, MD, FAAOS, presented the study, which also identified patient factors that were associated with undergoing SCR, as part of the American Shoulder and Elbow Surgeons 2020 Virtual Annual Meeting.
Read more… |
| |
|
|
|
| |
| Your AAOS
Learn Like You Were There with AAOS Courses OnDemand
Grab your front-row virtual seat at recorded AAOS courses with video programs that bring the finished event to you, on demand. Self-directed programs offer the flexibility to engage at your convenience, across your devices. Watch and listen to the experts and their presentation slides, patient case discussions, and surgical demonstration videos. Content is segmented by topic, so you can select lectures you prefer to watch, pick up where you left off, and earn continuing medical education credit at your own pace. Explore the growing collection today.
Access the courses… |
| |
|
