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| Today’s Top Story
Study Reviews Injury Characteristics in Young Male Athletes
A study published online in the British Journal of Sports Medicine analyzed characteristics of injuries observed in young male athletes who participate in sports year-round. The researchers gathered injury surveillance data on 178 boys (mean age, 14.9 years) who took part in a full-time sports academy from 2014–2015 and 2018–2019. Over 391 athlete seasons, 290 injuries were sustained. Injury incidence was four injuries per 1,000 athletic exposures (AEs), and the overall burden was 79.1 days lost per 1,000 AEs. The most common injuries were muscle strains and bone stress injuries, while stress fractures presented the highest burden.
Read the abstract… |
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| In Other News
Study Evaluates Outcomes, Complications After TJA in Females
A study published in the Nov. 1 issue of the Journal of the AAOS ® observed sex disparities in total joint arthroplasty (TJA). Patients were identified using the National Inpatient Sample database from 2006 to 2011 and stratified by sex. Female patients presented at an older average age. They were less likely to present with AIDS, alcohol abuse, coagulopathy, congestive heart failure, drug abuse, liver disease, peripheral vascular disease, and renal failure. They were more likely to present with anemia, autoimmune disorders, chronic obstructive pulmonary disease, depression, obesity, and valvular disease. Females had a longer postoperative length of stay and were more likely to sustain any complication as an inpatient.
Read the abstract… |
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| Study Assesses Outcomes of Achilles Repair Without an Instrumented Guide
A study published online in Foot & Ankle International analyzed clinical outcomes and complications after limited open incision Achilles tendon repair technique without instrument guides. Thirty-three patients were evaluated. The Foot and Ankle Disability Index (FADI) score, visual analog scale (VAS) score, and Foot and Ankle Outcome Score (FAOS) were recorded pre- and postoperatively. Patients were treated a median of 10 days following injury. Median follow-up was 3.7 years, at which time significant improvements were observed in the FADI score; VAS score; and FAOS pain, symptoms, activities of daily living, sports and recreational activity, and quality of life. No wound complications, reruptures, or reoperations were recorded.
Read the abstract… |
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| Study Analyzes Opinions of Surgeons Compared to General Public on Carpal Tunnel Surgery
A study published online in The Journal of Hand Surgery assessed what surgeons and the general public believe are the critical portions of carpal tunnel release (CTR). A survey questioning the appropriateness of a surgical trainee to complete each step of CTR yielded responses from 32 surgeons who perform CTR and 184 nonmedical respondents (NMRs). Surgeons were more hesitant than NMRs about trainees completing surgical steps, although academic surgeons were more comfortable with it than nonacademic surgeons. Surgeons and NMRs agreed that incision, dissection, transverse carpal ligament division, and inspection of the median nerve for injury/complete release were critical components of CTR.
Read the abstract… |
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| Hospital Price Transparency Rules Go into Effect Jan. 1, 2021
Beginning on Jan. 1, 2021, all U.S. hospitals will be required to share pricing information online pertaining to the items and services they provide. This must be done in two ways: (1) as a comprehensive machine-readable file with all items and services, including gross charges, discounted cash prices, payer-specific negotiated charges, and deidentified minimum and maximum negotiated charges; and (2) in a consumer-friendly display of at least 300 shoppable services that can be scheduled in advance, with plain language descriptions, including discounted cash prices, payer-specific negotiated charges, and deidentified minimum and maximum negotiated charges.
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| AAOS Now
Big Data and Orthopaedic Surgery
“Big data” has changed the way much of the world operates. From business strategy to health care, leaders are able to make more informed decisions and dramatically impact their productivity. With an aging population, longer lifespans, and an increased demand for health care, orthopaedic surgery has an opportunity to leverage data to revolutionize the way we care for patients by, for example, improving patient care protocols or identifying patient groups at higher risk for complications. This article provides an overview of big data, its limitations, and what the future of big data looks like.
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| Your AAOS
American Joint Replacement Registry Releases 2020 Annual Report
The American Joint Replacement Registry (AJRR) released its 2020 Annual Report on hip and knee arthroplasty patient outcomes. The new report includes findings from 1,897,050 hip and knee arthroplasty procedures performed between 2012 and 2019, representing an overall cumulative procedural volume growth of 24.4 percent compared to the previous year. The 2020 AJRR Annual Report marks the seventh annual report from the AJRR, aiming to provide valuable information to orthopaedic surgeons, hospitals, ambulatory surgery centers, device manufacturers, payers, and, most importantly, patients.
Read the AAOS press release…
Access the full report… |
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