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| Today’s Top Story
Study: Trends and Disparities in Use of Computer-assisted Knee Arthroplasty
From 2010 through 2017, the quarterly proportion of computer-assisted knee arthroplasty (compared with conventional arthroplasty) grew from 4.89 percent to 9.45 percent of procedures in New York and from 4.03 percent to 5.73 percent in Florida, according to a study published in the Nov. 15 issue of the Journal of the AAOS ®. Patients who were Black or Hispanic or who had Medicaid coverage had a lower likelihood of receiving computer-assisted arthroplasty.
Read the abstract… |
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| In Other News
Study: Return to Work after Subacromial Decompression for Shoulder Impingement
Compared with diagnostic arthroscopy or exercise therapy, arthroscopic subacromial decompression did not improve time to return to work in patients treated for shoulder impingement, according to a study published online in BMC Musculoskeletal Disorders. The researchers analyzed return-to-work trajectories of 184 patients who were enrolled in a randomized trial comparing these three treatment modalities, with diagnostic arthroscopy designated as a placebo surgical intervention. Rates of return to work by 24 months were 88 percent with decompression, 88 percent with diagnostic arthroscopy, and 90 percent with exercise therapy.
Read the study… |
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| Study: SGLT-2 Inhibitors Do Not Increase Fracture Risk in Older Adults with Diabetes
A study published online in JAMA Network Open reported no significant association between sodium-glucose cotransporter-2 inhibitors (SGLT-2i) and fracture risk in adults aged ≥65 years with type 2 diabetes with no history of fracture. Using data from a Medicare population, investigators three-way matched patients newly initiated on SGLT-2i to patients starting either a dipeptidyl peptidase 4 inhibitor (DPP-4i) or a glucagon-like peptide 1 receptor agonist (GLP-1RA; total cohort, n = 137,667). Risk of fracture was comparable between subgroups, regardless of sex, frailty, age, and insulin use.
Read the study… |
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| Study Evaluates Risk Factors for One-year Revision after Ankle Fracture ORIF
A retrospective study published online in Foot & Ankle International reported an increased revision risk at 12 months after ankle fracture ORIF (open reduction–internal fixation) among patients with either falls in the early postoperative period, movement-altering disorders, substance abuse disorders, or polytrauma. Presence of a nonanatomic mortise on postoperative imaging (defined as medial clear space greater than superior clear space) and more severe initial displacement were also associated with greater risk. For this analysis, researchers compared 33 cases of aseptic revision at two large academic centers with 100 controls without revision.
Read the abstract… |
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| Systematic Review of PROMIS Compared with Legacy PROMs for Spine Patients
A systematic review published online in The Spine Journal found that Patient-reported Outcome Measurement Information System Physical Function (PROMIS–PF) assessments correlated strongly with commonly used legacy PROMs in spine patients. Thirty-seven studies were included, comprising 10,296 total patients. According to the researchers, PROMIS–PF compared favorably with legacy PROMs regarding correlations, ease of use, and quality criteria. PROMIS questionnaires had significantly fewer questions (4.2 versus 9.53) and were completed in less time (48.1 versus 174.4 seconds) compared with legacy PROMs.
Read the abstract… |
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| AAOS Now
Correction of Forearm Deformities Using Open-source Software and 3D-printed Cutting Guides
Pediatric forearm deformities are commonly managed nonoperatively, as they are often painless and patients can compensate for any loss of function. When correction of the deformity is required, though, surgical planning can be difficult. In this article, Anastasios Papadonikolakis, MD, PhD, describes the OrthoMesh3D program, which converts open-source computer 3D animation software into a 3D surgical planning platform for the creation of computer-generated cutting guides.
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| Your AAOS
AAOS Named a 2021 Top Workplace by the Chicago Tribune
AAOS has been awarded a 2021 Top Workplace honor by the Chicago Tribune, marking the second consecutive year the Academy has received this recognition. The Top Workplace award is based on year-over-year anonymous employee feedback, which measures 15 drivers of engaged organizational culture, including employee engagement, communication, innovation, efficiency, and retention. Earlier this year, AAOS was also honored as one of “Chicago’s Best and Brightest Companies to Work For” and one of the “Best and Brightest Companies to Work For in the Nation” by the National Association for Business Resources.
Read the press release… |
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