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| Today’s Top Story
Randomized Study Investigates Aspirin and Pump Compliance to Prevent VTE after TJA
The Journal of the AAOS ® published a randomized study assessing compliance of aspirin and pump use as a venous thromboembolism (VTE) prophylaxis after total joint arthroplasty (TJA). The main outcomes were VTE events and aspirin and pump compliance 90 days after TJA. Each group comprised 40 patients. The overall aspirin compliance rate was 94 percent. Within the first 14 days after hospital discharge, pump compliance was 51 percent compared with 99 percent aspirin compliance. Ten patients were compliant with recommended pump use after TJA. No significant associations were noted between aspirin or pump compliance and 90-day VTE occurrence.
Read the abstract… |
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| In Other News
Study Compares Anesthesia Type and Postoperative Outcomes after Arthroscopic Rotator Cuff Repair
In a study published online in HSS Journal: The Musculoskeletal Journal of Hospital for Special Surgery, the use of regional anesthesia was associated with lower rates of postoperative readmission after arthroscopic rotator cuff repair compared with general and combined anesthesia subgroups. Utilizing a national database, 24,677 patients were retrospectively divided into general anesthesia, regional anesthesia, and combined general plus regional anesthesia cohorts. Postoperative complications, demographics, and medical comorbidities were analyzed. Patients who underwent combined regional plus general anesthesia had lower rates of wound complications and readmission compared with patients who received general anesthesia.
Read the study… |
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| Study: Posteromedial Tibial Bone Bruise after ACL Rupture
A cross-sectional study published online in the Orthopaedic Journal of Sports Medicine examined the prevalence and predictors of medial tibial plateau (MTP) bone bruises with acute ACL rupture. A total of 208 patients who underwent ACL reconstruction were included in the analysis, and MRI scans within 90 days of injury were reviewed. Of the study population, 79 percent had an MTP bone bruise, and 83 percent had bruises in both medial and lateral compartments. Medial femoral condyle bone bruises were found to be an independent risk factor for an MTP bruise.
Read the study… |
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| Study: Association between Osseointegration of Lower Extremity Amputation and Mortality
JAMA Network Open published an observational cohort study online investigating the association between transcutaneous osseointegration after lower extremity amputation and mortality. The primary outcome measurement was death due to any cause, and patient variables were assessed for any associations with subsequent mortality. Overall, 485 patients with a mean age at osseointegration of 49.1 years were included in the study. Nineteen patients died a mean of 2.2 years after osseointegration. Of those, 17 died due to causes unrelated to osseointegration, and two patients died of direct osseointegration-related complications. Risk factors included increased age and vascular or infectious amputation etiology.
Read the study… |
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| Study: Outcomes of Unilateral Biportal Endoscopic versus Conventional Posterior Lumbar Interbody Fusion
According to a retrospective study published online in The Spine Journal, unilateral biportal endoscopic lumbar interbody fusion (ULIF) caused less bleeding, reduced inflammatory reactions, and faster postoperative recovery compared with conventional open posterior lumbar interbody fusion (PLIF). Pre- and postoperative visual analog scale (VAS) scores, Japanese Orthopaedic Association (JOA) scores, and surgical technique-related outcomes were collected from 27 ULIF patients and 33 PLIF patients. There were no significant differences in baseline measurements between groups. ULIF patients had better improvements in VAS and JOA scores five days postsurgery; however, the ULIF group required a longer operation time than the PLIF group.
Read the abstract… |
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| AAOS Now
The Presence or Lack of Psychological Safety in Surgery Directly Impacts Team Member Morale and Patient Care
In the first edition of Patient Safety Corner, Mary Carnduff, MD, MBA, FAAOS, defines “psychological safety,” which is “the condition in which all team members can contribute and feel valued”—and in which they can “dissent without fear of disrespect or retribution.” Dr. Carnduff advises, “If the environment in a practice is not psychologically safe, then the practice will not get the level of engagement needed from every staff member.”
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| Your AAOS
Outpatient Total Joint Arthroplasty Virtual Course
Tune in for this single-day course, taking place Nov. 18, for the latest updates in this fast-evolving area of orthopaedics. New models and environmental factors have heightened the demand for same-day discharge arthroplasty Ensure you’re prepared for the shifting paradigm by attending these dynamic sessions covering pre- and postoperative considerations, pathways and protocols, facility and institutional issues, financial considerations, changing Medicaid and Medicare rules, and more.
Register today… |
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