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| Today’s Top Story
Study: Racial and Ethnic Disparities and TJA Utilization in Universally Insured Patients
The Journal of the AAOS ® published a retrospective cohort study assessing whether racial and ethnic disparities in total joint arthroplasty (TJA) utilization persist in universally insured patients within a managed healthcare system. The population included patients aged >50 years with hip or knee osteoarthritis. In total, there were 99,548 patients in the hip analysis and 290,324 in the knee analysis. Of these patients, 10.2 percent were Black, 20.5 percent were Hispanic, 9.6 percent were Asian, and 59.7 percent were White. Regardless of their universally insured status, utilization of primary total hip or knee arthroplasty was significantly lower in all minority groups.
Read the abstract… |
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| In Other News
Study: High-level Athletes with Borderline Hip Dysplasia Showed Positive Outcomes after Primary Hip Arthroscopy
A study published online in Arthroscopy investigated patient-reported outcomes (PROs) and return to sport (RTS) rates in high-level athletes with borderline hip dysplasia (BHD) following hip arthroscopy for femoroacetabular impingement. Thirty-four patients competing in professional, collegiate, or high school sports were followed for five years postsurgery. Outcomes included the modified Harris Hip Score and Hip Outcome Score-Sport Specific Subscale in addition to RTS. BHD athletes had significant improvements in PROs and an RTS rate of 90 percent. Comparing BHD athletes to a propensity-matched group with normal acetabular coverage, BHD athletes had comparable postoperative PROs and RTS.
Read the abstract… |
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| Study: Radiologic Factors Associated with Clinical Outcomes after Arthroscopic Rotator Cuff Retear Repair
According to a study published in Clinics in Shoulder and Elbow, variance in the mediolateral dimension of a rotator cuff retear was negatively associated with clinical outcomes in patients with retear after arthroscopic rotator cuff repair. MRIs were retrospectively reviewed in 96 patients, and American Shoulder and Elbow Surgeons (ASES) scores, Constant scores, and radiologic variables were analyzed. Postoperatively, ASES and Constant scores improved from 59.81 and 64.30 to 81.56 and 78.62, respectively. Utilizing multiple linear regression analysis, enlarged mediolateral tear size of the rotator cuff had significant negative association with clinical outcomes.
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| Study: Preoperative Patient-reported Data Indicates Risk of Prolonged Opioid Use after Upper Extremity Surgery
The Journal of Hand Surgery published a prognostic study online which used patient-reported data to identify factors predictive of prolonged opioid use after hand and upper extremity surgeries. Opioid use was determined based on patient reports and/or filled opioid prescriptions three months postsurgery. In total, 2,114 patients were included. Underweight patients and patients undergoing trauma-related surgery had higher odds of opioid use at three months. For each five-unit decrease in preoperative Patient-Reported Outcomes Measurement Information System Global Physical Health score, there was a 30 percent increased odds of using opioids at three months postsurgery.
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| Study: Alterations in Gait Kinematics Vary by Adult Spinal Deformity Type
A diagnostic study published online in the European Spine Journal suggested that sagittal spinal malalignment seems to be the driver of gait alterations in patients with adult spinal deformity (ASD). ASD patients were matched to controls and divided into three groups: 51 sagittal malalignment (ASD-Sag), 28 frontal deformity (ASD-Front), and 40 hyperkyphosis (ASD-HyperTK). Patients underwent 3D gait analysis, and kinematics were compared between groups. ASD-Sag patients had decreased pelvic mobility, decreased range of motion of the hips and knees, and decreased walking speeds. ASD-HyperTK patients had similar results which were relatively less prominent. ASD-Front patients had normal walking patterns
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| AAOS Now
Editor’s Message: What Recharges Your Batteries?
In this Editor’s Message, Julie Balch Samora, MD, PhD, FAAOS, FAOA, reflects on the activities and interests outside of medicine that help her “recharge” her batteries. “Although I cannot imagine a more rewarding and uplifting career, the work alone is not sufficient to lead a completely fulfilling life,” Dr. Samora writes. Several orthopaedic surgeons, including Dr. Samora, share their personal stories about what pursuits revitalize them outside of practice, in order to remain well and combat burnout.
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| Your AAOS
Get Published Faster with OVT Now
Did you know that now you can share your videos on the Orthopaedic Video Theater (OVT) and get published faster with OVT Now? OVT Now features an expedited peer-review process and fast publication online. Once uploaded, a video is submitted to AAOS committee members in the given orthopaedic specialty and is quickly reviewed and published. With this option, you can showcase your skills and help advance orthopaedic education more than ever. This growing collection offers OVT viewers the chance to discover relevant content and access to the very latest in orthopaedic surgical techniques. Log in to submit a video and discover all OVT has to offer.
Learn more and submit a video… (member login required) |
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