Study: Solid Organ Transplant Increases Risk of 90-day THA Complications
A study published online in The Journal of Arthroplasty found that patients with solid organ transplant (SOT) are at increased risk of 90-day medical complications after total hip arthroplasty (THA) compared to patients without SOT. However, this increased risk was not found for two-year surgical complications or revision. For this study, 3,103 patients with SOT were matched to 6,196 controls. Compared to controls, patients with SOT were at significantly higher risk of renal failure, anemia, arrhythmia with/without atrial fibrillation, transfusion, cellulitis, myocardial infarction, pneumonia, heart failure, and sepsis at 90 days postoperatively.
Study: Diagnostic Arthroscopy Pre-UCLR Does Not Reduce Future VEOS-related Surgery
A meta-analysis published online in the Journal of Shoulder and Elbow Surgery found routine diagnostic arthroscopy before ulnar collateral ligament reconstruction (UCLR) does not significantly reduce rates of subsequent surgery for other valgus extension overload syndrome (VEOS) conditions. Twenty-five studies were included (n = 2,118). Ninety-four subsequent VEOS-related surgeries occurred. VEOS-related surgeries were less common in patients with pre-UCLR arthroscopy (0.40 percent versus 1.16 percent), but the difference was not significant.
Study: Impact of Suture Type on Patient Satisfaction in Minor Hand Surgery
A randomized, controlled trial comparing polyamide (nylon) versus Chromic gut sutures after minor hand and upper extremity surgery found that suture type did not impact patient satisfaction with wound healing and appearance. This study was published online in the Journal of Hand Surgery. Sixty-two patients who received nylon sutures were compared to 50 patients with Chromic gut sutures. The authors noted that overall patient satisfaction was unrelated to suture type and that satisfaction was lower among patients without comorbidities.
Study: Long-term Pain Relief Benefits of Intra-articular Injection for Knee OA
A systematic review published online in Arthroscopy found that intra-articular leukocyte-rich platelet rich plasma (PRP) demonstrated prolonged pain relief up to one-year post-injection in patients with knee osteoarthritis (OA). Seventy-nine studies were included (n = 8,761). Injections assessed included PRP, corticosteroids, and low- and middle-molecular-weight hyaluronic acid (LMWHA/MMWHA). Lowest Visual Analog Scale (VAS) pain scores were reached by three months post-injection for LMWHA, MMWHA, and PRP. PRP demonstrated the lowest VAS and WOMAC (Western Ontario and McMaster Universities OA Index) scores at one year compared to other treatments.
Study: Physician-provided versus Third-party Durable Medical Equipment
A survey of orthopaedic surgery patients, published online in Current Orthopaedic Practice, found that patients reported an easier experience scheduling durable medical equipment (DME) fittings in their physicians’ office compared to receiving their DME from a third-party vendor. Sixty-six patients who received DME after shoulder or knee surgery were surveyed (in-office, n = 31; third party, n = 35). All in-office patients reported they would repeat the process for their next DME delivery, compared to 17.1 percent (n = 6) of patients who used a third-party vendor.
ABOS Computer-based Recertification Examination Changes
The American Board of Orthopaedic Surgery (ABOS) recently announced that after 2022, the ABOS Practice-profiled Examinations will be offered every other year. ABOS also announced changes to the schedule for ABOS Diplomate application for recertification. This article describes the new changes and how they will affect Diplomates seeking recertification.
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