Today’s Top Story

Study Assesses Return to Sport, Satisfaction After Meniscal Allograft Transplantation

A retrospective study published in the September issue of Arthroscopy analyzed outcomes among meniscal allograft transplantation (MAT) patients. Of 117 MAT patients treated between 2013 and 2015, 87 were available at an average 3.64 years of follow-up. Significant clinical improvements were observed in the whole cohort; 77 percent of patients were satisfied with their results. Three-quarters of patients who played sports preoperatively returned to at least one sport one year after MAT. The top three reasons for discontinuing sports postoperatively were prevention of further damage (73.6 percent), pain with activity (51.4 percent), and fear of further injury (48.6 percent).

Read the abstract…

 
 
 
 
In Other News

Study: How Common Is Post-acute Care Utilization in Hip Fracture Patients?

According to a study published in the Sept. 15 issue of the Journal of the AAOS ®, most hip fracture patients aged older than 65 years were discharged to a post-acute care facilities (PAC). A search of the American College of Surgeons National Surgical Quality Improvement Program identified 8,133 hip fracture patients, of whom 82 percent were initially discharged to PAC after their hip fracture episode. The independent risk factors for discharge to PAC were age, partial or dependence for activities of daily living, dementia, diabetes, hypertension, and total hospital length of stay (LOS).

Read the abstract…

 
 
 
 
Study Identifies Correlation Between Mental Health and Ankle Arthroplasty Outcomes

According to a retrospective study published online in Foot & Ankle Specialist, preoperative depression adversely impacted total ankle arthroplasty (TAA) outcomes. Among 8,047 TAA patients identified in the Nationwide Readmission Database, 11.4 percent (n = 918) were depressed. Patients with depression, compared to those without, had increased odds of nonhome discharge; LOS longer than two days; prosthetic, wound, and medical complications; prosthetic joint infection; and superficial surgical site infection.

Read the abstract…

 
 
 
Study Measures Predictive Value of CCI Score of ASA Grade in Spine Surgery Patients

A study published online in the European Spine Journal used the Charlson Comorbidity Index (CCI) score to help predict the American Society of Anesthesiologists’ (ASA) Physical Status Score in spine surgery patients. The CCI was determined for 11,523 spine surgery patients who had ASA scores; they were randomized into training (n = 8,078) and test (n = 3,445) groups. When using CCI alone to predict ASA, a cutoff of CCI 1 or greater most accurately discriminated between being ASA 3 or greater versus less than 3. The inclusion of variables such as age, sex, smoking, and BMI yielded more accurate ASA predictions.

Read the abstract…

 
 
 
CMS Finalizes Innovative Center Model to Improve Cancer Patients’ Care, Lower Costs

The Centers for Medicare & Medicaid Services (CMS) announced its new Radiation Oncology (RO) Model aimed at improving care quality for cancer patients undergoing radiotherapy as well as reducing costs. The RO Model focuses on value-based care with simple payments incentivizing cost-efficient, clinically effective treatments for a 90-day episode of care to participating radiotherapy providers and suppliers furnishing radiotherapy for 16 different cancer types. The mandatory model will go into effect on Jan. 1, 2021.

Read the CMS press release…

 
 
 
AAOS Now

September Bonus Issue of AAOS Now Is Now Available Online

AAOS Now is now releasing monthly digital bonus editions of the magazine, featuring education originally slated to be presented at the AAOS 2020 Annual Meeting in March. Despite the meeting’s cancelation due to COVID-19, members can still access virtual content from the Annual Meeting by visiting the Academy’s Annual Meeting Virtual Experience webpage. This month’s digital bonus issue features coverage of hip and knee studies, including driving factors of LOS following total knee arthroplasty (TKA), trends in hip prosthesis dislocations over the last two decades, the use of artificial intelligence in preoperative TKA planning, and more.

Read more…

Visit the Annual Meeting Virtual Experience webpage…

 
 
 
Your AAOS

Get Out the Vote: Voter Resources for the 2020 Election Cycle

The outcome of the 2020 election cycle will have a profound impact on the medical community—not only because of the public health crisis we are still enduring, but also because there are a record number of physicians running for federal office. The AAOS political program encourages all eligible members to get involved in the political process. That is why it has put together resources to help members navigate the patchwork of each state’s voting deadlines and procedures, including absentee and mail-in voting procedures; voter registration, absentee ballot, and ballot submission deadlines; how to register to vote; and more.

Learn more…