| |
| Today’s Top Story
Study Investigates Association between Serum Glucose Variability and the Risk of Complications following TJA
A retrospective study published online in The Journal of Bone & Joint Surgery suggested that higher glucose variability is associated with medical complications following total joint arthroplasty (TJA). TJA patients with ≥2 postoperative glucose values per day or ≥3 values during hospitalization were included in the analysis. The primary outcomes were length of hospital stay (LOS), 90-day complications, and periprosthetic joint infection (PJI). Of the 1,983 patients included in the study, patients with high glycemic variability had a 1.7 times greater risk for 90-day complications, two times greater risk for PJI, and longer LOS.
Read the abstract… |
| |
|
|
|
| |
| In Other News
Study: Improved Hip Symmetry Associated with Adjustable Fluoroscopic Grid during THA
HIP International published a study online comparing the accuracy and surgical efficiency between intraoperative fluoroscopy (IF) only and IF with an adjustable grid (AG) in patients undergoing total hip arthroplasty (THA). Radiographs were measured after THA in two cohorts, consisting of 573 IF-only patients and 211 AG patients. Target placements for global hip offset (GHO) and leg-length differences were determined to be <10 mm, with acetabular cup abduction of 45 degrees. Compared to IF-only patients, AG patients had a significantly greater percentage of components placed within the target zone for GHO and abduction.
Read the abstract… |
| |
|
|
|
| |
| Study Compares Acute versus Delayed RHA for the Treatment of Radial Head Fractures
A retrospective cohort study published online in the Journal of Shoulder & Elbow Surgery compared clinical, radiographic, and patient-reported outcomes between acute versus delayed radial head arthroplasty (RHA). The acute cohort consisted of 101 elbows undergoing RHA <12 weeks after injury, and the delayed cohort consisted of 34 patients undergoing RHA 12 weeks to two years after injury. In the acute RHA cohort, 13 percent required implant revision or resection, and 25 percent required reoperation. Twenty-one percent of delayed RHA patients required implant revision or resection, and 35 percent required reoperation.
Read the abstract… |
| |
|
|
|
| |
| Study: Trends in ED Visits for Ankle Fractures during the COVID-19 Pandemic
Foot & Ankle Orthopaedics published a retrospective comparative study online assessing trends in ED visits for ankle fractures from 2019 to 2020. Utilizing the National Electronic Injury Surveillance System database, patients who sustained an ankle fracture before the COVID-19 pandemic (BC) were compared with patients treated during the pandemic (DC). Between BC and DC cohorts, there was a 4 percent decrease in ED visits (1,682 versus 1,667, respectively). Alcohol-related ankle fractures increased, while school- and sports-related fractures decreased in the DC cohort. ED visits for ankle fractures leading to hospitalization increased from 23 percent to 24 percent before and during the pandemic, respectively.
Read the study… |
| |
|
|
|
| |
| Study: Analysis of Rates and Reasons for Reoperation 30- and 90-days after Cervical Spine Surgery
A retrospective analysis of the rates and reasons for reoperation at 30- and 90-days after cervical spine surgery was published in The Spine Journal. Data were extracted from patients using the Michigan Spine Surgery Improvement Collaborative Registry. Overall, 13,435 and 13,440 patients were included in the 30- and 90-day analyses, respectively The reoperation rates were 1.24 percent and 3.30 percent, respectively. Reoperation risk factors in the 30-day cohort were posterior approach and longer length of stay (LOS). Major risk factors in the 90-day cohort included male sex, coronary artery disease, and longer LOS.
Read the abstract… |
| |
|
|
|
| |
| AAOS Now
Town Hall Updates Membership on AAOS’ Ongoing Commitment to DEI Initiatives
At a town hall webinar hosted by the AAOS Diversity Advisory Board (DAB) in June, Anthony E. “AJ” Johnson, MD, FAAOS, chair of the DAB, updated attendees on progress and recent milestones in AAOS’ ongoing efforts to encourage and expand diversity, equity, and inclusion (DEI) throughout the organization. He and all three members of the AAOS Presidential Line then responded to questions posted by the online audience.
Read more… |
| |
|
|
|
| |
| Your AAOS
AAOS Board of Directors Approves the AUC on the Management of Osteoarthritis of the Knee (Non-Arthroplasty)
As with other AAOS Appropriate Use Criteria (AUC), this resource provides clinicians with an algorithm-style tool for choosing treatment pathways based on the patient’s presenting indications as entered by the clinician. The treatment scenarios provided by the AUC arise from the recommendations in Clinical Practice Guideline (CPG); in this case, the completely revised CPG on the Management of Osteoarthritis of the Knee (Non-Arthroplasty) adopted by the Board in August 2021.
View the AUC… |
| |
|
