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| Today’s Top Story
Study Investigates Pain Treatment Patterns and Incidence of TJR in Osteoarthritis Patients
A retrospective cohort study, published online in BMC Musculoskeletal Disorders, assessed the incidence of total joint replacement (TJR) in patients with a history of osteoarthritis who received prescription pain medications and/or intra-articular corticosteroid injections. Utilizing administrative claims data in the Innovation in Medical Evidence Development and Surveillance Distributed Database, 1,992,670 patients were identified. Overall, 58.3 percent were prescribed opioids, 29.9 percent NSAIDs, and 16.2 percent intra-articular corticosteroids. The incidence of TJR was highest in patients receiving intra-articular corticosteroids and lowest in patients receiving NSAIDs.
Read the study… |
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| In Other News
Study: Racial Disparities and Rates of Revision in TKA Patients
A national registry study published online in The Journal of Arthroplasty investigated the association between race and ethnicity, rates of modern implant use, and postoperative outcomes in patients undergoing total knee arthroplasty (TKA). Utilizing the AAOS American Joint Replacement Registry, 1,121,457 patients’ surgical features and 1,068,210 patients’ outcomes were analyzed. Black, Hispanic, and Native American patients had lower rates of unilateral TKA compared with white patients. Black patients had lower rates of robot-assisted TKA and higher rates of revision TKA than all other races. There were no significant differences between groups for 30- or 90-day readmissions.
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| Study: Association between Femoral Head Collapse and Acetabular Coverage in Patients with Osteonecrosis
A prognostic study published online in Clinical Orthopaedics and Related Research analyzed the associations between femoral head collapse and acetabular coverage or pelvic incidence (PI) in patients with osteonecrosis of the femoral head (ONFH). In total, 343 hips were divided into two groups: ONFH patients with femoral head collapse within 12 months and ONFH patients without femoral head collapse. CT scans of PI and acetabular coverage were compared between groups. There were no significant differences in PI between the groups. Researchers noted a slight association between lower lateral center-edge angle and higher odds of femoral collapse.
Read the abstract… |
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| Study: Recurrence of Glenohumeral Instability with Isolated RCR after Traumatic Shoulder Dislocation
Recurrent glenohumeral instability in active patients aged >40 years with isolated rotator cuff repair (RCR) after traumatic shoulder dislocation was infrequent, according to a retrospective cohort study published online in the Archives of Orthopaedic and Trauma Surgery. In total, 84 patients with a mean follow-up of 3.9 years were included in the study. The main outcome measurements were extracted from patient medical records and included shoulder instability recurrence and surgical interventions. One patient experienced redislocation 2.5 years after surgery. Ten patients required reintervention, and nine patients retore their rotator cuffs.
Read the abstract… |
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| Study: Outcomes of Single-stage Surgery for Patients with Chronic Osteomyelitis
Published in The Bone & Joint Journal, a prospective case series documented mid- to long-term results of single-stage surgery for patients with chronic osteomyelitis using a bioabsorbable gentamicin-loaded ceramic carrier. One hundred patients were treated with a single-stage procedure, which included debridement, deep tissue sampling, antibiotics, and immediate skin closure. At the final follow-up, 94 percent of patients were infection free. Of the six patients reinfected, three occurred after one year, two occurred after two years, and one occurred 4.5 years postsurgery. Recurrence was not significantly related to etiology of the infection or the presence of nonunion preoperatively.
Read the study… |
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| AAOS Now
Coding for Open Knee Procedures Poses Challenges
Coding for open knee procedures can be challenging. In some cases, the available CPT ® code definitions do not explicitly describe the techniques that physicians are using. Even when a code is a good match, payers may deny it based on their reimbursement rules. This article answers common coding questions for open knee procedures based on CPT definitions, AAOS guidelines, and National Correct Coding Initiative policies.
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| Your AAOS
New Virtual Course: Value-based Orthopaedic Care
There is growing recognition that true reform in orthopaedic care will demand a major strategic and organizational redesign of care delivery, measurement, and reimbursement in practice to shift toward value. This new virtual course, happening Nov. 12, aims to empower orthopaedic surgeons with practical knowledge, skills, tools, and strategies to help achieve winning partnerships with health plans, employers, and the government when making successful transitions toward value. If you cannot attend live, all sessions will be recorded and available to course registrants for 60 days.
Register now… |
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