AAOS Board of Directors Approves Update to Clinical Practice Guideline

On Monday, the AAOS Board of Directors approved the full update to the 2013 Clinical Practice Guideline (CPG) for Treatment of Osteoarthritis of the Knee.

Study Indicates AJRR Data Are Generalizable to the Larger U.S. Population

Terry Stanton; Mita De, PhD

A study of the American Joint Replacement Registry (AJRR) evaluated its representation of the national experience— an important step in validating AJRR’s potential usefulness in predicting and improving outcomes through data analysis. A study of total hip and knee arthroplasty (THA, TKA) as represented in National (Nationwide) Inpatient Sample (NIS) concluded that, overall, AJRR reasonably represents the NIS national estimates for patient age, sex, race, and hospital size.

Shorter Intervals between Knee Arthroscopy and TKA May Increase Risk of Complications

Rebecca Araujo

In a study of timing from knee arthroscopy to total knee arthroplasty (TKA), researchers found a relationship between surgery timing and risk of postoperative complications.

Study: 20-year Trends in Unplanned Return to the OR after Adolescent Idiopathic Scoliosis Surgery

Rebecca Araujo

Rates of unplanned return to the operating room (UPROR) after adolescent idiopathic scoliosis (AIS) surgery have improved significantly over the past two decades, according to a retrospective analysis of a large, prospective, multicenter database.

Lower Patient Grit Leads to Worse Functional Outcomes After Rotator Cuff Repair

Rebecca Araujo

Low patient grit was found to be associated with poor postoperative functional outcomes after rotator cuff repair (RCR). Kurt Stoll, MD, an orthopaedic surgery resident at University of North Carolina School of Medicine, presented the data yesterday.

Study Points to Need for More Research on Culturing and Antibiotics for Tibia Nonunions

Terry Stanton

A study exploring the role of cultures and outcomes among diaphyseal tibia nonunions in both presumed septic and aseptic nonunions found that nearly one-third of patients with tibia nonunion had positive intraoperative cultures.

Study Finds Greater Patient Satisfaction with Arthrodesis versus Synthetic Implant for Advanced Hallux Rigidus

Terry Stanton

In a study of 69 consecutive patients treated for hallux rigidus 3 or 4 with either first metatarsophalangeal joint (MTPJ) arthrodesis or synthetic implant, investigators found that arthrodesis is more effective in decreasing pain and improving function at one year, as measured by Patient-reported Outcome Measurement Information System (PROMIS) scores.

Patient Satisfaction Levels after Total Shoulder Arthroplasty Are Unaffected by Reduced Opioid Prescribing

Rebecca Araujo

In an analysis of an institution-wide reduction of opioid prescribing for patients who have undergone total shoulder arthroplasty (TSA), reductions did not negatively impact patient satisfaction with pain management.

Iron Deficiency Anemia Increases Risk of Medical and Implant-related TSA Complications

Rebecca Araujo

Patients with iron deficiency anemia (IDA) had significantly more complications and greater healthcare utilization after primary total shoulder arthroplasty (TSA) compared to patients without anemia, according to a poster study on display today.

Study Probes Role of Race and Insurance Status in Surgery for Closed Humeral Shaft Fractures

Terry Stanton

A study analyzing the use of open reduction and internal fixation (ORIF) for closed humeral shaft fractures found that surgical intervention for these injuries was less common among patients who were nonwhite and were without private insurance.