Editors' Choice articles & Announcements from the Orthogate Team.
About a decade ago, it seemed obvious that Canada was going to need a lot more orthopedic surgeons to replace more hips, knees and other joints, in part due to our aging population. To prepare to meet that need, the number of residency spots for the specialty was increased, so more surgeons could be trained.
Looking at selected medical tests, treatments and procedures in Canada, a new report finds that up to 30% of them are potentially unnecessary. The report Unnecessary Care in Canada, released by the Canadian Institute for Health Information (CIHI) and Choosing Wisely Canada, uses data to measure the extent of unnecessary care associated with 8 tests and procedures that span the health system.
The writers of an article published in the Journal of the American College of Surgeons argue that published studies questioning validation of the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) Surgical Risk Calculator (SRC) "should not be misunderstood as disqualifying the SRC as an accurate and appropriate tool for its intended purpose of providing a general purpose risk calculator, applicable across many surgical domains, using easily understood and generally available predictive information."
A study published in the April 5 JBJS compares the use of interscalene block and injectable liposomal bupivacaine in shoulder arthroplasty procedures. The authors conducted a randomized, controlled trial of 78 patients who received interscalene brachial plexus blockade treatment and 78 patients who received bupivacaine liposome injectable suspension treatment.
Findings from an animal study published online in the journal PLOS ONE suggest that a combination of advanced scaffold material and adult stem cells may improve healing of rotator cuff tendon tears compared to surgery alone.
According to a study published online in The American Journal of Sports Medicine, osteochondral allograft (OCA) transplantation may be a successful treatment option for active patients who sustain a cartilage injury to their knee.
A study published in the April issue of The Journal of Arthroplasty suggests that the costs of collecting and reporting patient-reported outcomes (PRO) data on total hip arthroplasty (THA) and total knee arthroplasty (TKA) procedures may exceed payment penalties called for by the U.S. Centers for Medicare & Medicaid Services (CMS).
A study published online in the journal Foot & Ankle International examines factors that may be linked with increased risk of wound complication following total ankle arthroplasty (TAA). The researchers reviewed prospectively collected data on 762 consecutive primary TAAs.
Data published online in The American Journal of Sports Medicine suggest that postoperative pain may decrease more quickly after transosseous hardware-free suture repair compared to single-row anchor fixation for rotator cuff repair.
An article published in the March issue of the AMA Journal of Ethics argues that healthcare providers should be recognize patients’ potential lack of health literacy as a means to enhance shared decision making (SDM) and improve outcomes.
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