Orthopedic Medical Legal Advisor

Health care cost data, documentation of medical necessity affect reimbursement, legal claims

Orthopedics Today, May 2019
B. Sonny Bal, MD, PhD, JD, MBA; Lawrence H. Brenner, JD
For several years, media reports alerted the U.S. public to inconsistencies in the delivery, consumption, costs and outcomes of health care. As a…

In the JournalsPerspective

Black, Latina women with knee OA desire timelier information on therapy options

May 15, 2019
Latina and African American women with knee osteoarthritis want their primary care physicians to provide more information regarding treatment…

Meeting NewsPerspective

Surgery without tourniquet may prove advantageous vs tourniquet use

May 6, 2019
Although tourniquet use during surgery has its advantages, presenters at a meeting noted in some cases it may do more harm than good.

Meeting News

CHECK: Obesity doubles odds of patellofemoral OA within 8 years

May 5, 2019
TORONTO — Obesity at baseline was associated with development of patellofemoral osteoarthritis within 8 years, according to an analysis of the…

Meeting News

Self-reported stiffness comparable to MRI in predicting radiographic knee OA

May 4, 2019
TORONTO — Self-reported data on swelling and morning stiffness showed comparable efficacy to MRI in predicting incident radiographic knee…

In the Journals

NSAID efficacy in OA peaks at 2 weeks, wanes over time

April 23, 2019
Although NSAIDs provide significant pain and functional improvements in patients with osteoarthritis, such effects peak at 2 weeks and decrease over…

In the Journals

No differences seen in outcomes after conventional vs custom instrumentation TKA

April 23, 2019
Custom instrumentation compared with conventional instrumentation for total knee arthroplasties did not decrease operative time, transfusion rate…

In the JournalsPerspective

Duloxetine may reduce pain after TKA in patients with central sensitization

April 19, 2019
Patients undergoing total knee arthroplasty with preoperatively identified central sensitization may experience reduced postoperative pain and…

In the Journals

Debridement, antibiotics and implant retention seen as viable treatment for PJI after TKA

April 18, 2019
According to recently published results, debridement, antibiotics and implant retention was as viable and safe treatment for periprosthetic infection…

Meeting NewsVideo

VIDEO: Patients who undergo TKA may recover quicker with neuromuscular electrical stimulation

April 16, 2019
LAS VEGAS — At the American Academy of Orthopaedic Surgeons Annual Meeting, Struan H. Coleman, MD, PhD, discussed the use of neuromuscular…

Meeting News

Speaker: Health-status improvement program can aid success in alternative payment models

April 15, 2019
LAS VEGAS — Results of a program that identifies and optimizes patients with risk factors associated with a poor outcome after total joint…

Meeting NewsPerspective

Standard plus liposomal bupivacaine associated with decreased opioid use in lower extremity amputation

April 15, 2019
Results presented at the Regional Anesthesiology and Acute Pain Medicine Meeting showed that patients who underwent major lower extremity amputation…

Cover Story

Surgeons leverage resources to make outpatient surgery safer

Orthopedics Today, April 2019
Keeping patients safe during and after orthopedic outpatient surgery of all types — arthroscopy, joint replacement, hand, spine and other…


Cryoneurolysis may relieve knee OA pain, reduce opioid use with TKR

Orthopedics Today, April 2019
ORLANDO — Use of cryoneurolysis among patients with chronic knee pain, such as due to osteoarthritis, may decrease anterior and anteromedial…

Second annual Joint Replacement Awareness Day to be held May 4

Orthopedics Today, April 2019
On May 4, 2019, BoneSmart will host the second annual Joint Replacement Awareness Day program in partnership with The Foundation for the Advancement…

In the JournalsPerspective

CNTX-4975 injection improves OA-associated knee pain

April 12, 2019
A single 1-mg injection of trans-capsaicin, a synthetic treatment based on the extract that gives chili peppers their signature spice, significantly…

In the Journals

Cementless vs cemented tibial components in TKA yielded similar midterm outcomes

April 12, 2019
Use of cancellous titanium-coated cementless or cemented tibial components in total knee arthroplasty yielded satisfactory midterm clinical and…

Antibiotic-loaded bone cement did not reduce infection rate in TJA

April 10, 2019
Use of antibiotic-loaded bone cement in total joint arthroplasty did not significantly reduce the rate of infection and may be an unnecessary…

Meeting NewsVideo

VIDEO: Speaker discusses app that may allow for earlier return to function after knee replacement

April 9, 2019
LAS VEGAS — At the American Academy of Orthopaedic Surgeons Annual Meeting, Robert Morocco, president and CEO of CyMedica spoke about the

Feature Article

Single-Use Custom Instrumentation in Total Knee Arthroplasty: Effect on In-Hospital Complications, Length of Stay, and Discharge Disposition

Orthopedics, September/October 2019, Volume 42 Issue 5
Total knee arthroplasty (TKA) is a quality surgical intervention with rapidly increasing use. This growth has brought with it a host of new…