AAOS Now, December 2017
Orthobiologic Interventions Impact Bone Healing
Orthobiologic interventions have been specifically designed to target the various stages of fracture repair. This article reviews each broad category of intervention in terms of the desired effect these materials have on specific stages of bone healing and incorporation. For bone augmentation, the gold standard is autologous iliac crest bone graft. Fresh cancellous autograft provides the quickest and most reliable type of bone graft.
Surgeons Use Additional Strategies to Improve the Value of Hip Fracture Care
As providers and health systems increasingly emphasize outcomes improvement and cost stewardship, care redesign efforts in elective total joint arthroplasty (TJA) have garnered attention for their impact on value. However, due to its emergent nature and degree of variation, redesign of the geriatric hip fracture care segment represents a unique challenge. Success in delivering high-value hip fracture care will require different competencies and care delivery processes than elective TJA.