Becker's ASC Review

45 ORTHOPEDICS 6 trends for total joint replacements in the future — revision total knees to jump 400% by 2060 By Laura Dyrda T he number of total joint replacements is expected to jump between 2030 and 2060, according to a new report from the American Academy of Orthopaedic Surgeons. During the society's annual meeting, researchers presented a study examining projected increases in total joint replacements. In 2014, according to the Na- tional Inpatient Sample, there were 370,770 total hip replacements and 680,150 total knee replacements. Researchers performed a linear regression model to predict the volume of primary and revision total knee replacements in the future and considered census projections to predict U.S. procedure volume. "We were particularly interested in the predictions for TJRs as the projected volume of procedures by 2030 and 2060 were very high," said Matthew Sloan, MD, an orthopedic resident at the Philadelphia-based University of Penn- sylvania and lead study author. "We went into our study thinking that the previously anticipated exponential growth among these procedures was not consistent with current trends, and it might be an overestimate." e researchers found: 1. Primary total hip replacements are projected to grow 171 percent and primary total knee replace- ments are expected to grow 189 percent by 2030. 2. Revision total hip replacements are expected to jump 142 percent and revision total knee replace- ments will likely jump around 190 percent by 2030. 3. ere are expected to be 1.23 million total hip re- placements in 2060, a 330 percent increase over today, and 2.6 million total knee replacements, a 382 percent increase over today. 4. Revision total hip replacements are expected to jump 219 percent and revision total knee replace- ments are expected to grow 400 percent by 2060. 5. e average age for primary total hip replacements dropped from 66.3 years old in 2000 to 64.9 years old in 2014. 6. e average age for primary total knee replace- ment dropped from 68 years old to 65.9 years old over the same time period. n The Joint Commission finalizes total hip and knee replacement performance measures — 5 insights By Angie Stewart T he Joint Commission determined four new performance mea- sures for its Total Hip and Knee Replacement Certification in collaboration with an advisory panel. Here are five insights: 1. The four TJR measures for certification are Regional Anesthesia; Postoperative Ambulation on the Day of Surgery; Discharged to Home; and Preoperative Functional/Health Status Assessment. 2. As of Jan. 1, The Joint Commission requires programs seeking the disease-specific care certification and ones that are currently certified to collect monthly data on the four measures. Organizations must report the data to The Joint Commission through the Certification Measure Information Process each quarter. 3. The advisory panel consulted included experts in orthopedic surgery, anesthesia, physical therapy, perioperative nursing, social work and more. The Joint Commission considered public input and tested the measures. 4. The Joint Commission created two guides with specifications on the four mandatory measures: one for inpatient implementation, and one for outpatient implementation. 5. CMS reports significant variance in the quality and cost of care for THKR surgeries. n Dr. Brett Menmuir joins Laser Spine Institute — 5 quick facts By Angie Stewart Tampa, Fla.-based Laser Spine Institute added Brett Menmuir, MD, to its team of orthopedic surgeons. Here are five things to know. 1. Dr. Menmuir joins Laser Spine Institute from the Reno (Nev.) Ortho- pedic Clinic. 2. At Reno Orthopedic Clinic, Dr. Menmuir served as the spine team leader and specialized in minimally invasive techniques for spine and sacroiliac joint fusions, motion preservation surgery, pain manage- ment and orthopedic procedures. He practiced there for more than a decade. 3. Dr. Menmuir is involved with the American Academy of Orthopae- dic Surgeons, Nevada Orthopaedic Society, Society of Lateral Access Surgery and AOSpine. 4. Dr. Menmuir obtained his medical degree from the Georgetown University School of Medicine in Washington, D.C. He completed a residency in orthopedic spine surgery at Baton Rouge-based Louisi- ana State University and underwent fellowship training at the Minne- apolis-based Twin Cities Spine Center. 5. Outside of his professional life, Dr. Menmuir enjoys swimming, bik- ing, skiing, windsurfing, tennis, world travel and playing the piano. n

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