Second Look

If you missed these news items the first time around, AAOS Now gives you a second chance to review them. Headline News Now, the AAOS thrice-weekly, online update of news of interest to orthopaedic surgeons, brings you the latest on clinical, socioeconomic, and political issues, as well as important announcements from AAOS.

Best, worst state tort systems identified
The not-for-profit Pacific Research Institute has ranked the best and worst state tort systems in the United States. The report valuated the tort laws, tort costs, and litigation risks of each state. North Dakota had the lowest tort costs, but lack of strong tort reform laws could make the state a target for trial lawyers in the future. Conversely, Florida ranked the worst in terms of tort cost and litigation risk, but recent reforms have resulted in some of the best tort laws. The best overall tort rules were in Colorado, Texas, Ohio, Georgia, Indiana, Florida, and Michigan. States considered to have the worst tort rules were Pennsylvania, Illinois, Maryland, New York, Vermont, and Rhode Island.

Integrated assessment better for determining risk of fracture
A study published in the February issue of the Journal of Bone and Joint Surgery (JBJS) analyzing risk factors in patients with recent clinical fractures found that an integrated bone- and fall-related risk-factor assessment may be preferable to a simple diagnosis of osteoporosis in identifying elderly individuals at risk for fractures. Dutch researchers studied 568 patients at a single institution and found that prevalence of fall-related risk factors (75 percent) and prevalence of bone-related risk factors (53 percent) at the time of fracture were higher than the prevalence of osteoporosis (35 percent). Half of the patients had an overlap between bone- and fall-related risk factors. Risk factors were found to be overlapping, heterogeneous, and found in multiple combinations, regardless of the patient’s age, fracture location, or gender.

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