New Report Demonstrates The Clinical And Economic Value Of The ATTUNE® Knee System In Today’s Value-Based Environment

SAN DIEGO, March 14, 2017 /PRNewswire/ — Today, DePuy Synthes*, part of the Johnson & Johnson Family of Companies, released a new report, “Improving the Value of Primary Total Knee Arthroplasty: the ATTUNE® Knee System,” that analyzes the ATTUNE Knee’s current clinical and economic data. The report concludes that in a value-based healthcare environment with cost constraints and growing procedure volumes, the value of a knee replacement implant is measured not only by how long the implant lasts (implant survivorship), but also through patient reported outcomes and the economic benefits of the procedure.

The report, which was released alongside the American Academy of Orthopaedic Surgeons Annual Meeting in San Diego, is authored by David Fisher**, M.D., Director of the Total Joint Center of Excellence at OrthoIndy Hospital in Indianapolis, Indiana, and Professor David Parkin, an Honorary Visiting Professor at City, University of London and a Senior Visiting Fellow, Office of Health Economics.

The report analyzes approaches for evaluating primary total knee arthroplasty (TKA) from a clinical and health economic perspective, and assesses the current data from DePuy Synthes’ ATTUNE Knee Evidence Generation Program. This program, the largest of its kind in DePuy Synthes’ history, includes a wide range of data from company-initiated studies, investigator-initiated studies, independent studies and national joint registries.

In their analysis, Dr. Fisher and Professor Parkin conclude that, “Based on available data, the ATTUNE Knee appears to be advancing outcomes for patients and creating value for clinicians, providers and payors in a challenging and dynamic healthcare environment.”

Click to Tweet: New @DePuySynthes report released today demonstrates the clinical and economic value of the ATTUNE® Knee System #AAOS17 http://bit.ly/2mjUTL8

This report comes at a time when the entire episode of patient care is a major focus for global healthcare providers, placing a laser-like focus on both improving patient outcomes and managing costs. The bundled payments program in the United States and the “Payments for Results” system in England are two examples of the drive to minimize the total cost of care while maintaining quality. Against this backdrop, data from a comprehensive evidence generation program can help provide evidence to support decisions about a device’s overall value.

“The success of any knee replacement is multifactorial, and the data on the ATTUNE Knee gives me confidence that I’m using a knee replacement that is delivering value for patients and the healthcare system,” said Dr. Fisher.

Added Professor Parkin: “Quality of life, as measured by patient reported outcomes, has been shown to be a driver of cost effectiveness in knee replacement. The evidence that I’ve seen about the effectiveness of the ATTUNE Knee in improving patient reported outcomes suggests it can deliver a better quality of life for patients compared to other leading knee systems. Therefore, the ATTUNE Knee may potentially play a role in helping reduce some of the healthcare and societal costs associated with knee osteoarthritis.”

According to the analysis, the ATTUNE Knee has thus far demonstrated favorable survivorship, improved patient reported outcomes versus other knee systems, as well as potential economic benefits:

  • Survivorship: The published report from the National Joint Registry for England, Wales, Northern Ireland and the Isle of Man (NJR) showed that the ATTUNE Knee’s estimated cumulative percent revision was 1.39% at three years (98.61% survivorship) for 4,463 knees, comparing favorably to the class of Cemented Total Knee Arthroplasty that has an estimated cumulative percent revision of 1.50%1. In addition, per the 2016 Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR), in which 4,831 ATTUNE Knees are being tracked, the ATTUNE Knee’s estimated cumulative percent revision was 0.5% (ATTUNE Cruciate Retaining Knee) and 0.4% (ATTUNE Posterior Stabilized Knee) at one year.2 This compares favorably to the overall class of cemented TKA at one year, which has an estimated cumulative percent revision of 1.0 percent.
  • Patient Reported Outcomes: DePuy Synthes has taken the lead in this area by helping generate and validate a new measure, the Patient’s Knee Implant Performance (PKIP), to specifically assess the functional status of a patient’s knee from their own perspective. Results of a study using PKIP as well as other commonly used generic and condition-specific patient reported outcome measures showed that, at one year, study participants implanted with the ATTUNE Knee had statistically significant improvements compared to other leading knee systems in terms of confidence in stability during activity, decreased anterior knee pain, activities of daily living and quality of life.3
  • Health Economics: A U.S. hospital database analysis showed 39% lower odds of patient discharge to a skilled nursing facility when implanted with an ATTUNE Knee, compared to patients who received total knee replacement with a Triathlon® Knee.4 This may potentially impact patient satisfaction and reduce healthcare costs. Post discharge costs are a significant portion of the overall episode of care. One study showed that up to 35% of episodic costs were related to post hospital discharge care5 and another showed it was up to 50%.6

To read this report and learn more about ATTUNE Knee Evidence, visit www.ATTUNEevidence.com.

About DePuy Synthes Companies
DePuy Synthes Companies, part of the Johnson & Johnson Family of Companies, provides one of the most comprehensive orthopaedics portfolios in the world. DePuy Synthes solutions, in specialties including joint reconstruction, trauma, craniomaxillofacial, spinal surgery and sports medicine, are designed to advance patient care while delivering clinical and economic value to health care systems worldwide. For more information, visit www.depuysynthes.com.

Cautionary Note Regarding Forward-Looking Statements
This press release contains “forward-looking statements” as defined in the Private Securities Litigation Reform Act of 1995 regarding the effectiveness and value of the ATTUNE Knee System. The reader is cautioned not to rely on these forward-looking statements. These statements are based on current expectations of future events. If underlying assumptions prove inaccurate or known or unknown risks or uncertainties materialize, actual results could vary materially from the expectations and projections of DePuy Synthes and/or Johnson & Johnson. Risks and uncertainties include, but are not limited to: uncertainty of commercial success; challenges to patents; competition, including technological advances, new products and patents attained by competitors; product efficacy or safety concerns resulting in product recalls or regulatory action; manufacturing difficulties and delays; changes to applicable laws and regulations, including global health care reforms; changes in behavior and spending patterns for health care products and services; and trends toward health care cost containment. A further list and description of these risks, uncertainties and other factors can be found in Johnson & Johnson’s Annual Report on Form 10-K for the fiscal year ended January 1, 2017, including in the sections captioned “Risk Factors” and “Cautionary Note Regarding Forward-Looking Statements”, and the company’s subsequent filings with the Securities and Exchange Commission. Copies of these filings are available online at www.sec.gov, www.jnj.com or on request from Johnson & Johnson. Neither DePuy Synthes nor Johnson & Johnson undertakes to update any forward-looking statement as a result of new information or future events or developments.

*DePuy Synthes represents the products and services of DePuy Synthes, Inc. and its affiliates.

**Consultant to DePuy Synthes Companies

The third party trademarks used herein are the trademarks of their respective owners.

DSUS/JRC/0217/2031 March 2017

References:

1

National Joint Registry for England, Wales, Northern Ireland and the Isle of Man, 13th Annual Report. (2016). Table 3.24

(a). Available from: www.njrreports.org.uk

2

Australian Orthopaedic Association National Joint Replacement Registry Annual Report. (2016). Tables KT9 and KT22. Retrieved from:
https://aoanjrr.sahmri.com/documents/10180/275066/Hip%2C%20Knee%20%26%20Shoulder%20Arthroplasty

Corin Group Launches Optimized Positioning System (OPS™) for Hip Replacement at AAOS

SAN DIEGO, March 14, 2017 /PRNewswire/ — Every patient moves differently, and now surgeons can take this into account when performing hip replacement surgery thanks to a new technology from Corin Group that helps determine the best positioning of an implant and its components based on how patients really move during daily activities.

Corin announced the U.S. launch of its Optimized Positioning System (OPS™) System at the American Academy of Orthopaedic Surgeons (AAOS) in San Diego. The technology may lead to one of the most significant changes to the way hip replacements are performed in more than 30 years.

“This new technology challenges the traditional approach of placing implants in generic safe zones,” said James Huddleston III, MD, associate professor of orthopaedic surgery at the Stanford University Medical Center. “Now we can get more specific and tailor the implant position for each patient. This should help reduce the dislocation rate and even possibly reduce wear.”

Utilizing pre-operative functional simulation and planning and a unique intra-operative positioning system that employs 3D printing and laser guidance, OPS helps surgeons determine the best position and orientation for a hip implant based on specific patient anatomy and movement.

“While hip replacement surgery is considered one of the most successful operations in medical history, we are always looking for ways to improve it, particularly ways we can improve function and performance and reduce the potential for dislocation and premature wear of bearing surfaces,” said Douglas Dennis, MD, an orthopaedic surgeon in Denver, CO. “This new technology may be an advance that helps us do this.”

In the U.S., the first-ever functional, patient-specific hip replacement procedures using OPS were performed in November 2016, shortly after FDA clearance. More than 3,000 procedures have been done in Europe and Australia, where the system was previously approved for use.

“No two patients are the same. We are offering a patient-specific solution that gives the surgeon the information and tools necessary to enable an optimal hip replacement procedure,” said Paul Berman, President Corin USA. “Feedback from surgeons who have used OPS has been excellent and interest in the system from the orthopaedic community is very high.”

About Corin Group

Corin is a European orthopaedic manufacturer based in the UK that markets its products throughout the world.

Corin is committed to:

…improving patient satisfaction with personalized technologies that optimize our clinically proven joint replacements
…delivering a personal approach to our customers, combining the spirit of our local companies with the strength of our global, integrated organization
…empowering and rewarding our global talented teams to deliver excellence to our customers

For further information about Corin, please visit www.coringroup.com.

This news release contains forward-looking statements. These statements appear in a number of places in this news release and include statements regarding our intentions, beliefs or current expectations, concerning, among other things, our results of operations, turnover, financial condition, liquidity, prospects, growth, strategies, new products, the level of new launches and the markets in which we operate. Readers are cautioned that any such forward-looking statements are not guarantees of future performance and involve risks and uncertainties, and that actual results may differ markedly from those in the forward-looking statements as a result of various factors. We undertake no obligation publicly to revise any forward-looking statements, except as may be required by law.

SOURCE Corin USA

Related Links

http://www.coringroup.com

Exactech Announces Full Launch of Three Revision Systems and Expansion of Advanced Surgical Technologies at AAOS 2017

March 14, 2017

GAINESVILLE, Fla.–(BUSINESS WIRE)–Exactech (Nasdaq: EXAC), a developer and producer of bone and joint restoration products and biologic solutions for extremities, knee and hip, announced today its lineup of products to be showcased at the company’s educational exhibit, Booth #1433, at the American Academy of Orthopedic Surgeons (AAOS) 2017 Annual Meeting, March 15-17 in San Diego, Calif.

Highlights of Exactech’s latest innovations include:

  • ExactechGPS®, a compact, surgeon-controlled computer-assisted surgical technology that delivers reproducible results in total joint arthroplasty, expands its offerings with new knee applications, as well as the first application for total shoulder arthroplasty*. Live demonstrations will take place throughout the event.
  • The Equinoxe® Humeral Reconstruction Prosthesis offers a unique and stable solution for complex and challenging shoulder arthroplasty cases with significant humeral bone loss.** Also featured will be the new Preserve Stem, a conservative treatment option designed for preserving humeral bone.
  • The Vantage® Total Ankle System is Exactech’s first product in the foot and ankle market. The system features both tibial and talar components, which were designed for minimal bone resection and optimal support for the anatomically shaped implant.
  • The Optetrak Logic® CC Revision Knee System offers a comprehensive portfolio to help surgeons address challenging revision cases. Exactech’s redesigned, intuitive instrumentation for an efficient, streamlined surgical experience will also be showcased.
  • The Alteon® Monobloc Revision Femoral Stem is a press-fit, distally fixed, one-piece tapered, splined titanium stem. It incorporates specific philosophies designed to improve surgical experiences and clinical outcomes for hip arthroplasty patients.
  • The InterSpace® Tapered Wedge Hip Spacer and data behind InterSpace’s preformed spacer technology with 20 years of clinical experience will be showcased. The AcuDriver® Automated Osteotome Handpiece for implant removal will be featured in live demonstrations.
  • Ossilix® is a high performance, next generation calcium phosphate cement indicated for filling bony defects in cancellous bone. Ossilix is fast- and hardsetting within approximately six minutes in a 37°F wet environment. Once set, it can be drilled and inserted with screws. In addition, the Biologics offerings will include Reveille™ Cartilage Processor, a cost effective option for single stage surgery with autologous cartilage. Reveille is used for intra-operative resizing of autologous tissue into usable particles.

Exactech will showcase new clinical data in the Journal of Shoulder and Elbow Surgery Compendium of Shoulder Outcomes and Research and Exactech Knee Scientific and Clinical Evidence booklet. Scientists and surgeon consultants will be available to discuss the articles, as well as share their experiences on all of the company’s latest product innovations. Attendees may also learn about Exactech’s patient education and practice marketing program at the booth.

Visit www.exac.com/academy for more information on featured products, scheduled clinical experts and live demonstrations.

*The ExactechGPS Total Shoulder Application is currently undergoing premarket review by the FDA. It is intended for use during preoperative planning and during stereotaxic surgery to aid the surgeon in locating anatomical structures and aligning the endoprostheses with the anatomical structures.

**The Equinoxe Humeral Reconstruction Prosthesis is not indicated for use with the reverse shoulder components in oncology applications.

About Exactech

Based in Gainesville, Fla., Exactech develops and markets orthopaedic implant devices, related surgical instruments and biologic materials and services to hospitals and physicians. The company manufactures many of its orthopaedic devices at its Gainesville facility. Exactech’s orthopaedic products are used in the restoration of bones and joints that have deteriorated as a result of injury or diseases such as arthritis. Exactech markets its products in the United States, in addition to more than 30 markets in Europe, Latin America, Asia and the Pacific. Additional information about Exactech can be found at http://www.exac.com.

A current investment profile on Exactech (Nasdaq: EXAC) is available online at http://www.hawkassociates.com/profile/exac.cfm. To receive future releases in e-mail alerts, sign up at http://www.hawkassociates.com/about/alert.

This release contains various forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934, which represent the company’s expectations or beliefs concerning future events of the company’s financial performance. These forward-looking statements are further qualified by important factors that could cause actual results to differ materially from those in the forward-looking statements. These factors include the effect of competitive pricing, the company’s dependence on the ability of third party manufacturers to produce components on a basis which is cost-effective to the company, market acceptance of the company’s products and the effects of government regulation. Results actually achieved may differ materially from expected results included in these statements.

Contacts

Exactech
Investor contacts
Jody Phillips, 352-377-1140
Executive Vice President of Finance &
Chief Financial Officer
or
Hawk Associates
Julie Marshall or Frank Hawkins, 305-451-1888
EXAC@hawkassociates.com
or
Media contacts
Exactech
Priscilla Bennett, 352-377-1140
Vice President, Corporate & Marketing Communication

Stryker launches expensive Mako robot for knee replacement in cost-conscious era

By ARUNDHATI PARMAR – MedCity News

As value-based care and bundled payments begin to take hold in the orthopedics industry and healthcare overall, Kalamazoo, Michigan-based Stryker is doing something counterintuitive.

It is launching an expensive piece of equipment. Coinciding with the first day of the annual meeting of the American Academy of Orthopaedics Surgeons (AAOS) in San Diego, the orthopedics company announced Tuesday that the MAKO robot is now officially launched in the U.S. to perform total knee replacements. (MAKO has been available to perform total hip knee replacements and partial knees in the U.S. up until now.)

Why introduce a reportedly million-dollar piece of new technology at a time when hospitals and orthopedics practices are racing to reduce the cost of hip and knee replacements?

In a phone interview, Stuart Simpson, vice president and general manager, Stryker, shared his confidence that the Mako robot with the total knee application would have both clinical and economic benefits that hospitals would find compelling.

To step back a bit, Stryker made a bold acquisition of Mako for nearly $1.65 billion in 2013. Bold because none of the larger ortho players had envisioned joint replacement procedures to be done by a robot. The company has also bucked the consolidation trend in the marketplace – think Zimmer buying Biomet; Wright Medical buying Tornier – although there leaked reports showed that it was exploring a merger with Smith & Nephew. The bet was new, innovative technology backed by proper clinical and economic validation would win the future.

Mako’s total knee application — where the Mako robot would implant Stryker’s Triathlon knee — won FDA approval back in August 2015. But Kevin Lobo, the company’s CEO made the rather atypical decision to delay a wide sales roll out nationwide until 2017. [ I reported on that decision for a different publication last year].

In that two years, Mako’s total knee application has been used on a limited basis in 65 hospitals in the U.S., U.K., Japan and Germany, Simpson said and more than 1,400 cases have been performed.

Now it’s ready for full launch and the hope is that the clinical benefits noticed in the partial knee application by using the Mako robot will extend to the total knee as well.

 

READ THE REST HERE

Nearly all shoulder replacement patients under age 55 return to sports

SAN DIEGO, Calif., March 14, 2017 /PRNewswire-USNewswire/ — A new study being presented today at the 2017 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS), found that 96.4 percent of recreational athletes, age 55 and younger, who underwent total shoulder replacement surgery returned to at least one sport, on average, within seven months of surgery.

Today, about 53,000 people in the U.S. have shoulder replacement surgery each year, according to the U.S. Agency for Healthcare Research and Quality. This compares to more than 900,000 Americans a year who have hip and knee replacement surgery. In shoulder replacement surgery, the damaged parts of the shoulder are removed and replaced with artificial components, called a prosthesis. A total shoulder replacement involves replacing the arthritic joint surfaces with a highly polished metal ball attached to a stem, and a plastic socket.

In younger patients, repetitive movements required in various sporting activities can cause early osteoarthritis, or wear and tear of the joint, resulting in the need for a replacement.

In this study, researchers conducted a retrospective review of 61 patients who underwent a total shoulder replacement. The average age at the time of surgery was 48.9 years (ages 25 to 55), of which most of the shoulder damage (80.3 percent) was caused by osteoarthritis. Nearly 68 percent of patients said they hoped to return to sports following surgery.

Among the study highlights:

  • Ninety-three percent of patients were satisfied with the outcomes of their surgery, and 96.4 percent (55 out of 57 patients) returned to at least one sport at an average of 6.7 months following surgery.
  • The direct rates of return to sports included: fitness sports (97.2 percent), golf (93.3 percent), singles tennis (87.5 percent), swimming (87.5 percent), basketball (75 percent) and flag football (66.7 percent).
  • More than 90 percent of patients returned to a high-demand sport and 83.8 percent returned to a sport that required high use of the arms and shoulders.
  • There was no significant difference in the rate of return to sport by body mass index, sex, age, preoperative diagnosis, revision status and/or dominant extremity.

“Our results evaluated patients at an average of five years of follow up and most patients continued to be very satisfied and performed a high number of sporting activities, including those that required high use of their shoulders,” said study author Grant Garcia, MD, an orthopaedic surgeon at the Hospital for Special Surgery (HSS) in New York. “This information is important as it demonstrates that total shoulder arthroplasty may be a good option in younger patients who are indicated for a shoulder replacement.”

The study, “High satisfaction and return to sports after total shoulder arthroplasty: age 55 and younger,” appeared in the Sept. 28, 2016 issue of the World Journal of Orthopaedics.

Study abstract

2017 AAOS Annual Meeting Disclosure Statements

The American Academy of Orthopaedic Surgeons
With more than 39,000 members, the American Academy of Orthopaedic Surgeons (AAOS) is the world’s largest association of musculoskeletal specialists. The AAOS provides education programs for orthopaedic surgeons and allied health professionals, champions and advances the highest musculoskeletal care for patients, and is the authoritative source of information on bone and joint conditions, treatments, and related issues.

Visit AAOS at:
Newsroom.aaos.org for bone and joint health news, stats, facts, images and interview requests.
ANationinMotion.org for inspirational patient stories, and orthopaedic surgeon tips on maintaining bone and joint health, avoiding injuries, treating musculoskeletal conditions and navigating recovery.
Orthoinfo.org for patient information on hundreds of orthopaedic diseases and conditions.
Facebook.com/AAOS1
Twitter.com/AAOS1

CONTACT: Sheryl Cash, 847-384-4032, 847-804-7486, scash@aaos.org | Lauren Pearson Riley, 847-384-4031, 708-227-1773, pearson@aaos.org

This information is being sent to you by:
American Academy of Orthopaedic Surgeons
9400 W. Higgins Road, Rosemont, IL , 60018,
http://www.aaos.org

Nearly one-third of osteoarthritis-related costs incurred the year prior to knee replacement surgery are for non-recommended treatments

SAN DIEGO, March 14, 2017 /PRNewswire-USNewswire/ — In the year prior to total knee replacement (TKR) surgery, almost one-third of the costs for treatment of arthritis symptoms went toward strategies not recommended by the American Academy of Orthopaedic Surgeons (AAOS), according to new research presented today at the 2017 AAOS Annual Meeting. Costs could decrease by an estimated 30 percent if treatments that are not recommended are no longer utilized.

“As we transition to an era of value based health care, it will be important to consider both the quality of our interventions as well as the cost associated with that care,” said study author Nicholas Bedard, MD, an orthopaedic surgeon at the University of Iowa Hospitals & Clinics.

Researchers reviewed Humana Inc. insurance information (both private and Medicare Advantage plans) from 2007 through 2015 on more than 86,000 patients diagnosed with osteoarthritis of the knee, who went on to have TKR within one year. The costs were specifically related to reimbursement for hyaluronic acid (HA) or corticosteroid (CS) injections, physical therapy (PT), braces and wedge insoles, pain medication and non-steroidal anti-inflammatory drugs (NSAIDs). Only three of these treatments—physical therapy, NSAIDs, and the drug tramadol (short-term for severe pain)—are recommended in the AAOS clinical practice guideline (CPG): “Non-arthroplasty Treatment of Osteoarthritis of the Knee.”

The total costs associated with outpatient knee osteoarthritis was $43,582,648. Among the other findings:

  • 65.8 percent of the patients (56,960) underwent at least one of the analyzed treatments in the year prior to their TKR.
  • The top three most costly treatments were HA injections, CS injections and PT, accounting for 52.6 percent of expenses (excluding hospital or inpatient), total costs of knee osteoarthritis in the year prior to TKR.
  • The AAOS recommended treatments—PT, NSAIDs and Tramadol—represented just 11 percent of the total costs; in contrast, 29 percent of the costs were for interventions with strong or moderate recommendations against their use in the AAOS knee CPG.

“We hope that research such as this highlights the high prevalence of low-value interventions in the management of knee osteoarthritis and helps to motivate a transition to higher value care,” said Dr. Bedard.

Study abstract

2017 AAOS Annual Meeting Disclosure Statements

The American Academy of Orthopaedic Surgeons
With more than 39,000 members, the American Academy of Orthopaedic Surgeons (AAOS) is the world’s largest association of musculoskeletal specialists. The AAOS provides education programs for orthopaedic surgeons and allied health professionals, champions and advances the highest musculoskeletal care for patients, and is the authoritative source of information on bone and joint conditions, treatments, and related issues.

Visit AAOS at:
Newsroom.aaos.org for bone and joint health news, stats, facts, images and interview requests.
ANationinMotion.org for inspirational patient stories, and orthopaedic surgeon tips on maintaining bone and joint health, avoiding injuries, treating musculoskeletal conditions and navigating recovery.
Orthoinfo.org for patient information on hundreds of orthopaedic diseases and conditions.
Facebook.com/AAOS1
Twitter.com/AAOS1

CONTACT: Sheryl Cash, 847-384-4032, 847-804-7486, scash@aaos.org; or Lauren Pearson Riley, 847-384-4031, 708-227-1773, pearson@aaos.org
This information is being sent to you by:
American Academy of Orthopaedic Surgeons
9400 W. Higgins Road, Rosemont, IL , 60018,
http://www.aaos.org

Even if you live alone, home may be the best place to recover after total joint replacement surgery

SAN DIEGO, Calif., March 14, 2017 /PRNewswire-USNewswire/ — Despite higher costs, many doctors recommend and some patients prefer, recovery at an in-patient rehabilitation facility following total hip (THR) or total knee replacement (TKR) surgery. And yet a new study to be presented Thursday, March 16, at the 2017 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS), found that even patients who live alone can recover effectively and safely at home.

“In the past, most surgeons have been reticent to discharge patients directly home after joint replacement surgery if they live by themselves; instead, opting for such patients to enter a rehab facility,” said lead author William J. Hozack, MD, an orthopaedic surgeon at The Rothman Institute and professor of orthopaedic surgery at the Sidney Kimmel Medical College at Thomas Jefferson University. “However, we found that patients living alone were able to safely recover without any increase in the rate of complications. Even more strikingly, patients were generally happy and content being in the comfort of their own home during recovery.”

The study, “Even if You Live Alone, There’s No Place Like Home after Total Joint Arthroplasty,” (LINK) involved 769 patients undergoing primary THR or TKR. Of these, 138 patients lived alone and 631 lived with other people. In both groups, patients age 75 and older were well represented. The patients who lived alone were more likely to stay an additional night in the hospital prior to discharge and utilize more home health services, especially older patients. Limited support without weekly visits was reported by 37.2 percent of patients living alone, although nearly 80 percent had a friend or relative living within 15 miles who could provide help if needed.

Among the results of the study:

  • There was no increase in complications or unplanned clinical events for patients living alone compared to those living with other people (10.9 percent of patients living alone had complications, compared with 9.5 percent of those recovering at home with support).
  • There were no significant differences in functional outcomes following surgery, or in reported pain.
  • Patient satisfaction scores were equivalent in both sets of patients after 90 days.
  • The cost savings for patients who recovered at home was estimated at $10,776 per patient, or nearly $1.5 million total.

Given the cost savings of in-home recovery, the emotional benefits of patients recovering in familiar surroundings, and no measurable difference in pain, complications or functional outcomes, “we believe home discharge is appropriate for the vast majority of patients undergoing joint replacement, including the nearly 20 percent of patients living on their own,” said Dr. Hozack.

In addition, the July 2016 U.S. Department of Health & Human Services (HHS) Office of Inspector General report, “Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries,” highlighted “a surprisingly high rate of adverse events at rehab hospitals across the U.S.,” said Dr. Hozack.

Study abstract

Two additional studies presented at the 2017 AAOS Annual Meeting also found higher rates of complications and morbidity in hip and knee replacements patients who recover at inpatient care facilities:

2017 AAOS Annual Meeting Disclosure Statements

The American Academy of Orthopaedic Surgeons
With more than 39,000 members, the American Academy of Orthopaedic Surgeons (AAOS) is the world’s largest association of musculoskeletal specialists. The AAOS provides education programs for orthopaedic surgeons and allied health professionals, champions and advances the highest musculoskeletal care for patients, and is the authoritative source of information on bone and joint conditions, treatments, and related issues.

Visit AAOS at:
Newsroom.aaos.org for bone and joint health news, stats, facts, images and interview requests.
ANationinMotion.org for inspirational patient stories, and orthopaedic surgeon tips on maintaining bone and joint health, avoiding injuries, treating musculoskeletal conditions and navigating recovery.
Orthoinfo.org for patient information on hundreds of orthopaedic diseases and conditions.
Facebook.com/AAOS1
Twitter.com/AAOS1

 

CONTACT: Sheryl Cash, 847-384-4032, 847-804-7486, scash@aaos.org | Lauren Pearson Riley, 847-384-4031, 708-227-1773, pearson@aaos.org

This information is being sent to you by:
American Academy of Orthopaedic Surgeons
9400 W. Higgins Road, Rosemont, IL , 60018,
http://www.aaos.org

6 Questions with Curt Wiedenhoefer, an old friend who is bringing wearable patient monitoring to total joints

I first got to know Curt Wiedenhoefer in 1988 when we were both working with Richards Medical, now Smith & Nephew.  He was a young salesman working in Southern California selling trauma and hip and knee products. Since that time, Curt was recruited to Depuy in Northern California to manage the sales efforts for one of the largest distributorships at the time in the U.S.  While he was working closely with surgeons, he realized there was a need for medical electronics in orthopedics. He founded a company, called Eisenlohr Technologies, Inc. in 1992.  They developed a hand held measuring device for radiographs and an X-Ray marker.  He bootstrapped the product development by collaborating with the PhD electrical engineering program at Stanford University.  Self-funding with a small group of investors, he was able to get the product to market and sold it worldwide. Over the last 12 years he served as the Executive Vice President of Sales and Marketing for Consensus Orthopedics. The past 2 years he has also been the General Manager of the TracPatch division, which focuses on wearable technology in orthopedics.  Recently, he was promoted to President of the Consensus Orthopedics.

I sat down with Curt and asked him a few questions about the new technology Consensus is developing.

1. So Curt, tell me about Consensus Orthopedics and its current trajectory.

Thank you Tiger. We are excited to say this year Consensus will celebrate 25 years in orthopedics!  Our company headquarters is in El Dorado Hills, CA, about 30 miles east of Sacramento in Northern California.  Our primary focus has always been on the hip and knee market and we have been and will continue to be, a high quality and reliable US joint manufacturer. We continued to expand our joint line by launching two new products this year, a Uni Knee and Shoulder. We are a start to finish manufacturing facility from raw materials through sterilization and packaging. We distribute to more than 15 countries worldwide.

Our future is looking bright. In 2015, we founded a medtech division within Consensus named TracPatch. The goal of this division is to use our 25 years of orthopedic experience to create innovative wearable technology for joint replacement rehabilitation and to assist our surgeons through the entire episode of care.

2. Why is Consensus, a traditionally orthopedic implant company, branching out into post-op patient monitoring?

The beginning of TracPatch is an interesting story. I was at a friend’s birthday party and I was talking with an orthopedic surgeon I knew. We were engrossed in the topic of real time post-op patient data. He told me he could “put in the best implant technology, align the joint perfectly, and balance the soft tissues, but if his patient sits on their couch with a pillow under their knee during those critical first six weeks post-operatively, the patient will have a bad result.” The TracPatch spark was lit right then.

From there, we combined our employees’ knowledge of orthopedics and electronics and created the TracPatch Division.

At the same time, CJR was being finalized. So this casual party conversation combined with the market shifting towards a value based model led to our discovering a need for post-op patient monitoring. This was critical to a healthcare providers and/or hospitals success. We leveraged our proximity to Silicon Valley and felt that we could develop products that potentially could improve outcomes, reduce cost and enhance patient satisfaction after total joint surgery. As a result, we created our TracPatch Division, and developed TracPatch, a wearable device for total joint rehabilitation patients.

3. Give me some more details about TracPatch.

TracPatch is a wearable device that can be utilized with any total knee system.  It is placed just below the tibia joint line, medial or lateral to the midline, using a disposable adhesive pad. TracPatch is designed to remotely monitor range of motion, ambulation, exercise compliance, and temperature trends during post-surgical rehabilitation. This machine learning technology strategically optimizes the patient’s entire episode of care with a proactive approach. The TracPatch system includes an app and web dashboard. The app features an intuitive interface for easy operation on any smart phone with Bluetooth technology. The device transmits key data points directly to a secure cloud-based platform, where healthcare providers can track individual patient progress anytime on the app or web dashboard.

4. How can this technology scale for all orthopedic stakeholders?

TracPatch can be used by every patient. I am personally convinced that the benefits of the TracPatch wearable device are so significant that it will become the technology of choice for every surgeon/healthcare provider.

For example, a patient with TracPatch is motivated to engage in their rehabilitation program through daily exercise reminders and an interactive episode of care rehab roadmap. The healthcare provider can know every day if the patient is moving, increasing their range of motion, and completing their rehab exercises. This will in turn have the potential to reduce MUA’s (manipulation under anesthesia), readmissions, and physical therapy sessions; meaning increased value of care with decreased cost of care. These improved outcomes will result in higher patient satisfaction.

5. What kind of impact do you foresee the TracPatch technology having on Consensus as a company?

As I mentioned earlier, Consensus is celebrating our 25th year anniversary. Our products are known for their quality, reliability, and surgeon reproducibility in the OR. This innovative technology allows us to provide a groundbreaking new approach to help healthcare providers reduce costs and increase positive outcomes. TracPatch can add tremendous value to the entire episode of care. This technology delivers never-before-seen data into the post-surgical rehabilitation for healthcare providers. Being able to monitor your patients’ range of motion progress and exercise compliance daily is a game changer. TracPatch is making proactive care easy, so every patient has an excellent outcome. In 2018, we will be releasing a version for the hip as well.

The orthopedic industry has never seen anything like this before and we want to be on the forefront in this budding medtech orthopedic space. It not only allows Consensus Orthopedics to expand our current revenue and customer base, TracPatch also will attract new surgeons and hospitals that don’t currently use our total joints. This technology provides a synergistic market strategy we can use to create a streamlined episode of care.

6. Where do you see this technology going next?

Without giving up too much detail on our IP, Orthopedic wearable technology is the future. TracPatch is just the beginning. I envision wearable technology will completely change the orthopedic industry. Just imagine a future where innovative implant technology, wearable technology, and IoT intersect to create a completely connected care environment. Where provider and patient are synced throughout the entire pre, intra, and post-operative episode of care.


For more information about TracPatch, click here [www.tracpatch.com]or email us at info@tracpatch.com

Consensus Orthopedics, Inc.

1115 Windfield Way

El Dorado Hills, CA 95762

www.consensusortho.com

OrthoSensor®(Booth #5823) At The 2017 AAOS Annual Meeting In San Diego

DANIA BEACH, Fla., March 9, 2017 /PRNewswire/ — OrthoSensor, Inc., a leader in sensor-assisted technology for total knee arthroplasty (TKA), will be on the main aisle at booth #5823 during the 2017 American Academy of Orthopedic Surgeons (AAOS) Annual Meeting at the San Diego Convention Center from March 15-17.  OrthoSensor will be releasing its three-year multicenter study results, as well as other new studies showing the clinical and economic advantages that may be gained with the use of VERASENSE, the leading intraoperative product for OrthoSensor.  OrthoSensor will also host distinguished surgeon speakers at the booth.

VERASENSE for TKA transmits quantitative data from a patient’s knee, enabling a surgeon to customize implant position and achieve better soft tissue balance. The newly released studies show:

  • Statistically significant improvement in patient-reported outcomes and satisfaction for TKA patients whose knees were balanced using VERASENSE sensors
  • Improved post-op physical therapy performance and short-term clinical outcomes
  • Reduced complications and costs over 90-day TKA episode of care (MUA rate)
  • Cost mitigation when used for revision TKA (implant preservation, improved rehabilitation and other ancillary benefits)

“We are excited to present a new study showing 88% of planned early stage total revisions changed to partial revisions when VERASENSE was used in revision TKA procedures.  This reduction represents very meaningful clinical and financial benefits to both patients and providers.  This is just one of many studies showing the significant clinical and economic advantages of VERASENSE that have been recently released,” said Ivan Delevic, President and Chief Executive Officer of OrthoSensor, Inc.

The distinguished presenters at the OrthoSensor Booth #5823 are as follows:

Wednesday, March 15, 2017
10:30 amGregory J. Golladay, MD – Virginia Commonwealth University
2:00 pmMichael Mont, MD – Cleveland Clinic

Thursday, March 16, 2017
10:30 amJimmy Chow, MD – St. Luke’s Hospital
2:00 pmPatrick Meere, MD – NYU Hospital for Joint Diseases

Friday, March 17, 2017
11:00 amDavid Fabi, MD – Scripps Mercy Hospital San Diego

About OrthoSensor, Inc.

OrthoSensor, Inc., a leader in Sensor-Assisted Total Knee Arthroplasty develops and commercializes intelligent orthopedic devices and data services that provide quantitative feedback to surgeons and hospitals.  The company’s intelligent orthopaedic devices utilize advanced proprietary sensor and communications technologies, coupled with the company’s innovative software products, to facilitate evidence-based decisions in orthopaedic surgery – with the goal of improving patient outcomes and potentially reducing the cost of treating musculoskeletal disease.

OrthoSensor®, VERASENSE, and ORTHOLOGIQ are trademarks of OrthoSensor, Inc.

Media Contact: Yvette Cuello, (954)666-0282, ycuello@orthosensor.com

 

SOURCE OrthoSensor, Inc.

Related Links

http://www.orthosensor.com

John Masonis, MD to Educate on Direct Anterior Approach Hip Replacement Using OrthoGrid’s HipGrid™ System at AAOS 2017

SALT LAKE CITY, March 9, 2017 /PRNewswire/ — OrthoGrid Systems, Inc., a leading innovator of medical imaging technology for orthopedics, is excited to announce its exhibition at Booth #649 on March 15-17 at the American Association of Orthopedic Surgeons (AAOS) 2017 Annual Meeting in San Diego, CA.

OrthoGrid will be showcasing its unique and proprietary HipGrid™ System, a patented image-enhancement device engineered to help orthopedic surgeons improve acetabular cup angle, leg length, and hip offset.  The HipGrid™ System has also been shown to reduce average surgical time and is widely utilized in the Direct Anterior Approach Hip Arthroplasty, a fast-growing technique that accounts for nearly a third of all hip replacement surgeries in the USA.1

In addition to the HipGrid™ System technical exhibit, OrthoGrid is pleased to offer an educational lecture by renowned physician John Masonis, MD, of OrthoCarolina in Charlotte, NC, in which he will discuss the effective use of fluoroscopy in Direct Anterior Approach Hip Arthroplasty and the proper application of OrthoGrid’s HipGrid™ System.

“OrthoGrid’s unique HipGrid™ System has tremendous potential to aid physicians with implant positioning and component placement in total hip arthroplasty procedures.  By attaching directly to mobile C-Arm systems and providing instantaneous feedback, surgeons can anticipate greater confidence in limb alignment and leg length, two key metrics that directly influence surgical outcomes and patient satisfaction,” explained Edouard Saget, President of OrthoGrid Systems.”

The HipGrid™ is available for sale in the USA through OrthoGrid’s rapidly expanding distributor network.  Please visit our website at www.orthogrid.com to learn more about our company and how to schedule a free product trial.

Reference: Gililland JM, Anderson LA, Boffeli SL, Pelt CE, Peters CL & Kubiak EN. 2012. A Fluoroscopic Grid in Supine Total Hip Arthroplasty: Improving Cup Position, Limb Length and Hip Offset. J Arthroplasty, Sep 27 (8 Suppl): 111-6.

About OrthoGrid Systems, Inc.
OrthoGrid Systems is a rapidly expanding global leader in orthopedic imaging technology with specialized applications available or in development for hip arthroplasty, trauma, knee replacement, and other common procedures performed over 1 million times per year in aggregate in the USA and 3 million times globally.  OrthoGrid helps to overcome the limitations of traditional low resolution, distorted imaging technology by providing computerized image correction and image guidance direction to physicians performing orthopedic procedures.  Learn more about OrthoGrid and our products by visiting our website at www.orthogrid.com.

Media Contact: Edouard Saget, President
Email: 149737@email4pr.com
Phone
: 801-703-5866

SOURCE OrthoGrid Systems

Related Links

http://www.orthogrid.com