Today’s Top Story

Study Compares Patellofemoral Arthroplasty versus TKA in Younger Patients

A retrospective study published online in The Journal of Arthroplasty compared outcomes in patients with patellofemoral arthritis aged < 55 years who underwent patellofemoral arthroplasty (PFA) compared to total knee arthroplasty (TKA). Between March 2010 and September 2015, 23 PFAs (19 patients) were performed by two surgeons, and 23 TKAs (23 patients) were performed by six surgeons; patients were matched by age, sex, body mass index, and side. Outcomes included the Western Ontario and McMaster Osteoarthritic Index, Knee Injury and Osteoarthritis, Tegner, and University of California at Los Angeles scores. All patients exhibited improvements compared to baseline. At minimum two-year follow-up, TKA and PFA patients had comparable patient-reported outcome measures (PROMs).

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In Other News

Study: Will Brand-brand Drug Competition Drive Down Prices?

According to a systematic review published online in PLoS Medicine, policies promoting brand-brand competition (a situation that is supposed to arise when multiple Food and Drug Administration-approved brand-name products in the same class are indicated for the same condition) in the U.S. pharmaceutical market alone may not reduce drug list prices. PubMed and EconLit were queried for English-language studies on brand-brand competition in the U.S. market between January 1990 and April 2019. Final analysis included 10 empirical investigations, none of which concluded that brand-brand competition reduces existing drugs’ list prices within a class. Two studies found that competition could restrain how new drug prices are set, while others found that the relative quality and marketing of competing drugs affects competition.

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Study: Psychosocial Impact on Elbow Fracture Outcomes

A study published in the August issue of the Journal of Shoulder & Elbow Surgery assessed PROMs following elbow fracture based on psychosocial factors. Isolated elbow fracture patients completed PROMs at the orthopaedic outpatient clinic within one week after fracture, as well as between two and four weeks and six and nine months after injury. A relationship was observed between several variables within a week of fracture and two to four weeks after fracture with PROMs six to nine months after injury. The strongest predictors of limitations at six to nine months post-injury were one-week kinesiophobia and two- to four-week self-efficacy. The study authors recommended coping strategies be implemented within a month of injury to aid the recovery process.

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Study Compares Operative and Nonoperative Management of Pediatric Type I Open Fractures

According to a retrospective study published in the August issue of the Journal of Pediatric Orthopaedics, outcomes may not largely differ between pediatric type I fracture patients whether they receive operative or nonoperative treatment in the emergency department (ED). The multicenter review included 219 patients with pediatric type I open forearm, wrist, and tibia fractures who presented at four high-volume pediatric centers. Patients received either superficial wound débridement and antibiotics in the ED (nonoperative group, n = 49) or operative débridement and antibiotics (operative group, n = 170). Only one infection occurred in the entire cohort—in the nonoperative group. The mean duration of hospital-administered antibiotics was significantly lower in the nonoperative group (10.9 hours) compared to the operative group (41.6 hours), as was the mean length of stay (16.3 hours versus 48.6 hours, respectively). A total of 44 nonoperative patients had documented superficial wound débridement and utilized an average 1,500 mL of irrigant. There were nine complications in the operative group and two in the nonoperative group. In the operative group, three patients required immediate surgical release due to compartment syndrome (n = 2) and acute carpal tunnel syndrome (n = 1).

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Telemedicine Has Gained Little Traction, Awareness

According to a survey published by J.D. Power, only 9.6 percent of Americans have used telehealth services, while about three-quarters (74.3 percent) do not have access to or knowledge of telehealth options. Close to half (48.7 percent) of survey respondents said they believe a telehealth session would provide lower-quality care than a doctor’s visit. Patients who reported using telehealth services were more likely to be younger and female.

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AAOS Now

AAOS Encourages Members to Follow the CAP and Volunteer

The AAOS leadership encourages members to apply to volunteer for one of many councils/cabinets, committees, or advisory boards. It is AAOS’ goal to have as many of its members involved in the governance structure as possible and to appoint as many individuals as possible who have not been previously involved. However, it is also equally important to match the most qualified individuals with the specific positions available. Based on discussions held by the Committee Appointment Program (CAP) Committee, this article may assist you in deciding the best position(s) for which to apply.

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Your AAOS

Apply for Volunteer Opportunities

Consider applying for the following positions:

  • Annual Meeting Committee member-at-large position—applications are accepted until Aug. 16
  • Annual Meeting Committee member-at-large position (Allied Health Representative)—applications are accepted until Aug. 16
  • Basic Science Content Committee member position—applications are accepted until Aug. 18
  • Musculoskeletal Oncology Content Committee member position—applications are accepted until Aug. 18
  • Pediatric Content Committee member position—applications are accepted until Aug. 18
  • Spine Content Committee member position—applications are accepted until Aug. 18

Learn more and submit applications…(member login required)

 

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