Today’s Top Story

Study: Can a Low-carb Diet Reduce Blood Sugar After TKA?

According to a randomized trial published in the June issue The Journal of Arthroplasty, total knee arthroplasty (TKA) patients could reduce their blood sugar levels by adhering to a carbohydrate-reduced hospital diet (CRD). A total of 64 noninsulin-dependent prediabetic and diabetic TKA patients were stratified into two groups: CRD (n = 32) and noncarbohydrate-reduced hospital diet (NCRD, n = 30). The CRD group consumed carbohydrates at a rate of 135 grams/day. Hemoglobin A1C was 5.7 percent in the CRD group and 5.8 percent in the NCRD group. The CRD patients had a significantly lower mean blood sugar value during hospital stay (121.5 mg/dL) compared to the NCRD patients (141.2 mg/dL).

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Other News

Study Evaluates Use of PT to Preoperatively Manage FAI Syndrome

Physical therapy (PT) may not be frequently used in patients with femoroacetabular impingement (FAI) syndrome prior to hip arthroscopy, according to a study published online in the Journal of Orthopaedic & Sports Physical Therapy. A total of 1,870 patients undergoing hip arthroscopy between 2004 and 2013 were identified through the Military Health System, of whom 1,106 (59.1 percent) did not undergo PT before surgery. Among the patients who did see a physical therapist before hip surgery, only 220 (11.8 percent) had six or more visits; the median number of visits was two. In each separate course of care, exercise was coded in 43 percent to 63 percent of the total visits. Substance abuse was correlated with exercise prescription.

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Study: Factors Associated with Return to Work in Operative Carpal Tunnel Patients

A study published online in BMC Musculoskeletal Disorders evaluated factors that influence return to work after carpal tunnel release surgery (CTR) in patients with carpal tunnel syndrome. A total of 14 patients (women: n = 11, men: n = 3) who underwent CTR and recently returned to work participated in a one-on-one interview. The researchers identified three key themes during the interviews. The first theme pertained to functional disability; patients’ initial expectation—that CTR would be a minor procedure—did not match their experience. The second theme pertained to validation; patients said they felt they needed to justify their time away from work to themselves and their employers. The third theme centered around return to work and function; patients were not sure what duration and load of work was appropriate.

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Study Evaluates Postoperative Outcomes for Arthroscopic Anterior Shoulder Stabilization in Overhead Athletes

In a study published in the May issue of The American Journal of Sports Medicine, researchers evaluated reoperation risk and return to sport rates in overhead athletes who undergo primary arthroscopic anterior shoulder stabilization. The study included 49 patients. After two years, 31 patients (63 percent) returned to sport, of whom 22 returned to their preoperative levels in at least one overhead sport. There were no differences in range of motion in all planes and Western Ontario Shoulder Instability Index scores between patients who did and did not return to sport. Only two patients required revision stabilization, but 14 experienced subjective apprehension or looseness.

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Federal Judge Rules Against Stem Cell Clinics

A district judge in Florida agreed with the Food and Drug Administration (FDA) and found that two of the state’s stem cell clinics violated the Food, Drug, and Cosmetic Act. The FDA will now be able to regulate the clinics and is entitled to an injunction stopping a procedure that caused blindness in at least four patients.

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Read the FDA press release…


Animal Rescue: Orthopaedic Surgeon Helps Stray Animals in Need of Surgical Care

John Keating, MD, is an Atlanta-based orthopaedic surgeon whose love for animals has led to the creation of Surgeons for Strays, a 501(c)(3) nonprofit dedicated to the healing of injured stray animals who would otherwise face continued pain—or euthanasia. Surgeons for Strays treats animals that are found outside or are being housed in neighboring shelters. Today, Surgeons for Strays has helped heal approximately 70 dogs and cats, but it all began with just one dog.

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AAOS Quality Resources

After more than a decade of developing clinical practice guidelines (CPGs), AAOS has expanded its reach into the quality space. With the transition to value-based care, AAOS sought to produce quality products that provide the most benefit to the membership. AAOS continues to develop CPGs, with 21 published to date, but the Academy now uses them to create appropriate use criteria and performance measures. These tools help members answer the question, “What does quality care look like?” All AAOS quality resources are free to members.

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