Today’s Top Story

Study: Outcomes for Capsulotomy Repair Versus Nonrepair

Arthroscopic femoroacetabular impingement correction and hip labral repair patients with capsulotomy repair had better midterm outcomes compared to nonrepair patients, according to a study published online in Arthroscopy. The study matched 42 nonrepair patients to 84 patients with repaired capsulotomy. The nonrepair patients were 6.8 times more likely to require total hip arthroplasty than the repair group. Between-group revision rates did not differ. The repair group had a significantly better Hip Outcome Score Activities of Daily Living (HOS-ADL) and modified Harris hip score (mHHs) than the nonrepair group. Compared to nonrepair patients, a significantly greater proportion of the repair cohort reached minimum clinically important difference for HOS-ADL and HOS-Sport, but the between-group difference was not significant for the mHHs.

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Other News

Study Finds High Satisfaction Among Partial Meniscectomy and/or Chondroplasty Patients Without Opioids

In a prospective study published online in Arthroscopy, most patients who underwent arthroscopic partial meniscectomy and/or chondroplasty still achieved satisfactory pain control without the use of opioids. Between January 2017 and April 2018, 163 patients (mean age, 48.7 years) underwent surgery at a single institution. They received maximum-strength ibuprofen or acetaminophen and completed a pain management questionnaire preoperatively and at two weeks postoperatively. A total of 81.6 percent of patients reported pain management satisfaction without the use of opioids. Patients with a history of opioid use were less likely to report satisfactory postoperative pain control.

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Study: Is Early Repair Enough to Prevent Failure in Full-thickness Rotator Cuff Tears?

Although early repair of trauma-related full-thickness rotator cuff tears could help improve outcomes, it may not prevent healing failure, according to a study published online in The Bone & Joint Journal. Eligible patients underwent repair within six weeks of trauma. MRI was used to determine tendon integrity after one year. Two-year follow-up included Western Ontario Rotator Cuff (WORC) index and the Constant–Murley score (CS). After one year, 57 patients had MRI data available, and 59 had CS available; 59 patients had WORC scores available two years postoperatively. MRI showed that 36 patients had intact repair, 13 presented with healing failure of at least one repaired tendon, and eight presented with total healing failure. Median WORC index improved from 30.8 points at baseline to 85 points at two years, while relative CS improved from 26.5 points at baseline to 83.2 points at one year. One-year relative CS was significantly better in patients with intact repairs compared to patients with healing failure (91.6 points versus 78.1 points).

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Study Identifies Mortality Risk Factors in Extremity Myxoid Liposarcoma

In a study published online in the Journal of Orthopaedic Surgery and Research, researchers identified independent prognostic factors for overall survival (OS) and cancer-specific survival in extremity myxoid liposarcoma (MLS) patients. The Surveillance, Epidemiology, and End Results database from the National Cancer Institute was queried to identify 1,756 extremity MLS patients. Mean patient age at time of diagnosis was 47 years, and most patients (n = 1,027, 58.5 percent) were male. Five- and 10-year OS rates were 86.4 percent and 75.9 percent, respectively. Cancer-specific survival rates were 90.5 percent and 85.2 percent, respectively. The following were identified as independent risk factors for decreased OS and cancer-specific survival: older age, male sex, high tumor grade, and tumor size > 10 cm.

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Multistate Lawsuit Targets Generic Drug Manufacturers for Inflating Prices

Attorneys general from 43 states and Puerto Rico are suing some of the country’s largest generic drug makers for driving up medication costs. The filing specifically names 15 senior executives in charge of pricing. The drugs in question reportedly account for billions of dollars in sales nationwide.

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Kristy L. Weber, MD, Begins Her Term as AAOS President
Kristy L. Weber, MD, made history at the AAOS 2019 Annual Meeting when she took office as the Academy’s 87th president—the first woman to serve in the top leadership role for AAOS. In her speech, Dr. Weber acknowledged the progress that her 2019–2020 presidency of the premier orthopaedic organization represents, while recognizing that much work remains to be done before the profession and its culture are deemed truly inclusive of women and other underrepresented groups.

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Nominate a Colleague for the AAOS Diversity, Humanitarian, or Tipton Leadership Awards

AAOS is now accepting nominations for the 2020 Diversity and Humanitarian Awards and the William W. Tipton Jr, MD, Orthopaedic Leadership Award. These awards are presented at the AAOS Annual Meeting. The respective award recipients are recognized for their endeavors to further encourage diversity or culturally competent care, participation in humanitarian activities, or leadership activities in the orthopaedic profession. The last day to submit nominations for the Humanitarian Award is May 17; the last day to submit nominations for the Diversity and Tipton Awards is June 14.

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