Today’s Top Story

Study: Arthroscopic Femoroacetabular Impingement Correction Safe in Young Athletes with Open Physes

A retrospective study published online in Arthroscopy found good radiographic and clinical outcomes in adolescent athletes with open physes who underwent arthroscopic femoroacetabular impingement correction. The study included 37 hips (28 patients; mean age, 15.9 years) treated with a nonphyseal-sparing arthroscopic approach. Patients were followed for at least one year (mean, 39.8 months). The modified Harris Hip Score improved by a mean 27.7 points, the visual analog scale for pain score decreased by a mean 4.8 points, and the 12-Item Veterans-Rand physical component improved by a mean 15.2 points. Return to preinjury level of sports participation rate was 93 percent. No patients sustained postoperative physeal growth arrests, growth disturbances, physeal instability, or avascular necrosis.

Read the abstract…

 
 
Other News

Study Finds Compression Stockings Reduce Swelling after Arthroscopy

Arthroscopy patients could reduce limb swelling with the use of compression stockings, according to a randomized, controlled trial published online in BMC Musculoskeletal Disorders. Minor knee arthroscopy patients were randomized to wear class II compression stockings (23–32 mmHg) or no compression stockings for 10 days immediately following surgery By day 10, there were significant differences around the middle thigh and knee between the groups. At day four, differences were observed around the mid-lower leg. The study authors concluded that between three and 10 days postoperatively may be the ideal time for compression therapy.

Read the study…

 
 
Study Measures Impact of Spinal Cord Stimulation on Pain Medication Use

Patients with spine or limb pain who undergo spinal cord stimulation (SCS) may reduce their use of pain and opioid medication, according to a meta-analysis published online in the Journal of Pain Research. Researchers reviewed randomized, controlled, comparative trials with at least three months of follow-up on patients with chronic limb and/or back pain. Final analysis included five trials with a total of 489 patients. In the three studies reporting the number of patients who reduced or eliminated opioid consumption using SCS, there was a significant decrease in opioid consumption in the SCS group compared to the medical therapy group. Two trials used the Medication Quantification Scale (MQS) to report the mean reduction in medication dose in SCS patients versus medical patients. SCS patients had significant MQS score reductions compared to medical patients.

Read the abstract…

 
 
Study: How Do Patients Respond to Varying Questions on Surgery Outcomes?

A study published online in the British Journal of Sports Medicine found that patients may report different postoperative levels of satisfaction based on specific questions asked. Researchers applied minimal important change (MIC), patient acceptable symptom state (PASS), and treatment failure (TF) to the aggregate Knee injury and Osteoarthritis Outcome Score (KOOS 4) and the five KOOS subscales. Patients were part of the KANON trial and had acute anterior cruciate ligament injury; they underwent either exercise therapy plus early reconstructive surgery or exercise therapy plus delayed reconstructive surgery, if necessary. Follow-up was conducted after two years. When using MIC criteria, more than 90 percent of all patients reported minimal but important KOOS 4 improvement. For PASS criteria, half of patients reported satisfactory KOOS 4 outcomes. When using TF criteria, about 10 percent of patients reported significant treatment dissatisfaction.

Read the abstract…

 
 
 
New Legislative Proposals to Stop Surprise Billing

Two legislative proposals were unveiled last week to stop surprise medical bills. On May 14, the House Energy and Commerce Committee revealed draft legislation that would place a cap on any out-of-network (OoN) charges and resolve payment disputes by having insurers pay OoN clinicians based on what they would pay similar in-network physicians. On May 16, a bipartisan group of senators released legislation that would use arbitration as a final resort if hospitals, specialty physicians, or insurers are not happy with the pay rate proposed for OoN treatment. AAOS has actively advocated for network adequacy and fair reimbursement and is closely monitoring these legislative proposals.

Read about AAOS’ advocacy efforts on this issue…

Read about the House bill…(login may be required)

Read about the Senate bill…(login may be required)

 
 
 
AAOS Now

Getting Through the Night: Tips for Handling Trauma on Call

During the AAOS 2019 Annual Meeting Instructional Course Lecture titled “Top Tips for Your Practice,” four clinicians offered pointers and pearls in their practice areas of trauma, hand and wrist, and tumor—geared for orthopaedic surgeons who may not specialize in those areas Part one of this two-part series gives tips on how to be prepared when you’re handling trauma alone and run into difficult situations, including compartment syndrome, open fractures, and other injuries.

Read more…

 
 
 
Your AAOS

Apply for Volunteer Opportunities

Consider applying for the following positions:

  • Committee on Ethics and Outside Interests member position—applications are accepted until June 10
  • Resolutions Committee member position—applications are accepted until June 10
  • Bylaws Committee member position—applications are accepted until June 10
  • OrthoInfo Sports Medicine Section Editor member position—applications are accepted until June 14
  • Committee on Professionalism member position—applications are accepted until June 16
  • Sports Medicine Content Committee chair position—applications are accepted until Oct. 8

Learn more and submit applications…(member login required)

 

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