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| Today’s Top Story
Study Investigates Association between Preoperative Bone Marrow Edema and Outcomes after UKA
A retrospective study published online in The Journal of Arthroplasty investigated the association between subchondral bone marrow edema (BME) and clinical outcomes after unicompartmental knee arthroplasty (UKA). Overall, 150 knees with a 10-year follow-up were divided based on the presence or absence of preoperative BME. The main outcome measurements included the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and the Forgotten Joint Score. At the follow-up, patients with BME had significantly worse postoperative WOMAC pain and Forgotten Joint Scores. UKA survival was found to not be associated with the presence of BME.
Read the abstract… |
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| In Other News
Study: Risk Factors of Rotator Cuff Tear Progression after Conservative Treatment
The Journal of Shoulder & Elbow Surgery published a retrospective study identifying the demographic and radiologic risk factors of tear progression in small to medium full-thickness rotator cuff tears treated conservatively. Demographic factors, work level, and radiological factors were analyzed in 81 patients. Patient work level was divided into high (heavy manual labor), medium (standard manual labor), and low (sedentary activities). Tear progression was seen in 48 percent of patients at a mean of 14.8 months. Of these patients, the lengths of medial-lateral and anterior-posterior tears progressed by 0.6 cm and 0.3 cm, respectively. Heavy manual labor was found to be a significant risk factor of tear progression.
Read the abstract… |
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| Study: Outcomes of Short-stay Surgical Outpatient Intervention for Lower-extremity Nonunions
A retrospective case series published in OTA International assessed the safety and efficacy of outpatient and short-stay surgical nonunion treatment by utilizing minimally invasive surgical techniques, multimodal pain control, and a modernized postoperative protocol. The length of stay (LOS), postoperative ED visits, complications, reoperations, and time to union were evaluated in 50 patients. Overall, there were 28 femur nonunions and 22 tibia nonunions. The average length of stay was 0.36 days. Seven patients required reoperation, and four patients presented to the ED within one week of surgery. The average time to radiographic union was 7.82 months.
Read the study… |
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| Study: Association between Chronic Kidney Disease and Complications after Acute Torsional Ankle Fracture
According to a retrospective study published online in Foot & Ankle International, chronic kidney disease (CKD) is associated with increased likelihood of complications and arthrodesis after acute torsional ankle fracture. The study comprised 136 patients (68 with CKD and 68 without CKD). The outcomes evaluated were complications and any unplanned procedure, which included implant removal, debridement, revision, arthrodesis, and amputation. Surgical complications occurred in 35 percent of CKD patients, compared with 19 percent of patients without CKD. Additionally, patients with open fractures and dislocations were 5.19 and 3.77 times more likely, respectively, to experience complications.
Read the study… |
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| Study: Curve Characteristics and Postoperative Outcomes after Spinal Fusion in Patients with Thoracogenic Scoliosis
A retrospective study examining the curve characteristics and postoperative outcomes in patients undergoing spinal fusion (SF) to treat thoracogenic scoliosis related to sternotomy and/or thoracotomy was published in the Journal of Pediatric Orthopaedics. Over a 19-year period, curve characteristics and outpatient postoperative outcomes were measured in 39 patients. The mean age at the time of first chest wall surgery and SF was 2.5 and 14 years, respectively. Eighty-five percent of patients had a main thoracic curve, and 15 percent of patients had a main lumbar curve. Two patients experienced transient neurological deficits, and 17 complications were reported in nine patients.
Read the abstract… |
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| Your AAOS
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