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| Today’s Top Story
Call for Nominations: Editor-in-chief, JAAOS Global Research & Reviews ®
The Journal of the AAOS (JAAOS) Global Research & Reviews ® is the official open access journal of AAOS. They are seeking a new editor-in-chief to be appointed in early 2023. AAOS Fellows are encouraged to apply. To learn more about the criteria, download the Call for Nominations and apply by Dec. 1.
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| In Other News
Study Investigates Association between Initial Prescription Size and Opioid Refill following THA and TKA
The Journal of Arthroplasty published a study that found that larger initial opioid prescription sizes were associated with small but clinically insignificant decreases in 30-day refills after total knee (TKA) and hip arthroplasty (THA). Overall, 120,889 opioid-naïve patients were included in the study. The main outcome was refill of any prescription opioid medication 30 days after discharge. The 30-day refill rate was 59.6 percent after TKA and 26.1 percent after THA. The odds of refill decreased by 2 percent and 3 percent for every 75 oral morphine equivalents increase to initial prescription for the THA and TKA cohorts, respectively.
Read the abstract… |
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| Study Evaluates Standard Methods of Heterotopic Ossification Prevention
A retrospective chart review published in Current Orthopaedic Practice investigated the efficacy of radiation and NSAID use (indomethacin) as heterotopic ossification (HO) prophylaxis after acetabular fracture surgical repair. In total, 117 patients were grouped based on the postoperative therapy received: radiation therapy, indomethacin, or no prophylaxis. Grade of HO was determined via pelvic radiograph Patients in the radiation group had a lower incidence of severe and total HO compared to the no-prophylaxis group, and the indomethacin group had significantly less total HO than the no-prophylaxis group.
Read the abstract… |
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| Study: Effect of Bone Marrow Aspirate Concentrate and Platelet-rich Plasma on the Rates of Revision RCR
The Orthopaedic Journal of Sports Medicine published a cohort study examining the association of bone marrow aspirate concentrate (BMAC) and platelet-rich plasma (PRP) during arthroscopic rotator cuff repair (RCR) and rates of revision. Utilizing the Mariner data set from the PearlDiver database, 760 patients who underwent biologic augmentation during RCR were identified and compared with 3,800 matched controls. Patients who received BMAC at the time of RCR had significantly lower rates of revision surgery after two years. No significant differences in revision were observed between the control and PRP group.
Read the study… |
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| Study: Rates and Predictors for Failure after Surgery for Lumbar Spinal Stenosis
In an observational study published in The Spine Journal, 33 percent of patients undergoing surgery for lumbar spinal stenosis reported treatment failure. In total, 8,919 patients were included in the analysis. The main outcome measurement was the Oswestry Disability Index (ODI) reported 12 months after surgery, and failure (ODI >31) and worsening (ODI >39) were used as dependent variables. Twelve months postsurgery, the mean ODI score was 23.9. Overall, 2,950 patients experienced treatment failure and 1,921 experienced worsening. The strongest predictors for failure were long duration of symptoms, past surgeries, and age >70 years.
Read the abstract… |
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| AAOS Now
Podcast Episode Addresses Uptick in Healthcare Workplace Violence and Efforts to Mitigate Risks
On an episode of the AAOS Advocacy Podcast, Julie Balch Samora, MD, PhD, MPH, FAAOS, FAOA, chair of the AAOS Patient Safety Committee, and Alfonso Mejia, MD, MPH, FAAOS, chair-elect of the AAOS Board of Councilors, discussed the surge in workplace assaults and violence in healthcare, legislation moving through Congress to address it, and practical tools to mitigate risks at both the individual physician and clinic levels.
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| Your AAOS
The American Joint Replacement Registry Releases 2022 Annual Report
The American Joint Replacement Registry is pleased the announce the availability of its ninth Annual Report. Unleashing 10 years of data to offer the most comprehensive picture to date of patterns of hip and knee arthroplasty practice and outcomes in the United States, the report demonstrates an overall cumulative procedural volume growth of 14 percent compared to the previous year and includes over 2.8 million hip and knee procedures since 2012
Download the report…
Read the press release… |
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