Study Compares Complication Rates between Patients Undergoing Arthroscopic Lysis of Adhesions versus Manipulation under Anesthesia for Arthrofibrosis after TKA
In a study published online in the Journal of the AAOS®, patients with arthrofibrosis following total knee arthroplasty (TKA) treated with arthroscopic lysis of adhesions (ALAs) had significantly more surgical site infections (SSIs) compared with patients undergoing manipulation under anesthesia (MUA). The two-year complication rates and clinical variables were retrospectively collected from 425 ALA and MUA patients. The rate of SSI was 3.8 percent in ALA patients and 0.47 percent in MUA patients. The incidence of repeat arthrofibrosis and revision arthroplasty were comparable between groups.
Study: Minimally Invasive Internal Fixation Associated with Better Outcomes than Nonoperative Management in Elderly Patients
The Journal of Orthopaedic Surgery and Research published a retrospective analysis comparing the outcomes and treatment patterns of minimally invasive internal fixation against conservative, nonoperative management of pelvic ring fragility fractures in elderly patients. A total of 135 patients were included in the study, and the overall mortality rate was 17.4 percent; 11 and 29 patients passed away following the surgical and conservative treatments, respectively. Visual analog scale and Majeed scores and the bed rest and fracture healing times were significantly better in the surgical treatment group than in the conservative group.
Study Examines Follow-up Rates during and after the Postsurgical Global Period following Musculoskeletal Injury
According to a study in BMC Musculoskeletal Disorders, there was a statistically significant decrease in follow-up for orthopaedic trauma patients following the postsurgical global period. Retrospectively evaluating 328 patients with isolated extremity fractures, the researchers used paired t-tests to assess the likelihood of follow-up in relation to the 90-day postsurgical global period Comparing follow-up within and outside the postsurgical period, there was a decrease in follow-up from 68.3 percent at six weeks to 48.2 percent at six months. Additionally, Medicaid insurance was associated with a decreased likelihood of follow-up after six months postoperatively.
Study: Clinical Outcomes following Ulnar Collateral Ligament Reconstruction with Concomitant Ulnar Nerve Transposition in Overhead Athletes
The American Journal of Sports Medicine published a matched cohort study comparing outcomes and return to sport (RTS) rates between patients who received ulnar nerve transposition (UNT) during ulnar collateral ligament reconstruction (UCLR) against those who underwent UCLR alone. Sixty overhead athletes were included in the analysis, and the outcome measurements included the Kerlan-Jobe Orthopaedic Clinic Shoulder and Elbow (KJOC) score, the Timmerman and Andrews elbow score, and RTS rates. Both groups had comparable KJOC and Timmerman and Andrews scores. The RTS rate was 84 percent in the UNT cohort and 93 percent in the UCLR-only group.
Study: Do Vitamin D Deficient Adolescent Idiopathic Scoliosis Patients Have Worse PROs after Spinal Fusion?
A prognostic study in the Journal of Pediatric Orthopaedics investigated the association between vitamin D levels and patient-reported outcomes (PROs) in patients with adolescent idiopathic scoliosis (AIS) following spinal fusion. AIS patients were sorted based on vitamin D levels: deficient (<20 ng/mL), insufficient (20 to 29 ng/mL), or sufficient (≥30 ng/mL). Of the 87 patients recruited for the study, 34 percent were vitamin D sufficient, 38 percent were insufficient, and 28 percent were deficient. Patients who were deficient in vitamin D were more likely to be younger and have lower Scoliosis Research Society function, self-image, and total scores.
Member-exclusive Event: 2023 AAOS/FDA Town Hall Will Explore Orthopaedic Medical Device Innovation
The upcoming AAOS/FDA Town Hall, taking place during the AAOS 2023 Annual Meeting in Las Vegas, promises to be a provocative and interactive forum to rethink how we work together to create innovation in the 21st century. The focuses of the inaugural Town Hall will be quality, value, registries, artificial intelligence, and real-world evidence. All concepts are on the table in this forum.
Do you have timely research or an interesting story to tell? AAOS Now is seeking editorial submissions from orthopaedic surgeons and orthopaedic- and practice-related product and service providers that qualify as subject matter experts. The magazine features various formats and opportunities to highlight your information or topic. AAOS Now encourages interested authors to contact staff prior to writing in order to review suggestions and provide feedback. Submit an article suggestion online or email AAOS Now Publisher Dennis Coyle at aaosnow@aaos.org.
