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| Today’s Top Story
Study: Does Perioperative Thrombocytopenia Effect Outcomes following TKA and THA?
According to a retrospective chart review in the Journal of the AAOS ®, patients undergoing total hip (THA) and knee arthroplasty (TKA) with platelet levels of <100,000/mL and 100 to 149,000/mL were more likely to have a blood transfusion. The study evaluated the effects of different severities of preoperative thrombocytopenia on length of stay (LOS), readmission, and transfusion rates in 5,617 patients. After controlling for individual demographics, the researchers found no association between the severity of thrombocytopenia and LOS and 30-day readmission.
Read the abstract… |
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| In Other News
Study: Two-year Outcomes of Accelerated versus Delayed Bilateral Arthroscopy for Femoroacetabular Impingement
The American Journal of Sports Medicine published a retrospective cohort study comparing the two-year outcomes of patients with femoroacetabular impingement undergoing accelerated (within seven days) bilateral arthroscopy with those undergoing delayed (within four to 12 weeks) bilateral and unilateral arthroscopy. Patient-report outcomes (PROs) and the rates of achieving the minimal clinically important difference (MCID) were compared between groups. All groups exhibited significantly improved PROs. The MCID for the modified Harris Hip Score was achieved by 84.9 percent of patients in the accelerated group, 91.5 percent in the delayed group, and 87.6 percent in the unilateral group.
Read the abstract… |
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| Study: 67 Percent of Respondents Reported Delaying Childbearing Due to Career in Orthopaedics
A systematic review and meta-analysis in Clinical Orthopaedics and Related Research aimed to identify gender-related barriers to family planning, pregnancy, and parenthood that women in orthopaedic surgery face. The study, which included 17 articles, found that orthopaedic surgeons were more likely to experience pregnancy complications than the national mean in the United States (range, 24 percent to 31 percent versus 13 percent to 17 percent). Additionally, only 55 percent of training programs in the United States offered parental leave beyond standard vacation time.
Read the abstract… |
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| Study Characterizes Clinical Outcomes and Treatment for SSI following ORIF of Calcaneal Fractures
Foot and Ankle Surgery published a retrospective case-control study examining the characteristics and outcomes of patients with deep surgical site infection (SSI) following ORIF of calcaneal fractures via the extensile lateral approach. Outcomes were evaluated via the visual analog scale (VAS) for pain, foot function index, and American Orthopaedic Foot and Ankle Society ankle-hindfoot scores. Patients were matched with a control group of uninfected cases. Of the 331 calcaneus fractures in 308 patients in the study, 21 had deep SSI. Overall, 16 implants needed to be removed. VAS scores were statistically lower in patients with SSI when compared with the control group.
Read the study… |
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| Study Identifies Risk Factors for Slower Achievement of MCID after Minimally Invasive Decompression
In a retrospective study of 388 undergoing minimally invasive decompression in the Spine Journal, low preoperative Oswestry Disability Index (ODI) and poor muscle health were predictors of slower achievement of a minimal clinically important difference (MCID). Patients were divided into two groups (achieved MCID, did not achieve MCID) at two timepoints (≤3 months, ≥6 months); radiological and non-radiological outcomes were compared between groups. Patients who did not achieve MCID after six months had significantly lower preoperative ODI (38 versus 47.5), increased age (68 versus 63 years), and higher rate of pre-existing spondylolisthesis at the operated level.
Read the abstract… |
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| AAOS Now
AAOS Diversity Award Winner Mary I. O’Connor, MD, Recognized for Lifelong Diversity Advocacy Efforts
AAOS presented its 2023 Diversity Award to Mary I. O’Connor, MD, FAAOS, FAOA, FAAHKS. A nationally recognized leader who has championed diversity in medicine, surgery, and orthopaedics, Dr. O’Connor is professor emerita of orthopaedics at Mayo Clinic as well as past professor of orthopaedics and rehabilitation at Yale School of Medicine. “Let us reach out to engage community leaders and partner with them to address local health inequities. Not only must we be part of the solution, but we should also be leaders in these efforts,” Dr. O’Connor said.
Read more… |
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| Your AAOS
Register Today for ‘The Next Generation of Biologics,’ Taking Place in Washington, D.C.
AAOS is pleased to announce the third annual Biologics Symposium, titled “The Next Generation of Biologics,” presented in collaboration with the Biologic Association. The symposium will take place on July 12 in Washington, DC., one day before the 2023 American Orthopaedic Society for Sports Medicine Annual Meeting. The event is aimed at orthopaedic surgeons who wish to expand their knowledge about the rapidly evolving field of biologics. The symposium will feature renowned faculty, including program chairs Jason L. Dragoo, MD, FAAOS; Scott Rodeo, MD, FAAOS; and Shane A. Shapiro, MD, who will share their insights and expertise. Early registration discounts are available until May 5.
Learn more and view the agenda… |
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