Does Bone Mineral Density Affect Postoperative Outcomes following THA and TKA?
A study in the Journal of Arthroplasty found that patients with osteoporosis undergoing total hip (THA) or total knee arthroplasty (TKA) were more likely to experience 90-day readmission and require transfusion. Retrospectively reviewing 1,306 THAs and 1,046 TKAs, postoperative outcomes were analyzed to examine the impact of bone mineral density on adverse events. THA patients with osteoporosis were more likely to require intensive care management (5.1 percent versus 0.7 percent) and have higher rates of medical complications. THA and TKA patients with osteoporosis had comparable improvements in patient-reported outcomes one-year postoperatively compared to patients without osteoporosis.
Early Weight Bearing after Tibial Plateau Fracture Associated with Faster Recovery, Comparable Outcomes
The Journal of Knee Surgery published a retrospective study that compared the outcomes between traditional weight bearing (TWB) and early weight bearing (EWB) protocols following surgical treatment of tibial plateau fractures. Ninety-one patients undergoing ORIF were included in the study, of which 10 were divided into the EWB (<10 weeks) group. Time to full weight bearing, radiographic time to union, and all-cause complications were compared between groups. The average time to weight bearing was 6.5 weeks and 11.8 weeks in the EWB and TWB groups, respectively. No differences were observed between groups regarding complications and radiographic time to union.
Study Identifies Factors Associated with Level of RTS following Coracoid Transfer
A retrospective study in Knee Surgery, Sports Traumatology, Arthroscopy found previously failed Bankart repair and the duration from first dislocation to surgery to be associated with return to sport (RTS) at the preinjury level after a modified arthroscopic Bristow procedure. RTS rates and level and timing of return were analyzed in 142 shoulders of 137 patients with traumatic anterior shoulder instability. Overall, 94.4 percent of patients were able to RTS, and 86.6 percent were able to return to preinjury levels. Nearly two-thirds (63.4 percent) reported a difference between shoulders and could not completely “forget” the operated shoulder during exercise.
Study Examines Adverse Events Associated with Surgical Treatment of Diaphyseal Forearm Fractures
According to a retrospective study of 470 patients who underwent diaphyseal forearm fracture surgery in the Journal of Bone and Joint Surgery, nearly one-third (31 percent) experienced an adverse event postsurgery. Overall, 202 patients presented with both-bone fractures, 164 patients with isolated ulnar fractures, and 104 patients with isolated radial fractures. The most common adverse events were plate and screw-related issues (6 percent), followed by nonunion (5 percent), persistent nerve injuries (4 percent), and refractures (4 percent). Following multivariable analysis, risk factors for adverse events included increased BMI, Gustilo-Anderson type II open fractures, both-bone fractures, and isolated radial fractures.
Study: Factors Associated with Improved Tissue Pathogen Identification in Pediatric Patients with Osteomyelitis
The Journal of Pediatric Orthopaedics published a retrospective comparative study that investigated the factors associated with positive tissue cultures when blood cultures are negative in pediatric patients with acute hematogenous osteomyelitis. A total of 1,003 patients were included in the study, of which, 688 patients had both blood and tissue cultures analyzed. In 385 patients with negative blood cultures, tissue was positive in 69.4 percent. Age >3.1 years and C-reactive protein >4.1 mg/dL were independent predictors of obtaining a positive tissue culture when blood cultures were negative.
MORE Award Winners Leverage Media Opportunities to Promote Musculoskeletal Health Awareness and Education
AAOS has announced this year’s recipients of the 2023 Media Orthopaedic Reporting Excellence (MORE) Awards, which honor U.S.-based journalists who have demonstrated high-quality reporting on musculoskeletal health news. AAOS has acknowledged 12 individuals in the field of health and medical communication, encompassing writers, journalists, and freelance reporters from various print, broadcast, and online media platforms, as MORE Award winners, including Amy McIntosh, MD, and Farbod Malek, MD, FAAOS, who spoke with AAOS Now about their contributions to musculoskeletal health reporting.
Join JAAOS Unplugged host Liana Tedesco, MD, and guest Brittany Garcia, MD, as they discuss Dr. Garcia’s review article “Patient-Reported Outcome Measurement and Minimally Clinically Important Difference for Hand Surgeons,” which appeared in the Aug. 1 issue of the Journal of the AAOS® (JAAOS).
Plan Ahead for AAOS 2024—Secure Your Ideal San Francisco Hotel Today
The AAOS 2024 Annual Meeting will be held Feb. 12 to 16, 2024 (Monday through Friday), in San Francisco. Plan ahead with us now by booking your San Francisco hotel through the Academy’s official housing partner onPeak at discounted, flexible rates.
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