| |
| Today’s Top Story
Study: Restrictive Opioid Legislation Associated with Reduced Prescriptions after TKA
Opioid policies aimed at regulating prescription duration and dosage limits were associated with reduced morphine milligram equivalent (MME) use in total knee arthroplasty (TKA) patients, according to a study published online in The Journal of Arthroplasty. The investigators evaluated the impact of a 2018 legislation from Florida, comparing MME use in patients treated prelegislation (2017), postlegislation (2018), and two years postlegislation (2020). Average MMEs prescribed during the first postoperative 90 days decreased from 1,310 in 2017 to 891 in 2018. The 2020 average was 814, statistically comparable to 2018.
Read the abstract… |
| |
|
|
|
| |
| In Other News
Study: Depression, Anxiety Associated with Worse Preoperative Functional Status in Hip Arthroscopy Patients
According to a retrospective study published online in Knee Surgery, Sports Traumatology, Arthroscopy, high rates of depression and anxiety correlated with and predicted worse functional baseline status in hip arthroscopy patients. Overall, 104 patients preoperatively completed the Patient-Reported Outcomes Measurement Information System (PROMIS), Muscoskeletal Outcomes Data Evaluation and Management Systems, and numeric pain scale assessments. Average PROMIS Depression and Anxiety scores were 49.9 and 55.5, respectively, and higher scores correlated with higher fatigue and pain and lower social satisfaction. Previously diagnosed depression or anxiety independently predicted worse PROMIS Fatigue scores.
Read the abstract… |
| |
|
|
|
| |
| Study: Liposomal Bupivacaine Does Not Improve Pain Relief and Opioid Use after Shoulder Surgery
Postoperative pain in patients undergoing total shoulder arthroplasty or rotator cuff repair was similar regardless of liposomal bupivacaine (LB) use, according to a systematic review published online in the Journal of Shoulder and Elbow Surgery. Overall, 846 patients from 11 randomized studies were included. Variables included visual analog scale pain scores, opioid consumption at 24 and 48 hours postoperatively, and complications within 48 hours of surgery. There were no significant differences in any measure between patients who did or did not receive LB.
Read the abstract… |
| |
|
|
|
| |
| Study: Minimally Invasive Joint Preparation in Foot and Ankle Surgery
In a study published online in Foot & Ankle International, minimally invasive surgery (MIS) joint preparation provided similar surface area preparedness percentages compared to traditional open techniques for treatment of foot and ankle conditions. After joint preparation using open techniques in five cadavers and MIS techniques in another ten, samples were disarticulated and joint surfaces were analyzed for percentage of cartilaginous surface removal. Percentage of joint surface prepared was similar between the two techniques for all joint surfaces.
Read the abstract… |
| |
|
|
|
| |
| Study: Vertebral Body Augmentation System for Treating Acute Thoracolumbar Fractures
A retrospective study published online in BMC Musculoskeletal Disorders found that a novel vertebral body augmentation system is effective for addressing acute thoracolumbar fractures Fifty-three patients underwent kyphoplasty, with or without percutaneous fixation, using the novel augmentation system. Regional traumatic angle (RTA) measurements were taken preoperatively, postoperatively, and at follow-up. Fractures were primarily located at the upper lumbar spine. The mean RTA was 12 degrees preoperatively, 4 degrees postoperatively, and 8 degrees at follow-up, with mean corrections of 10 degrees and 7 degrees in the percutaneous fixation and kyphoplasty-only groups, respectively.
Read the study… |
| |
|
|
|
| |
| AAOS Now
Presidential Address: Daniel K. Guy, MD, Emphasizes How AAOS Is Making a Difference
Daniel K. Guy, MD, FAAOS, began his term as AAOS president in March 2021, during what he called a “pivotal moment in history.” In his final presidential address during the AAOS 2022 Annual Meeting, Dr. Guy reflected on AAOS’ accomplishments from the past year and expressed optimism for the future of the organization. “This has been quite a year,” said Dr. Guy. “Having tiptoed from forced isolation to our new normal, we now can appreciate how good things were and share optimism that they will be again.”
Read more… |
| |
|
|
|
| |
| Your AAOS
Call for Content: Submit an Article for AAOS Now
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 coyle@aaos.org.
Learn more and submit articles… |
| |
|
