Today’s Top Story

Study Identifies Rise in Opioid Prescriptions for Knee OA

A study published in the April 1 issue of the Journal of the AAOS ® determined trends in opioid prescriptions for knee osteoarthritis (OA) using data from the National Ambulatory Medical Care Survey. In total, 41,389,332 patients treated for knee OA between 2007 and 2016 were evaluated and 12.8 percent were prescribed an opioid-based medication. The overall number of prescriptions rose between 2007–2008 and 2013–2014 for both hydrocodone-based medications and tramadol. Factors associated with higher likelihood of opioid prescription included patient income in the lowest quartile, worker’s compensation status, and depression.

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In Other News

Study: Impact of Endoscopic Tenotomy for Iliopsoas Tendinopathy on Cup Overhang or Anteversion

A study published online in Arthroscopy evaluated whether endoscopic iliopsoas tenotomy in patients with iliopsoas tendinopathy following total hip arthroplasty (THA) improved acetabular cup anteversion or overhang. The researchers enrolled 48 patients (50 hips) treated between 2014 and 2017, including 30 hips (60 percent) with pre-tenotomy CT scans. After one year, four hips required revision. No complications occurred among the rest of the cohort, including 26 hips (57 percent) that achieved patient acceptable symptom state for Oxford Hip Score. Moderate post-tenotomy pain occurred in 11 percent of patients. There were no associations found between clinical scores and overhang and anteversion improvement.

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Study: Radiograph Versus Intra-operative Assessment of Loosening of Elbow Prosthesis

A retrospective study published online in the Journal of Shoulder and Elbow Surgery compared radiographic assessment versus intra-operative findings on prosthetic loosening prior to revision total elbow arthroplasty. Five surgeons independently assessed preoperative implant loosening via radiograph for 93 elbows treated between 2008 and 2018. Inter- and intra-observer agreement was considered “almost perfect” for humeral implant and “substantial” for ulna loosening. Agreement between radiograph and intra-operative findings were substantial for both humeral and ulna loosening, though lower than inter- and intra-observer agreement.

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Study: Age, Cartilage Surgery Predict Return to Preinjury Sports after ACLR

A study published online in Knee Surgery, Sports Traumatology, Arthroscopy identified predictors of return to sport at the same frequency and type of participation after primary ACL reconstruction (ACLR). The researchers surveyed 251 patients regarding preinjury and postoperative sports participation and activity at an average of 3.4 years after undergoing ACLR. The return to preinjury activity level was 48.6 percent. Being aged <19 years and a competitive athlete were associated with higher odds of return to preinjury levels. Surgery >3 months after injury, concomitant cartilage lesion, and cartilage surgery were associated with lower odds of return to preinjury participation.

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Study: Do PROMIS Scores Reflect Immediate Symptom Relief after Carpal Tunnel Release?

A study published online in the Journal of Hand Surgery determined whether immediate symptom improvement following carpal tunnel release was captured via the Patient-reported Outcomes Measurement Information System (PROMIS). In total, 156 patients treated between 2018 and 2020 completed PROMIS Upper Extremity (UE), Physical Function (PF), Pain Interference (PI), and Depression tests and were surveyed regarding symptoms an average of 9 days postoperatively. Overall, 74 percent of patients reported symptom improvement. PROMIS UE, PF, and PI scores were all lower at follow-up compared to preoperative levels, though not at clinically appreciable levels. There was no difference in Depression scores pre- and postoperatively.

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AAOS Now

Orthopaedic Excellence: Highlights from the 2021 AAOS Virtual Business Meetings

AAOS conducted its official business during the AAOS Virtual Business Meetings held on March 11. Per the AAOS Bylaws, the Business Meetings are held on an annual basis typically in conjunction with the AAOS Annual Meeting. Due to the rescheduling of the AAOS 2021 Annual Meeting to Aug. 31–Sept. 31 and to ensure the smooth leadership transition, the required business was conducted through a virtual platform. The American Academy of Orthopaedic Surgeons and the American Association of Orthopaedic Surgeons held independent meetings. This article recounts the business addressed at these meetings.

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Your AAOS

Submit Manuscripts for the 2022 Kappa Delta and OREF Clinical Research Awards

AAOS is soliciting manuscripts for the 2022 Kappa Delta Orthopaedic Research Awards and the Orthopaedic Research and Education Foundation (OREF) Clinical Research Award. Up to two $20,000 Kappa Delta awards (Elizabeth Winston Lanier Award and Ann Doner Vaughn Award), one $20,000 Kappa Delta Young Investigator award, and one $20,000 OREF award will be bestowed, provided manuscripts of requisite quality are submitted. Manuscripts should represent a large body of cohesive scientific work generally reflecting years of investigation. Manuscripts must be submitted by members (or candidate members) of AAOS, the Orthopaedic Research Society (ORS), the Canadian Orthopaedic Association, or the Canadian Orthopaedic Research Society. The awards will be presented at the AAOS 2022 Annual Meeting, and recipients will be invited to speak at the ORS 2022 Annual Meeting. Submissions are due by 11:59 p.m. CDT on July 1.

Learn more and submit applications…