Study: Patients with Multiligamentous Knee Injuries with ACL Tear Are at Greater Risk of Peroneal Nerve Injury
A retrospective study published online in the Journal of the AAOS ® investigated the relationship between peroneal nerve injuries and multiligamentous knee injuries (MLKIs). The outcomes obtained through chart review included radiographs, advanced imaging, and surgical characteristics. Of 221 MLKI patients included in the study, 43 patients incurred a clinical peroneal nerve injury. All of those patients had a posterolateral corner injury, and 95.3 percent had complete ACL rupture. MLKI patients with ACL tear had a 4.4 times greater risk of peroneal nerve injury compared with those without an ACL tear.
Study: Comparing Aspirin versus Enoxaparin Use and Rates of Venous Thromboembolism in THA and TKA Patients
According to a cluster-randomized trial published online in JAMA, aspirin use resulted in significantly higher rates of venous thromboembolism (VTE) in patients undergoing total hip arthroplasty (THA) and total knee arthroplasty (TKA) compared with enoxaparin. Thirty-one hospitals were randomized to administer aspirin or enoxaparin for 35 days after THA or for 14 days after TKA. The primary outcome was symptomatic VTE within 90 days. Overall, 9,203 patients were included in the analysis. Symptomatic VTE occurred in 256 patients within 90 days. The symptomatic VTE rate was 3.45 percent in the aspirin group versus 1.82 percent in the enoxaparin group.
Systematic Review Evaluates Efficacy of Sodium Hyaluronate in Treating Rotator Cuff Lesions
The Orthopaedic Journal of Sports Medicine published a systematic review evaluating the efficacy of sodium hyaluronate (SH) in the treatment of patients with rotator cuff lesions. Nine studies assessing the effects of SH on pain and shoulder dysfunction due to rotator cuff lesions were included in the analysis. Outcome measures were visual analog scale (VAS) scores, Constant-Murley Shoulder Outcome scores, and complications. Patients treated with SH had significant improvements in VAS scores after one, two, and four weeks, and Constant scores were significantly improved at two weeks with SH compared with other nonoperative treatments. No complications were reported with SH.
Study: Outcomes of Arthroscopic One-tunnel TFCC Transosseous Suture Repair with Ulnar Styloid Process Fracture Non-union
A retrospective study published in Arthroscopy suggested that arthroscopic one-tunnel triangular fibrocartilage complex (TFCC) transosseous suture repair led to favorable outcomes in patients with ulnar styloid process fracture non-union (USPFN). A total of 66 patients were divided into two groups (patients with and without USPFN). Preoperative and postoperative measures included Modified Mayo wrist scores (MMWS), grip strength, and visual analog scale (VAS) pain scores. Fifty percent of USPFN cases showed spontaneous union after transosseous TFCC foveal repair without any additional USPFN treatment. No significant between-group differences in postoperative MMWS, grip strength, or VAS were noted.
Study: Factors Associated with Pediatric Tibial Tuberosity Fracture Patients
A cross-sectional analysis published in the Journal of Pediatric Orthopaedics examined the association between tibial tuberosity fracture (TTF) and race in pediatric populations. Comparing admissions for TTF to admissions for all other diagnoses, 692 patients were admitted for TTF. Of those, 93.2 percent were male. Using an adjusted odds ratio, other factors associated with TTF included ages 13 to 15 years and Black or Hispanic race. The effect of race on TTF admissions varied significantly with age. Patients aged 12 years had the strongest association of Black race with TTF admission.
Orthopaedic Surgery Residents Will Be Able to Identify Their Preferences for Programs at the Time of Application
For the 2022–2023 orthopaedic surgery residency application cycle, the American Orthopaedic Association Council of Orthopaedic Residency Directors (CORD) has agreed to enable applicants to communicate their specific preferences, up to 30 programs, at the time of application. The process will provide program directors with a list of applicants who are highly interested in their programs, thereby enabling a quick and relevant tool to facilitate a more thorough, holistic review of applications.
After more than a decade of developing Clinical Practice Guidelines (CPGs), AAOS has expanded its reach into the quality space. With the transition to value-based care, AAOS sought to produce quality products that provide the most benefit to the membership. AAOS continues to develop CPGs, with 20 currently available, but the Academy now uses them to create Appropriate Use Criteria (AUC), care pathways, and other derivative materials. These tools help members answer the question, “What does quality care look like?” All AAOS quality resources are free to members.
