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| Today’s Top Story
Study: High Rate of New Persistent Opioid Use after Foot and Ankle Surgery
A study published in the August 15 issue of the Journal of the AAOS ® found an 8.9 percent rate of new persistent postoperative opioid use after orthopaedic foot and ankle surgery. The analysis included 348 opioid-naïve patients. Researchers tracked the number of prescriptions filled ≥6 months postoperatively. More than one-quarter of patients who used recreational drugs developed persistent postoperative opioid use. Prescriptions of >160 morphine milligram equivalents, age ≥40 years, and drinking ≥6 alcoholic beverages per week were also risk factors for new persistent opioid use.
Read the abstract… |
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| In Other News
Study: Two-dose TXA Effectively Reduces Blood Loss in Hip Hemiarthroplasty
Two-dose tranexamic acid (TXA) is superior to one-dose TXA in reducing blood loss during hip hemiarthroplasty (HHA) for femoral neck fracture, according to a randomized study published online in Injury. Ninety patients received either saline placebo, one-dose TXA, or two-dose TXA. Transfusion rates were 43.3 percent, 16.7 percent, and 3.3 percent, respectively. The two-dose group demonstrated significantly improved hemoglobin loss/level, red blood cell loss, intraoperative blood loss, and blood transfusion rate compared to the placebo group. The one-dose group did not achieve significant improvements compared to controls.
Read the abstract… |
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| Study: Low Rates of Upper-extremity Reconstruction in Patients with Tetraplegia
For patients with tetraplegia, upper-extremity reconstruction rates are low and correlated with care environment, costs, and provider availability, according to a retrospective study published online in the Journal of Hand Surgery. Researchers analyzed 404,660 encounters with patients with tetraplegia via the National Inpatient Sample. Overall, 04 percent underwent upper-extremity reconstruction, with a mean of 238 procedures annually. Receiving care at urban teaching or nonteaching hospitals increased the odds of reconstruction, compared to care at private nonprofit or investor-owned hospitals. Higher patient income or subsidized care was also associated with reconstruction.
Read the abstract… |
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| Study: Shoulder and Elbow Case Volumes Increase in Orthopedic Surgery Residencies
Shoulder and elbow case volume in orthopaedic surgery residencies in the US. have increased significantly since 2016, according to a study published online in the Journal of Shoulder and Elbow Surgery. The largest increases were seen in shoulder repair/revision/reconstruction cases (31 percent), followed by elbow fracture/dislocation (23 percent), elbow repair/revision/reconstruction (21 percent), and shoulder arthroscopy (16 percent). The authors noted a wide variability in residents’ exposure to these cases. There was a nearly five-fold difference in shoulder repair/revision/reconstruction cases between the 10th and 90th percentiles of residents.
Read the abstract… |
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| Study: Cycling Injuries Cause Most Sports-Related Traumatic Spinal Injuries
A study published online in the Journal of Neurosurgery found that cycling injuries account for 81 percent of sports-related traumatic spinal injuries (TSIs). In total 12,031 TSIs were analyzed. Following cycling, the most frequent causes of TSI were skiing/snowboarding accidents (12 percent), aquatic sports injuries (3 percent) and contact sports (3 percent), Nine percent of patients required spinal surgery. Compared to other sports-related trauma, TSIs were associated with longer length of stay and discharge to rehabilitation.
Read the study… |
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| AAOS Now
No One Path Is the Same When It Comes to Getting Value from AAOS Membership
Robert M. Orfaly, MD, MBA, FAAOS, reflects on his goals as interim editor-in-chief of AAOS Now, hoping to connect each reader with their Academy and encourage them to seek out greater value from their membership. “As we continue to adjust to a new normal in the wake of the COVID-19 pandemic, each of us strives to maintain our personal and professional connections,” he wrote. “We also continually sharpen our focus on maximizing value, both for our patients and ourselves. Simply put, we need to feel that things are moving forward despite the many challenges of our days.”
Read more… |
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| Your AAOS
OrthoInfo Offers Trusted Information for Surgeons and Patients
When orthopaedic surgeons refer patients to a healthcare website to learn about their condition or treatment, they want to ensure the information is credible. OrthoInfo, the Academy’s patient education website, features consumer-friendly content on 450+ musculoskeletal health topics—all developed and reviewed by orthopaedic physicians, so surgeons can trust it as a resource for their patients.
Read about Disease and Conditions…
Read about Treatments…
Read about Recovery…
Read about Staying Healthy… |
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