Today’s Top Story

Study Measures Ability of Patient-reported Outcomes to Predict Secondary Surgeries After Hip Arthroscopy

A study published online in The American Journal of Sports Medicine found that the modified Harris Hip Score (mHHS) one year postoperatively in primary hip arthroscopy patients may help predict the need for secondary surgery. A total of 911 primary hip arthroscopy patients were retrospectively reviewed. Upon bivariate analysis, BMI, labral treatment, and three-month and one-year mHHS, Nonarthritic Hip Score, and visual analog scale (VAS) pain score were significant predictors of need for secondary surgery. In the multivariate logistic regression analysis, only one-year mHHS was a significant predictor in the final model.

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In Other News

Study Assesses Wearable Technology to Evaluate Brachial Plexus Injury Outcomes

A study published online in the Journal of Shoulder and Elbow Surgery used inertial measurement units to quantify shoulder dysfunction after brachial plexus injury. Inertial measurement units were placed on the upper arms and trunk during nine functional tasks to calculate six kinematic scores. Bilateral asymmetry of the kinematic scores were compared between 15 patients with injury and 15 controls. The injured and control patients showed significant differences in asymmetry indexes from several upper arm and trunk kinematic scores. Correlation coefficients in upper arm scores ranged from 0.55 to 0.76 with conventional clinical scores.

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Study Assesses Tissue Reconstruction Outcomes in Distal Lower Leg Fractures

A retrospective study published online in BMC Musculoskeletal Disorders examined postoperative outcomes in patients with distal lower leg fractures, soft-tissue defects, and flap coverage. Patients with open (n = 11) and closed (n = 11) complicated fractures and subsequent soft-tissue defects and flap coverages were followed for a mean 41.2 months. All patients required soft-tissue reconstructions. Complications involving flaps associated with ischemia and consequent necrosis presented in 10 patients. The mean EQ-5D index was 0.62, and mean EQ-5D VAS score was 57.7. After one year, 37.5 percent of patients returned to work.

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COVID-19 Updates

Massachusetts Will Pause Elective Surgeries on Friday

Beginning Dec. 11, Massachusetts will halt elective surgeries, Governor Charlie Baker announced at a press conference. “This action will free up unnecessary staffing and beds,” said Gov. Baker. “We all know we’re in the midst of a second surge. We’re seeing a higher number of new cases each day, and in turn, an increase in hospitalizations statewide.” As of Dec. 6, the state’s seven-day average testing positivity rate was 5.3 percent, and 1,416 patients were hospitalized with COVID-19.

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Study Provides Guidelines for Resuming Orthopaedic Care in a Pandemic

A study published online in the Journal of the AAOS ® provided ethical guidelines for restarting an orthopaedic practice during a pandemic. Among the study’s recommendations are: implementing guidance specific to orthopaedic surgery, prioritizing public health ethics, considering nonsurgical treatment when equipoise exists, identifying cases of clear surgical benefit, tiering surgeries on the basis of anticipated harm, preserving scarce resources, and creating flexible systems.

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AAOS Now

Esports Gaming Has Come of Age

Once solely thought of as a hobby and frequent source of parental angst, gaming has come of age and driven esports into the mainstream of sport and entertainment. Much like traditional sports, however, in gaming, players and teams alike are driven toward short-term goals—often with a blind eye to long-term athlete sustainability, health, or well-being. This article discusses the health and performance status of esports players and highlights a programmatic method for building partnerships and comprehensive programs for injury prevention and performance optimization, including the multitude of research opportunities that exist.

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Your AAOS

Nominate a Story for the 2021 MORE Awards

Have you been quoted in a news article or interviewed by a consumer radio or television outlet? Did you know the Academy recognizes members of the media for accurate orthopaedic reporting via its Media Orthopaedic Reporting Excellence (MORE) Awards? This program recognizes journalists and media outlets for stories published between Jan. 1 and Dec. 31, 2020, that effectively report on musculoskeletal health issues, healthy behaviors, high-quality care, and prevention and treatment of orthopaedic issues or injuries. Send a link of the story to media@aaos.org, and staff will follow up. The last day to submit nominations is Jan. 22, 2021.

Learn more and submit nominations…