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| Today’s Top Story
CDC Proposes New Guidelines Regarding Pain Treatment, Opioid Use
The U.S. Centers for Disease Control and Prevention’s (CDC’s) National Center for Injury Prevention and Control has released a draft update to the CDC Guideline for Prescribing Opioids for Chronic Pain, which was issued six years ago. The proposed changes, contained in a 229-page draft update in the Federal Register, would roll back some suggested limits on opioid prescribing and will be reviewed by the AAOS Patient Safety Committee. Meanwhile, the draft update is available for public comment in the Federal Register through April 11.
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Submit formal comments… |
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| In Other News
Systematic Review Evaluates VTE Chemoprophylaxis in Pelvic, Acetabular Fractures
A systematic review published online in Injury evaluated venous thromboembolism (VTE) chemoprophylactic agents in patients with pelvic and/or acetabular fractures. Two studies reported a lower risk of deep vein thrombosis with direct oral anticoagulants (DOACs) versus low molecular weight heparin (LMWH), and lower odds of VTE and mortality with LMWH versus unweighted heparin. Three studies reported early prophylaxis (<48 hours after injury) was more effective for preventing VTE and led to reduced mortality compared with late administration. In one study, 23 percent of acetabular fracture patients were underdosed with LMWH, with inadequate anti–factor Xa levels.
Read the abstract… |
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| Study Investigates Relationship between Posterior Tibial Slope, Meniscal Slope, and Risk of Meniscal Injuries
Increased lateral posterior tibial slope (PTS) was associated with a greater risk of lateral meniscal tears/lateral meniscal posterior root tears with concomitant ACL tear, according to a systematic review published online in Arthroscopy. Sixteen studies, comprising 2,670 patients, were assessed. The authors also noted a relationship between a greater medial meniscal slope and the presence of ramp lesions. Medial PTS was significantly greater in patients who experienced a medial meniscal root tear.
Read the abstract… |
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| Study: Sex Differences in Outcomes of Ankle Replacement or Arthrodesis for End-stage Osteoarthritis
A study published in the Feb. 2 issue of the Journal of Bone & Joint Surgery reported that male and female patients both benefited from total ankle replacement or ankle arthrodesis for the treatment of end-stage ankle osteoarthritis, with small differences between sexes. Researchers analyzed 872 patients (replacement, n = 629; arthrodesis, n = 243) with >2 years follow-up. Women presented with significantly higher Ankle Osteoarthritis Scale (AOS) pain scores. Pre- and postoperative AOS disability scores and Short Form-36 Physical Component Summary scores were worse among women than men, but all patients significantly improved in these assessments from baseline.
Read the abstract… |
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| Study: Intraoperative Staff Changes Are Associated with Extended Spine Surgery Duration
A retrospective study published online in The Spine Journal found that intraoperative staff changes independently predicted longer operation time in spine surgery. In total, 1,108 patients were evaluated. There were significant differences in operative duration according to case order. Surgeries with intraoperative staff changes had increased total theater time, induction start-to-cut time, cut-to-close time, close-to-wheels out time, and length of stay compared to cases without staff changes.
Read the abstract… |
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| AAOS Now
Surgeons Discuss Bullying, Harassment, Racism, and Discrimination from Patients and Colleagues
In a webinar hosted by the Ruth Jackson Orthopaedic Society, orthopaedic leaders tackled difficult questions regarding harassment and mistreatment in the workplace and discussed various methods to combat such behaviors. As panelist Dawn Laporte, MD, FAAOS, noted, “Change is only possible when residency and hospital leadership meaningfully adopt diversity and inclusion initiatives that train others to respond to discrimination, bullying, and harassment.”
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| Your AAOS
Reach New Heights in Innovation at the Exhibit Hall
More than 500 companies will be in Chicago and are eager to meet with you. Register today for the AAOS 2022 Annual Meeting and immerse yourself with the latest technologies and solutions in the Exhibit Hall. Discover the latest evidence-based orthopaedic innovations and new products and connect with industry experts all in one place at AAOS 2022 Annual Meeting, March 22–26. Dedicated exhibit time is available March 23 to 25 with beverage breaks available each day.
Learn more and register… |
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