Today’s Top Story

Secure Tickets to Popular AAOS 2023 Courses before They Are Gone

With AAOS 2023 just a few weeks away, the most highly sought Instructional Course Lectures (ICLs) and Case Presentations are beginning to sell out. Sessions like ICL 484 (Complex Knee Cases: Hero and Goat) and ICL 186 (Simple Fractures Gone Wrong: What Do I Do Now?) are among the sessions getting close to capacity. Do not delay, complete your meeting registration, and select your courses today.

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In Other News

Study Compares Efficacy of Enoxaparin versus Aspirin to Prevent Persistent Wound Drainage in THA and TKA Patients

A secondary analysis of data from a previous cluster-randomized trial in Clinical Orthopaedics and Related Research found that enoxaparin was not associated with an increased risk of persistent wound drainage compared with aspirin. Patients either received 100 mg of aspirin (n = 632) or 40 mg of enoxaparin (n = 707) for 14 days following total hip (THA) or total knee arthroplasty (TKA). Nine percent of patients in the enoxaparin group had persistent wound drainage compared to 8 percent of patients in the aspirin cohort. Furthermore, there was no difference between groups regarding the median time taken to achieve a dry wound.

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Systematic Review Details Complications, Reoperations, and Characteristics of Adolescent Patients with Tibial Tubercle Fractures

Knee Surgery, Sports Traumatology, Arthroscopy published a systematic review reporting the outcomes, complications, and rate of reoperation associated with tibial tubercle fracture management in patients aged <18 years. Twenty-five retrospective cohort studies, comprising 919 patients with 956 fractures, were included in the analysis. Most patients (83 percent) were male, and 81 percent of fractures were related to sports. Overall, the rates of reoperations and complications were 19 percent and 18 percent, respectively. In the 11 studies where return to play (RTP) was reported, the average rate of RTP was 98.9 percent.

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Meta-analysis Assesses Femoral Nerve Block and Local Analgesia for Pain Relief and Opioid Consumption after ACLR

According to a network meta-analysis of 46 randomized controlled trials (3,171 patients in total) in Arthroscopy, femoral nerve block (FNB) and local instillation analgesia (LIA) significantly reduced postoperative pain following ACL reconstruction (ACLR) compared with placebo. The primary outcomes were pain scores at rest and cumulative oral morphine equivalent consumption 24 hours after ACLR. In addition to significantly reducing pain after ACLR, FNB and LIA (which included intra-articular, subcutaneous, and periarticular infiltration) resulted in a significant reduction in opioid consumption at 24 hours postsurgery.

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Study Characterizes Incidence of VTE in Pediatric and Adolescent Patients Undergoing Resection of Lower Extremity Sarcoma

A retrospective study utilizing data from the Pediatric Health Information System database assessed that incidence of venous thromboembolism (VTE) in patients aged <18 years undergoing resection of lower extremity sarcoma The study, published in the Journal of Pediatric Orthopaedics, identified 2,400 patients for analysis. VTE occurred in 19 of these patients during their surgical hospitalization. The rate of VTE in patients with tumors in the pelvis and lower limbs was 1.4 percent and 0.6 percent, respectively. Researchers concluded that postsurgical VTE following lower extremity sarcoma resection was an uncommon event in younger patients.

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AAOS Now

AAOS 2023 Annual Meeting Is Shaping Up to Be a Spectacular Event

In his January message, AAOS President Felix H. Savoie III, MD, FAAOS, spotlighted some of the exciting headliners of the upcoming AAOS 2023 Annual Meeting in Las Vegas, including the updated Specialty Day format, the international presence at the meeting, and the brand-new Spanish-language track. He also gave a warm welcome to the incoming AAOS leadership who will take their positions at the meeting. “AAOS is in great hands with these wonderful physician leaders,” Dr. Savoie wrote.

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Your AAOS

OrthoInfo Spotlights Foot and Ankle Topics

OrthoInfo, the Academy’s patient education website, is here to provide your patients with in-depth information—all written, reviewed, and regularly updated by orthopaedic experts. This includes a full range of articles to help patients understand traumatic and overuse injuries that affect the foot and ankle. Visit orthoinfo.org to view our full library of patient education content.

Read “Plantar Fasciitis and Bone Spurs”…

Read “Sprained Ankle”…

Read “Bunions”…

Read “Hallux Rigidus (Stiff Big Toe)”…

Read “Achilles Tendinitis”…