| |
| Today’s Top Story
AAOS Past President Charles A. Rockwood Jr., MD, FAAOS, Passes Away
Charles A. Rockwood, Jr., MD, FAAOS, FAOA, who served as AAOS president from 1984 to 1985, passed away on Jan. 22. Born in Oklahoma, Dr. Rockwood spent more than two decades as the chairman of orthopaedics at the University of Texas Health Science Center. He also served as president of the American Shoulder and Elbow Surgeons from 1985 to 1987. |
| |
|
|
|
| |
| In Other News
Study: Prescriber Training Level, Subspecialty Associated with Opioid Prescribing Patterns
A retrospective study published in the Feb. 1 issue of the Journal of the AAOS ® found that prescriber training level and subspeciality were associated with prescription patterns of opioids after orthopaedic surgery. In total, 1,500 orthopaedic surgery patients who received an opioid prescription over a one-year period at an academic center were evaluated. The most frequent prescribers were junior residents (33.9 percent), nurse practitioners (30.1 percent), and physician assistants (24.1 percent), with variable amounts prescribed based on training level. Trauma, spine, and hand services prescribed the most opioids of the orthopaedic subspecialties.
Read the study… |
| |
|
|
|
| |
| RCT: Limited Analgesic Effect but Reduced Morphine Use with Nefopam after TKA
Continuous nefopam administration in the 24 hours following primary total knee arthroplasty (TKA) led to significant reductions in Visual Analog Scale pain scores only within the first six hours when compared with placebo, according to a randomized controlled trial (RCT) published online in The Journal of Arthroplasty. However, this treatment led to significantly reduced morphine use at 48 hours post-TKA. Total morphine consumption was 37 percent lower in the nefopam group versus placebo, with similar rates of adverse events, outcomes, and patient satisfaction in both groups.
Read the abstract… |
| |
|
|
|
| |
| Systematic Review Investigates Relationship Between Posterior Tibial Slope and ACLR Graft Failure
A systematic review published online in Knee Surgery, Sports Traumatology, Arthroscopy reported that increased posterior tibial slope (PTS) is associated with greater risk of graft failure after ACL reconstruction (ACLR), though there is still disagreement in the value of PTS, according to the authors. Twenty studies were analyzed, including a total of 5,326 patients. Fifteen studies found a significant association between higher PTS and graft failure, while the remaining five did not report this association. Reported PTS values associated with graft failure were greater than 7.4 degrees and up to 17 degrees.
Read the abstract… |
| |
|
|
|
| |
| Study: Incidence of Overriding Distal Metaphyseal Radial Fractures in Pediatric Patients
A study published in the Feb. 2 issue of the Journal of Bone & Joint Surgery reported an incidence rate of 0.72 to 2.01 cases per 10,000 patients for displaced overriding distal metaphyseal radial fractures in children. Over the six-year study period, 113 fractures in 112 patients aged <16 years occurred at a single center. Seventy-three percent of fractures occurred in patients aged <11 years. Closed manipulation was attempted in two-thirds of cases, with a 46 percent failure rate. Seventy patients received “strong” opioids. Twenty-six patients were immobilized in an overriding position, with no patients requiring secondary interventions.
Read the abstract… |
| |
|
|
|
| |
| AAOS Now
OVT Review: Subacromial Balloon Arthroplasty for Irreparable Rotator Cuff Tear
Thomas Fleeter, MD, MBA, FAAOS, reviews a video demonstrating subacromial balloon arthroplasty—a new technique for treating large, retracted rotator cuff tears. Dr. Fleeter described the condition as “an increasingly common problem faced by shoulder surgeons and one with no single solution that fits all patients.”
Read more… |
| |
|
|
|
|
|
