| |
| Today’s Top Story
Retrospective Study Evaluates Complications and Revisions in Patients Undergoing Shoulder Arthroplasty with a History of Fragility Fractures
A propensity score-matched, retrospective cohort study comprised of 91,212 patients undergoing shoulder arthroplasty (SA) found that those who sustained a fragility fracture prior to SA had a significantly increased risk of complications postoperation. The study was published online in the Journal of the AAOS ®. Researchers utilized the PearlDiver database to evaluate the effect of antecedent fragility fractures on short-term SA complications. Of the total study population, 14.3 percent experienced a fragility fracture within three years prior to SA. Two years following SA, these patients were more likely to experience periprosthetic fracture, fragility fracture, deep infection, and all-cause revision SA.
Read the abstract… |
| |
|
|
|
| |
| In Other News
Randomized Trial: Does Dexmedetomidine Impact the Efficacy of Periarticular Infiltration Analgesia for Pain Management after TKA?
The Journal of Arthroplasty published a randomized controlled trial evaluating the effectiveness of adding dexmedetomidine to periarticular infiltration analgesia to prolong the analgesic duration following total knee arthroplasty (TKA). Patients (n = 116) were assigned to one of three groups: group R (ropivacaine), group E (ropivacaine plus epinephrine), and group D (ropivacaine plus dexmedetomidine). The primary outcomes were visual analog scale (VAS) scores. Six hours after surgery, patients in group D had significantly lower resting VAS scores. The use of dexmedetomidine or epinephrine resulted in lower opioid consumption in the first 24 hours after TKA.
Read the abstract… |
| |
|
|
|
| |
| Retrospective Review: What Factors Are Associated with Nonadherence to Follow-up Visits in Orthopaedic Trauma Patients?
According to a retrospective review in Injury, male sex and being aged between 26 and 35 years were two factors associated with nonadherence to clinic visits following orthopaedic trauma injuries. In order to assess demographic and psychosocial factors, data from 5,816 orthopaedic trauma patients and 21,066 follow-up visits were reviewed. A total of 1,627 “no-show” appointments were reported from this population. Additional factors found to be associated with nonadherence were self-reported race other than White, household income below $25,000, education below a high school level, and no insurance or Medicaid insurance.
Read the abstract… |
| |
|
|
|
| |
| Randomized Controlled Trial Evaluates the Efficacy of Preemptive Analgesia and Postoperative Pain Relief following Open Carpal Tunnel Release
The Journal of Hand Surgery published a prospective randomized controlled trial evaluating the efficacy of preemptive analgesia on postoperative pain relief following open carpal tunnel release. The main outcomes included immediate postoperative tourniquet site pain scores and surgical site pain scores. Forty-four patients were randomized to either the experimental or control groups. Patients in the experimental group had significantly lower postoperative tourniquet site pain scores than the placebo group. While those in the experimental group reported lower surgical site pain scores after one, six, 12, and 18 hours, the differences were not considered to be clinically significant.
Read the abstract… |
| |
|
|
|
| |
| Study: Does Full-endoscopic Spine Surgery Reduce the Risk of Surgical Site Infection?
A propensity score-matched cohort study in the Spine Journal assessed the rate of surgical site infections (SSIs) in patients undergoing full-endoscopic spine surgery (FESS) and compared it with a non-endoscopic cohort identified through the National Surgical Quality Improvement Program (NSQIP) database. Overall, 1,277 FESS cases were matched and compared against 55,882 non-endoscopic patients from the NSQIP database. Endoscopic patients in the non-propensity-matched dataset had a significantly higher incidence of medical comorbidities. The rates of SSI for non- and full-endoscopic patients in the propensity-matched cohorts were 11 percent and 0.001 percent, respectively.
Read the abstract… |
| |
|
|
|
| |
| AAOS Now
Plan Your Adventure by Downloading the Robust AAOS Annual Meeting Mobile App
The Annual Meeting Mobile App is your go-to resource for planning a customized AAOS 2023 experience. Along with easy access to the program schedule, the app allows you to build your custom agenda and choose your ideal learning path by adding educational programs, Exhibit Hall activities, and must-see exhibitors to your schedule. The Connect feature allows you to build your professional network and contact faculty and attendees across all specialties.
Read more… |
| |
|
|
|
| |
| Your AAOS
New Hands-on Surgical Skills Course from AAOS and ASSH Happening in April
On April 14 and 15, AAOS and the American Society for Surgery of the Hand (ASSH) will present a brand-new course, titled “Wrist and Elbow Arthroscopic and Open Procedures: Techniques and Innovations,” led by Julie E. Adams, MD, FAAOS, and Dawn LaPorte, MD, FAAOS. This hands-on surgical skills course will take place in the state-of-the-art OLC Education & Conference Center cadaver lab in Rosemont, Ill., delivering cutting-edge approaches and novel techniques for treating a variety of wrist and elbow conditions. Practice open and arthroscopic procedures, explore controversies, participate in dynamic lectures, debates, and panels, and network with peers and renowned faculty. Early-bird savings end Feb. 14.
Register now… |
| |
|
