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| Today’s Top Story
Experience World-class Education, Innovation, and Collaboration in Las Vegas
Time is running out to sign up for the AAOS 2023 Annual Meeting at Advance Registration rates. Secure up to $150 in savings on the must-attend orthopaedic live education experience of the year through Jan. 27. Explore the full lineup of sessions, specialty society programming, exhibits, and networking opportunities, and secure your spot today.
Learn more and lock in Advance Registration savings… |
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| In Other News
Retrospective Study Assesses Risk Factors for Allogeneic Blood Transfusion in THA Patients
A retrospective study in the Journal of Orthopaedic Surgery and Research assessed the incidence of and risk factors for allogeneic blood transfusion in patients with ankylosing spondylitis (AS) undergoing total hip arthroplasty (THA). Of the 331 AS patients included in the study, 34.1 percent received perioperative allogeneic blood transfusions. Prolonged operation duration, increased intraoperative blood loss, and postoperative drainage volumes were factors associated with receiving allogeneic blood transfusion. Factors associated with a decreased risk of transfusion were higher BMI, perioperative tranexamic acid use, and preoperative hemoglobin levels.
Read the study… |
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| Study Finds Comparable Rates of Subsequent Surgery after Osteochondral Allograft versus Autograft
Patients undergoing osteochondral allograft transplant (OCA) or osteochondral autograft transfer (OAT) had relatively high rates of secondary surgery, which increased over a period of five years, according to a retrospective study in the Orthopaedic Journal of Sports Medicine. Overall, 1,631 OCA and 967 OAT patients were identified from the PearlDiver Mariner administrative database. The rate of subsequent knee surgery for OCA and OAT patients was 239 percent and 21.9 percent, respectively. The five-year Kaplan-Meier survival curves, which compared operation-free survival, demonstrated no significant differences between groups.
Read the study… |
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| Prognostic Study: Are Preoperative Patient-reported Outcomes Predictors of Improvement after Ligament Reconstruction Tendon Interposition?
To evaluate the prognostic value of preoperative patient-reported outcomes as predictors of functional improvement after ligament reconstruction tendon interposition, a prognostic study collected Disabilities of the Arm, Shoulder, and Hand (QuickDASH) and Upper Extremity Computer Adaptive Test (UECAT) scores from 93 patients pre- and >1 year postsurgery. The study was published in the Journal of Hand Surgery. QuickDASH and UECAT scores improved by a mean of 24.5 and 9.9 points, respectively. Greater preoperative QuickDASH and lower preoperative pain interference (PI) scores were associated with greater QuickDASH improvement. Lower preoperative UECAT and lower preoperative PI were associated with greater UECAT improvement.
Read the abstract… |
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| Registry Analysis: Preoperative Frailty Is Associated with Adverse Discharge Outcomes following Spinal Deformity Surgery
An analysis of a prospective surgical registry published in the Spine Journal evaluated the discriminatory accuracy of preoperative frailty for predicting postoperative morbidity in patients undergoing spinal deformity surgery. The relationship between increasing preoperative Risk Analysis Index (RAI) frailty scores and the increasing rate of adverse discharge outcomes (e.g., discharge to non-home, non-rehabilitation nursing, or chronic care facility) was assessed in 3,104 patients. The rate of discharge to facility was 14 percent. Significant increases in adverse discharge outcomes were observed in patients with increased RAI scores.
Read the abstract… |
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| AAOS Now
OVT Video Details Posterolateral Approach for Trimalleolar Ankle Fracture
Alexandra E. Page, MD, FAAOS, reviews an Orthopaedic Video Theater (OVT) selection showcasing the treatment of a trimalleolar fracture, including details of the posterolateral approach to the posterior and lateral malleoli. “The 10-minute, award-winning video provides a resource for both the surgeon-in-training and the established surgeon who may be less familiar with this approach,” Dr. Page wrote, adding that “the authors address pertinent decision making, starting with the importance of conversion of hot to cold trauma by placement of a temporizing external fixator.”
Read more… |
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