January 13, 2021 | Today’s News

AAOS Condemns U.S. Capitol Attack and Suspends Political Contributions to Evaluate Strategy

In a message sent Tuesday, Jan. 12 to members, AAOS President Joseph A. Bosco III, MD, FAAOS, said that AAOS condemns last Wednesday’s attack on the U.S. Capitol, which transcends politics and cannot be ignored. The nonpartisan Political Action Committee of the American Association of Orthopaedic Surgeons (OrthoPAC) has suspended all political contributions to allow time to evaluate its strategy going forward. The PAC Executive Committee is also meeting within the week to review the criteria for political giving, which has always supported candidates for federal office who align with orthopaedic issues. Dr. Bosco noted that even prior to last week, the OrthoPAC was in the midst of becoming more inclusive and politically diverse and will continuously evolve to maintain its effectiveness and to safeguard AAOS values.

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Study Assesses Impact of Tibial Tunnel Placement One Year After Medial Meniscus Posterior Root Repair

A study published online in Knee Surgery, Sports Traumatology, Arthroscopy found that accurate tibial tunnel placement was associated with significantly improved meniscal healing and clinical outcomes one year after medial meniscus posterior root repair. A total of 62 patients (64 medial meniscus posterior root tears) underwent evaluation. All patients had undergone pullout repairs and second-look arthroscopies. The mean meniscal healing score, on a 10-point scale, was 6.7. All clinical outcomes improved significantly from baseline to one year postoperatively. The absolute distance between the medial meniscus posterior root attachment center and the tibial tunnel center was negatively correlated with the meniscal healing score.

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A study published in the January issue of the Journal of the AAOS: Global Research & Reviews ® found that the use of orthobiologics is popular and likely increasing among sports medicine physicians. A survey was sent to members of the American Orthopaedic Society for Sports Medicine pertaining to their usage, motivation for use, and perceived efficacy of leukocyte-rich platelet-rich plasma (PRP), leukocyte-poor PRP (PRP-LP), bone marrow aspirate concentrate, amniotic membrane products, adipose–derived mesenchymal stromal cells, and umbilical cord–derived cells. A total of 165 members responded; 66.1 percent said they used at least one orthobiologic in their practice. The most commonly used orthobiologic was PRP-LP.

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A retrospective study published in the January issue of Arthroscopy compared periportal capsulotomy versus interportal capsulotomy at a minimum of two years after hip arthroscopy. Patients treated between July 2015 and October 2017 were assessed. In patient pathology with limited adequate exposure by periportal capsulotomy, interportal capsulotomy was the chosen technique. Correlations between capsular management approaches and two-year Hip Outcome Score, 12-item International Hip Outcome Tool, visual analog scale for pain, and patient satisfaction were assessed. All patient-reported outcomes significantly improved in both groups.

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A retrospective study published in the December 2020 issue of The Journal of Arthroplasty evaluated outcomes for early discharge patients following total hip arthroplasty (THA) and total knee arthroplasty (TKA). THA and TKA patients identified from the American College of Surgeons National Surgical Quality Improvement Program registry database were stratified by hospital length of stay (LOS): same-day discharge (LOS = zero days), accelerated discharge (LOS = one day), and routine discharge (LOS = two to three days). Final analysis consisted of 124,150 THA patients and 209,062 TKA patients. Same-day THA and TKA patients had low rates of superficial surgical site infection (SSI), deep/organ space SSI, deep vein thrombosis, and pulmonary embolism.

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According to a study published online in the European Spine Journal, bisphosphonates were not correlated with postoperative complications after posterior lumbar fusion (PLF) in patients with or without osteoporosis. Patients who underwent PLF identified in the PearlDiver Patient Record Database were stratified into three groups: osteoporosis plus bisphosphonate usage, osteoporosis without bisphosphonate usage, and no osteoporosis without bisphosphonate usage. Rates of revision surgery at six months and one year, instrumentation complications, and postvertebral fractures did not differ between patients taking versus not taking bisphosphonates nor between patients with versus without osteoporosis.

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Study Using AJRR Data Observes the Most Common Surgical Treatments for Femoral Neck Fracture

In a study that utilized data from the American Joint Replacement Registry (AJRR) and was presented as part of the 30th American Association of Hip and Knee Surgeons Annual Meeting, researchers observed that the most common surgical treatment for femoral neck fracture was cementless stem fixation and hemiarthroplasty.

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