Today’s Top Story

Study Assesses Effect of Anxiety and Depression on RCR Outcomes

A study published online in The American Journal of Sports Medicine evaluated the association between anxiety and depression, per the Hospital Anxiety and Depression Scale (HADS), and arthroscopic rotator cuff repair (RCR) outcomes. Patients were stratified into two groups: healthy psychological status (HADS anxiety ≤ 7 and depression ≤ 7, group A, n = 103) and psychological distress (anxiety ≥ 8 or depression ≥ 8, group B, n = 41). Group A, compared to group B, had a significantly lower mean visual analog scale (VAS) score for pain and significantly better range of motion outcomes at three months; however, at final follow-up, clinical and functional outcomes did not largely differ between the groups.

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In Other News

Study: Does Opiate Amount Influence Trauma Patients’ Perception of Pain Control, Hospital Rating?

A study published online in the Journal of the AAOS ® assessed the effect, if any, of opiate amount on orthopaedic trauma patients’ perception of pain control and overall hospital rating. A total of 152 patients were retrospectively reviewed. Correlations were observed between longer duration outpatient prescriptions and lower rating on how often inpatient pain was controlled, lower total morphine milligram equivalents (MME) inpatient and higher hospital ratings, lower average daily MME inpatient and lower hospital ratings, and shorter outpatient prescription duration and lower hospital ratings. Patient perception of pain control was significantly correlated with overall hospital ratings.

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Study Evaluates Racial Disparities in Use of Surgical Procedures

A study published online in JAMA Surgery assessed whether national initiatives have improved racial disparities in the use of surgical procedures. Researchers included data on major inpatient surgical procedures performed between 2012 and 2017, including spinal fusion, total hip arthroplasty (THA), and total knee arthroplasty (TKA). In 2012, the incidence rate of TKA for white males was 184.8 per 100,000 persons compared to 79.8 for Black males; in 2017, the rates were 220.5 and 95.6, respectively. The gap between white and Black patients narrowed for male and female spinal fusion patients but widened for THA and TKA.

Rad the abstract…

 
 
 
Study: Suture Button Versus Conventional Screw Fixation for Isolated Lisfranc Ligament Fixation

A retrospective study published online in Foot & Ankle International compared outcomes for isolated Lisfranc ligament fixation performed using suture button versus conventional screw fixation. Patients were stratified by treatment method: conventional screw (n = 32) versus suture button (n = 31). Clinical and radiologic outcomes were assessed preoperatively and at six months, one year, and final follow-up. At six months, American Orthopaedic Foot & Ankle Society midfoot scale and VAS scores were better in the suture button group, but by one year and final follow-up, the groups did not largely differ.

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Study Surveys Rural Upper-extremity Patients on Social Media Use, Telemedicine Willingness

A study published online in The Journal of Hand Surgery examined how rural upper-extremity patients use social media in terms of health care and their willingness to take part in telemedicine. A total of 412 patients from four rural outreach clinics filled out surveys, of whom 225 said they used social media. Twenty percent of patients did not have home internet access. Factors independently associated with social media use were age, female sex, and home internet access. Among the whole cohort, 42 percent of patients were interested in telemedicine; social media users were much more likely than nonusers to be willing to try telemedicine.

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AAOS Now

Orthopaedic Intervention after Hip Fragility Fractures Yields Successful Treatment for Underlying Osteoporosis

A study of patients with hip fractures found that three-quarters of those enrolled in an intervention for osteoporosis management were on the correct treatment four months after hip fracture versus just 6 percent who were assigned to a control group. The study, presented by Gershon Zinger, MD, MS, of Shaare Zedek Medical Center in Jerusalem, Israel, as part of the AAOS Annual Meeting Virtual Experience, involved 180 patients with hip fractures who were randomized into one of two levels of evaluation and treatment.

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Your AAOS

Volunteers Needed to Review AAOS CPG on the Use of Multimodal Perioperative Pharmacologic Pain Management

AAOS and Johns Hopkins University are finalizing the Use of Multimodal Perioperative Pharmacologic Pain Management Clinical Practice Guideline (CPG) and are currently seeking volunteers to peer review the CPG prior to its publication. The deadline to volunteer is Feb. 5.

Learn more and submit your application…