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| Today’s Top Story
Study: Immediate Weight-bearing Rehabilitation after Both-bone Forearm Fracture Plate Osteosynthesis
A retrospective study published in the August 1 issue of the Journal of the AAOS ® found that immediate weight-bearing (WB) rehabilitation after both-bone forearm fracture plate osteosynthesis was safe and associated with low nonunion and complication. In total, 213 patients were followed for six months or to fracture union, including 67 percent (n = 142) with lower-extremity WB restrictions (polytrauma group). Among the entire population, 11 complications (6 percent) occurred (two nonunions, four hardware failures, and five infections). Complications were comparable in the isolated and polytrauma groups.
Read the abstract… |
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| In Other News
Study Assesses Racial Disparities in Aseptic versus Septic Revision TKA
Black patients are at greater risk of aseptic revision total knee arthroplasty (TKA) compared to white patients, according to a study published online in JAMA Network Open. Risk of septic revision was “modestly” higher in Black patients compared to white patients; however, medical comorbidities and surgical complications after index TKA were stronger risk factors. Statewide databases from N.Y., Calif., and Fla. were used to identify 722,492 patients who underwent TKA, including 61,092 Black patients (8.46 percent). The volume of annual TKAs at the hospital was significantly associated with both aseptic and septic revision risk.
Read the study… |
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| Study: Poor Outcomes of Posterior Glenoid Bone Block Augmentation for Recurrent Shoulder Instability
A systematic review published online in Arthroscopy found high failure rates and poor outcomes associated with posterior glenoid bone block augmentation for recurrent posterior shoulder instability. Seventeen studies (n = 269 shoulders) were assessed. Four of eight studies with pre- and postoperative patient-reported outcomes found significant postoperative improvements. The authors noted high rates of recurrent instability (range, 0.0–73.0 percent) and revision procedures (0.0–67.7 percent).
Read the abstract… |
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| Study: Intramedullary Nailing for Intertrochanteric Fractures with Lateral Femoral Wall Fracture
Comminution extent, poor reduction quality, and loss of medial support were found to increase the risk of implant failure after intramedullary nail fixation of intertrochanteric fractures with lateral femoral wall (LFW) fractures, according to a retrospective study published online in Injury. In total, 130 fractures treated over a 13-year period were assessed. Mechanical failure occurred in 10 patients (7.69 percent). Multivariable regression analysis found that poor reduction quality and loss of medial support were independent risk factors of implant failure.
Read the abstract… |
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| Study: Invasiveness, Morbidity of Spinal Deformity Surgery versus Other Major Procedures
A study published online in The Spine Journal found that adult spinal deformity (ASD) surgery is associated with significantly higher Surgical Invasiveness and Morbidity Score (SIMS) compared to 17 other major procedures (including coronary artery bypass grafting, pancreatectomy, and esophagectomy). Investigators combined perioperative factors (operative time, transfusions, ventilation, complications) and the validated Postoperative Morbidity Survey to create the SIMS. Overall, 1,245,282 surgical patients (ASD surgery, n = 4,656) were evaluated from a prospective registry. ASD surgery ranked fourth in SIMS, with a significantly greater score than 13 of 17 other procedures.
Read the abstract… |
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| AAOS Now
39,000 Reasons to Come to San Diego
AAOS President Daniel K. Guy, MD, FAAOS, looks forward to the return to an in-person AAOS Annual Meeting in San Diego. “Our slow return to normalcy echoes Bob Dylan’s lyrics, ‘The times, they are a-changin’,” he wrote. “As we emerge from COVID-19’s forced hibernation and embrace a sure sense of optimism, our 39,000 members will continue our annual tradition of education and collegiality in San Diego. The times, well, they are a-changin’, and that offers us 39,000 great reasons to come to San Diego.”
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