Today’s Top Story

FDA Warns Providers of Potential Biocompatibility Concerns with Precice Devices

On July 8, the FDA posted a Letter to Health Care Providers regarding potential biocompatibility concerns associated with NuVasive Specialized Orthopedics’ Precice devices made from stainless steel and titanium. The letter included recommendations for monitoring. The FDA recommends that providers stop implanting any new stainless steel-based Precice devices. For titanium-based devices, the FDA notes providers should be aware that NuVasive has initiated a voluntary recall and that recommendations provided by the manufacturer should be followed. The Agency is working with NuVasive to perform additional biocompatibility testing on materials used for these devices and will continue appropriate follow-up monitoring for patients.

Read the full letter here…

In Other News

Study: Complications after Spinal versus General Anesthesia during Revision THA

A study published in the July 1 issue of the Journal of the AAOS ® found spinal anesthesia during revision total hip arthroplasty (THA) was associated with reduced surgical time (174.8 minutes versus 161.3 minutes), perioperative blood loss (1,802.2 mL versus 1,684.2 mL), and risk of complications compared to general anesthesia. This analysis included 265 patients each who received spinal or general anesthesia. General anesthesia was associated with increased risk of two or more in-hospital complications and increased length of stay compared to those treated with spinal anesthesia.

Read the abstract…

Study: Systematic Review of Trends in Pain and Function after TKA

A systematic review of recovery after total knee arthroplasty (TKA) published online in The Journal of Arthroplasty found “rapid but incomplete” recovery during the first year postoperatively and continued functional improvements after 10 years. The analysis included 191 prospective studies (n = 59,667). Mean pain scores were 64.0 preoperatively, 24.1 at three months, 20.5 at six months, 16.9 at one year, and remained low at 10 years. Mean function scores were 47.1 preoperatively, 72.8 at three months, 76.3 at six months, 78.1 at one year, and 79.7 at 10 years.

Read the abstract…

Study: Pain Differences between First and Second Operation in Bilateral Shoulder Surgery

Patients who undergo bilateral shoulder surgery experienced increased pain in the first three months following their first surgery compared to the second surgery, according to a study published online in the Journal of Shoulder and Elbow Surgery. In total, 210 surgery (n = 105) were assessed. Visual analog scores (VAS) for pain reduced significantly pre- to postoperatively (5.9 to 1.7). Differences between VAS scores after the first and second surgery were significant at two weeks, six weeks, and three months, but were comparable after six months.

Read the abstract…

Study: Posterior Arthroscopic Subtalar Arthrodesis for Medial Facet Talocalcaneal Coalition

Posterior arthroscopic subtalar arthrodesis for symptomatic medial facet talocalcaneal coalition was found to be safe, and improvement was maintained after a mean of two years, according to a study published online in Foot & Ankle International. Eight patients were included in the analysis, including six who reported being “very satisfied” at follow-up. All patients achieved fusion of the subtalar joint by 12 weeks, with no cases of delayed fusion or nonunion, infection, neurovascular damage, thromboembolic event, or hardware-related complications.

Read the abstract…


COVID-19 Pandemic Causes Unique Stressors Among Athletes

The COVID-19 pandemic has dramatically impacted the sports landscape, upending athletes’ routines and highlighting the importance of maintaining a healthy mindset. As athletes navigate a “new normal,” concerns about players’ mental well-being, which is often overlooked, is growing. In this article, the authors outline how orthopaedic surgeons can identify psychological decline and strategically solve seemingly esoteric concerns about athletes’ internal lives.

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AAOS Volunteer Opportunity

Apply for AAOS Now Editor-in-Chief Position

AAOS is calling for applications for the editor-in-chief position of AAOS Now, the Academy’s official monthly news magazine and the profession’s leading non–peer-reviewed publication. The editor-in-chief is responsible for the editorial direction for AAOS Now and the complementary publications Headline News Now and the Annual Meeting Daily Edition of AAOS Now. The editor-in-chief also serves as chair of the AAOS Now Editorial Board. The application deadline is July 16.

Read more and apply…