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| Today’s Top Story
Leadership Update: Tragedy in Tulsa
In a message to AAOS membership, AAOS President Felix H. “Buddy” Savoie III, MD, FAAOS, responded to the tragic shooting that took place Wednesday at an orthopaedic clinic in Tulsa, Okla. “We are heartbroken to learn of the death of our friend and colleague Preston J. Phillips, MD, FAAOS, along with his colleague, Stephanie Husen, DO, administrative staff member Amanda Glenn, and patient William Love,” Dr. Savoie wrote. “We offer condolences to their families, patients, hospital staff, and the entire Tulsa community. What’s more, we remain steadfast in our resolve to ensure our practices and orthopaedic healthcare centers remain places of comfort, healing and learning. Workplace violence is unfathomable and unacceptable, and it must be stopped.”
Read Dr. Savoie’s message…
Read “Tragedy in Tulsa: Gunman Kills Four at Orthopaedic Surgery Office”… |
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| In Other News
Systematic Review Finds Limited Benefit of Biologic Therapies for Knee Osteoarthritis
A systematic review published online in The Journal of Arthroplasty reported that biologic therapies, or “orthobiologics,” for knee osteoarthritis remain nonsuperior to comparative treatments. Eighty-two studies were included, and the following orthobiologics were assessed: platelet-rich plasma (PRP); bone marrow-derived mesenchymal stem cells; adipose-derived mesenchymal stem cells; and amniotic-derived mesenchymal stem cells. PRP was evaluated in 51 studies. The authors reported variable cell preparations and formulations for PRP, as well as inconsistent patient-reported measures and structural change evaluations.
Read the abstract… |
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| Study: Risk Tool Identifies Predictors of Surgery after Initial Proximal Humerus Fracture Treatment
A novel risk tool demonstrated a good-to-strong discriminative ability to predict subsequent surgery within two years after fixation, shoulder replacement, or conservative management of proximal humerus fracture, according to a study published online in the Journal of Orthopaedic Trauma. The study included 20,897 patients aged ≥50 years. Bone grafting and nail/wire fixation (versus plate fixation) were predictive of subsequent surgery in the fixation group, and poor bone quality was associated with reoperation after shoulder replacement. Greater comorbidities were associated with higher odds of subsequent surgery in the conservative group, although being aged >70 years or discharged to home were associated with lower odds.
Read the abstract… |
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| Study: Musculoskeletal Pain Impacts Daily Life in Patients with Osteogenesis Imperfecta
A study published online in BMC Musculoskeletal Disorders found a high prevalence of musculoskeletal pain in adults with Osteogenesis Imperfecta (OI), which impacted physical function and emotional wellbeing. Fifty patients treated at a single clinic were included. Eighty-four percent reported musculoskeletal pain, lasting for longer than one year in more than half of patients. Pain was most frequently reported in the spine (46 percent). Forty-five percent reported moderate to severe mobility issues, and more than half of these patients had problems with self-care and daily activities.
Read the study… |
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| Study: High Negative Predictive Value of Dynamic Radiographs after ACDF for Predicting Pseudoarthrosis Revision
Following anterior cervical diskectomy and fusion (ACDF), dynamic cervical spine radiographs demonstrated a 99.6 percent negative predictive value in identifying the need for pseudoarthrosis revision but a 13.7 percent positive predictive value compared with CT scans, according to a retrospective study published online in The Spine Journal. Of 597 patients, 36.0 percent were diagnosed with a pseudoarthrosis on dynamic radiograph and 4.9 percent required pseudoarthrosis revision. One-year postoperative Neck Disability Index and Visual Analog Scale scores were similar between patients with pseudoarthrosis who did not require revision and those without pseudoarthrosis.
Read the abstract… |
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| AAOS Now
Breaking ‘Bad’: A Practical Guide for Communicating Bad News
The body of work on breaking bad medical news is primarily based on cancer diagnoses and is associated with an alphabet soup of algorithms. An approach that is suited to surgical problems is needed. This article focuses on the issues surrounding communicating bad news and bad outcomes to surgical patients, how these discussions impact care outcomes, and how orthopaedic surgeons can successfully navigate these conversations.
Read more… |
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| Your AAOS
AAOS 2023 Paper and Poster Abstract Deadline Extended through June 6
Share your hard-earned research results and expertise with the orthopaedic community at AAOS 2023 in Las Vegas, March 7 to 11. Paper and poster abstract submissions are open until Monday, June 6, 11:59 pm CT. Orthopaedic Video Theater abstracts are also being accepted through July 15.
Learn more and submit abstracts… |
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