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| Today’s Top Story
Orthopaedic Surgeon Reported among the Missing in Florida Condo Collapse
An orthopaedic surgeon, Brad K. Cohen, MD, FAAOS, is presumed among those reported missing following the collapse of part of the Champlain South Towers in Surfside, Fla., the morning of June 17. A woman described in news reports as Dr. Cohen’s wife, Soraya Cohen, has appeared on television news broadcasts displaying photos of her husband as she pleaded for his successful recovery. Dr. Cohen, 51, is listed as an orthopaedic surgeon at Mt. Sinai Medical Center in North Miami, Fla., focusing on sports medicine. The public information office at Mt. Sinai did not return a call from an AAOS Now reporter by press time on Wednesday, but a representative at Dr. Cohen’s office confirmed on Monday that he is among the missing. “We are extremely saddened to hear that one of our Academy Fellows, Brad K. Cohen, MD, has been listed among the missing in the tragic building collapse in Surfside, Fla.,” AAOS President Daniel K. Guy, MD, FAAOS said. “Our thoughts are with Dr. Cohen’s family as well as those many others affected by this terrible misfortune.”
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| In Other News
Study: Factors Impacting Patient Satisfaction after Upper Extremity Procedures
A retrospective study published in the June issue of the Journal of the AAOS: Global Research & Reviews ® found that factors such as catheter peripheral brachial plexus nerve block (CC-PNB) use and geography may influence patient satisfaction after upper extremity procedures. In turn, these factors may impact reimbursement. Researchers assessed satisfaction via Press Ganey Ambulatory Surgery Total and Provider scores for 198 patients. CC-PNBs, survey administration via internet, and geographic location were associated with lower Provider scores. CC-PNBs and internet surveys were associated with lower Total scores.
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| Study: Frequency and Efficiency of Patient-reported Assessments for Patellar Instability Surgery
A systematic review published online in Knee Surgery, Sports Traumatology, Arthroscopy found that Kujala score is the most used patient-reported outcome measurement after patellar instability surgery. However, the International Knee Documentation Committee (IKDC) and Lysholm scores were found to be more efficient. The researchers analyzed 178 studies, comprising 7,122 patients. The most popular assessments were Kujala (79.2 percent), Lysholm (34.8 percent), and Tegner (30.9 percent). The Kujala assessment had higher relative efficiency compared to 10 of 14 assessments, but lower efficiency compared to IKDC and Lysholm assessments.
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| Study: Early Mobilization after THA in Patients who Are Elderly, Obese, or Have Comorbidities
A randomized study published online in The Journal of Arthroplasty found same-day mobilization after total hip arthroplasty (THA) safely improved time to readiness for discharge (TRD) in patients who are elderly, obese, or have severe comorbidity. In total, 167 patients were mobilized on day 0 (four hours postoperatively) or postoperative day 1. TRD was shorter in the day 0 group than the day 1 group (3.25 days versus 3.99 days), respectively. The rate of adverse events on the day of surgery were comparable. Three patients in the same-day group and one in the day 1 group required 90-day revision.
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| Study: CRIF with Intramedullary Nails versus ORIF with Locking Plate for Ankle Fracture
A retrospective study published online in Foot & Ankle International found comparable outcomes at three years and beyond after closed reduction–internal fixation (CRIF) with intramedullary nails (n = 94) versus open reduction–internal fixation (ORIF) with locking plate (n = 110) for unstable ankle fractures in adults. CRIF was associated with poor reduction in patients with Weber type C, pronation-type injury, and comminuted fibular and trimalleolar fractures. Compared to patients in the ORIF group, those in the CRIF group experienced fewer complications (9.5 percent versus 39.0 percent) and increased posttraumatic osteoarthritis (21.3 percent versus 9.1 percent).
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| AAOS Now
New Protocols for Evaluating Stem Cells in Orthopaedics
There are currently no FDA-approved indications for therapeutic mesenchymal stem cell (MSC) injections, but the use of MSC injections as regenerative therapy continues to grow as an area of acute interest for many clinicians and patients. In this article, Alexander R. Vaccaro, MD, PhD, MBA, FAAOS, president of the Rothman Orthopaedic Institute, describes a new study protocol crafted to add findings in a responsible way to the body of evidence surrounding this cutting-edge technology.
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| Your AAOS
The Bone Beat Podcast: Telemedicine after COVID – Conversations with Congress, Part 2
The second episode of the three-part series for AAOS’ Orthopaedic Advocacy Week focuses on maintaining flexibility for valuable telemedicine services post-pandemic. Adam S. Levin, MD, FAAOS, who helped rapidly introduce a robust telemedicine program for the Johns Hopkins Orthopaedic Department during a five-day period, interviews U.S. Representative Buddy Carter (R-Ga.) on his recently introduced Telehealth Modernization Act.
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