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| Today’s Top Story
Study: Pain Catastrophizing, Emotional Disorders Associated with TJA Outcomes
A study published online in The Journal of Arthroplasty assessed how pain catastrophizing and emotional disorders impact total joint arthroplasty (TJA) outcomes. A total of 463 patients preoperatively completed the Pain Catastrophizing Scale (PCS) and Hospital Anxiety and Depression Scale, which were compared to the visual analog scale (VAS) pain score, Oxford Knee Score, Harris Hip Score, and Knee Society Score after one year. Higher PCS scores were associated with overall lower functional scores. Depression and anxiety were associated with inferior VAS pain score and Oxford Knee Score. Patients reporting pain catastrophizing or emotional disorders showed improvement in functional scores after one year.
Read the abstract… |
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| In Other News
Study: Anemia Severity Associated with Risk of TSA Complications
A study published online in the Journal of Shoulder and Elbow Surgery evaluated effects of anemia severity on 30-day complications after primary total shoulder arthroplasty (TSA). A total of 13,921 patients were included (mild anemia, 13.9 percent; moderate/severe anemia, 4.7 percent). Patients with mild anemia were more likely to have postoperative blood transfusion, extended length of stay (LOS), and reoperation compared to those without anemia. Moderate to severe anemia increased the risk of cardiac and pulmonary complications, reoperation, and death compared to mild or no anemia. From mild to moderate/severe anemia, there was an approximately twofold increase in complication risk.
Read the abstract… |
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| Study: Suture Tape Augmentation Reduces Rates of ACL Repair Revision
A study published online in Arthroscopy measured outcomes following primary ACL repair utilizing suture tape augmentation. Twenty-nine patients who underwent primary ACL repair were followed for at least two years, and rates of revision surgery were measured. Overall, 93.1 percent of procedures were successful, with two patients (6.9 percent) requiring revision. Seventy percent of Single Assessment Numeric Evaluation scores were 80 or higher at follow-up.
Read the abstract… |
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| Study: Outcomes of Anatomic Repair Versus Closed Reduction for Treating Ankle Fracture
A study published online in Foot & Ankle International compared ankle fracture treatment with either open reduction, direct anatomic repair with screw fixation or closed syndesmotic reduction and screw fixation. Fifty patients were included, of whom 21 received anatomic repair and 29 underwent closed reduction. Anatomic repair had decreased AP displacement compared to closed reduction (07 mm versus 1.5 mm). There was no difference in postoperative functional scores, although anatomic repair was associated with higher Maryland Foot Shoe subscore (9.5 versus 8.3) and Foot and Ankle Outcome Score quality of life subscore at one year (64.1 versus 38.3).
Read the study… |
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| Study: Is Liposomal Bupivacaine Beneficial in Spine Surgery?
A systemic review published online in The Spine Journal evaluated the efficacy of injected liposomal bupivacaine (LB) for the treatment of postoperative pain following spine surgery. Ten retrospective, cohort-matched studies and randomized, controlled trials were included in the analysis, comprising 1,112 total patients. Low-quality evidence found that use of LB was associated with significantly lower use of postoperative opioids, VAS scores, numeric pain scale scores, and hospital LOS. Patients who received LB had similar odds of adverse events compared to controls. Moderate-quality evidence did not show significant improvements with use of LB.
Read the abstract… |
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| AAOS Now
A Better Understanding of Gender Identity Can Improve Transgender Patient Care
Between 0.5 percent and 1.3 percent of the U.S. population identifies as transgender. Transgender individuals need excellent orthopaedic care just as much as other patients. A better understanding of gender identity can help orthopaedic surgeons treat transgender and nonbinary patients with care and respect. In this article, Corinna Franklin, MD, FAAOS, explains the necessary terminology and offers pointers for providing gender-affirming care.
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| Your AAOS
#NameYourCurriculum Residency Program Contest Is Open Now Through March 15
As the highly anticipated resident knowledge curriculum is preparing to launch, AAOS wants input from residents and residency programs on naming this dynamic and engaging learning environment. Through the new online platform, residents will have access to an incredibly deep educational resource to meet their individual learning needs, and residency program directors will have access to customizable curriculum pathways and timely data-driven reporting. Residents, program directors, and program coordinators from Accreditation Council for Graduate Medical Education-accredited programs in the United States can submit ideas by March 15. The program that submits the selected name will be awarded an all-expenses paid trip to the AAOS 2022 Annual Meeting for up to 10 residents.
View contest details and learn about the platform… |
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