Today’s Top Story

Study Assesses Return to Sport Following Distal Biceps Tendon Repair

A study published online in the Journal of Shoulder and Elbow Surgery assessed return to sport following distal biceps tendon repair in 61 patients. Patients were surveyed regarding self-reported pre-injury and current activity levels after an average follow-up of 38.7 months. Most patients (93.4 percent) returned to sport after a mean 6 ± 2.8 months. Forty patients (65.6 percent) returned at the same or higher intensity. Days between injury and surgery, and suture fixation type were associated with likelihood to return to sport at pre-injury level. Dominant side injury was associated with increased duration to return to sport.

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In Other News

Study: Technology Associated with Highest Tibial Baseplate Rotational Alignment in TKA

A systematic review published online in Knee Surgery, Sports Traumatology, Arthroscopy evaluated whether patient-specific instrumentation (PSI) or computer-assisted surgery (CAS) were associated with more accurate tibial baseplate rotational alignment in primary total knee arthroplasty (TKA) compared to conventional instruments. Fifteen studies, comprising 2,925 knees, were included (PSI, n = 6; CAS, n = 9). Fewer rotational alignment deviations were identified in surgeries using PSI and CAS compared to conventional instrumentation (PSI, 0.5—1.4 degrees versus 1—1.6 degrees; CAS, 0.1—6.9 degrees versus 1.1—7.8 degrees).

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Study Compares Hospital Versus Surgeon Reimbursement for Revision THA

A study published online in The Journal of Arthroplasty calculated hospital compared to surgeon charges and payments for revision total hip arthroplasty (THA) in a Medicare population. The study included 4,449 patients who underwent aseptic revision between 2004 and 2014. The ratio of hospital to surgeon charges increased by 39 percent during the study period, including a 109 percent increase for stage 1 revision. Stage 2 revision charges did not significantly increase. The ratio of payment between hospitals and surgeons increased by 103 percent (stage 1, 107 percent; stage 2, 9.7 percent).

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Study: Operative Nonunion in PLF versus ALIF with Pedicle Screws

A retrospective study published online in The Spine Journal compared operative nonunion rates between posterolateral lumbar fusions (PLF) with pedicle screws (PS) compared to anterior lumbar interbody fusions (ALIF) plus PS. In total, 2,061 patients treated for lumbar spondylolisthesis or spinal stenosis between 2009—2018 were followed for an average of 4.8 years. The mean time to nonunion was 1.3 ± 1.2 years. Incidence rates were higher for PLF compared to the ALIF cohort (1-level nonunion, 0.9 percent versus 0.6 percent; 2-level nonunion, 2 percent versus 0.9 percent). There were no significant differences in risk of nonunion between groups.

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Study: Internet Habits of Orthopaedic Patients Researching Their Injuries

A study published online in Injury surveyed internet habits of 138 orthopaedic trauma patients researching their injuries. Most patients (94.1 percent) had internet access. Only 55.8 percent reported using the internet for information about their injuries, of which 64.5 percent used at least one unreliable source, such as Wikipedia or social media. WebMD was the most used website (54.8 percent). Younger patients were more likely than older patients to use the internet to look up their injuries, as well as patients who had at least a high school diploma and/or used the internet daily.

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AAOS Now

High Recurrence after Surgery Highlights Unmet Treatment Need for Tenosynovial Giant Cell Tumors

Tenosynovial giant cell tumors (TGCT) are rare, locally aggressive, typically benign neoplasms of joints, bursae, and tendon sheaths. There is currently no consensus regarding best standard of care for the treatment of TGCT, especially for patients with widely diffuse or recurrent disease. Despite various treatment options, patients with diffuse TGCT have a high risk of recurrence, progression, and disability. A study published in the Journal of the AAOS: Global Research & Reviews ® assessed recent evidence of treatment strategies for TGCT and found that patients undergoing surgical treatment have a high risk of recurrence.

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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 vast 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…