Today’s Top Story

Study: Walking Distance after Hip Fracture Surgery Associated with Complication Risk

A study published in the March 1 issue of the Journal of the AAOS ® evaluated whether postoperative mobilization is associated with complications after hip fracture surgery in older patients. In total, 163 patients aged at least 65 years who underwent surgery between 2015 and 2017 were included. Walking at least five feet within 72 hours of the operation was associated with decreased postoperative complication rates compared to those who walked a shorter distance (31 percent versus 77 percent). Walking at least five feet was also associated with decreased risk of myocardial infarction, pneumonia, intensive care admission, and death or hospice transfer.

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In Other News

Study Identifies Risk Factors for Revision ACL Repair

A study published online in Knee Surgery, Sports Traumatology, Arthroscopy identified risk factors for revision ACL reconstruction (ACLR) within two years of primary ACLR. A total of 6,510 patients who underwent ACLR between 2005 and 2017 were included, with an overall revision rate of 2.5 percent at two years. Factors associated with increased odds of revision surgery included age younger than 25 years, time between injury to surgery of less than 12 months, and six-month quadriceps strength limb symmetry index of ≥ 90.

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Study: Association of Academic Publications with Payments and Funding for Arthroplasty Surgeons

A study published online in The Journal of Arthroplasty assessed the relationship between academic influence, industry payments, and National Institutes of Health (NIH) funding among adult arthroplasty surgeons. Surgeons were identified via American orthopaedic residency programs during 2019 to 2020, and academic influence was defined via h-index and number of publications. Surgeons receiving industry research payments and NIH grants had higher mean h-indices (industry, 16.1 versus 10.2; NIH, 48.1 versus 10.4) and more average publications (industry, 79.1 versus 35.9; NIH, 294.5 versus 36.8) compared to surgeons who did not receive this financing. No such associations were found in industry nonresearch funding.

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Study: Open Versus Closed Reduction for Pediatric Type III Supracondylar Fracture Repair

A study published online in Injury compared open versus closed reduction fixation of type III supracondylar fractures in children. Fifty-five patients (open, n = 26; closed, n = 29) were followed between one and seven years postoperatively No major complications occurred. Good outcomes were reported in all patients who received open reduction surgery and in 23 patients who underwent closed reduction surgery. More patients in the open reduction group presented normal angle values compared to the closed reduction group. Three of six patients with unsatisfactory outcomes in the closed reduction group presented with angles not in range.

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Study Evaluates Midfoot Motion and Power before and after TAA

A study published online in Foot & Ankle International assessed midfoot motion and power during walking before and after total ankle arthroplasty (TAA). Nineteen patients treated with TAA for end-stage ankle arthritis were compared to 19 control subjects. Sagittal and transverse plane first metatarsal and lateral forefoot motion and power were measured using a motion capture and force plate system. Involved-limb midfoot function was similar preoperatively compared to six months postoperatively, although some decreases in postoperative forefoot motion and positive peak power generation were noted.

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AAOS Now

Multishade Bandages Now Available for All Orthopaedic Patients

Tru-Colour has created a paradigm shift for colors and shapes of bandages. Their irregular shapes allow for range of motion on fingertips and joints. They also come in various colors to match a wide variety of skin tones, finally giving darker-skinned individuals bandage options that match their skin tones, which has made some feel like they are being seen for the first time. In this article, Raymond Wurapa, MD, FAAOS, co-owner and inventor of Tru-Colour patented bandage designs, discusses the inspiration and process behind the creation of these bandages and where the company is headed in the future.

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Your AAOS

AAOS Publishes 2020 Annual Report

The AAOS 2020 Annual Report outlines the many accomplishments of the Academy despite a year of unprecedented challenges due to the COVID-19 pandemic. After making the difficult decision to pivot the 2020 Annual Meeting to an entirely virtual experience, the Academy continued to forge ahead in providing its members with resources for patient care, practice management, continued education, and advocacy in new and exciting ways. Under the leadership of Past President Joseph A. Bosco III, MD, FAAOS, AAOS communicated regularly and transparently with its members about the changes occurring worldwide and within the field of orthopaedics. The Annual Report details many innovative, inclusive, and unique initiatives from the past year, all of which demonstrate the Academy’s dedication to the Core Values of Leading to Serve, Shaping the Future, and Excellence Together.

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