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| Today’s Top Story
Study Examines Risk Factors and Outcomes of Chronic Opioid Use after Hip Fracture in Patients Aged >65 Years
A retrospective study in the Journal of the AAOS ® investigated the risk factors for prolonged opioid use after surgery in patients aged >65 years with hip fractures, as well as the effects of prolonged use on mortality and readmission rates. Overall, 322 patients were included in the analysis. Patients on antidepressants and those with prior opioid prescriptions were more likely to continue opioids after six months, and antidepressant use was a risk factor for readmission within 90 days. A history of opioid exposure was a predictor of mortality within six months.
Read the abstract… |
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| In Other News
Study Compares Outcomes of ACLR in Patients with and without Concomitant MCL Injury
Sports Health published a case-control study comparing the outcomes of ACL reconstruction (ACLR) patients with a concomitant medial collateral ligament (MCL) injury against those without an MCL injury. The outcomes measured were return to preinjury level of sport, muscle function tests, and patient-reported outcomes (PROs). Thirty patients comprised the ACL/MCL injury group and were matched with 90 patients without MCL injury. While there was no difference observed between groups regarding muscle function tests or PROs, patients in the ACL/MCL injury group were significantly less likely to reach to preinjury levels of sport.
Read the abstract… |
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| Study Assesses Outcomes of Osteochondritis Dissecans Lesions of the Capitellum Treated with Arthroscopy
A study in the Journal of Shoulder and Elbow Surgery found a 12 percent failure rate in patients who underwent elbow arthroscopy for osteochondritis dissecans (OCD) of the capitellum. Patient-reported outcomes and a return-to-play questionnaire were collected from 90 patients. Average American Shoulder and Elbow Surgeons–Elbow pain and function scores were 4.0 and 34.5, respectively. In overhead athletes, the average Kerlan-Jobe Orthopaedic Clinic Shoulder and Elbow Score was 83.5. Eighty-one patients who played sports at the time of surgery were able to return to play.
Read the abstract… |
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| Systematic Review Charts Complications following Ankle Arthroscopy
A systematic review consisting of 150 studies, 7,942 ankle arthroscopy cases, and 7,777 patients assessed the range and frequency of complications following ankle arthroscopy. The study was published in the Bone & Joint Journal. The pooled overall complication rate was 4.09 percent. The most common complication was neurological injury (55.4 percent). Anterior and posterior ankle arthroscopy complication rates were 435 percent and 6.6 percent, respectively. The overall rate of major complications was low, at 0.2 percent.
Read the abstract… |
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| Study: Clinical Characteristics of MSSA versus MRSA Osteomyelitis in Pediatric Patients
According to a retrospective study of 64 patients in the Journal of Orthopaedic Surgery and Research, pediatric patients with acute osteomyelitis caused by methicillin-resistant Staphylococcus aureus (MRSA) were at a greater risk of high fever and markedly elevated white blood cell counts. The clinical manifestations, number of operations, length of stay (LOS), inflammatory indicators, and concurrent arthritis were compared with pediatric patients with acute osteomyelitis methicillin-sensitive Staphylococcus aureus (MSSA). Patients in the MRSA infection group also had shorter lengths of progression from onset to hospital admission, required more surgeries, and had longer LOS.
Read the abstract… |
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| AAOS Now
New Year, New Congress, New Priorities
The 118th Congress was recently sworn into office following another contentious election. As members are settling in and beginning to work on their policy priorities, the AAOS Office of Government Relations stands ready to advance AAOS’ goals on behalf of the musculoskeletal community. This article provides an overview of some of AAOS’ advocacy priorities for 2023 and for this new Congress.
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| Your AAOS
Wrist and Elbow Hands-on Surgical Skills Course from AAOS and ASSH
On April 14 and 15, AAOS and the American Society for Surgery of the Hand (ASSH) will present a brand-new course, titled “Wrist and Elbow Arthroscopic and Open Procedures: Techniques and Innovations,” led by Julie E. Adams, MD, FAAOS, and Dawn LaPorte, MD, FAAOS. This hands-on surgical skills course will take place in the state-of-the-art OLC Education & Conference Center cadaver lab, delivering cutting-edge approaches and novel techniques for treating a variety of wrist and elbow conditions. Practice open and arthroscopic procedures, explore controversies, participate in dynamic lectures, debates, and panels, and network with peers and renowned faculty.
Register now… |
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