March 9, 2022 | Today’s News

Study: Increased Risk of Revision with Noncemented Hemiarthroplasty in Hip Fracture Patients Aged ≥60 Years

Noncemented hemiarthroplasty for hip fracture in older patients was associated with a higher risk of aseptic revision compared with cemented implants, according to a retrospective study published in the Journal of the AAOS ®. Of a total 12,071 patients aged ≥60 years, 55.4 percent received hemiarthroplasty with a cemented stem and the remaining patients received one of three routinely used noncemented stem designs. All noncemented stem design types were associated with a 1.5 to two times higher risk of aseptic revision compared with cemented stems

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Study: Incidence of Reoperation and Recurrent Instability after Revision RSA

Correction of instability after reverse shoulder arthroplasty (RSA) may require multiple procedures, and some patients may experience persistent instability, according to a retrospective study in the Journal of Shoulder and Elbow Surgery. Among fifty patients with post-RSA instability, 80 percent required revision, and 20 percent were treated successfully with closed reduction, with similar functional outcomes between treatment groups at a mean follow-up of 63.7 months. Thirty-five percent of the revision group underwent additional revision for recurrent instability, and seven patients (14 percent) never achieved stability after index instability event.

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Distraction arthroplasty plus lateral meniscal allograft transplantation combined with cartilage repair in active patients with advanced osteoarthritis (OA) led to a 100 percent rate of return to sports or work at a mean follow-up of 37.1 months, according to a study published online in Knee Surgery, Sports Traumatology, Arthroscopy. Twenty-one patients were included. There were significant improvements in all functional assessments and radiographic joint space width. The authors noted that 67 percent and 90.5 percent of patients returned to their desired preoperative level of sports or work intensity, respectively.

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An in vitro study published online in the Journal of Hand Surgery found that a combination of suture and fibrin glue for upper extremity peripheral nerve coaptations may be useful for nerve repair in the early postoperative period. Fifteen upper extremity specimens were included (45 nerves). Three coaptation techniques were used: fibrin glue alone, suture alone, or suture augmented with glue. Suture-glue repair had the highest load to failure of the three techniques, and significantly higher load to failure than glue alone.

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A study published online in Injury reported that the AOSpine Sacral Fractures Classification System demonstrated good reliability and reproducibility between spinal and pelvic surgeons. Radiographs and CT scans from 150 patients with acute traumatic sacral injury were evaluated by three pelvic surgeons and three spine surgeons, with varying levels of experience. Two separate evaluations were conducted three weeks apart. The authors reported substantial intraobserver reproducibility and moderate interobserver reliability. Reliability was substantial when accounting for fracture type. There were no significant differences in ratings between surgical specialties or surgeon experience.

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L. Scott Levin, MD: Innovator, Bridge-builder, History Buff, and Surgeon par Excellence

For the past year, L. Scott Levin, MD, FAAOS, FACS, of the University of Pennsylvania, served as the chair of the Board of Regents of the American College of Surgeons (ACS), an organization founded to improve the care of surgical patients and safeguard standards of care in an optimal and ethical practice environment. In this article, Dr. Levin speaks with Wayne Johnson, MD, FAAOS, FACS, and Julie Balch Samora, MD, PhD, MPH, FAAOS, FAOA, about his various leadership roles in the ACS and opportunities for collaboration among various surgical subspecialties.

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OrthoInfo Spotlights Hand and Wrist Topics

OrthoInfo, the Academy’s patient education website, is here to provide your patients with in-depth information—all written, reviewed, and regularly updated by orthopaedic experts. This includes a full range of articles to help patients understand traumatic and overuse injuries that affect the hand and wrist.

Read about flexor tendon injuries…

Read about distal radius fractures…

Read about De Quervain tenosynovitis…

Read about thumb fracture…

Read about ulnar tunnel syndrome of the wrist…