Today’s Top Story

Study: Disparities in Travel Distance for Patients Receiving Total Hip Arthroplasty

According to a study published in the April issue of the Journal of the AAOS: Global Research & Reviews ®, insurance provider, race, and income are associated with differences in travel distance to receive total hip arthroplasty (THA). Data from 211,806 THA patients were included. Patients who were white, had commercial insurance or Medicare, and were in top income quartile zip codes traveled farther for THA, while patients who were African American or Hispanic and had Medicaid insurance traveled shorter distances. There was no significant association between travel distance and adverse postoperative outcomes.

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In Other News

Study: Low Revision Rates in TSA with Long Stem Humeral Components for Osteoarthritis

Long stem humeral components matched with cross-linked polyethylene (XLPE) in total shoulder arthroplasty (TSA) led to lower revision rates in patients with osteoarthritis compared with long stem TSA with non-XLPE components, TSA with midhead length humeral components, or reverse TSA (RTSA), according to a retrospective study published online in the Journal of Shoulder and Elbow Surgery. Data from a national arthroplasty registry were analyzed. Long stem TSA with cemented XLPE had a revision rate of 4.7 percent, compared with 8.7 percent for TSA with a cemented non-XLPE glenoid component and 6.8 percent for RTSA.

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Study: Volar-locking Plate Fixation versus Cast Immobilization in Older Patients with Distal Radial Fractures

A randomized trial published online in JAMA found that volar-locking plate (VLP) fixation was not superior to cast immobilization for displaced distal radial fractures in patients aged ≥60 years. In total, 166 patients were randomized to VLP or cast immobilization. Follow-ups were conducted at three, 12, and 24 months using the Patient-rated Wrist Evaluation (PRWE) questionnaire. Patient-reported outcomes favored VLP fixation, and rates of postoperative complications were low and similar between groups. Twelve- and 24-month outcomes were similar. PRWE scores were similar between groups at 24 months.

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Primary and Revision Autologous Matrix-related Chondrogenesis for Osteochondral Lesions of the Talus

Primary autologous matrix-related chondrogenesis (AMIC) led to good clinical outcomes in patients with osteochondral lesions of the talus (OLT) larger than 150 mm 2, according to a study published online in Foot & Ankle International. Fifty-six patients underwent primary AMIC for OLT or local tumor-related OLT, and eighteen patients underwent revision AMIC. After a median follow-up of 32 months, the primary OLT group demonstrated significantly greater improvement in pain and Foot and Ankle Disability Index scores. Revision cases all required advanced operative interventions.

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Study: Sagittal Plane Straightening after Bracing for Adolescent Idiopathic Scoliosis

According to a study published online in BMC Musculoskeletal Disorders, adolescent idiopathic scoliosis patients wearing a brace demonstrated sagittal plane straightening with a slight increase in thoracolumbar kyphosis, especially when going from standing to sitting positions. Thirty-two patients with a Lenke I curve were evaluated via radiograph in standing and sitting positions during their first visit and after bracing. After bracing, thoracic kyphosis and lumbar lordosis decreased slightly and the thoracolumbar junction (TLJ) value increased. When transitioning to sitting, TLJ and pelvic tilt values increased slightly.

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AAOS Now

Cato T. Laurencin, MD, Receives 2022 AAOS Diversity Award

Cato T. Laurencin, MD, PhD, FAAOS, received the AAOS 2022 Diversity Award in honor of his outstanding commitment to making orthopaedics more representative of and accessible to diverse patient populations. “I am very proud to receive this award,” Dr. Laurencin said. “It recognizes my longstanding work promoting racial justice and equity and gender equity in the profession and the world.” Dr. Laurencin recently created a Racial Justice and Equity Fund, managed by the J. Robert Gladden Orthopaedic Society, through the Orthopaedic Research and Education Foundation.

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Your AAOS

Kappa Delta and OREF Clinical Research Awards

AAOS is soliciting manuscripts for the 2023 Kappa Delta Orthopaedic Research Awards and the Orthopaedic Research and Education Foundation (OREF) Clinical Research Award. Up to two $20,000 Kappa Delta awards (Elizabeth Winston Lanier Award and Ann Doner Vaughn Award), one $20,000 Kappa Delta Young Investigator award, and one $20,000 OREF award will be bestowed, provided manuscripts of requisite quality are submitted. Manuscripts should represent a large body of cohesive scientific work generally reflecting years of investigation. Submissions are due by 11:59 p.m. CDT on July 1.

Learn more and submit your application