Today’s Top Story

Readership Survey: AAOS Headline News Now Needs Your Help

AAOS Headline News Now (HNN) is an e-newsletter published three times a week by the American Academy of Orthopaedic Surgeons (AAOS). It is an exclusive member benefit and each issue is distributed to 28,000 orthopaedic surgeons. To ensure HNN continues to meet readers’ needs, AAOS is asking readers to fill out a five-question survey that should take less than five minutes to complete. More specifically, AAOS is seeking to better understand what readers think about HNN’s overall format and presentation. Please complete and submit the survey by end of day Monday, May 31. If you have questions, contact HNN Publisher Dennis Coyle at headlinenewsnow@aaos.org.

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In Other News

Study: Risk Factors of Medial and Lateral Meniscal Injury during ACLR

A study published online in Knee Surgery, Sports Traumatology, and Arthroscopy assessed factors influencing medial and lateral meniscal injuries during anterior cruciate ligament reconstruction (ACLR). In total, 830 patients from nine institutions were enrolled, with medial and lateral meniscal tears occurring in 32.0 percent and 26.5 percent of knees, respectively. Side-to-side differences in preoperative instrumented anterior knee laxity were significant risk factors of both medial and lateral meniscal injuries. Age, at least 12 months between injury and surgery, and pivot shift test grade were significant risk factors of medial meniscal injury. Male sex was a significant risk factor of lateral meniscal injury.

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Study: Return to Sport after Latarjet Reconstruction for Shoulder Instability

A study published online in the Journal of Shoulder and Elbow Surgery investigated successful return to sport after Latarjet coracoid transfer reconstruction. Sixty patients treated for recurrent shoulder instability with anterior-inferior glenoid bone loss between 2012 and 2016 were surveyed. Ninety percent of patients returned to sport at an average of 8.6 months postoperatively. Sixty percent returned at same or better intensity and 67.9 percent returned to a throwing sport successfully. Thirty-one patients (51.7 percent) reported their shoulder hindering some activities. Increased BMI, male sex, and reduced humeral bone loss volume were associated with higher likelihood of return to sport. Humeral bone loss was associated with recurrent instability.

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Study: Multidisciplinary Care Reduces Delirium Risk in Older Patients Treated for Hip Fracture

Multidisciplinary comanagement by a team including orthopaedic surgeons and geriatricians reduced incidence of acute confusional state (delirium) in older patients receiving hip fracture fixation, according to a study published online in Osteoporosis International. Incidence of delirium and subsyndromal delirium (SSD) was compared in standard care (n = 94) versus orthogeriatric comanaged care (n = 103). Delirium was less frequent in the orthogeriatric care group compared to standard care, with no delirium in 59 percent versus 37 percent, SSD in 6 percent versus 13 percent, and delirium in 35 percent versus 47 percent of patients. The number needed to treat to avoid one case of delirium was 5.3 patients (range, 3.1–19.7).

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Study Measures Two- and Five-year Functional Outcomes after Ankle Fracture Fixation

A study published online in Foot & Ankle International evaluated patient-reported outcomes two to five years after ankle fracture fixation in 180 patients. Two- and five-year follow-up was available for 46 percent and 52 percent of patients, respectively. After two years, age ≥60 years, BMI ≥30, and severely deformed ankle at presentation were associated with worse functional scores, however these factors were not significant at five years. Anatomically reduced ankle fracture fixation was associated with increased functional outcomes at two and five years. Reductions in Olerud-Molander Ankle Score at two years was predictive of possible recurrent issues.

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AAOS Now

Orthopaedic Surgeons Can Curb COVID-19 Vaccine Hesitancy

In this article, James A. Hill, MD, FAAOS, discusses how he approaches advising patients who express hesitation about the COVID-19 vaccine and how orthopaedic surgeons can support patients’ overall well-being, not just their musculoskeletal health. “Despite being an orthopaedic surgeon, I have been confronted with this question numerous times since the COVID-19 vaccines were approved, especially from my long-term patients of color who place a lot of trust in me. I find they depend on me, as a Black physician, to help them navigate the complex bureaucracies of the U.S. healthcare system,” writes Dr. Hill.

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Your AAOS

Virtual Course: AAOS and OTA Present Daily Dilemmas in Trauma

This Saturday, AAOS and the Orthopaedic Trauma Association will co-sponsor a virtual course on updates in trauma, led by Paul Tornetta III, MD, FAAOS, and J. Tracy Watson, MD, FAAOS. This case-based course features leaders in trauma presenting their insights on fracture fixation – both operative and non-operative – as well as complication management, outcomes, and more. The interactive live course begins at 10:00am EDT on May 22 and is comprised primarily of small-group case reviews and faculty panel discussions. This virtual package also includes more than 30 pre-recorded lectures and access to all content for 90 days. Access course content online upon registering and tune in live this Saturday.

Register here…