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| Today’s Top Story
Study: Orthopaedic Surgery Resident Experiences During the COVID-19 Pandemic
Orthopaedic surgery residents experienced numerous changes and challenges due to the COVID-19 pandemic, according to a study published in the May 15 issue of the Journal of the AAOS ®. The researchers surveyed 507 residents from 179 orthopaedic surgery residency programs in the U.S. Ten percent of respondents reported being deployed to nonorthopaedic–related care, and junior classes were more likely to be assigned this role. The most frequent concern, rated on a scale of one to five, were possibility of getting family members sick (mean score, 3.89) and personally contracting the virus (mean score, 3.38).
Read the study… |
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| In Other News
Study: Acute Kidney Injury after Resection and Spacer Insertion for Infected THA
A study published online in The Journal of Arthroplasty evaluated incidence of acute kidney injuries (AKI) in patients treated with high-dose antibiotic-loaded bone cement spacers and IV antibiotics after resection of an infected total hip arthroplasty (THA). The researchers evaluated outcomes of 227 patients treated between 2000 and 2017. Mean follow-up was eight years. AKI occurred in 13 patients (7 percent) without preexisting chronic kidney disease (CKD) and 10 patients (28 percent) with CKD at baseline. No patients required acute dialysis. Postoperative fluid depletion, intensive care requirement, and acute atrial fibrillation were independent predictors of AKI without previous CKD. After last follow-up, eight AKI cases progressed to CKD.
Read the abstract… |
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| Study: Severity of Rotator Cuff Tear Arthropathy Not Associated with RTSA Outcomes
A study published online in the Journal of Shoulder and Elbow Surgery assessed the relationship between severity of preoperative rotator cuff tear arthropathy (CTA) and outcomes of reverse total shoulder arthroplasty (RTSA). Eighty-six patients treated between 2016 and 2018 were assessed, and 79 (91.6 percent) were available for follow-up after ≥2 years. Scapular geometry measurements and degree of CTA were not associated with lower American Shoulder and Elbow Surgeons Shoulder (ASES) scores. Degenerative changes, measured via Hamada Classification, and preoperative ASES scores were independent predictors of higher patient satisfaction at two years.
Read the abstract… |
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| Study: Risk Factors of First-time ACL Injury in Adolescent Female Elite Athletes
A study published online in Knee Surgery, Sports Traumatology, and Arthroscopy identified risk factors of first-time anterior cruciate ligament (ACL) injury in adolescent female elite soccer and handball players. Ninety athletes (average age = 16.9 years) without previous ACL injury were followed for two years. Nine patients experienced first-time ACL injuries. Hip flexion angle and internal knee rotation angle at initial contact, semitendinosus electromyography activity 50 ms prior to initial contact, and external hip rotator strength were risk factors significantly associated with injury.
Read the study… |
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| Study: Serum Albumin and HbA1c Levels Associated with Infection after Hand Surgery
A study published online in the Journal of Hand Surgery determined the association between perioperative serum albumin and hemoglobin A1c (HbA1c) and surgical site infection (SSI) after soft tissue extremity surgery (carpal tunnel release, trigger finger release, wrist ganglion excision, cubital tunnel release, Dupuytren partial fasciectomy, or first dorsal compartment release). The researchers evaluated cases of SSI within 30 days postoperatively in a large cohort identified via insurance claims data. SSI incidence was 3.5 percent for patients with hypoalbuminemia compared to 0.9 percent in those with normal serum albumin, and 1.1 percent versus 0.7 percent in patients with and without elevated HbA1c. Multivariate analysis showed higher risk of SSI for patients with hypoalbuminemia and elevated HbA1c.
Read the abstract… |
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| AAOS Now
May Issue of AAOS Now Is Now Online
AAOS members will soon receive the print edition of the May issue of AAOS Now, but the electronic edition is already available on the AAOS Now website. This month’s issue highlights the upcoming Orthopaedic Advocacy Week, reviews off-label use of medications and biologics, spotlights AAOS First Vice President Felix H. Savoie III, MD, FAAOS, and more.
Read more… |
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| Your AAOS
Watch the May Resident Rumble Game 3 Tonight
Tune in for tonight’s AAOS 2021 Virtual Resident Rumble, sponsored by DePuy Synthes. Baylor University, Mayo Clinic Arizona, and Valley Hospital Medical Center will compete to see who will face the Week 1 and Week 2 winners in the May semifinal match later this month. Zachary D. Post, MD, FAAOS, from Rothman Orthopaedic Institute cohosts this online event. The games are a combination of orthopaedic-based trivia, pop culture trivia, and fun competitions.
Learn more and register for the event… |
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