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| Today’s Top Story
Study: Fragility Index Is Useful for Quantitative Analysis of Total Hip Arthroplasty
According to a study published in the May 1 issue of the Journal of the AAOS ®, the fragility index (FI) for total hip arthroplasty (THA) may provide clinicians with more information about randomized controlled trial (RCT) results. All RCTs between January 2015 and December 2020 from several databases were examined and potential FI-associated factors were identified. Median FI was two, and in 18 cases, the number of patients that changed from “no event” to “event” was reduced at follow-up. Larger sample size was predictive of a higher FI.
Read the abstract… |
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| In Other News
Study: Improved ROM with Mobile Bearing versus Fixed Inserts in Total Knee Arthroplasty
A study published online in BMC Musculoskeletal Disorders found promising postoperative results with both fixed and mobile bearing inserts after total knee arthroplasty. Two nonrandomized groups of patients were evaluated, including 34 patients receiving mobile bearing inserts and 33 receiving fixed inserts. At a minimum of two years of follow-up, Western Ontario and McMaster Universities Arthritis Index scores, Knee Society Scores, and Visual Analog Scale scores showed no difference between the two groups. However, postoperative range of motion (ROM) significantly improved by 13.2 degrees in the mobile bearing group compared with 4.9 degrees in the fixed bearing group.
Read the study… |
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| Study: High Return to Sports after Lower Extremity Fasciotomy for Chronic Exertional Compartment Syndrome
Lower extremity fasciotomy for chronic exertional compartment syndrome (CECS) led to improved patient-reported outcomes and high return to sport (RTS) rates, according to a retrospective study published in the May issue of the Clinical Journal of Sports Medicine. Fifty-nine patients treated by a single surgeon from 2009 to 2017 were assessed. At a mean 58.8-month follow-up, patients significantly improved compared with preoperative scores. The RTS rate was 93 percent, with 76 percent returning to the same level of sport, and 24 percent returning to a lower level of sport. Higher preoperative BMI was linked to lower likelihood of RTS.
Read the abstract… |
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| Study: Orthopaedic Surgery Residency Websites Contain Few Diversity and Inclusion Elements
In a study published in the May/June issue of Current Orthopaedic Practice, most orthopaedic surgery residency program websites had limited diversity and inclusion elements. Total, 187 websites were assessed for 12 elements representing program commitment to diversity and inclusion values. Websites included a mean of 4.9 elements each, with 21 percent featuring seven or more. The top 40 National Institutes of Health-funded programs did not have notably higher diversity scores when compared to their counterparts. University or affiliated program websites had greater diversity elements than community program websites.
Read the abstract… |
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| Study: Scoliosis Is a Relevant Problem in Patients with Rett Syndrome
According to a study published online in the European Spine Journal, scoliosis is a relevant problem in female patients with Rett syndrome (RTT). Seventy-five girls with RTT were evaluated using multivariable analyses such as the Ashworth scale and the RTT motor evaluation scale to test the correlation between these scales and scoliosis score. Sixty percent of patients had mild or moderate scoliosis, and severity correlated with age and important neurological factors, such as hyperreflexia, muscular hypertonus, standing, walking (both level and on stairs), and postural transitions. There was no association with disease severity, hand function, pain, or genetic mutation type.
Read the abstract… |
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| AAOS Now
May Issue of AAOS Now Is Online Now
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 President’s Forum focused on harassment and ethics from the AAOS 2022 Annual Meeting, the winners of the AAOS Diversity, Humanitarian, and Leadership awards, advocacy efforts to improve access to quality care, and more.
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