Today’s Top Story

Study Surveys Occupational Injuries among Orthopaedic Surgery Residents

A study published in the May 1 issue of the Journal of the AAOS ® reported that only 42 percent of orthopaedic surgery residents always reported their workplace injuries. Residents from 46 programs were surveyed (n = 518). Eighty percent reported safety training during orientation, and 62 percent said they received adequate occupational safety training. Eighty percent reported sharps injuries, and almost 20 percent experienced more than five sharps injuries. The most reported reasons for not reporting occupational injuries included feelings of no risk (63.1 percent) and too much hassle (58.9 percent).

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In Other News

Study: Preoperative Opioid Use Impacts Pain, Depression Scores after Arthroscopic RCR

Patients who did not use opioids within three months of arthroscopic rotator cuff repair (RCR) demonstrated superior pre- and postoperative Patient-reported Outcomes Measurement Information System (PROMIS) scores compared with patients who did use preoperative opioids, according to a retrospective study published online in Arthroscopy. Overall, 184 patients were evaluated. At one year postoperatively, depression and pain scores were significantly lower in patients without preoperative opioid use, and these patients also demonstrated significantly greater improvements in depression scores at six months compared with patients with chronic preoperative opioid use.

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Biomechanical Study Investigates Tubular Braided Construct for Deep Flexor Tendon Surgery

A biomechanical study published online in The Journal of Hand Surgery reported that a tubular braided construct for primary deep flexor tendon surgery withstands required loads for immediate rehabilitation in static and cyclic tests. Ninety-two tendons were randomized to either a tubular braid of polypropylene and polyethylene terephthalate fibers (experimental group) or a modified Kessler repair (control). The experimental group achieved a significantly higher load at 3 mm and failure, stress at ultimate load, and stiffness in static tests compared with the control group. During cyclic tests, the experimental group demonstrated greater gap formation and load at failure than controls.

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Study: Surgical Management of Rib Fractures in Patients with Severe Chest Trauma

In selected patients, surgical repair of major chest trauma resulted in good long-term functional outcomes, according to a retrospective study published online in Injury. Sixty patients underwent rib fixation. The average injury severity score was 29, and average number of broken ribs was 10. Seventy-seven percent of patients achieved good outcomes, defined as Glasgow Outcome Scale—Extended grades 6 to 8. Patients with poor outcomes tended to be older, and have a longer length of stay than patients with better outcomes.

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Systematic Review Identifies Risk Factors of Trail Running Injuries

A systematic review published in the May issue of the British Journal of Sports Medicine investigated risk factors of injuries associated with trail running. Nineteen studies were included, including 10 studies with data on injury risk factors from 2,785 participants. Greater running experience and higher total propensity to sports accident questionnaire (PAD-22) were intrinsic factors significantly associated with injury. Significant extrinsic factors included neglecting warm-up, not having a specialized running plan, training on asphalt, training twice in one day, and working in physical labor occupations.

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AAOS Now

Panelists Confront Harassment

At the AAOS 2022 Annual Meeting in Chicago, a special President’s Forum focused on problems that continue to plague the profession: harassment, bullying, and recurring indignities known as microaggressions. Women and members of underrepresented racial, ethnic, and other marginalized groups find themselves the frequent targets of these entrenched behaviors. Harassment and microaggressions may discourage many talented individuals from even considering orthopaedics, and demoralize those who do train in the specialty.

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Your AAOS

AAOS Commits $1 million in Grants to Fuel Diversity, Equity, Access, and Inclusion Projects across Orthopaedics  

AAOS announced the creation of the AAOS Inspiring Diversity, Equity, and Access (IDEA) Grant Program™, a multiyear initiative to provide resources for various diversity, equity, and inclusion initiatives across the field of orthopaedics. With the intention of awarding $1 million over the next five years, the program reaffirms AAOS’ commitment to lead and prompt real, lasting, and measurable change. The application period for AAOS IDEA grants opened May 2 and continues through July 15.

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