| |
| Today’s Top Story
Does Immediate Fixation of Acetabular Fractures Result in Better Outcomes?
According to a study in the Journal of the AAOS®, there were no significant differences in blood loss between patients undergoing fixation of acetabular fractures within 24 hours (immediate) and those treated after 24 hours (delayed). Of the 93 patients included in the study, 32 underwent fixation within 24 hours. Blood loss, length of stay (LOS), complications, and mortality were then compared between groups. Six patients in the delayed group and one patient in the immediate group returned to the OR due to a complication. The average LOS was seven and 11 days in the immediate and delayed groups, respectively.
Read the abstract… |
| |
|
|
|
| |
| In Other News
Study: Significantly Higher Complication Rate in COVID-19–recovered Patients Undergoing TJA
According to a study in the Journal of Arthroplasty, patients undergoing total joint arthroplasty (TJA) who had a COVID-19 diagnosis within the three months prior to surgery had significantly higher rates of readmission. Querying a large national database, 5,840 COVID-19–negative controls, 1,390 patients with a COVID-19 diagnosis zero to three months presurgery, and 550 with a COVID-19 diagnosis three to six months presurgery were included in the analysis. The incidence of complications within 90 days of surgery was compared between groups. When compared with COVID-19–negative controls, both groups had significantly higher rates of pneumonia and deep vein thrombosis.
Read the study… |
| |
|
|
|
| |
| Study Identifies Rates of Burnout in Female Orthopaedic Surgeons Associated with Barriers to Gender Equity
A study in the Journal of Bone and Joint Surgery investigated the association between career burnout and barriers to gender equity as identified by female orthopaedic surgeons. A survey which included the Gender Bias Scale (GBS) questionnaire and two questions each about career burnout and job satisfaction was completed by 218 female orthopaedic surgeons. Of these, 50.5 percent agreed or strongly agreed that they felt career burnout, and burnout was positively correlated with the GBS higher-order factors of Male Privilege, Devaluation, and Disproportionate Constraints.
Read the abstract… |
| |
|
|
|
| |
| Study Compares Two Surgical Treatments of Carpometacarpal Thumb Arthritis
BMC Musculoskeletal Disorders published a retrospective study comparing two different techniques of trapeziectomy with ligament reconstruction and tendon interposition arthroplasty using the abductor pollicis longus tendon: only once looped around (OLA) versus once looped inside (OLI) the flexor carpi radialis (FCR) tendon. Thirty-three and 35 patients were in the OLI and OLA groups, respectively. Clinical outcomes and complications were evaluated at three, six, and at least 24 months postsurgery. Both techniques had comparable improvements in pain, range of motion, and function. FCR tendinitis was significantly reduced in the OLI group.
Read the study… |
| |
|
|
|
| |
| Study: Impact of Subchondral Bone Cysts on Prognosis after Bone Marrow Stimulation for Osteochondral Lesions of the Talus
Osteochondral lesions of the talus (OLTs) with concomitant subchondral bone cysts were found to be potentially associated with poor outcomes after arthroscopic bone marrow stimulation. Published in Arthroscopy, the retrospective study assessed the correlation between cystic characteristics of OLT and postoperative outcomes. Forty-five patients without cysts and 37 with cysts comprised the study population. The cyst group showed significantly greater depth (6.06 mm versus 3.96 mm) and volume (248.26 mm³ versus 134.58 mm³) than the no-cyst group Following correlation analysis, potential cutoffs associated with worse outcomes for OLTs with cysts were an area of 90.91mm², depth of 7.56mm, and volume of 428.13mm³.
Read the abstract… |
| |
|
|
|
| |
| AAOS Now
Aspirin versus Low-molecular-weight Heparin for VTE Prophylaxis in Orthopaedic Trauma Care
Studies have demonstrated the effectiveness of aspirin for thromboprophylaxis following total joint arthroplasty compared with low-molecular-weight heparin (LMWH)—but what about after trauma surgery? Robert O’Toole, MD, FAAOS, clinical chair of the Major Extremity Trauma Research Consortium (METRC), discussed the findings of METRC’s study, which assessed the outcomes of aspirin versus LMWH using data from 21 major trauma centers. The full interview, led by AAOS Now Deputy Editor Alexandra E. Page, MD, FAAOS, is also available to view as a video.
Read more… |
| |
|
|
|
| |
| Your AAOS
Showcase Your Research at AAOS 2024 in San Francisco
Present your hard-earned research results to the largest orthopaedic audience possible at the AAOS 2024 Annual Meeting, Feb. 12 to 16 (Monday through Friday) in San Francisco. Paper and poster abstracts are now being accepted. Don’t delay, the deadline to submit is just a few weeks away on June 1, 2023. OrthoDome™ and Orthopaedic Video Theater video applications are also being accepted through July 17.
Learn more and submit… |
| |
|
|
|
| |
| Submit Your Idea to the AAOS Learning Innovation Lab
Have a great idea for a new learning experience? Be a trailblazer in the development of new orthopaedic learning resources. Introducing the AAOS Learning Innovation Lab, a platform to develop and test new product types. The Lab supports increased audience engagement, facilitates rapid iteration, and enables less focus on perfection in the development process—resulting in a faster time-to-market for new products. An idea can be an improvement to an existing resource or be the first of its kind.
Share your expertise and submit today… |
| |
|
