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| Today’s Top Story
Study Examines Postoperative Opioid Consumption in Knee Arthroscopy Patients
A study published online in Arthroscopy reported current practices for opioid consumption after knee arthroscopy (KA). Among 100 KA patients, the median number of opioid pills prescribed was five (37.5 oral morphine equivalents [OME]). Median postoperative opioid consumption was zero pills, and the mean was 0.6 pills (4.4 OME). Three-quarters of patients consumed no opioid pills postoperatively. The entire cohort consumed five or fewer pills (37.5 OME), with no refills required. The mean daily Numeric Pain Rating Scale score was 1.9 out of 10.0, and the mean Likert score was 4.4 out of 5.0.
Read the abstract… |
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| In Other News
Study Compares Mortality Rates for Cemented Versus Cementless Hip Arthroplasty
A study published in the December issue of The Journal of Arthroplasty observed higher mortality rates in cementless than in cemented hip arthroplasty for femoral neck fracture. Large administrative databases and census data were queried to collect data from 5,883 patients treated from 2001 to 2008 and 2009 to 2017; data were stratified into two time frames to evaluate whether recent improvements in patient care or implant technology affected outcomes. At 30, 90, and 365 days postoperatively, cemented fixation was associated with significantly reduced mortality rates. Mortality did not differ at zero, one, or seven or fewer days after discharge or during admission. Mortality decreased from the first to second time frame but was still higher in the cementless fixation group.
Read the abstract… |
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| Study: Are Racial Disparities in Shoulder Arthroplasty Improving or Worsening?
According to a study published online in the Journal of Shoulder and Elbow Surgery, racial disparities among primary anatomic total shoulder arthroplasty (TSA) and reverse TSA (RTSA) patients are worsening. In 2012, the incidence of TSA and RTSA among white and Black patients was 18.8 and 5.1 in 100,000, respectively; in 2017, the incidence increased to 36.9 and 10.8 in 100,000, respectively—equating to a 12.5 in 100,000 increase in the race disparity. Black patients had longer hospital lengths of stay as well as higher rates of discharge to a facility, acute myocardial infarction, pulmonary embolism, acute renal failure, sepsis, surgical site infection, and mortality.
Read the abstract… |
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| Study Reviews Achilles Tendon Injury Outcomes in Professional Athletes
A systematic review published online in Foot & Ankle International analyzed available data on outcomes following Achilles tendon (AT) rupture in professional athletes. A literature search yielded 15 studies for inclusion, encompassing professional athletes in the NFL, the NBA, MLB, and professional soccer leagues. Athletes returned to professional sports in 76 percent of cases; mean return to play (RTP) was 11 months after injury. Compared with noninjured controls, injured athletes in the NFL, the NBA, and professional soccer leagues sustained declines in player efficiency ratings, power ratings, and sport- and position-specific statistics.
Read the abstract… |
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| Study Analyzes Correlation Between Thoracic and Lumbar Parameters on Intraoperative Versus Postoperative Radiographs in Scheuermann Kyphosis
A study published in the November/December issue of the Journal of Pediatric Orthopaedics observed that in patients with Scheuermann kyphosis undergoing posterior spinal fusion with instrumentation (PSFI), prone intraoperative radiographs are predictive of standing postoperative radiographs. Twenty-five patients were assessed. Thoracic kyphosis measurements were recorded from radiographs as follows: preoperative standing, 82 degrees; intraoperative prone, 47 degrees; six-week standing, 49 degrees; and >2 years, 50 degrees. Preoperative lumbar lordosis was 76 degrees; it increased from intraoperative prone to six weeks (51 to 56 degrees) and did not largely change at >2 years (59 degrees). Instrumented levels (upper instrumented vertebrae–lower instrumented vertebrae) increased at six weeks and did not change at >2 years.
Read the abstract… |
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| AAOS Now
New AUC on Rotator Cuff Builds on Clinical Practice Guideline
At its September meeting, the AAOS Board of Directors approved the release of a new set of Appropriate Use Criteria (AUC) on Rotator Cuff Pathology. As with other AAOS AUCs, this resource provides clinicians with an algorithm-style tool for choosing management pathways based on the patient’s presenting indications as entered by the physician. The treatment scenarios provided by an AUC arise from the recommendations in a Clinical Practice Guideline (CPG), in this case the completely revised CPG on Rotator Cuff Injury approved by the Board in March 2019.
Read more…
Read this and other AUCs… |
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| Your AAOS
OrthoPAC Hosting Election Recap Event with Political Analyst David Wasserman on Dec. 1
The AAOS Orthopaedic Political Action Committee (OrthoPAC) invites 2020 PAC contributors to a postelection briefing featuring David Wasserman, house editor for the Cook Political Report and one of the nation’s top election forecasters. This virtual event will occur on Dec. 1 at 8 p.m. EST and is open to all 2020 OrthoPAC contributors—no matter the contribution level. Mr. Wasserman will provide a recap and insight on the election, share his latest analysis on the political landscape, and discuss what the 2020 election means for future elections. Time will be reserved for questions and conversation at the end. If you have not yet joined OrthoPAC and would like to attend, email pac@aaos.org.
RSVP for the event… |
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