Study: Impact of Thoracic Kyphosis on Reverse TSA Outcomes
A study published in the Oct. 1 issue of the Journal of the AAOS ® reported that patients with thoracic kyphosis undergoing primary reverse total shoulder arthroplasty (TSA) achieved similar postoperative overhead range of motion regardless of kyphosis angle. Using a prospective shoulder registry, researchers identified 305 shoulders with a mean follow-up of 3.9 years, then separated them according to kyphosis angle (<25 degrees, 25 to 45, and >45 degrees). Female sex and a history of heart disease were significantly associated with increased thoracic kyphosis. Forward elevation and abduction and patient-reported outcomes postoperatively were similar across subgroups.
Study: ORIF Alone versus ORIF plus THA for Geriatric Acetabular Fractures
A prospective study published online in Injury found that a combination of ORIF (open reduction-internal fixation) plus total hip arthroplasty (THA) is safe and effective for displaced acetabular fractures in patients older than 60 years. Forty-seven patients were followed for two years. Outcomes for ORIF plus THA were compared to ORIF alone. Harris Hip Scores were an average of 12.3 points higher for ORIF plus THA versus ORIF alone; however, other patient-reported assessment scores were comparable between groups. ORIF plus THA was associated with a 28 percent lower risk for reoperation compared to ORIF alone. No postoperative hip dislocations occurred.
Study: 90-day Revision TKA Is Associated with High Rate of Re-revision within Two Years
For patients undergoing aseptic revision total knee arthroplasty (TKA) within 90 days of surgery, there is a high risk of re-revision at two years, according to a study published in Clinical Orthopaedics and Related Research. The researchers matched 414 patients with 90-day revision to 414 controls without early revision. Two-year implant survivorship was 78 percent versus 98 percent, respectively. Indications for revision were instability (37 percent), fracture (23 percent), aseptic loosening (23 percent), pain (11 percent), and arthrofibrosis (6 percent). Revision for pain increased odds of re-revision compared to other indications (44 percent versus 29 percent).
Study: Metatarsal Pronation Is Associated with Patient-reported Outcomes in Hallux Valgus Correction
A study published online in Foot & Ankle International suggests that the rotational component of hallux valgus deformities may impact outcomes of modified Lapidus procedure (first tarsometatarsal fusion). Thirty-nine patients underwent weightbearing CT scans preoperatively and at least five months postoperatively. Compared to those with no change or increased first metatarsal pronation, patients with decreased pronation had significantly improved Patient-Reported Outcomes Measurement Information System physical function scores and significantly lower recurrence rates.
Study: Hand Therapy after DRF Fixation with Volar Locking Plate in Older Women
A randomized study published online in the Journal of Hand Surgery found that hand therapy after distal radius fracture (DRF) fixation with volar locking plates was beneficial for middle-aged or elderly women. Fifty-seven patients were assigned independent exercise (IE) with or without hand therapy. Compared to the IE alone group, the therapy group displayed significantly lower Disability of Arm, Shoulder, and Hand scores (12.5 versus 19.4) and Visual Analog Scale pain scores (10.2 versus 17.6) at six weeks. Active and passive wrist range of motion were significantly greater in the therapy group at eight weeks compared to controls.
Perspectives on Musculoskeletal Digital Transformation Strategy
In an era when healthcare is inundated by emerging technologies that support telemedicine, remote monitoring, and longitudinal virtual care, orthopaedic surgery practices are under increasing pressure to design and execute a comprehensive digital strategy. This article proposes a five-pronged approach to digital health transformation, from interoperable data and platforms to digital supply chain optimization.
OrthoInfo, the Academy’s patient education website, is here to provide your patients with in-depth information—all written, reviewed, and regularly updated by orthopaedic experts. This includes a full range of articles about shoulder injuries, conditions, and nonsurgical and surgical treatments.
