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| Today’s Top Story
Study: Trends in Triage and Management of PJI across the U.S.
A study published online in Current Orthopaedic Practice investigated triage and management of periprosthetic joint infection (PJI) transfer cases at academic medical centers. Ninety-six adult reconstruction programs were surveyed, and 34 centers responded. Most programs (97.5 percent) accepted PJI transfer cases, regardless of index procedure location. Eighty-three percent reported that fellowship-trained reconstruction surgeons provide initial care. Septic or critically ill patients were first treated by the on-call general orthopaedics surgeon at 35.3 percent of centers. Forty-four percent of responding programs had a dedicated adult reconstruction specialist call pool.
Read the abstract… |
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| In Other News
Study: Higher Dislocation Risk after Femoral Neck Fracture with Previous Lumbar Fusion
For patients with previous lumbar fusion, femoral neck fracture (FNF) management is associated with an increased risk of dislocation, according to a retrospective study published online in The Journal of Arthroplasty. In total, 328 total hip arthroplasties (THA) or hemiarthroplasties with prior lumbar fusion were identified from the PearlDiver database. THA was associated with increased risks of dislocation and revision at one and two years, respectively, compared to 14,217 patients without prior lumbar fusion. Hemiarthroplasty was associated with increased risk of dislocation versus 42,327 controls. THA for FNF in patients with prior fusion significantly increased risks of dislocation and revision compared to THA for osteoarthritis.
Read the abstract… |
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| Study Assesses Gender Differences in Rotator Cuff Surgery Outcomes
A study published in BMC Musculoskeletal Disorders reported that patient gender does not significantly impact patient-reported outcomes after rotator cuff surgery The researchers followed 148 patients (76 women and 72 men) aged <75 years for 12 months following surgery for unilateral symptomatic rotator cuff syndrome. Western Ontario Rotator Cuff total scores and subscores were comparable between genders at follow-up. Pain scores were also similar overall. The researchers noted that women were more likely to require surgery in their dominant arm and tended to have smaller tears compared to men.
Read the study… |
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| Study: Age and Family History Associated with VTE after Achilles Tendon Rupture
According to a retrospective study published in Injury, age ≥50 years or a personal or family history of venous thromboembolism (VTE) are independent risk factors for VTE after acute Achilles tendon rupture. Researchers evaluated VTE incidence in 984 patients. At 90 days, VTE incidence was 3.6 percent, with onset after a median of 24 days. Overall, 22.8 percent of VTE cases were from patients with a personal/family history, but 68.6 percent of cases were in patients older than 50 years. Additionally, non-weightbearing for more than two weeks post-rupture was independently associated with VTE.
Read the abstract… |
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| Study: Diaphyseal Forearm Fractures in Skiers and Snowboarders
A study published online in Clinical Orthopaedics and Related Research investigated diaphyseal forearm fractures among skiers and snowboarders. Data from a university-run clinic at a major ski resort were queried. Eighty-four patients were compared to uninjured controls. Fractures were more common in snowboarders compared to skiers (0.03 versus 0.004 injuries per 1,000 person-days, respectively). Younger age, male sex, lack of movement at time of falling, and use of a green circle (easiest) versus black diamond (difficult) trail were linked to fracture in skiers. Younger age, lower body weight, and gentle/groomed terrain (versus wet, heavy snow) were associated with fractures in snowboarders.
Read the abstract… |
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| AAOS Now
Basic Science and the Meniscus: Where Are We Now?
As the number of fragility fractures continues to increase in the aging U.S. population, the complexity of periarticular fractures of the hip and knee is increasing accordingly. In this article, Cynthia Emory, MD, MBA, FAAOS, speaks with Joseph Hsu, MD, FAAOS, of Carolinas Medical Center in Charlotte, N.C., and Richard Yoon, MD, FAAOS, of RWJBarnabas Health in Jersey City, N.J., about the pros and cons of fixation or replacement of complex fractures of the hip and knee.
Read more… |
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| Your AAOS
JAAOS ® Announces New Podcast: JAAOS ® Journal Club Podcast
The Journal of the AAOS (JAAOS) ® has launched a new podcast, the “JAAOS ® Journal Club.” Each episode will feature three orthopaedic surgery faculty members discussing JAAOS ® articles geared toward an upcoming AAOS course. Episodes will be released a month prior to each course to grab attention and raise awareness for the courses’ sign-up and timeline. Tune in to hear faculty members have riveting discussions around important musculoskeletal topics. The first episode, “AAOS Fundamentals of Knee & Shoulder Arthroscopy for Orthopaedic Residents,” was released on Oct. 10, and the second episode is soon to come.
Listen to episode one… |
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