Today’s Top Story

Study Measures Effectiveness of Acute:Chronic Workload Ratio in Load Management

A study published online in the British Journal of Sports Medicine found no significant impact of the acute:chronic workload ratio (ACWR) on reducing health problems in male and female elite athletes. Sixteen female and 18 male elite youth football teams were cluster-randomized to either an intervention (n = 18 teams) or control (n = 16 teams) group. Intervention group coaches used ACWR load management principles to plan training, while control coaches planned training as normal. The intervention group was no more likely than the control group to report a health problem.

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In Other News

Study: Impact of TJA on Decreased Fall Risk

A study published in the Oct. 15 issue of the Journal of the AAOS ® observed a correlation between total joint arthroplasty (TJA) and a reduced risk of traumatic falls in patients with lower-extremity osteoarthritis (OA). A total of 499,094 cases of hip or knee OA were stratified into four groups: hip OA with total hip arthroplasty (THA) (group one; n = 168,234), hip OA without THA (group two; n = 22,482), knee OA with total knee arthroplasty (TKA) (group three; n = 275,651) and knee OA without TKA (group four; n = 32,826). TJA patients had a significantly decreased risk of falls compared to patients without TJA.

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Study: What Effect Does Resident Involvement Have on Postoperative Knee Arthroscopy Complications?

A study published in the October issue of Arthroscopy did not observe a correlation between resident involvement and 30-day postoperative complications in arthroscopic knee surgery but did observe longer operative times and hospital length of stay (LOS). A search of the American College of Surgeons National Surgical Quality Improvement Program registry yielded 2,954 knee arthroscopy cases, half of which had resident involvement. Both groups had a 1.1 percent 30-day overall complication rate. Surgical and medical complications did not largely differ between resident and nonresident cases. Resident cases, compared to nonresident cases, had longer operative times (69.8 minutes versus 66.8 minutes) and hospital LOS (0.85 days versus 0.21 days).

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Study Analyzes Outcomes in Revision Arthroscopic Triangular Fibrocartilage Complex Foveal Repair

A study published online in Archives of Orthopaedic and Trauma Surgery reported clinical outcomes in revision arthroscopic triangular fibrocartilage complex (TFCC) foveal repair using a one-tunnel transosseous suture technique following failed primary TFCC repair. Eight patients were retrospectively reviewed; mean time to revision after primary surgery was 15.1 months. Following revision surgery, the distal radioulnar joint was stable, and improvements were observed in pain; grip strength; mean active wrist range of motion; Modified Mayo Wrist Score; and Quick Disabilities of the Arm, Shoulder, and Hand score.

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Study Evaluates Safety of Cervical Pedicle Screw Insertion in Pediatric Subaxial Cervical Spine Without Navigation

A study published online in the Journal of Pediatric Orthopaedics found that cervical pedicle screw (CPS) insertion in pediatric subaxial cervical spine without neuronavigation was safe in certain cases. Hospital records for eight patients (mean age, 9.2 years) treated at a single center were retrospectively reviewed. Overall, 37 CPSs were inserted due to cases of neglected cervical spine trauma (n = 3), post-tubercular kyphosis (n = 2), cervicothoracic scoliosis (n = 2), and cervicothoracic osteoblastoma (n = 1). Five screws showed grade 1 medial cortical breach, and one showed grade 2 medial cortical breach. There were no perioperative complications. No implant failures or deformity progression were reported after a mean 3.6 years.

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Capitol Club Members Receive Exclusive Senatorial Committee Briefings

The 2020 election cycle is unpredictable, and as the November election nears, all eyes are on the Senate, which The Economist says has about a 67 percent chance of flipping. Recently, the AAOS Orthopaedic Political Action Committee (OrthoPAC) hosted Capitol Club members for two exclusive, virtual senatorial political briefings to help provide some clarity. The Capitol Club was established in 2014 to recognize AAOS members who contribute $1,000 or more during a calendar year to the OrthoPAC.

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There’s Still Time to Register: AAOS Outpatient and Rapid Recovery in Total Joint Replacement Course

On Oct. 23, from 9 a.m. to 3:45 p.m. CDT, the single-day virtual AAOS Outpatient and Rapid Recovery in Total Joint Replacement course will address the increasing demand for same-day discharge after total joint replacement. Course directors R. Michael Meneghini, MD, FAAOS, and William G. Hamilton, MD, FAAOS, alongside expert faculty, will offer their “playbook” for safely implementing and building an outpatient program in your institution or practice. Programming will consist of live-streamed lectures and interactive panel discussions, accompanying an online portal of additional resources. Attendees can earn 5.75 continuing medical education credits and will also receive a link to the recorded event.

Register today…