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| Today’s Top Story
Study: Favorable Safety Outcomes in Risk-screened Early THA Discharge
A retrospective study of patients treated at an urban tertiary care hospital reported that early discharge total hip arthroplasty (THA) with appropriate risk screening demonstrated risks of complications, ED visits and readmission, or revision comparable to standard discharge. This study was published in the Oct. 15 issue of the Journal of the AAOS ®. The researchers reviewed 236 patients. Patients in the early-discharge group were more frequently male, younger, and white/non-Hispanic compared with patients discharged under standard protocol. Early-discharge patients were also less likely to have heart disease or diabetes compared to the standard discharge group.
Read the abstract… |
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| In Other News
Study: Long-term Survivorship of UKA for OA Is Greater than 80 Percent
A large cohort study of patients treated with unicompartmental knee arthroplasty (UKA) for end-stage knee osteoarthritis (OA), published online in the Journal of Bone and Joint Surgery, reported a survivorship rate of 81.9 percent after a minimum of 10 years of follow-up. In total, 4,385 patients were assessed, including 779 who required revision. The cumulative all-cause revision risk at 10 years was 16.5 percent, primarily due to mechanical loosening. Male sex, diabetes, age younger than 50 years, and cementless implants were significant risk factors for revision.
Read the abstract… |
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| Study Compares Platelet-rich Plasma Injection with Surgery for Elbow Tendinosis
A systematic review and meta-analysis published in the Journal of Shoulder and Elbow Surgery found comparable pain scores and functional outcomes in platelet-rich plasma (PRP) injection versus operative treatment for lateral elbow tendinosis. Five studies were included, comprising 340 patients (PRP, n = 154; surgery, n = 186). There were no statistically significant differences in Visual Analog Scale pain scores and Patient-related Tennis Elbow Evaluation scores up to 12 months after treatment.
Read the abstract… |
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| Study: Intramedullary Screws for Metatarsal Stress Fractures in High-level Athletes
A study published in the American Journal of Sports Medicine reported satisfactory outcomes of intramedullary screw fixation for fifth metatarsal stress fractures in high-level athletes. Thirty-seven patients received treatment with the Herbert screw and were followed for at least two years. All patients achieved bone union and returned to sport after a mean of 10.1 and 10.9 weeks, respectively. Intraoperative plantar gap widening did not significantly impact surgical outcomes or return to sport.
Read the abstract… |
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| Randomized Study Examines Early Mobilization after Trapeziectomy
A randomized controlled study, published online in the Journal of Hand Surgery, found early mobilization after trapeziectomy is noninferior regarding patient-reported outcomes compared with rigid orthosis plus six-week mobilization for first carpometatarsal OA. Fifty-nine patients were assigned to early (n = 28) or standard (n = 27) mobilization. There were no between-group differences in Canadian Occupational Performance Measure scores and patient-reported effect of surgery (via six-point scale). Hand function, pain ratings, grip and pinch strengths, and joint mobility were also similar overall. Patients in the early mobility group demonstrated decreased pain at rest compared with the controls.
Read the abstract… |
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| AAOS Now
AAOS 2021 Annual Meeting: ‘The Road Taken’
Reflecting on the recent “overwhelming success” of the AAOS 2021 Annual Meeting, AAOS President Daniel K. Guy, MD, FAAOS, writes of the challenges faced and overcome in the past year and a half, as well as those that will certainly arise in the future. “AAOS is built to enjoy the good times and weather the bad moments with equal facility,” he writes. “Robert Frost’s observation in his poem ‘The Road Not Taken’ speaks to making choices—not always the easy ones. ‘I took the one less traveled by, and that has made all the difference.’ This year’s Annual Meeting was ‘The Road Taken.’”
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| Your AAOS
Offer Extended to Save 20 Percent on AAOS 2021 Annual Meeting OnDemand
AAOS 2021 OnDemand gives you anytime, anywhere, any-device access to 500 hours of content from the AAOS 2021 Annual Meeting. Catch the latest orthopaedic insights, including Instructional Course Lectures, Symposia, and Paper Presentations. With OnDemand you can easily download presentation PDFs and MP3s, search content via topic or presenter, and earn up to 100 continuing medical education credits. Save 20 percent during this limited-time offer, valid until Oct. 31.
Learn more and purchase at the special sale price… |
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