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| Today’s Top Story
Study Compares Risk of Revision in Patients after UKA versus HTO
A retrospective study published in Archives of Orthopaedic and Trauma Surgery found that the risk of revision was higher for patients with high tibial osteotomy (HTO) than in patients with unilateral knee arthroplasty (UKA). After propensity matching, the risk of revision was compared between 73,902 UKA patients and 72,215 HTO patients. The Kaplan-Meier eight-year survival rate was 96.8 percent in the UKA group and 95.1 percent in the HTO group. HTO patients were more likely to be at an increased age, female sex, and have comorbidities such as congestive heart failure and chronic obstructive pulmonary disease.
Read the abstract… |
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| In Other News
Study: Association between Repair Tension and Microvascular Blood Flow within the Rotator Cuff
A laboratory study in the The American Journal of Sports Medicine investigated the association between repair tension and microvascular blood flow in the rotator cuff. With the use of a digital tension meter and contact-type laser Doppler flowmeter, the repair tension and microvascular blood flow was measured in 30 patients with full-thickness rotator cuff tears. Microvascular blood flow was measured under 4 levels of tension (0, 10, 20, and 30 N). There were statistically significant differences in microvascular blood flow within the rotator cuff under tensions >10 N; however, no differences were noted in microvascular blood flow between 0 N and 10 N.
Read the abstract… |
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| Study: Comparison of Clinical Outcomes of General, Spinal, and Lateral Femoral Cutaneous with over the Hip Block Anesthesia in Hip Fracture Patients
A retrospective study published online in the Journal of Orthopaedic Trauma examined the efficacy of regional anesthesia with sedation only for hip fractures using a lateral femoral cutaneous with over the hip block (LOH block). Overall, 120 patients were divided into two cohorts based on whether they received general anesthesia, spinal anesthesia, or LOH block. The main outcome measurements were anesthesia-related complications, length of stay (LOS), mortality, and reoperation rates. There we no significant differences in complications, readmission, and mortality. LOH block patients had shorter OR times and LOS compared with the other groups.
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| Retrospective Study Evaluates Range of Motion after Volar Transfer of the Lateral Band for the Correction of Swan Neck Deformity
A retrospective study published online in HAND assessed a surgical treatment for swan neck deformity of the fingers involving the volar transfer of the lateral band using the transverse retinacular ligament. Ten patients were included in the study and had a mean follow-up duration of 26 months. Range of motion (ROM) was evaluated in patients pre- and postoperation. Preoperatively, the average extension of the proximal interphalangeal joint averaged 30 degrees and improved to –2 degrees postoperation. The mean extension of the distal interphalangeal joint improved from –30 degrees to –15 degrees after surgery.
Read the abstract… |
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| Study: Patient-reported and Functional Outcomes after Minimally Invasive Treatment for Congenital Vertical Talus
In a study published online in the Journal of Pediatric Orthopaedics, patients who began treatment for congenital vertical talus (CVT) deformity after the age of 12 months had lower PROMIS mobility scores than those who initiated treatment before 12 months of age. Patient-reported Outcome Measurement Information System (PROMIS) scores were retrospectively reviewed in 24 children. Seven patients developed CVT recurrence. Overall, the mean PROMIS pain interference, mobility, and peer relations scores were 48, 42, and 54, respectively. No significant differences were noted in PROMIS scores between those who experienced radiographic recurrence and those who did not.
Read the abstract… |
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| AAOS Now
A Sneak Preview of CPT 2023: E/M and Musculoskeletal System Updates
The American Medical Association provides code and guideline changes to the CPT Manual each year. This article previews the relevant changes to the Evaluation & Management (E/M) and Musculoskeletal System sections affecting orthopaedic surgeons for 2023, including revised guidelines, new definitions, new and deleted codes, and more.
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| Your AAOS
Hands-On Surgical Skills Course: AAOS/OTA Orthopaedic Trauma Update in Tactics and Techniques
Discover cutting-edge treatment strategies and techniques for managing the full spectrum of fractures Dec. 2 to 3 at the OLC in Rosemont, Ill. A dynamic faculty of renowned trauma specialists helps you modernize your treatment methods and select the best option for your injured patients. Look forward to 6.5 hours of lab time practicing alternative approaches for wide-ranging fractures, tips to avoid complications such as infection and non-unions, and networking with peers.
Register now… |
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