Today’s Top Story

Systematic Review Investigates Associations between Gender and Outcomes after TJA

According to a study published online in Current Orthopaedic Practice, women are at higher risk of being discharged to a facility after total joint arthroplasty (TJA) compared with men. A systematic review of the Medline database included 33 studies published within the last 20 years. Comparing the utilization of total hip and total knee arthroplasty between men and women, similar rates of utilization were exhibited. Women showed lower rates of mortality, major complications, and revisions after TJA.

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In Other News

Study: Improved Peri- and Postoperative Outcomes after Hip Arthroscopy with Pericapsular Nerve Group Block

A retrospective chart review published online in Arthroscopy compared early preoperative pain between patients undergoing hip arthroscopy with and without a pericapsular nerve group (PENG) block. Outcome measurements included minutes to discharge, complications, and intraoperative and post-anesthesia care unit (PACU) opioid administration. Of the 53 patients included, 28 patients received a PENG block and 25 patients did not. No complications were observed in either group. Compared to the PENG group, opioid consumption was significantly higher intraoperatively and in PACU in the no-PENG group. Additionally, there was a greater time to discharge in the no-PENG group (161 minutes versus 129 minutes).

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Systematic Review: Return to Sport Rates and Outcomes following Surgical Management of Patellar Tendinopathy

The Journal of Knee Surgery published a study online characterizing return to sport (RTS) and clinical outcomes associated with the surgical management of patellar tendinopathy (PT). Performing a national database search for studies involving surgical management for PT, 40 clinical studies and 1,238 knees were included in the analysis. Patellar tendon scores, Lysholm scores, and visual analog scale pain scores showed statistically significant improvements after surgery. Postsurgery, the overall RTS rate was 89.8 percent, and 76.1 percent of athletes were able to return to the same level of activity.

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Study: Plasma Rich in Growth Factors versus Corticosteroid Injections for Chronic Rotator Cuff Tears

A randomized controlled trial published in the Journal of Shoulder & Elbow Surgery investigated the clinical efficacy of intratendinous injections of plasma rich in growth factors (PRGF) compared with intratendinous corticosteroid injections in patients with chronic rotator cuff tears. The study population included 39 PRGF patients and 40 corticosteroid patients who were evaluated at three, six, and 12 months. Patient-reported outcome measures included the UCLA scale, Quick Disability of the Arm, Shoulder, and Hand, and Constant-Murley test. Both groups showed significant clinical improvement compared with baseline measurements. The PRGF group showed significantly better improvements compared with the corticosteroid group at the six- and 12-month follow-up.

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Retrospective Study Characterizes Complications after Ulnar Artery Catheterization for Coronary Angiography

In a retrospective study published online in Hand, hematoma was the most common complication following ulnar artery catheterization for coronary angiography. Surgical complications were assessed in 41 patients undergoing ulnar artery catheterization. Overall, 41 percent of patients experienced complications in the immediate postprocedural period. Twelve patients experienced hematoma. Three patients had ulnar neuropathy, transient ischemia, and required operative intervention, respectively. The remaining complications included pseudoaneurysm, ulnar artery thrombosis, arterial damage requiring repair, and compartment syndrome.

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AAOS Now

Introducing ‘Education Now’: A New, Recurring Column Focused on Highlighting AAOS’ Education Resources

In the first installment of his new series, Education Now, Andrew H. Schmidt, MD, FAAOS, shares upcoming educational programming from AAOS to help members gain CME credits or manage their Maintenance of Certification. “As chair of the AAOS Education Council, I’m excited to introduce this column, which will keep your finger on the pulse of the collaborative work coming out of the Education Council, produced by AAOS staff and the many AAOS members who contribute to our educational mission,” Dr. Schmidt wrote.

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Your AAOS

OrthoInfo Spotlights Total Joint Replacement Topics

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 total joint replacement to help patients better understand how to prepare for surgery, what their surgery entails, and what to expect during recovery.

Read about total joint replacement…

Read about robotic-assisted joint replacement…

Read about outpatient total joint replacement…

Read about preparing for joint replacement…

Read “Total Joint Replacement: Questions Patients Should Ask their Surgeon”…