Today’s Top Story

Study: Opioid Education before Arthroscopic RCR Does Not Impact Postoperative Opioid Use

A video-based opioid education program before arthroscopic rotator cuff repair (RCR) did not improve opioid use at three months, according to a randomized study published in the Oct. 1 issue of the Journal of the AAOS ®. At a single center, 130 patients were randomized 1:1 to either an educational video on opioids or standard pain management education. At three months, chart review of opioid refills did not find a significant difference between groups in terms of the average number of pills taken in the first postoperative week (video, 14.0 pills; control, 13.7 pills). The rate of prescription refills was also similar overall.

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In Other News

Study: Primary versus Aseptic Revision TKA using Posterior-stabilized Prosthesis

A retrospective study published online in Knee Surgery, Sports Traumatology, Arthroscopy found comparable outcomes between primary and aseptic revision total knee arthroplasty (TKA) using the same posterior-stabilized (PS) design prosthesis. Twenty-nine patients who underwent aseptic revision TKA were matched to 63 patients with primary TKA. Mean follow-up was 49.1 months. There were no significant differences between the revision and primary groups regarding International Knee Society scores (169.8 versus 179.6), patient satisfaction (86.2 versus 92.1 percent, respectively), implant survivorship (96.5 versus 100 percent), and radiologic assessments.

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Study: Ultrasound Reduces Delays in Surgical Care for Carpal Tunnel Syndrome

Patients with a diagnosis of carpal tunnel syndrome (CTS) confirmed via ultrasound may receive surgical care several weeks earlier than patients diagnosed via electromyogram (EMG) and nerve conduction studies (NCS), according to a retrospective study published online in the Journal of Hand Surgery. The researchers used an institutional database and CTS was confirmed via ultrasound or EMG/NCS in 34 and 98 patients, respectively. Ultrasound-diagnosed cases underwent surgery three to four weeks earlier and had an average of 1.8 fewer medical visits than EMG/NCS-confirmed cases.

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Study: Slowed Down Rehabilitation after Achilles Tendon Rupture Repair

A study published online in Foot & Ankle International found favorable outcomes with slowed down rehabilitation after percutaneous repair of acute Achilles tendon (AT) ruptures. Sixty patients were enrolled (slow, n = 29; traditional, n = 31). All patients received a removable brace with five heel wedges at two weeks. For slow rehabilitation, wedges were gradually removed after four weeks. For controls, one wedge was removed every two weeks, followed by the removal of the brace when two wedges remained for two weeks. At 12 months, AT Resting Angle and Rupture Score and isometric strength favored slow rehabilitation.

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Study: Injury Frequency and Patterns among Professional American Rugby Players

A study published online in Current Orthopaedic Practice prospectively evaluated injury data from one American professional rugby team during a single season (eight games over 13 weeks). Forty-nine injuries over 2,456 athletic exposures (AEs) were assessed. The overall injury rate was 19.95 per 1,000 AEs. The injury rate ratio for games versus practice was 5.21. Forty-three percent of injuries were in the lower extremities, 18 percent were in upper extremities, and 12 percent were concussions. Time lost from sport was greater for game-related injuries (8.2 days) and concussion (7.8 days).

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Periarticular Hip and Knee Fractures: Fix or Replace?

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.

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AAOS 2021 Annual Meeting OnDemand Flash Sale Extended—Save 20 Percent through Oct. 10

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 all 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 off your purchase through Oct. 10 with this limited time offer.

Learn more and purchase at the special sale price…