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| Today’s Top Story
Study: Risk Factors of Infection after THA for Acetabular Fracture
A retrospective study published in the Sept. 15 issue of the Journal of the AAOS ® identified several risk factors for 90-day surgical site infections (SSIs) or periprosthetic joint infections (PJIs) after total hip arthroplasty (THA) for treatment of acetabular fractures Data were collected from a nationwide insurance claims database, and 988 patients who developed post-THA infection were compared to 12,071 controls without infection. Significant risk factors for infection included: morbid obesity (odds ratios [ORs], 1.84 for SSIs and 1.70 for PJIs), pathologic weight loss (ORs, 1.64 and 1.72), and iron deficiency anemia (ORs, 1.59 and 197).
Read the abstract… |
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| In Other News
Study: National Trends in Open versus Arthroscopic RCR
A retrospective study published online in Arthroscopy found that cases of arthroscopic rotator cuff repair (RCR) are significantly outpacing open RCR procedures. The investigators queried the National Surgical Quality Improvement Program database between 2007 and 2018 and identified 39,013 arthroscopic RCR patients and 8,664 open RCR patients. Cases increased significantly during the 11-year period. There were higher percentages of patients with diabetes or who were smokers in the open versus arthroscopic groups. Open procedures had significantly higher odds of deep infection and readmission compared to arthroscopy.
Read the abstract… |
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| Registry Study Finds ACL Injury Is More Frequent in Amateur versus Professional Soccer
An analysis of a sports-specific ACL registry, published online in Knee Surgery, Sports Traumatology, Arthroscopy, found that ACL rupture is more frequent among amateur versus professional players, and that injury more commonly occurred during matches compared to practice. In total, 958 ACL injuries were registered during the five-year analysis period. Incidence of injury was higher in amateur compared to professional and semi-professional soccer players. Risk factors for injury include previous ACL injury, other knee injuries, and a move to a higher league.
Read the study… |
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| Study Assesses Outcomes of Telemedicine Consultations after Orthopaedic Surgery
A study published online in BMC Musculoskeletal Disorders found a high acceptance of and similar clinical results with an orthopaedic telemedical consultation (OTC) after orthopaedic surgery compared to live consultations (LC). Fifty-three patients completed an OTC and LC, and experiences and attitudes were surveyed among participants and doctors. OTC was rated as “pleasant,” and participants rated the experience as “very satisfying.” OTC showed comparable suitability to LC for inspecting patients and assessing patient history, palpation, or active range of motion. LC was more suitable for assessing functional or passive joints compared to OTC. Recommendations based on consultation were similar between methods.
Read the abstract… |
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| Randomized Study Assesses Preoperative Radiotherapy for Soft-tissue Sarcoma
A randomized study, published online in Current Orthopaedic Practice, found less severe complications with radiotherapy (RT) prior to resection of extremity soft-tissue sarcoma compared to postoperative RT. Eighty patients were assigned to receive pre- or postoperative RT. No infections occurred. Pain scores, local recurrence and metastasis, and rates of wound dehiscence, limb edema, and subcutaneous fibrosis were comparable between groups. Joint stiffness was significantly reduced in the pre- versus postoperative RT group. Severity of postoperative complications was lower in the preoperative RT group at six and 12 months compared to the postoperative group.
Read the abstract… |
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| AAOS Now
Overweight and Obesity Are Often Overlooked by Surgeons
In this article, Nicholas J. Meyer, MD, discusses the role orthopaedic surgeons play in addressing obesity and overweight in their patients, as these conditions can impact outcomes across various orthopaedic subspecialities and contributes to several orthopaedic conditions. “Obesity and weight management are not traditionally in an orthopaedic surgeon’s wheelhouse, and they may be less gratifying to ‘fix’ compared to most orthopaedic conditions, but that needs to change,” writes Dr. Meyer.
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| Your AAOS
AAOS 2022: Call for Instructional Course Lectures, Symposia, and TechTalks Closes Oct. 1
Share your knowledge with orthopaedic surgeons from around the world at the AAOS 2022 Annual Meeting in Chicago, March 22–26, 2022. Applications remain open until Oct. 1 for Symposia, Instructional Course Lectures (including Case Presentations and Technical Skills), and TechTalks. Nowhere else will your discoveries reach such a wide-ranging audience. Submit your applications by Friday, Oct. 1.
Apply Now! |
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