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| Does Timing of Preoperative CSI Affect Postoperative Infections after Shoulder Arthroplasty? |
| Arthroscopy published a retrospective comparative study that investigated the association between timing of preoperative corticosteroid injections (CSIs) and postoperative infections in patients undergoing shoulder arthroscopy. Patients were divided into four groups based on CSI timing (<2 weeks, 2 to <4 weeks, 4 to <6 weeks, and 6 to <8 weeks) and compared with a control group with no CSI. Patients who received CSI <2 weeks before shoulder arthroscopy had the greatest odds ratio for infection at 90 days (3.1) and 2 years (2.08) postoperation compared with the control group. |
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Correction: Anterior versus Posterior Plating for Distal-third Humerus Shaft Fractures Result in Similar Outcomes
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| This abstract was featured in Tuesday’s issue of Headline News Now (HNN) but incorrectly transposed postoperative radial nerve palsy incidence between the posterior and anterior plating groups HNN regrets the error. The following summary includes the corrected text: According to a retrospective study in the Journal of Hand Surgery, estimated bleeding and operative times were similar when comparing anterior versus posterior approaches for plating in distal-third humerus shaft fractures. Twenty patients and 30 patients comprised the ORIF with anterior plating and ORIF with posterior plating groups, respectively. Clinical and radiological outcomes were compared between groups. Four patients in the posterior plating group experienced postoperative radial nerve palsy compared with no patients in the anterior plating group. |
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| Study Compares Outcomes of ORIF versus Distal Femoral Replacement for Periprosthetic Femur Fractures |
| A retrospective study in the Journal of Orthopaedic Trauma compared the outcomes of periprosthetic distal femur fractures treated with ORIF versus distal femoral replacement (DFR) in 370 patients aged >64 years. The primary outcomes included 1-year mortality, ambulatory status after 1 year, reoperations, and hospital readmissions. The DFR group was associated with longer hospital stays (9.08 days versus 6.09 days) and more frequent blood transfusion (44 percent versus 12.3 percent); however, no significant differences were observed between groups in terms of 1-year mortality. |
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| Study: Delaying ACLR >12 Months Increases Severity of Medial Chondral Injuries |
| The Bone & Joint Journal published a retrospective study that examined the association between chondral injury and time from ACL tear to ACL reconstruction (ACLR). A total of 1,317 patients were included in the analysis and were categorized based on the delay to ACLR (<3 months, 3 to 6 months, >6 to 12 months, and >12 months). Chondral injury was assessed during arthroscopy. Delaying ACLR >12 months was associated with an increased rate and severity of chondral injuries compared with <3 months. |
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Study Identifies Risk Factors for Implant Failure following Total Spondylectomy for Spinal Tumors
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| A retrospective study in the Journal of Bone Oncology investigated the risk factors for and protective measures against implant failure (IF) in patients undergoing total spondylectomy for thoracic and lumbar spinal tumors. Data on patient demographics, surgical characteristics, and outcomes were collected from 145 patients. Twenty-two patients developed IF after a mean follow-up of 53.77 months. Undergoing thoracolumbar junctional region (T12/L1) resection was identified as a risk factor for IF. Patients with bone cement augmentation around the cage were less likely to develop IF compared with those not receiving bone cement augmentation. |
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| Perioperative Considerations in Shoulder Replacement Surgery |
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| This final installment of a three-part series on advancements in shoulder replacement surgery explores updates in the management of perioperative pain, blood loss, and infection. Advances in anesthesia and blood-loss reduction have made it possible to discharge increasing numbers of patients on the same day as surgery, and new data have guided improved efficacy at reducing bacterial load and the risk of infection at the time of primary surgery. |
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| Your voice matters! Please take a few minutes to participate in the 2023 Member Value and Satisfaction Survey. Tell us what you want and how AAOS can better support you. As a thank you for completing the survey, you will be entered to win one of five Gold Registration packages to attend AAOS 2024 Annual Meeting—a $609 value. One of the five winners will also receive a complimentary hotel stay the week of the meeting for up to 5 nights at a designated AAOS hotel plus a complimentary general Instructional Course Lecture ticket—a $2,679 value. |
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| Recent Registry Enhancements You Should Know About |
| As AAOS Registry Program technology improves, sites will be able to better utilize their data to make decisions and deliver high-quality patient care. AAOS has deployed RegistryInsights® updates in 2023 and will continue to make enhancements in 2024 to improve the user experience and provide meaningful outcomes-related insights for our participants. After gathering feedback from users in 2022, the Registry Program identified the features that were most requested and have started implementing those changes, which will be reflected upon the release of the next generation dashboards. |
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| AAOS Headline News Now (HNN) is a twice-weekly member service produced by the AAOS Now editorial staff.
Disclaimer: AAOS is not responsible for the privacy policy, the content, or the accuracy of any website accessed through a link in HNN or the AAOS website. Links to other websites do not constitute as an endorsement by AAOS of the linked site, its products, or services. Content, conclusions or opinions expressed in any article are not necessarily those of the AAOS. Please direct feedback to headlinenewsnow@aaos.org. |
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