Today’s Top Story

Study: Increased Risk of Complications in TKA Patients with History of Fragility Fractures

A retrospective matched cohort study published online in The Journal of Arthroplasty assessed the rates of short-term complications following total knee arthroplasty (TKA) in patients who have sustained prior fragility fractures. Using a national database, the rates of complications at one- and two-years after TKA were analyzed in 48,796 patients Prior fragility fractures were associated with increased rates of one-year hospital readmissions, periprosthetic fractures, secondary fragility fractures, prosthesis dislocations, prosthesis instabilities, and periprosthetic infections. Similar trends were observed in implant-related complications two-years postsurgery.

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In Other News

Study: Hyperlipidemia Does Not Affect Outcomes in Patients with Femoroacetabular Impingement

The Journal of Orthopaedic Surgery and Research published a case-series study online that demonstrated femoroacetabular impingement patients with hyperlipidemia can expect to experience similarly good short-term patient-reported outcomes (PROs) as compared with patients without hyperlipidemia. Data was prospectively collected and retrospectively reviewed in 82 patients. Outcomes included PROs, visual analog scale (VAS) scores, complications, and revision surgery. Both groups showed significant improvements in PROs and VAS scores at final follow-up. Moreover, there were no significant differences in preoperative scores and outcome scores between the groups.

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Study: Comparable Outcomes between Arthroscopic and Open Debridement for Lateral Epicondylitis

In the treatment of lateral epicondylitis, both arthroscopic (AD) and open debridement (OD) of the extensor carpi radialis brevis (ECRB) were found to have low rates of adverse events 90-days postsurgery, according to a retrospective study published online in Arthroscopy. The rates of 90-day postoperative complications and five-year reoperation were measured. Overall, 19,280 patients (OD, n = 17,139; AD, n = 2,141) were analyzed. There were no significant differences in radial nerve injuries, hematomas, surgical site infections, wound dehiscence, and sepsis events when comparing OD and AD patients. Five-year reoperation rates for the AD and OD groups were 5 percent and 3 percent, respectively.

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Study: Reduced Medial and Tibiofibular Clear Space after Deltoid Ligament Repair in Bimalleolar Equivalent Ankle Fractures

Foot and Ankle Surgery published a retrospective study that found deltoid ligament repair in bimalleolar equivalent ankle fractures resulted in reduced medial clear space three months postsurgery. The researchers compared radiographic outcomes at three months postoperatively in 147 ankles with bimalleolar equivalent ankle fractures undergoing ORIF (open reduction—internal fixation) deltoid ligament repair. The deltoid repair group showed significant decreases in medial clear space (1.93 mm) compared with the no repair group (2.26 mm). Tibiofibular clear space was also significantly decreased after three months in the deltoid repair group compared with the no repair group (3.89 mm versus 4.87 mm).

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Study: Outcomes of One-level Cervical Disk Arthroplasty and Two-level ACDF

A retrospective study published online in the Journal of Orthopaedic Research compared the differences among constructs with one-level cervical disk arthroplasty (CDA) and two-level anterior cervical diskectomy and fusion (ACDF) in three-level hybrid surgery. A total of 53 patients were divided into three groups: type Ia, CDA-ACDF-ACDF; type Ib, ACDF-CDA-ACDF; type Ic, ACDF-ACDF-CDA. Clinical and radiological outcomes were evaluated between groups. Postsurgery, all groups showed significant improvements. Range of motion of the total cervical spine in the type lc group decreased significantly compared with the other groups. Fusion rates of the superior ACDF segments were significantly higher at six- and 12-months postsurgery.

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AAOS Now

AAOS Recognizes Excellence in Musculoskeletal Healthcare Journalism with 2022 MORE Awards

AAOS has named the 14 recipients of the 2022 Media Orthopaedic Reporting Excellence (MORE) Award, which is presented annually to U.S.-based journalists to acknowledge accurate reporting of musculoskeletal health news topics and to celebrate the role of the media in educating the public. This year’s winners include stories from Chicago Health, Oxygen, U.S. News & World Report, and other outlets.

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Your AAOS

Practice Surgical Techniques with Four Upcoming Hands-on Lab Courses

The state-of-the-art lab at the OLC Education & Conference Center is the perfect setting to reconnect with colleagues while learning and networking. Don’t wait to secure your spot for upcoming courses: Total Knee Arthroplasty; Advanced Techniques in Knee—Cartilage, Ligaments, Osteotomy, Meniscus and More; Total Shoulder Arthroplasty; Trauma Update in Tactics and Techniques.

Learn more and register…