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| Today’s Top Story
Study: Outcomes of Extended Trochanteric Osteotomy with Cerclage Fixation in Revision THA for PJI
A retrospective cohort study published online in The Journal of Arthroplasty found that, even in the presence of periprosthetic joint infection (PJI), extended trochanteric osteotomy (ETO) is a viable option for femoral component revision total hip arthroplasty (THA). In total, 76 ETOs were grouped based on indication for femoral component revision (49 PJI versus 27 aseptic revision). The outcomes measured included operative time, estimated blood loss, complications, and rate of revision surgery. There were no significant differences observed between groups in operative times, complications, or rate of revision surgery. Forty patients in the PJI group retained cerclage fixation, but no significant impacts were noted.
Read the abstract… |
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| In Other News
Study: Impact of the COVID-19 Pandemic on TSA Trends and Postoperative Care
The Journal of Shoulder and Elbow Surgery published a retrospective study evaluating the impact of the COVID-19 pandemic on total shoulder arthroplasty (TSA) hospital surgical volume, length of stay (LOS), discharged-home rates, and 30-day readmission rates. Over 9,000 TSAs between 2019 and 2020 were included in the analysis. Overall, there was a decrease in TSA volume by 14 percent, and LOS for all TSAs decreased by 16 percent. There was an increase of 5 percent in the discharge-home rate. No significant change was observed in 30-day hospital readmission rates.
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| Study: Outcomes of Patellofemoral Arthroplasty on Patellar Height in Patients with Patellofemoral OA
The Journal of Knee Surgery published a study online investigating the effect of patellofemoral arthroplasty (PFA) on patellar height in patients with patellofemoral osteoarthritis (OA). Pre- and postoperative radiographs and patient-reported outcomes were retrospectively reviewed in 133 knees. In total, 73 percent presented with patella alta, and 61 percent of patellar heights decreased. Patients who presented with patella alta reported similar outcomes in knee function and pain. Patients whose patellar height did not decrease reported greater improvements in pain and function compared with patients whose patellar height decreased.
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| Study: Outcomes of Text Message–based Support Program after Flexor Tendon Injury Repair
A randomized controlled trial published online in The Journal of Hand Surgery evaluated the effects of the addition of a text message–based intervention to usual care in improving hand outcomes after repair of flexor tendon injuries. Forty patients were assigned to usual care plus the support program or the control group. The intervention included an automated package of instructional text messages containing links to instructional rehabilitation videos, delivered over 12 weeks. The intervention group experienced significantly improved outcomes at six- and 12-week assessments after flexor tendon repair
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| Study: Therapeutic Exercises and Modalities in Athletes with Acute Hamstring Injuries
Sports Health published a systematic review investigating the effectiveness of exercise-based interventions combined with physical modalities in athletes with acute hamstring injuries. The analysis included 4,569 randomized controlled trials on the effect of therapeutic exercise programs with and without physical agents in athletes with acute hamstring injuries. Pain intensity, time to return to play (TTRTP), and reinjury rates were extracted. Loading exercises during extensive lengthening demonstrated facilitation of reduced TTRTP. Strengthening with trunk stabilization exercises did not reduce the duration of injury recurrence; however, the reinjury rate was significantly reduced at 12-month follow-up with these exercises.
Read the abstract… |
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| AAOS Now
OrthoInfo Content Helps Keep Kids Safe
The arrival of August heralds the start of the new school year. As children prepare to go back and gear up for fall sports and activities, OrthoInfo, AAOS’ patient education website, is here to help teach parents and guardians how to keep their kids safe from injuries, address a wide range of musculoskeletal conditions, and reinforce bone-healthy habits. The site’s pediatric-focused content is useful not only during the school year, but any time AAOS members or other providers want to share educational resources with families.
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| Your AAOS
Special Webinar on Sept. 15: 2022 AAOS Anatomic and Reverse TSA Course Preview—How to Manage the Bad B2 Glenoid
Are you getting excited for the AAOS/American Shoulder and Elbow Surgeons Anatomic and Reverse Total Shoulder Arthroplasty (TSA): Concepts and Techniques from Basic to Advanced hands-on surgical skills course in November? Register for this special webinar on Sept. 15 and get a sneak peek of the hot topics that will be presented at the course. Hear from course directors J. Michael Wiater, MD, FAAOS, and Joseph A. Abboud, MD, FAAOS, along with expert course faculty on how to classify and quantify the glenoid retroversion and posterior humeral head subluxation that characterizes the B2 glenoid.
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