AAOS Now, July 2015
POSNA Award-Winning Research Runs the Gamut
Award-winning clinical research presented during the 2015 annual meeting of the Pediatric Orthopaedic Society of North America (POSNA) covered a variety of orthopaedic conditions and overlapped specialties such as spine, trauma, and hip. Top clinical paper The top clinical paper was “Treatment of Congenital Vertical Talus: Comparison of Minimally Invasive vs. Traditional Surgical Technique with Minimum 5-Year Follow-Up” by Matthew B.
Study Probes Use of Pain Medication by AIS Patients After Surgery
Adolescents undergoing posterior spinal fusion (PSF) for idiopathic scoliosis who require more pain medication than average following surgery are more likely to be heavier and male, according to study data presented by Daniel R. Grant, MD, at the Pediatric Orthopaedic Society of North America annual meeting. The study also found that patients who self-reported having a “high tolerance” for pain used more medication than those with “average tolerance.”
How Dangerous Are Common Pediatric Orthopaedic Procedures?
A small number of surgical procedures account for the majority of adverse events experienced by pediatric surgical patients in the 30 days following orthopaedic procedures, according to a large study presented by Brian G. Smith, MD, at the 2015 annual meeting of the Pediatric Orthopaedic Society of North America (POSNA). The study garnered the Peter Armstrong, MD, Shriners Hospital for Children Award.
Treating ACL Tears in Children: When is Surgery Warranted?
The number of pediatric patients who sustain anterior cruciate ligament (ACL) tears is increasing, especially among young athletes who participate in year-round sports that put tremendous strain on their joints. But how to treat these skeletally immature patients—whether with ACL reconstruction or nonsurgical treatments—remains controversial. Mininder S.
Remembering a Resident Revolt
The day the residents resigned still resonates at UMMC Nearly 40 years ago, a group christened “the Recalcitrant Residents” shaped the course of an entire medical center department with one audacious and unprecedented act. They submitted a letter of resignation to Norman C. Nelson, MD, vice chancellor for health affairs at the University of Mississippi Medical Center (UMMC).
Periprosthetic Dislocation in Primary THA
Total hip arthroplasty (THA) is a successful, cost-effective operation for improving pain and function. In 2010, approximately 332,000 THAs were performed in the United States. Despite the long-term success of this procedure, numerous complications can lead to decreased patient satisfaction, decreased function, and, potentially, revision surgery. The most common indications for revision include infection, osteolysis, and dislocation. Medicare claims data revealed a 3.
Breaking Out the Data on Hip Fractures
With a rapidly expanding elderly population, orthopaedic surgeons are likely to see increased numbers of hip fractures, noted Susan V. Bukata, MD, of UCLA, during her presentation for the Orthopaedic Trauma Association’s Specialty Day. Improving outcomes for these patients, she said, will require quality measures. “We all want to provide high-quality, cost-effective care.
Learning from a Complications Database
It’s difficult to maintain participation in an organizational database,” explained Howard M. Place, MD, of the Scoliosis Research Society (SRS), speaking during the Federation of Spine Associations 2015 Specialty Day program. “As the detail of the data collection increases, participation tends to decline.” Dr.