AAOS Now, April 2016
Sports Medicine Research at the 2016 AAOS Annual Meeting
The 2016 Annual Meeting featured innovative and thought-provoking research in all fields of orthopaedics. Summarized here are highlights from sports medicine and arthroscopy presentations covering lower extremity, basic science, and cost-effectiveness. In May, we will feature studies focused on upper extremity, rehabilitation, and return-to-play issues.
The Perioperative Surgical Home: Toward Seamless Patient Care
In recent years, healthcare reform has taken center stage in both political and medical society debates. As healthcare providers seek a safer, more economical approach to treating their patients, we have begun to implement evidence-based, standardized practices and protocols. At the same time, lawmakers demand high-quality and low-cost solutions. Traditional surgical episodes are fragmented— into the preoperative episode, the operative episode, and the postoperative episode.
Bone Health Lifetime Challenges: Accrue, Maintain, and Replenish
With the orthopaedic surgery community now called upon to help assure the bone health of our patients as part of comprehensive musculoskeletal care, it is incumbent on us to understand more about the specifics of that care. This obligation is driven by the necessity of treating the osteoporosis in older adult fragility fracture patients to prevent future fractures.
Study Focuses on Dual Taper THA and Revision Outcomes
A study of total hip arthroplasty (THA) patients presented at the 2016 AAOS Annual Meeting found that revision surgery of dual taper THA due to taper corrosion had an early increased incidence of postoperative complications (20 percent) and a rerevision rate of 6 percent. According to the study findings, metal ion levels and cobalt chromium ratios declined significantly in all patients after the dual taper was removed.
Wide Variation Found in Readmission Rates after TKA
Whether a total knee arthroplasty (TKA) patient is readmitted to the hospital within 30 to 90 days after the procedure may depend, to some extent, on the hospital's geographic location in the United States. Data from a study presented at the 2016 AAOS Annual Meeting found a wide geographic variation in readmission among hospitals across the country, with patients in the Western states having a lower 30- and 90-day readmission (RA) risk than patients in other regions of the country.
Share Your Knowledge
The AAOS Central Program Committee is issuing a call for abstracts from AAOS members, residents, and other orthopaedic professionals on a wide variety of orthopaedic-related topics for the AAOS 2017 Annual Meeting in San Diego, March 14–18. Nowhere else will your discoveries reach such a wide-ranging orthopaedic audience. "The future of orthopaedic science and practice is constantly progressing," said chair, Central Program Committee.
Study: Shorter Time Between Injections for Trigger Finger Predictive of Need for Surgical Release
Study data indicate that patients who received a second steroid injection for stenosing tenosynovitis—commonly known as trigger finger—within 6 months of the first injection had a significantly higher likelihood of requiring surgical release than patients who received a second injection after 6 months.
Second Look – Clinical News and Views
These items originally appeared in AAOS Headline News Now, a thrice-weekly enewsletter that keeps AAOS members up to date on clinical, socioeconomic, and political issues, with links to more detailed information. Subscribe at www.aaos.org/news/news.asp (member login required) Compartment syndrome—A study published in the Journal of Orthopaedic Trauma (online) attempts to identify radiographic indicators linked to compartment syndrome after tibial fracture.