AAOS Now, August 2016
Nerve Blocks Reduce Opioid Use in Children with SCH Fractures
According to a paper presented during the 2016 annual meeting of the Pediatric Orthopaedic Society of North America (POSNA), using a regional nerve block can reduce opioid use in children with supracondylar humerus (SCH) fractures who are treated with closed reduction and percutaneous pinning (CRPP).
Study: Longer Initial Reduction Time a Risk Factor for Repeat Procedures in Pediatric Forearm Fractures
A study to determine what factors may predict instability in pediatric diaphyseal both-bone forearm fractures found that patients requiring lengthy initial reduction times are at greater risk of having a repeat procedure than those with short initial reduction times. Age, initial translation, complete fracture of the radius, and residual translation on follow-up were highly predictive of the need for a second closed reduction and casting or an open surgical stabilization.
Recertification Examinations That Fit Your Practice
The American Board of Orthopaedic Surgery (ABOS) and the American Academy of Orthopaedic Surgeons (AAOS) have a long, successful partnership. Each organization has separate, important missions in improving the practice of orthopaedic surgery. The ABOS establishes educational standards for orthopaedic residents and evaluates the initial and continuing qualifications and competence of orthopaedic surgeons.
Pediatric ACL Revision Linked to Suboptimal Results
"ACL [anterior cruciate ligament] reconstruction is on the rise in pediatric and adolescent populations," said who presented findings from scientific paper SS-10, "Revision ACL Reconstruction in Children and Adolescents," at the annual meeting of the Arthroscopy Association of North America. "The purpose of our study was to assess demographics, techniques, and outcomes of ACL revision in children and adolescents." Patient profiles Dr.
Hip Arthroscopy—What Happens after Revision?
At 2-year follow-up, patients who undergo revision hip arthroscopy may be twice as likely to have undergone either total hip arthroplasty (THA) or hip resurfacing (HR) than those who undergo a primary hip arthroscopy procedure. In addition, patients undergoing primary arthroscopy tend to see improved outcomes compared to those undergoing revision. Parth Lodhia, MD, FRCSC, presented these findings at the annual meeting of the Arthroscopy Association of North America. Dr.
The Surgeon As Executive
For most orthopaedic surgeons in clinical practice, medicine is a singular calling. Care of patients and all that entails constitute a career that offers more than enough challenges, rewards, and personal fulfillment to provide a lifetime of professional satisfaction. Like many people, however, physicians have interests and talents outside of "the job."
Beyond the Technique: Patient Safety and the Core Competencies
In an Annual Meeting symposium focusing on surgical safety core competencies for orthopaedic residents, asked how many residents in the audience had nontechnical" surgical skills education and whether their programs had an identified safety expert. "Unfortunately," he said, surveying the result, "everyone's hand should be in the air." Dr.
Total Talus Replacement Shows Promising Results in Treating Talar Osteonecrosis
The management of osteonecrosis of the talus depends on the stage and severity of the disease process. For early osteonecrosis without collapse, core decompression or vascularized bone grafts have been used to halt progression and alleviate symptoms. Most treatments for managing more severe talar osteonecrosis—in which collapse has occurred—have included arthrodesis of one type or another, depending on the severity of the necrosis (Fig. 1).
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). Continuing usage—Data from a study published in Pain (June) suggest that many patients continue to use opioids for months after undergoing an arthroplasty procedure.