AAOS Now, April 2018
'Superconstructs' for Charcot Midfoot Dislocation
The treatment of midfoot fractures and dislocations in patients with diabetic neuropathy continues to pose challenges for the orthopaedist. Diabetes affects more than 250 million people worldwide and about 26 million Americans. The prevalence is estimated to have increased by greater than 15 percent since 2005 and the numbers continue to grow. The complications of diabetes on the foot are profound.
Distal Radius Fracture Updates: A Review of the Year's Best
Distal radius fractures are common injuries in the United States. Despite the high frequency of occurrence, treatment is not standardized. In 2009, the Academy provided 29 recommendations for treatment of distal radius fractures. None of these recommendations were graded strong and only five were graded moderate.
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). Findings in the Journal of the AAOS (JAAOS; Feb.
Do AAOS ACL Injury Recommendations Impact Patient Care?
Anterior cruciate ligament (ACL) tears are high-profile injuries. Every week, they are highlighted on sports TV, radio, and social media. Here in Houston, Texans rookie quarterback Deshaun Watson’s strong campaign for NFL rookie of the year was abruptly halted by an ACL tear. If we look at the sport the rest of the world calls football, the United States women have a stellar record in World Cup competition. However, U.S.
Study Found Low Follow-up Rates in Patients Who Underwent Surgery for Traumatic Pelvic Injuries
A study that followed patients in Kentucky who were treated surgically for unstable pelvic ring injuries found that 12 percent of them did not appear for a single follow-up appointment, and 41 percent did not complete the 90-day global period. Patients who were older and who had diabetes were less likely to follow up, as were those who lived farther away from the trauma center.
BMI Affects Mortality Risk After Revision TKA
The impact of obesity on complications after primary total knee arthroplasty (TKA) is well known. Less understood, however, are the effects of obesity on the long-term mortality risk in patients undergoing revision TKA. Researchers at the Mayo Clinic sought to assess the association between body mass index (BMI) and mortality risk in a large cohort of patients undergoing revision TKA.
Cartilage Wear Pattern May Help Identify Pre-arthritic Hip Disorder
Cartilage lesions in patients with symptomatic, pre-osteoarthritic diseases are very common, according to Cecilia Pascual-Garrido, MD, who presented results from Paper 899, “Are there Disease-Specific Articular Cartilage Wear Patterns in Various Pre-arthritic Hip Disorders?” during the AAOS 2018 Annual Meeting. Dr.
Study: Pin Site Overlap in Staged Tibial Fixation Not Related to Infection Risk
A study of distal tibial pilon fractures managed with external fixation followed by definitive fixation found no association between pin site overlap and the development of deep infection. The study, presented at the AAOS 2018 Annual Meeting by Jeffrey Potter, MD, FRCSC, also found no relationship between infection and the distance between proximal plate extent and pin site.