AAOS Now, July 2022
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Updated CPG Details Hip Fractures in Older Patients
In December 2021, the AAOS Board of Directors approved a complete update to the Clinical Practice Guideline (CPG) on Management of Hip Fractures in Older Patients.
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Study Questions Whether Strict BMI Cutoffs Yield Meaningful Changes in Post-THA Outcomes
Obesity is a significant risk factor in the development of osteoarthritis, and as the number of patients with obesity in the United States continues to increase, so does the demand for total hip arthroplasty (THA).
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AAOS Issues Comments to the CDC Regarding Proposed CPG for Prescribing Opioids
AAOS issued formal comments to the Centers for Disease Control and Prevention (CDC) on the agency’s proposed 2022 Clinical Practice Guidelines (CPG) for Prescribing Opioids.
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Wide-awake Procedures Are the Future of Hand Surgery
During an Instructional Course Lecture on wide-awake hand surgery, presented at the AAOS 2022 Annual Meeting in Chicago, Andrew Sobel, MD, assistant professor of clinical orthopaedic surgery at the University of Pennsylvania Perelman School of Medicine.
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Addressing Wellness Early Is Important, But It Is Never Too Late to Start Thinking about Your Mental and Physical Health
Wellness is not just avoiding burnout.
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In-office Needle Arthroscopy Reduces Pain and Is Widely Accepted by Patients with Anterior Ankle Impingement
In-office needle arthroscopy for anterior ankle impingement led to significant reductions in pain and was associated with low rates of complications and excellent patient-reported outcomes and treatment satisfaction, according to study findings to presented at the AAOS 2022 Annual Meeting by Mohammad Azam of NYU Langone Orthopedic Center.
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Study Evaluates Evolving Success Rates of Conservative Management for Insertional Achilles Tendinopathy
A study presented at the AAOS 2022 Annual Meeting reported that the success rate of modern conservative management of insertional Achilles tendinopathy (IAT) is high and has likely improved in recent years.
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Machine Learning Model Using Radiomics, Clinical Features Differentiates Myxoid Soft-tissue Tumors
A study found that machine learning classification models using T1 and T2 radiomics features, when combined with clinical features, outperform models that use clinical features alone in differentiating benign and malignant myxoid soft-tissue tumors.
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Researchers Analyze FDA Data to Investigate Reported Adverse Events with Robotic-assisted Arthroplasty
Although the use of robotic-assisted total joint arthroplasty (TJA) is increasing in the United States, there are limited data points on the incidence and spectrum of complications that may occur with the application of this technology.
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Addition of Antibiotics with Anaerobic Coverage Reduces Risk of Wound Complications after STS Resection
The addition of antibiotics with anaerobic coverage to standard perioperative prophylaxis with cephalosporin was associated with significant reductions in the risk of wound complications after soft-tissue sarcoma (STS) resection, according to a study presented at the AAOS 2022 Annual Meeting.
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Study Finds Mental Health, Not Resilience, Is Significantly Associated with Recovery after Arthroscopic RCR
In contrast to previous literature, a study presented at the AAOS 2022 Annual Meeting reported that a patient’s mental health status—not resilience—was significantly related to functional recovery following arthroscopic rotator cuff repair (RCR).
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Addition of Liposomal Bupivacaine Is Not Superior to Bupivacaine Hydrochloride Alone in Managing Pain after TKA
In a randomized, controlled trial, liposomal bupivacaine did not significantly improve pain or function, reduce opioid consumption, or provide cost savings compared with bupivacaine hydrochloride alone in total knee arthroplasty (TKA).
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Meta-analysis Suggests Mepivacaine Spinal Anesthesia Could Enhance Patient Recovery after Primary TJA
Anesthetic options for primary total joint arthroplasty (TJA) are a growing area of focus in the effort to enhance patient experiences after surgery, according to results from a meta-analysis presented at the AAOS 2022 Annual Meeting.
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Study Questions Whether Extended Oral Antibiotic Prophylaxis Effectively Reduces PJI Risk for Aseptic THA and TKA Revisions
In an analysis of 178 aseptic total hip arthroplasty (THA) and total knee arthroplasty (TKA) first-time revisions, extended oral antibiotic (EOA) prophylaxis was associated with a slightly lower risk of periprosthetic joint infection (PJI) compared with standard antibiotic prophylaxis.
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Standard Reverse Shoulder Arthroplasty Glenoid Pin Guide with Built-in Inferior Tilt May Leave Implants Superiorly Tilted
A simulation study of reverse shoulder arthroplasties (RSAs) reported that standard pin guides with 10 degrees of inferior tilt built into the baseplate component may still leave many implants superiorly tilted.