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  • Multiple predictors of unstable syndesmotic SER ankle fractures identified

    Source - Healio

    Fracture height, medial joint space and bone attenuation were determined to be useful predictors of unstable syndesmotic SER-type ankle fractures, according to a study.

    The retrospective study included 191 patients who underwent surgical fixation of SER-type ankle fractures. Age, sex and mechanism of injury (ie, low- or high-energy trauma), as well as radiographs and CT imaging scans, were reviewed for all patients. Researchers performed binary logistic regression analysis to identify all predictors of unstable syndesmotic injuries.

    Overall, 38 patients (19.9%) had a concurrent unstable syndesmotic injury. Age, sex, mechanism of injury, fracture height, medial joint space and bone attenuation were significantly different between stable or unstable syndesmotic patients, according to the researchers.

    Through binary logistic analysis, the researchers found that fracture height, medial joint space and bone attenuation were significant factors contributing to unstable syndesmotic injuries.

    Cutoff values for predicting unstable syndesmotic injuries on CT scans were fracture height of 3 mm or larger and medial joint space of 4.9 mm or larger; cutoff values on radiograph were fracture height of 7 mm or larger and medial joint space of 4.5 mm or larger.

    Disclosure: The authors have no relevant financial disclosures.

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  • New approach to total knee replacement spares muscle, decreases pain

    Source - The Daily Progress

    Total knee arthroplasty, also known as total knee replacement, is one of the most commonly performed orthopedic procedures. According to the American Academy of Orthopedic Surgeons, as of 2010, more than600,000 total knee replacements were being performed annually in the United States. The number of total knee replacements performed annually in the U.S. is expected to grow by 673 percent to 3.48 million procedures by 2030.

    To start, a rigorous preoperative optimization process is now in place to help minimize the risk of complications after surgery. Patients also attend a joint education class to be advised of what to expect before, during and after the surgery. Studies have shown that these educational classes improve patient outcomes.

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  • Semi-constrained implant improves revision knee arthroplasty outcomes

    Source - OrthoSpineNews

    Use of a semi-constrained implant in revision knee arthroplasty produced acceptable implant survival and functional outcomes during the long-term follow-up period, according to study results.

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  • Identifying risk factors for ACL re-injury

    Source - Medical News Today

    Re-tearing a repaired knee Anterior Cruciate Ligament (ACL) happens all too frequently, however a recent study being presented today at the American Orthopaedic Society for Sports Medicine's (AOSSM) Annual Meeting suggests that identification and patient education regarding modifiable risk factors may minimize the chance of a future ACL tear.

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  • Autografts may improve ACL reconstructions

    Source - Medical News Today

    Anterior Cruciate Ligament (ACL) reconstructions occur more than 200,000 times a year, but the type of material used to create a new ligament may determine how long you stay in the game, say researchers who presented their work at the Annual Meeting of the American Orthopaedic Society of Sports Medicine (AOSSM).

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  • High success rates seen for combined meniscal, ACL repair

    Source - Healio

    Concurrent meniscal and ACL repair has shown high rates of success, according to a presenter here.

    Researchers evaluated 235 patients from the Multicenter Orthopaedic Outcomes Network (MOON) who underwent both unilateral primary ACL reconstructions and concurrent meniscal repair between 2002 and 2004. Of the meniscal repairs, 154 were medial, 72 were lateral and nine underwent both.

    Validated patient-oriented outcome data (KOOS, WOMAC) scores, Marx activity scores and IKDC scores were recorded at 2 and 6 years follow-up. Failure of meniscal repairs was determined by subsequent ipsilateral repair.

    “This represents the largest cohort combining meniscus repair and ACL reconstruction follow-up for a minimum of 6 years,” Robert W. Westermann, MD, said during the American Orthopaedic Society for Sports Medicine Annual Meeting.

    Overall, 86% of meniscal repairs were successful at 6-year follow-up; of these, 86.4% were medial meniscal repair, 86.1% were lateral meniscal repairs and 77.8% were in cases where both were repaired, according to Westermann.

    Of the 33 repair failures, nine (27.3%) were related to revision ACL surgery. On average, medial meniscal repairs failed sooner than lateral repairs (2.1 years vs. 3.7 years).

    KOOS Symptoms, KOOS Pain, KOOS KRQOL, WOMAC Pain, and IKDC values all improved significantly when comparing baseline scores to 6-year follow-up, according to Westermann. Marx Activity levels gradually declined from time of injury to 6-year follow-up. — by Christian Ingram

    Reference:Westermann RW. Paper #44.Presented at: American Orthopaedic Society for Sports Medicine Annual Meeting; July 10-13, 2014; Seattle.
    Disclosure:Westermann has no relevant financial disclosures.

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  • High success rates seen for combined meniscal, ACL repair

    Source - Healio

    Concurrent meniscal and ACL repair has shown high rates of success, according to a presenter here.

    Researchers evaluated 235 patients from the Multicenter Orthopaedic Outcomes Network (MOON) who underwent both unilateral primary ACL reconstructions and concurrent meniscal repair between 2002 and 2004. Of the meniscal repairs, 154 were medial, 72 were lateral and nine underwent both.

    Validated patient-oriented outcome data (KOOS, WOMAC) scores, Marx activity scores and IKDC scores were recorded at 2 and 6 years follow-up. Failure of meniscal repairs was determined by subsequent ipsilateral repair.

    “This represents the largest cohort combining meniscus repair and ACL reconstruction follow-up for a minimum of 6 years,” Robert W. Westermann, MD, said during the American Orthopaedic Society for Sports Medicine Annual Meeting.

    Overall, 86% of meniscal repairs were successful at 6-year follow-up; of these, 86.4% were medial meniscal repair, 86.1% were lateral meniscal repairs and 77.8% were in cases where both were repaired, according to Westermann.

    Of the 33 repair failures, nine (27.3%) were related to revision ACL surgery. On average, medial meniscal repairs failed sooner than lateral repairs (2.1 years vs. 3.7 years).

    KOOS Symptoms, KOOS Pain, KOOS KRQOL, WOMAC Pain, and IKDC values all improved significantly when comparing baseline scores to 6-year follow-up, according to Westermann. Marx Activity levels gradually declined from time of injury to 6-year follow-up. — by Christian Ingram

    Reference:Westermann RW. Paper #44.Presented at: American Orthopaedic Society for Sports Medicine Annual Meeting; July 10-13, 2014; Seattle.
    Disclosure:Westermann has no relevant financial disclosures.

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  • Risk factors identified for little league shoulder

    Source - MedicalNewsToday

    As cases of Little League Shoulder (LLS) occur more frequently, the need for additional information about the causes and outcomes of the condition has become clear. Researchers presenting at the American Orthopaedic Society for Sports Medicine's (AOSSM) Annual Meeting shared new data identifying associated risk factors, common treatment options and return to play.

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  • NFL players return to the game after stabilizing shoulder surgery

    Source - MedicalNewsToday

    Shoulder instability is a common injury in football players but the rate of return to play has not been regularly determined following surgery. A new study, discussed at the American Orthopaedic Society for Sports Medicine's (AOSSM) Annual Meeting, details that return rates for NFL players is approximately 90 percent no matter what the stabilization procedure (open vs. arthroscopic).

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  • Obesity may be driving increasing need for knee and hip replacements in steadily younger patients

    Source - dailyRx

    The impact of being overweight has far reaching health implications — implications that may be taking a toll at an earlier age.

    In a new study, researchers found that packing on the pounds may be setting the stage for total knee or hip replacement at increasingly younger ages.

    Further, the scientists found that being overweight or obese had a greater impact on the knee than the hip.

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