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Weekly News, Analysis, and Commentary

Large Joints Features & News

ArthritisPower App: 11,000 Patient Registry; #1 Reason for Hip Replacement Success; and #1 Reason for Knee Replacement Failure

Sources: Flickr, James Cridland, and CreakyJoints

Novel app empowers patients to track their symptoms and research participation. Research shows that the state of other affected major joints and spine should be assessed and documented before hip surgery. And a study from New Zealand finds that periprosthetic joint infection is the #1 culprit in primary TKA failure…out to 15 years.

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Kingella kingae Tied to Pediatric Joint Infection; Delineating OA Phenotypes; New Study: ≥2x/Week Exercise Cuts LBP

Source: Wikimedia Commons and Dr.saptarshi

Strong association found between osteoarticular infection by K kingae and its presence in the throat of young children. Pain and injury mechanisms point toward clinically distinct OA phenotypes. New data show exercise frequency matters when it comes to preventing low back pain.

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Under-Reporting Adverse Events; OREF and NIH Connection; Brad Bruns Wins “Healthcare Hero” Award

Source: Wikimedia Commons and Julia Midgley

New study documents under-reporting of adverse events in orthopedics, the causes and a solution. UCLA researchers found that OREF funding leads, often, to later NIH funding. Go OREF! Finally, kudos to Brad Bruns, M.D. who was recognized by The Phoenix Business Journal as 2017’s Healthcare Hero.

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AOFAS Volunteers Give and Teach in Vietnam; New Score Trumps ASA and CCI Risk Stratification Systems; Grapefruit Arthroscopic Training!?

Volunteer surgeons Lorenzo Gamez, MD (left) and Geoffrey M. Tymms, MBBS (right) examine a young patient at the Vinh Orthopedics Rehab Center in Vinh, Vietnam. / Courtesy of AOFAS

AOFAS has just marked its 16th annual volunteer trip to Vietnam. Researchers have developed a new, improved method of risk stratification in OP TJA settings. And the grapefruit (yes, grapefruit) shows researchers that it is a viable alternative arthroscopic training model.

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Berend v. Meneghini: Liposomal Bupivacaine Injectables: Game Changers in Pain Management

Image created by RRY Publications, LLC

The #1 game changer in large joint arthroplasty has been the shift from inpatient surgery to better pain control and outpatient surgery. Liposomal bupivacaine is the poster child of this shift, but is it worth the extra $300? Michael Berend and Michael Meneghini debate this question in an absolutely stellar review of the latest data.

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Surprising # of Median Nerve Harvest Mistakes; Outpatient vs Inpatient THA; Warfarin NO Barrier to Fast Fracture Repair?

Source: Wikimedia Commons and Henry Gray (1918) Anatomy of the Human Body

Research suggests that surgeons who do an upper extremity fellowship are less likely to inadvertently harvest the median nerve. A new Rothman study finds that patients undergoing THA outpatient or inpatient should have equivalent results…if certain guidelines are followed. And HSS researchers recently looked at hip fractures in patients on warfarin and time to surgery.

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