AAOS Now, October 2016
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Expanding the Definition of "Women's Health"
The term "women's health" has long been thought to refer almost exclusively to reproductive health issues or conditions that are unique to women. Evidence that sex and gender have an impact on almost all health conditions—whether in etiology, prevalence, presentation, or response to treatment—is increasing. Unfortunately, this impact is not always acknowledged, taught in medical schools or residencies, or applied to patient care.
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The Fate of the Ailing Ankle: Arthrodesis Versus Arthroplasty
This "Face Off" presents the most compelling arguments in support of both ankle arthrodesis and total ankle replacement (TAR) in the management of end-stage ankle arthritis. Although it seems increasingly clear that both arthrodesis and arthroplasty will have their place in the treatment of ankle arthritis, both procedures come with particular advantages, disadvantages, and associated complications.
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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.
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Can an Algorithm Reduce Mortality for Femoral Neck Fracture Patients?
Increased use of total hip arthroplasty (THA) in the treatment of intracapsular proximal femoral fractures has highlighted the need for an improved patient-selection strategy, according to researchers in the United Kingdom. They displayed their findings in a poster presentation at the 2016 AAOS Annual Meeting.
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Study: Longer Surgical Times Linked to Wound Complications in TAR
A study examining surgical and demographic characteristics in patients with and without wound complications after undergoing total ankle replacement (TAR) identified a correlation between surgical time and major wound issues requiring surgical intervention. of the Medical University of South Carolina, presented the study at the annual meeting of the American Orthopaedic Foot & Ankle Society (AOFAS) in Toronto.
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TAR and Nicotine
A study examining the effects of cigarette smoking on total ankle replacement (TAR) surgery found that active cigarette smokers had a significantly higher risk of wound complications and worse outcome scores compared with nonsmokers and former smokers. The study, presented at the annual meeting of the American Orthopaedic Foot & Ankle Society (AOFAS) in Toronto by Alexander J.
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Hallux Rigidus in the Athlete
Hallux rigidus (degenerative arthritis of the great toe metatarsophalangeal [MTP] joint) is a common source of pain and dysfunction in the athletic population. Often, conservative methods such as a stiffer-soled shoe, a carbon fiber insert beneath a custom or prefabricated orthotic, and intermittent NSAIDs can mitigate symptoms and enable an athlete to continue with sporting activities. However, some patients may continue to have symptoms that require surgical intervention.