AAOS Now, August 2018
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Treatments for Osteochondral Lesions of the Talus Continue to Evolve
American athletes are becoming bigger, stronger, and faster. The average male in the United States weighs 195 pounds and has a body mass index of 28.6 kg/m2. The increases in mass and velocity translate to increased forces on tendons, ligaments, and joints to accommodate changes in direction and impacts from collisions. The ankle joint is at particular risk of injury in athletes, elite and recreational alike.
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Second Look—Clinical
BMI and mortality—Underweight patients undergoing total hip arthroplasty (THA) or total knee arthroplasty (TKA) may have increased all-cause mortality, but this was not the case for overweight and obese patients, according to a study published in Clinical Orthopaedics and Related Research (June). Researchers used data from the Australian St. Vincent’s Melbourne Arthroplasty Outcomes Registry and the U.S. Kaiser Permanente Total Joint Replacement Registry.
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Pediatric Fractures of the Femoral Shaft: Arriving at the Algorithm
This article is part two of a three-part series on pediatric trauma based on an AAOS 2018 Annual Meetingsymposium. There is no single treatment algorithm to guide in the management of fractures of the femoral shaft, said Anthony I. Riccio, MD, of Texas Scottish Rite Hospital for Children, during the AAOS 2018 Annual Meeting Symposium titled “Staying out of Trouble in Pediatric Trauma.”
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ACL Reconstruction Techniques Continue to Evolve, but Hurdles Lie Ahead
Anterior cruciate ligament (ACL) reconstruction remains one of the most common procedures in orthopaedic surgery, with an estimated 100,000 performed annually in the United States alone.
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Sustainable Solutions: Wide-awake Hand Surgery in Ghana
Donald Lalonde, MD, FRCSC, works with local partners to bring wide-awake surgery technique to low-resource settings Donald Lalonde, MD, FRCSC, a hand surgeon in New Brunswick, Canada, began volunteering internationally in 1991, providing surgical care in resource-scarce settings through Operation Smile, Smile International, and Operation Rainbow Canada. During his time with these direct-service organizations, Dr.