Study Examines Early Weight Bearing After Microfracture Surgery for Talus Lesions

Terry Stanton

Patients managed with early weight bearing (EWB) following arthroscopic microfracture for osteochondral lesions of the talus exhibited significant improvement in early postoperative functional scores compared to those managed with delayed weight bearing (DWB), according to research presented by CPT J. Banks Deal Jr, MD, of Tripler Army Medical Center, Honolulu, Hawaii at the 2016 annual meeting of the Society of Military Orthopaedic Surgeons (SOMOS).

Opioids and the Orthopaedic Surgeon

Terry Stanton

Although a flurry of legislative and regulatory activity in response to the opioid crisis has reduced the volume of opioid medications being dispensed, the epidemic of addiction continues to be a serious issue.

PROs in Practice

Joseph P. DeAngelis, MD, MBA; Neha Agrawal, MPH

In the first article of this two-part series on the use of patient-reported outcomes (PROs) (see "Collecting and Using Patient-Reported Outcomes in Everyday Practice," AAOS Now, January 2017), Charles A. Goldfarb, MD, from Washington University in St. Louis, shared his experiences with implementing the Patient-Reported Outcomes Measurement Information System (PROMIS®). In this article, we talk with Bradley J.

Value of Arthroplasty Registries Recognized

Each year, the Orthopaedic Research and Education Foundation (OREF) recognizes outstanding clinical research related directly to musculoskeletal disease or injury through the OREF Clinical Research Award. This year, the award will be presented to primary investigator. Dr. Malchau's coauthors on the paper, "Arthroplasty Implant Registries Over the Past Five Decades: Development, Current and Future Impact," include Daniel J. Berry, MD; Göran Garellick, MD, PhD; and William H.

Research Uncovers New Treatments for Clubfoot

and Christina Gurnett, MD, PhD, will receive the Kappa Delta Ann Doner Vaughn Award for their paper "Advancing Personalized Medicine for Clubfoot Through Translational Research." The award will be presented in San Diego during the 2017 AAOS Annual Meeting. "Our work leverages scientific advances of the past decades, including human gene sequencing, molecular genetic engineering of mouse models, and magnetic resonance imaging, as well as new treatment technologies," write the authors.

Is Obesity a Modifiable Risk Factor for Elective Orthopaedic Surgery?

Laura M. Bruse, MD

Attention is increasingly being drawn to risk factors that may affect patient outcomes in orthopaedic surgery. Frequently, modifiable risk factors such as smoking, alcohol use, and obesity are discussed and modified prior to elective orthopaedic surgery. Obesity is a recognized medical condition which is increasing in both the adult and child population. The prevalence of obesity has doubled in adults in the past 20 years, with 35 percent of the U.S.

Visit the AJRR Booth at Annual Meeting

The American Joint Replacement Registry (AJRR) is celebrating a major milestone—the national orthopaedic registry of hip and knee replacement data is now one million procedures strong! To join in the celebration, be sure to visit the AJRR booth at the 2017 AAOS Annual Meeting in San Diego. AJRR staff will be on hand to answer questions about the registry and to demonstrate the newest registry platform enhancements.

New AUCs and CPGs on the Way

Jayson Murray

The AAOS is currently working on the following three clinical practice guidelines (CPGs), one systematic literature review (a product similar to a CPG), and two appropriate use criteria (AUC). This guideline is currently in the public comment stage and is expected to be released in early 2017.

Does Environmental BPA Exposure Affect Fracture Healing?

Sharon Johnson

For years, research scientists in a range of medical specialties have raised questions about the health risks of human and animal exposure to bisphenol A (BPA), a chemical used to manufacture polycarbonate plastics and epoxy resins for products such as water bottles, plastic food containers, and water supply pipes.