Seven important items from OTA (Healio)
Orthopedics Today features seven stories and videos of importance to emerge from the Impact of Sports 2014 Summit and the Orthopaedic Trauma Association Annual Meeting.
1) Higher than expected incidence of femoral neck shortening seen among young patients after fracture fixation
TAMPA, Fla. — Research presented here from a prospective trauma database showed femoral neck shortening of at least 5 mm following internal fixation in 54% of patients aged 60 years or younger. Read more.
2) Best detection methods for dorsal screw penetration in treating distal radius fractures
TAMPA, Fla. — At the Orthopaedic Trauma Association Annual Meeting, Lisa K. Cannada, MD, spoke about her study on the best detection methods for dorsal screw penetration when surgeons use volar plating to treat distal radius fractures. Watch video.
3) Study: No link found between aspiration of ankle fractures and pain relief
TAMPA, Fla. — Level 1 research presented here showed aspiration of acute ankle fractures did not lead to diminished pain or decreased usage of pain medication in patients compared with placebo. Read more.
4) Findings question the applicability of widely used trauma triage scores to assess older patients
TAMPA, Fla. — A retrospective registry review of trauma patients older than 55 years highlighted the Injury Severity Score as a poor predictor of mortality and the Trauma Score-Injury Severity Score as lacking specificity in its predictability. Read more.
5) NPWT may not aid in prevention of deep infection after hip, pelvic and acetabular fracture surgery
TAMPA, Fla. — Results of a prospective randomized trial indicate acute negative pressure wound therapy does not decrease the risk of infection in patients who undergo open reduction and internal fixation of acetabular, pelvic or hip fractures compared with standard gauze dressings. Read more.
6) No decay in subjective function found 10 years after surgery for unstable ankle fracture
TAMPA, Fla. — A long-term follow-up of patients treated with open reduction and internal fixation for unstable ankle fracture showed no decrease in function over time when compared with self-reported results 1 year after fixation. Read more.
7) Poor neurologic recovery rates seen in acetabular fracture patients with iatrogenic injuries
TAMPA, Fla. — In a retrospective review, researchers found a third of patients with documented neurologic injuries who underwent surgery for acetabular fractures did not recover from their neurological injuries. Read more.