AAOS 2010 – what were the Hot Topics in New Orleans?

Hot Topics seen by OrthoStreams

  1. Surgeons challenge Zimmer’s NexGen Knee (high loosening rate)
  2. NYTimes highlights the complication rates of Metal-on-Metal Hips
  3. Stryker challenges ALL Mobile-Bearing Knees
  4. Medtronic rumored to acquire Biomet
  5. PRP efficacy is questioned by AAOS 
  6. Light surgeon turnout in the Exhibit Hall
  7. Big Spine Companies are absent
  8. 20% of booths were non-US companies (growing trend)

 

Hot Presentations noted by AAOS

Patient Satisfaction after Total Knee Replacement
  —  More than 95 percent of patients are satisfied with the outcome of their total knee replacement (TKR) one year after surgery.

Longevity of Cemented vs. Cementless Total Hip Replacements
  —  Cementless stems and cups are recommended for younger patients with total hip replacements because they are more resistant to aseptic loosening.

Outcomes of Resurfacing Hip Replacement
  —  Eight years after surgery, the risk of replacement of implants after resurfacing procedures is much higher for most patient groups than total hip replacement.

Narcotic Use and Satisfaction after Knee Replacement
  —  Few patients need narcotic pain killers after undergoing total knee replacement (TKR).

Hormonal Influence on Joints in Female Athletes
 —  The presence of shoulder laxity was correlated with generalized laxity in female swimmers.

Achilles Tendon Rupture
  —  Surgery may not be necessary for Achilles tendon ruptures (ATR).

Risk Factors for Low Back Pain in the Military
  —  Being married, having a low rank and being female appear to be risk factors for diagnosis of low back pain in active duty military personnel.

 Non-battle Injuries and Disease Represent the Majority of Iraq War Soldier Casualties
  —  Musculoskeletal injuries accounted for 50 percent of disease and  non-battle injuries and 38 percent of all casualties in one U.S. Brigade Combat Team

Postoperative Exercise after Total Knee Arthroplasty
 —  Snow skiing on moderate downhill slopes creates the same force on the knees as jogging.

 Nurse Staffing Affects Mortality Rates among Hip-fracture Patients
  —  The risk of death for elderly patients in the hospital with hip fractures increases 22 percent when staffing is reduced by one full-time nurse each day.

 Ultrasound Screening for Hip Dysplasia in Breech Infants
  —  Breech infants can develop dysplasia up to six months after birth.

 Distinguishing Lyme Arthritis in Children
  —  45 percent of children with fluid in the knee in the northeastern U.S. are likely to have Lyme arthritis.

 Affect of Sleep Apnea on Surgical Patients
  —  Patients with sleep apnea are more likely to experience complications after surgery.

 Ankle Sprain Injuries
  —  The risk for ankle sprain is highest between the ages of 10 and 20,  often while playing basketball.

 Night Time Arrival at the Hospital Associated with Mortality Rates
  —  Arriving at the hospital between midnight and 6 a.m. is linked to higher mortality rates than arriving at other times of the day.

 Insurance Status Often Determines Treatment for Factures Requiring Surgery
  —  Patients with operative fractures who do not present directly to a trauma center for care are more likely to be under- or uninsured. 

 Pediatric Injuries and Orthopaedic Care
  —  Children who sustain high-energy injuries need thorough orthopaedic care; as fractures may be missed.

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