Despite similar pain and function scores, patients who were obese and underwent arthroscopic rotator cuff repair had increased rates of complications, readmissions and reoperations vs. non-obese patients, published results showed. Alexis B. Sandler, MD, and colleagues used the Embase and PubMed databases to perform a systematic review and meta-analysis of 14 studies that included 118,331 patients (mean age, 59.2 years) who underwent arthroscopic rotator cuff repair. According to the study, 47,488 patients were obese (BMI of 30 kg/m2) at the time of surgery. Outcome measures included VAS pain ..read more

Results showed patients with osteoarthritis who underwent carpal tunnel release may use more health care resources and experience more severe and persistent carpal tunnel syndrome symptoms vs. patients without arthritis. “Patients with preexisting hand and/or wrist arthritis are more likely to have a longer recovery after carpal tunnel release as compared to those who do not,” study co-author Brett F. Michelotti, MD, told Healio. “This means that the hand and wrist may swell more, hurt more, become stiff or hurt in areas independent of the operative site. Patients may also ..read more

Results showed patients who had a vertebral body tether rupture experienced mild general curve progression with a low rate of revision. However, younger patients with larger curves may have an increased chance of undergoing revision. “We are still trying to refine the indications for vertebral body tethering. Ultimately, having a non-fusion option for the treatment of scoliosis in kids is going to be important,” Tyler A. Tetreault, MD, pediatric orthopedic surgeon in the Jackie and Gene Autry Orthopedic Center at Children’s Hospital Los Angeles, told Healio. “[Vertebral ..read more

Compared with a traditional postoperative opioid regimen, a multimodal pain management regimen increased satisfaction for patients who underwent outpatient orthopedic hand or wrist surgery, according to published results. Asif M. Ilyas, MD, MBA, and colleagues from the Rothman Orthopaedic Institute at Thomas Jefferson University randomly assigned 112 consecutive patients who underwent outpatient orthopedic hand or wrist surgery to receive either a traditional opioid pain management regimen (n = 54) or a multimodal pain management regimen (n = 58) after surgery. The opioid group received ..read more

Published results showed arthroscopic correction was associated with favorable outcomes for patients with femoroacetabular impingement despite a similar progression of osteoarthritis vs. patients who received nonoperative treatment. Researchers at Hospital for Special Surgery analyzed data from 100 patients (200 hips) who received primary unilateral hip arthroscopy (100 hips) or nonoperative treatment (100 hips) for femoroacetabular impingement (FAI) between 2010 and 2012. Outcome measures included radiographic progression of OA and Tönnis classification. Researchers noted 98% of operative ..read more

Orthobond Corporation announced FDA de novo approval of Ostaguard, an antibacterial non-eluting coating technology for use on a range of medical devices, according to a press release. The Ostaguard technology has a non-eluting coating to neutralize bacteria commonly responsible for device-related infections, according to the release. Ostaguard is designed for procedures in joint reconstruction, neuromodulation, oncology, sports medicine, plastic surgery and cardiology. According to the release, Ostaguard may have non-medical antibacterial purposes such as in textiles and consumer products. “W ..read more

Xstim Inc. announced it received FDA premarket application approval of its Xstim spine fusion stimulator to promote bone healing after spinal fusion surgery, according to a company press release. The Xstim device is a non-invasive bone growth stimulator for patients to use during therapy after spinal fusion surgery, according to the release. “Xstim Inc. is dedicated to empowering patients and surgeons to elevate the quality of care in spinal fusion rehabilitation,” Jeremy Perkins, CEO of Xstim Inc., said in the release. “The introduction of the Xstim spine fusion stimulator ..read more

The addition of self-administered acupressure to knee health education sessions may relieve pain in patients with knee osteoarthritis, according to published results. Researchers performed a randomized clinical trial to evaluate rehabilitation outcomes in 314 patients (mean age, 62.7 years) who presented with probable knee OA from September 2019 to May 2022. They randomly assigned 157 patients to perform self-administered acupressure and 157 patients in a control group to receive knee health education sessions only. Patients in the acupressure group received two acupressure training sessions ..read more

Published results showed use of denosumab may reduce radiographic progression and prevent new erosive joints among patients with erosive hand osteoarthritis. Researchers randomly assigned patients with erosive hand OA to receive either 60 mg of denosumab every 3 months (n = 51) or a placebo (n = 49) for 48 weeks. Researchers considered change in the total Ghent University Scoring System score at week 24, where positive changes correspond to remodeling, as the primary endpoint. Secondary endpoints included change in the Ghent University Scoring System score and the number of new erosive joints ..read more

Women, regardless of whether they use oral contraceptives, may be less likely to develop musculotendinous injuries compared with men, according to published results. Researchers compared incidences of orthopedic musculotendinous injuries (MTI) between 42,267 women using oral contraceptives, 42,267 women not using oral contraceptives and 42,267 men. All cohorts were matched based on age and BMI. Researchers found 231 women (0.55%) using oral contraceptives, 1,078 women (2.55%) not using oral contraceptives and 1,476 men (3.49%) developed an MTI. After controlling for potential covariates ..read more