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Healio Orthopedics
  1. DePuy Synthes announced the launch of the Variable Angle Locking Compression Plate system, according to a press release.
    The 2.7-mm plate system is designed to enhance plate-to-bone fit in a variety of patients with lateral, shaft and medial clavicle fractures of all sizes.
    “There is a tremendous need for treatment options that can accommodate the anatomic variability of the clavicle in patients who experience these types of fractures,” I.V. Hall, worldwide president of trauma and extremities at DePuy Synthes, said in the release. “We are incredibly proud to offer this new

  2. Genesis Software Innovations has announced FDA 510(k) clearance of the Preview 3D shoulder arthroplasty tool, according to a press release.
    The Preview platform is a total shoulder arthroplasty planning software, which is designed to display 3D imaging of patients’ shoulder anatomy to allow for more accurate placement of implants, according to the release.
    “We are incredibly excited about the FDA 510(k) clearance for Preview. We anticipate this to be the first of many announcements as our platform expands to include additional surgical applications throughout the anatomy,”

  3. Young age, male sex, high BMI, depression, advanced radiographic disease, weak knee extensors, history of injury or surgery, and hip or ankle pain are baseline predictors for persistently poor knee confidence, according to results.
    In the course of 8 years, researchers from Northwestern University analyzed a prospective cohort of 4,515 patients from the Osteoarthritis Initiative who had or were at risk for knee osteoarthritis (OA).
    Using the KOOS instrument, researchers identified four knee confidence trajectories among the cohort: persistently good (65.6% of patients), declining (9.1% of

  4. Medial patellofemoral ligament reconstruction may be a safe and effective treatment option for adolescent patients with patellar dislocations and instability, according to published results.
    In a systematic review of the current literature on MPFL reconstruction, researchers analyzed data from 12 studies on a total of 352 knees (332 patients, mean age of 14.28 years) who underwent MPFL reconstruction for patellar instability. According to the study, the researchers used PubMed, Scopus, EMBASE and the Cochrane databases to select articles.
    At a mean follow-up of 30.17 months, 18 recurrences of

  5. WAILEA, Hawaii — In this video from Orthopedics Today Hawaii 2021, Thomas F. Varecka, MD, spoke about the newest data on common hand and wrist injuries, such as distal radius fractures, carpal tunnel and scaphoid fractures.
    “Traditionally, we have used a ‘wait-and-see’ approach by casting a patient and then following them up 2 or 3 weeks later with repeat imaging,” he said. “In the last several years, the efficacy and the financial benefits of early advanced imaging, such as CT scans and [magnetic resonance] scans, have proven to be valuable.”

  6. The United States Supreme Court upheld the Affordable Care Act in a 7-2 vote.
    The decision dismisses a claim by Texas and other states that the ACA’s mandate requiring individuals buy health insurance or face penalties was unconstitutional, and that the entire ACA should be overturned since the mandate was zeroed out by Congress.
    The Supreme Court majority wrote in its opinion “that the plaintiffs do not have standing to challenge [ACA’s] minimum essential coverage provision because they have not shown a past or future injury fairly traceable to defendants’ conduct.”

  7. Gerald E. Harmon, MD, was recently sworn in as the 176th president of the AMA.
    Harmon, a family physician from Georgetown, South Carolina, brings more than 30 years of professional and military experience to the AMA presidency, according to a press release from the organization. He has also been a member of the AMA’s board of trustees and a member of its Council on Medical Service. In addition, Harmon has previously served as the chair and president of the South Carolina Medical Association board of trustees.
    In a recent interview with Healio Primary Care, Harmon talked about his

  8. Published results showed more than half of pediatric spinal fractures occurred in adolescents aged 15 to 17 years, with motor vehicle accidents reported as the most common mechanism of injury.
    Researchers analyzed patient demographics, mechanism of injury, geographical and anatomical region of injury, concomitant musculoskeletal/organ injury, protective device usage, hospital length of stay, surgical procedures and mortality among 34,563 patients younger than age 18 years who experienced 45,430 vertebral fractures between 2009 and 2014. Where protective device use data were available,

  9. WAILEA, Hawaii — In this video from Orthopedics Today Hawaii 2021, Ronald A. Navarro, MD, FAAOS, FAOA, spoke about the effectiveness and compensation of orthopedic telehealth appointments.
    “There is going to be some component of telemedicine that is here to stay,” he said. “We have been finding that potentially the [preoperative] visit may be something that can be feathered in. [Postoperative] care can be feathered in.”

  10. WAILEA, Hawaii — When using humeral nails to treat humeral shaft fractures, surgeons should have a medialized starting point, lock the nail proximally and distally and remember to ream, according to a presenter.
    In his presentation at Orthopedics Today Hawaii, Frank A. Liporace, MD, said nails should not be used in humeral shaft fractures that are less than 2 cm from the proximal humerus or less than 3 cm away from the olecranon fossa.
    “Those are absolute either nonoperative or, if they are indicated for surgery, to plate,” Liporace said in his presentation.
    When nailing, he

  11. The AMA said it has adopted new policies regarding the prior authorization process, with its outgoing president stating that maintaining the status quo may cause “life-or-death consequences.”
    Bringing the prior authorization process under control has long been a priority of medical organizations, including the American Academy of Family Physicians and the ACP.
    The AMA’s new policies involve the authorizations made during a public health emergency, and peer-to-peer (P2P) conversations between a physician and an insurance company physician employee either during the initial

  12. WAILEA, Hawaii — In this video from Orthopedics Today Hawaii 2021, Eric Giza, MD, spoke about the latest treatment techniques for lateral ankle ligament instability and talus osteochondral defects.
    “Particularly, for the cartilage injuries of the ankle — which sometimes go hand in hand with the lateral ligament instability — you want motion right away for these so that these patients get back quicker,” Giza said.

  13. Children’s Hospital of Philadelphia was named the top hospital for pediatric orthopedics, according to a U.S. News & World Report press release.
    Children’s Hospital of Philadelphia (CHOP) topped the 15th annual Best Children’s Hospitals rankings, which included 50 children’s orthopedic hospitals. Scores were based on each hospital’s success with treating complex fractures, scoliosis, spina bifida and sports injuries in pediatric patients, according to the release.
    Boston Children’s Hospital, Children’s Medical Center Dallas-Texas Scottish Rite

  14. To avoid perpetuating misinformation regarding rheumatic diseases, rheumatologists should ensure they are aware of the available evidence – or lack thereof – for some of the popular myths patient hold about their disease, noted a speaker at the EULAR 2021 Congress.
    Mariano Andres, MD, PhD, of Hospital General Universitario de Alicante-ISABIAL, and of Miguel Hernandez University in Alicante, Spain, highlighted the importance of making evidence-based decisions as a clinician. “Not all decisions are evidence-based, unfortunately,” he said.
    One reason for this may be a lack

  15. WAILEA, Hawaii — In this video from Orthopedics Today Hawaii 2021, Cory A. Collinge, MD, spoke about tibial nailing through the suprapatellar portal.
    “This is a relatively newish technique that has probably been around for 10 or 12 years,” he said. “It has been a huge developmental increase above the previous way, which was infrapatellar.”