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Healio Orthopedics
  1. A new report showed that about 15 million Americans who enrolled in Medicaid during the public health emergency could lose coverage when the emergency declaration ends.
    Those at risk for losing coverage include almost 9 million adults and 6 million children, according to the analysis published by the Urban Institute with support from the Robert Wood Johnson Foundation.
    “There is good evidence that Medicaid coverage saves lives and increases families’ financial stability. Becoming uninsured would adversely affect both,” Matthew Buettgens, PhD, a senior fellow in the Health

  2. SAN DIEGO — Patients undergoing total knee arthroplasty for stiffness may experience improvement in postoperative range of motion, according to results presented at the American Academy of Orthopaedic Surgeons Annual Meeting.
    Ioannis Gkiatas, MD, PhD, and colleagues measured range of motion preoperatively and at 6 weeks and 6 months and 12 months postoperatively among patients who underwent revision TKA due to knee stiffness.
    “We defined stiffness in our patients [as] when the knee flexion was less than 100° and the extension was more than 10°,” Gkiatas, who was a research

  3. SAN DIEGO — Minimally invasive ablation, balloon osteoplasty, cement reinforcement and internal fixation may improve pain, functional status and quality of life in patients with skeletal metastases, according to results presented here.
    Francis Y. Lee, MD, PhD, and colleagues preoperatively and postoperatively assessed pain outcomes and functional improvements among patients with painful osteolytic skeletal metastases in the periacetabular region who underwent minimally invasive ablation, balloon osteoplasty, cement reinforcement and internal fixation (AORIF) with cannulated screws.

  4. The American Academy of Orthopaedic Surgeons issued an update to the clinical practice guideline for management of osteoarthritis of the knee.
    Developed to include only treatments which are less invasive than knee replacement surgery to provide pain relief and improve patient function, the third edition of the clinical practice guideline updates 19 of the 29 evidence-based recommendations included in the previous guideline.
    “Knee osteoarthritis is a highly prevalent, disabling joint disease commonly associated with aging and obesity,” Robert Brophy, MD, FAAOS, co-chair of the

  5. Among 410 leading medical journals, just 21% had a woman as editor in chief, according to findings published in JAMA Network Open.
    “Evidence on the gender gap in academia has been mounting over the past few years, and the gendered impact of COVID-19 may have exacerbated longstanding gender inequalities,” Ana-Catarina Pinho-Gomes, DPhil, an honorary research fellow at The George Institute for Global Health in the U.K., told Healio Primary Care. “These have been highlighted at all stages of the academic ladder and in many fronts, from authorship of papers to editorial boards,

  6. SAN DIEGO — Opioid use prior to arthroscopic rotator cuff repair may lead to worse outcomes, according to results presented at the American Academy of Orthopaedic Surgeons Annual Meeting.
    Fabien Meta, MD, Eric C. Makhni, MD, MBA, and colleagues classified patients undergoing arthroscopic rotator cuff repair from 2017 to 2020 as acute, chronic or non-opioid users based on the number of opioid prescriptions filled within 3 months prior to surgery. Researchers collected Patient-Reported Outcome Measurement Information System (PROMIS) scores, including PROMIS pain interference score, PROMIS

  7. While the 2021 American College of Rheumatology rheumatoid arthritis recommendations improved over the 2015 document, understanding the weaknesses and limitations of the most recent iteration can be beneficial, according to a presenter here.
    Roy M. Fleischmann, MD, clinical professor at the University of Texas Southwestern Medical Center and in private practice at Rheumatology Associates in Dallas, Texas, acknowledged that there were positives to the most recent set of recommendations. One was that the whole format was changed to highlight commonly encountered clinical scenarios. “It was

  8. SpinTech received FDA 510(k) clearance for its MRI software Stage, according to a press release.
    Stage enables full brain scanning within 5 minutes and shows 16 types of image contrasts, six of which include critical quantitative data. This helps with diagnostic accuracy, which in turn, according to the release, improves treatment for patients.
    “Stage’s novel acquisition technique and post-processing software, which grew from the world’s top MRI research groups, is designed to enhance visualization of biomarkers that couldn’t be seen in the brain before while improving

  9. Auctus Surgical recently received FDA breakthrough device designation for its vertebral body tethering system for pediatric scoliosis and a patent for “spinal curvature modulation systems and methods,” according to a press release.
    The Auctus dynamic vertebral body tethering system is a non-fusion option for pediatric patients with scoliosis that will allow non-surgical spinal curvature adjustment through an external magnet controller. According to the release, this means just one treatment event will be necessary. The company also received a patent for specific technologies and

  10. The FDA recommended health care providers and individuals avoid using compounded products said to be “sterile, produced and distributed nationwide by Prescription Labs Inc.” that does business as Greenpark Compounding Pharmacy.
    The agency based its recommendation on a lack of “sterility assurance.” It also said inspections of Greenpark Compounding Pharmacy operations raised several concerns, including employees wearing nonsterile gear, producing nonsterile drugs in nonsterile areas and failing to have the airflow and air quality at some of its business locations

  11. The American Academy of Orthopaedic Surgeons presented Lisa L. Lattanza MD, FAOA, FAAOS, with its 2021 Diversity Award, according to a press release.
    The award was given to Lattanza due to her longstanding dedication to diversity and inclusion in orthopedics, including her caring for underserved populations and her mentoring of current and next-generation orthopedic surgeons.
    “Dr. Lattanza is an exceptional leader and champion of diversity,” Thomas Parker Vail, MD, of University of California, San Francisco, said in the release. “Her commitment to the profession, her

  12. SAN DIEGO — Use of a machine learning algorithm may help surgeons preoperatively identify patients at high risk for extended postoperative opioid use, according to results presented here.
    Joseph H. Schwab, MD, MS, and colleagues developed five machine learning algorithms to predict extended postoperative opioid consumption among 1,504 patients who underwent shoulder arthroscopy between January 2014 and October 2019. Researchers assessed performance algorithms through discrimination, calibration and decision curve analysis.
    “We chose the definition of postoperative or prolonged

  13. The American Academy of Orthopaedic Surgeons presented Dave M. Atkin, MD, FAAOS, with its 2021 Humanitarian Award, according to a press release.
    The award recognized Atkin for his 25 years of humanitarian efforts and dedication to underserved communities and people in need. Atkin’s accomplishments include his work as director of Operation Rainbow, where he led more than 60 surgical missions to Central and South America, Haiti and the Philippines; his primary practice in San Francisco dedicated to serving the “Latinx” and African American communities; and his time spent

  14. Stryker announced the launch of its new nailing solution, the T2 Alpha Femur Retrograde Nailing System, according to a company press release.
    According to the release, the system is designed to meet surgeon preferences with improved ease of use during procedures. The system reportedly provides axial stability for surgeons through an advanced locking screw option designed to limit motion between the nail and screw, as well as a guided, proximal targeting system designed to reduce the number of X-rays taken compared with freehand locking.
    According to release, the nailing solution is built to

  15. SAN DIEGO — In this video from the American Academy of Orthopaedic Surgeons Annual Meeting, Joseph A. Abboud, MD, FAAOS, speaks about massive rotator cuff repairs treated with a subacromial balloon spacer vs. partial repair.
    The prospective, blinded, randomized, multicenter study, which had 24-month follow-up, comprised 93 patients treated arthroscopically with the InSpace subacromial balloon spacer (Stryker) vs. 91 patients who underwent partial repair of massive rotator cuff tears at 20 sites. The FDA cleared the implant for clinical use last month.
    Among other inclusion criteria,