The top tweets are based on total engagements (likes and retweets) received on tweets from more than 150 orthopaedic experts tracked by GlobalData’s Medical Influencer platform during the fourth quarter (Q4) of 2021.
The most popular tweets on orthopaedic in Q4 2021: Top five
1. Dr. Chad Cook’s tweet on the prevalence of chronic pain following total joint arthroplasty procedures
Dr. Chad Cook, professor at Duke University, shared a study that examined the level of chronic pain following total joint arthroplasty (TJA). The researchers observed 2,638 participants who underwent a TJA between January 2014 and January 2020 to check the incidence of high impact or bothersome chronic pain. The factors examined by the researchers included the site of the TJA, for example, hip, knee, and shoulder, apart from the number of surgeries, comorbidities, tobacco usage, body mass index (BMI), and pain intensity before surgery.
The study found that one-third of the participants experienced high impact chronic pain although the rates of pain differed based on the location of the TJA. The rates of high impact pain in the knee (9.8%-13.3%), hip (8.3%-11.8%), and shoulder (7.6%-16.3%) TJAs were comparable. Furthermore, the level of bothersome chronic pain for the knee (24.9%-29.9%) and hip (21.3%-26.3%) TJAs were similar although a higher prevalence of between 26.9% and 39.6% was observed for shoulder TJA. The results of the study can help in counselling patients and treatment decision-making, according to the article.
👇👇ALL CHRONIC PAIN IS NOT THE SAME. New study looking at differences in pain impact (High Impact Chronic Pain) after arthroplasty. https://t.co/QHeYCrgnOV @DukeMSK @ontheHornside pic.twitter.com/MYdqtuQmbm
— ChadCookPT (@chadcookpt) November 5, 2021
Twitter handle: @chadcookpt
2. Adam Meakins’ tweet on comparison of arthroscopic Bankart and open Latarjet procedures for treating traumatic anteroinferior instability
Adam Meakins, extended scope practitioner at healthcare hospital NHS, shared a study that compared the success rates of arthroscopic Bankart and open Latarjet procedures for treating traumatic anteroinferior instability in young males. The multicentre randomised controlled trial was conducted in Finland at orthopaedic divisions of eight public hospitals to assess the success rates of the two procedures. The study enrolled 122 males aged between 16 and 25 years with traumatic shoulder anteroinferior instability. The participants were divided into two groups including group B who had undergone arthroscopic Bankart and group L who had undergone open Latarjet.
The study found that redislocations were found in ten patients in group B and one patient in group L. Furthermore, one patient in group B and five patients in group L had returned to their previous highest level of competitive sports. The study revealed that arthroscopic Bankart surgery was found to have a higher risk of short-term postoperative redislocations than open Latarjet surgery.
Arthroscopic labral repair carries a significant risk for redislocations compared to open Latarjet (conjoint tendon transfer) operation, in the treatment of traumatic anterior instability in young males! 🤔 https://t.co/R1MdtTwHLL pic.twitter.com/zYJp4aM1CR
— The Sp⚽️rts Physio (@AdamMeakins) October 4, 2021
Username: The Sports Physio
Twitter handle: @AdamMeakins
3. Howard J. Luks’ tweet on meniscus tears in runners
Howard J. Luks, an orthopaedic surgeon and sports medicine specialist, shared an article on whether runners can worsen their meniscus tear by continuing to run with the condition. Meniscus tears are common injuries that can affect up to 30% of runners over the age of 50. Most meniscus tears, particularly in runners, occur along the medial meniscus’ posterior horn and may not require surgery.
Meniscus surgery may hasten the progression of osteoarthritis in a runner and put an end to their career. Surgery for a torn meniscus may provide temporary relief, but the removal of the meniscus may trigger an arthritic process that leads to further deterioration of the knee. Surgery in runners should only be considered if the pain continues beyond three months and remedies such as physical therapy or compression sleeves do not improve the symptoms, the article detailed.
Username: Howard Luks MD
Twitter handle: @hjluks
4. David Hunter’s tweet on physical therapy reducing the risk of long-term opioid use after total knee replacement
David Hunter, professor of medicine at University of Sydney, shared a study that examined whether physical therapy can help in reducing the risk of long-term opioid use in patients who have undergone total knee replacement (TKR). The researchers analysed data from the OptumLabs Data Warehouse on 67,322 participants aged 40 years and over who had TKR between 01 January 2001 and 31 December 2016. The participants were segregated by opioid use history.
Variables such as age, sex, race and ethnicity, obesity, type of insurance, geographical location, and physical and mental health conditions were considered in determining the link between pre- and post-TKR physical therapy and the risk of long-term opioid. The findings of the study revealed that receiving six or more sessions of physical therapy after TKR and initiating physical therapy care within 30 days of TKR were related with a decreased risk of long-term opioid use.
Physical therapy after total knee replacement is associated with lower long-term opioid use (& presumably their attendant risks🤔 ). Observational study with possible confounding #osteoarthritis @Tuhina_Neogi @ProfDeepakKumar https://t.co/4RrcGDsa65 @JAMANetworkOpen @JAMANetwork
— ProfDavidHunter (@ProfDavidHunter) October 28, 2021
Username: David Hunter
Twitter handle: @ProfDavidHunter
5. Jaime Bellamy’s tweet comparing total hip arthroplasty surgeries conducted by adult reconstructive and trauma surgeons
Jaime Bellamy, orthopaedic surgeon at Womack Army Medical Center, shared a study that compared the results of total hip arthroplasty (THA) for acute femoral neck (FN) fracture performed by adult reconstructive and trauma surgeons. The study examined data on 149 patients who had THA treatment for displaced FN fractures to measure implant survival, 90-day complications, 90-day readmission and complications for one year.
The major surgical complication rate was considerably greater for trauma surgeons at 20% compared to 7% for adult reconstructive surgeons. Furthermore, radiographic component malpositioning was lower in adult reconstructive surgeons at 12% against 3% for trauma surgeons. The study’s findings revealed that THA for acute FN fracture conducted by adult reconstructive surgeons had higher rates of precise radiographic component location, lower major complication rates at 90 days and one year, and higher implant survival at one year.
#OrthoTwitter, who should do #THA for femoral neck fractures, #arthroplasty or #trauma surgeons? Who gets the trauma room for them? @womenAAHKS @jointdocShields @JosephHsuMD @ACR_MD @bethgausdenmd @jamesablairMD @InvictaOrtho @EdinburghKnee https://t.co/4kIAByITLo
— Jaime Bellamy, DO, FAAOS 🌈 (@jaimelbellamyDO) November 6, 2021
Username: Jaime Bellamy
Twitter handle: @jaimelbellamyDO