Today’s Top Story

AAOS 2019 Annual Meeting Your Academy 2019: Four Honorees Receive Kappa Delta Awards

During today’s Your Academy 2019 event at the AAOS 2019 Annual Meeting, four well-respected physicians will be presented with Kappa Delta awards, honoring their work in orthopaedics. The following recipients will be recognized:

Other News

Study Assesses Effect of BMI on Shoulder Arthroplasty Complications

Patients with a body mass index (BMI) > 40 kg/m 2 had an increased risk of 30-day complications after shoulder arthroplasty (SA), but the risk was not great enough to warrant an eligibility cutoff based on BMI, according to a study published in the March issue of Arthroscopy. Patients who underwent SA between 2015 and 2016 were identified using the National Surgical Quality Improvement Program database. A total of 26,509 SA cases were identified, of which major complications arose in 383 cases. Patients with a BMI > 40 kg/m 2 had higher overall rates of complication, major complication, readmission, pneumonia, progressive renal insufficiency, and cardiac arrest A BMI cutoff of 40 kg/m 2 would have avoided 12 percent of major complications and excluded 8 percent of complication-free surgeries.

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AAOS 2019 Annual Meeting Paper Presentation: Risk Factors Associated with Increased Mortality Among Spinal Epidural Abscess Patients

Researchers identified six independent risk factors associated with increased 30-day mortality after surgery for spinal epidural abscess (SEA) in a retrospective, case-control study that will be presented today during the AAOS 2019 Annual Meeting. The study included 1,094 total patients, of whom 40 (3.7 percent) died following surgery. In multivariate analysis, researchers identified the following variables as risk factors for 30-day mortality following surgery for SEA: age 60 years or older, diabetes, respiratory comorbidities, renal comorbidities, disseminated cancer, and preoperative thrombocytopenia. Patients with no risk factors had a less than 1 percent mortality risk, whereas patients with four or more risk factors had a 37.5 percent risk.

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Study: DVT Risk Factors in Fracture Patients

A retrospective cohort study published online in BMJ Open found that fracture site, prolonged preoperative time, and increased D-dimer value may be correlated with deep vein thrombosis (DVT) in traumatic fracture patients. Researchers evaluated the relationship between DVT risk and preoperative time, fracture sites, D-dimer value, and chronic diseases (hypertension, diabetes, and coronary disease) in 462 patients. DVT patients had significantly longer preoperative times and increased D-dimer values than non-DVT patients. Hip fracture patients had the highest DVT risk, followed by tibiofibular fracture and femoral shaft fracture patients. Chronic disease was not correlated with DVT risk.

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New White House Budget Blueprint Cuts HHS, Medicaid

The White House unveiled its tentative budget for fiscal year 2020, which included proposed reductions to funding for the Department of Health and Human Services (HHS) and Medicaid. Overall, the budget calls for a $2.7 trillion federal budget cut. Under the proposal, HHS would receive $87.1 billion in funding, while Medicaid would be slashed by about $1.5 trillion from 2020 through 2029.

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Female War Amputees Present Unique Rehab and Reintegration Needs

Women comprise about 15 percent of active duty military and 18 percent of guard and reserve forces. Female service members account for just 2 percent of total wartime casualties—despite experiencing unprecedented combat exposure levels in the global war on terror. Female veteran amputees may face psychological and social reintegration challenges and comorbid physical and mental health conditions that differ from those faced by their male colleagues. Female war amputees represent a very small group of veterans whose unique reintegration and rehabilitation needs require further investigation.

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AAOS Releases First Annual Report in More Than 25 Years, Touting Accomplishments and Member Value

During the AAOS 2019 Annual Meeting, the Academy released the 2018 Annual Report titled, “Delivering on the Promise of Member Value.” This is the first Annual Report to be published in more than 25 years. The Annual Report highlights AAOS’ accomplishments from 2018, including relaunching an enhanced Orthopaedic Video Theater as a free member benefit, doubling the publication of the Journal of the AAOS, approving and developing a new five-year Strategic Plan, and more.

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