Today’s Top Story

Joseph A. Bosco III, MD, FAAOS, Wraps Up Presidency with Reflections on ‘Testing Our Mettle’

On Thursday at the Your Academy session here in San Diego, AAOS Immediate Past President Joseph A. Bosco III, MD, FAAOS, finally delivered the speech he had planned for the cancelled 2020 annual meeting. Dr. Bosco spoke about how the COVID-19 pandemic tested AAOS and the profession to its very limits, revealing how the underlying values and strengths of the organization fortified its rise to the occasion. “There is nothing like a crisis to reveal one’s true mettle,” Dr. Bosco said. “Over the last 18 months, the pandemic presented us with unforeseeable challenges. We met and bested each one.”

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In Other News

Presidential Guest Speaker Wins Over Audience

As this year’s presidential guest speaker, former University of North Carolina men’s basketball coach Roy Williams delivered a motivating address that encouraged attendees to not only achieve a high level of professional success, but to do their best to maintain that level throughout their careers. Williams drew parallels between coaching and a career in orthopaedic surgery, including the importance of teamwork and setting aside one’s ego to achieve desired outcomes. “Your team members don’t work for you, they work with you,” he said. “It’s amazing how much your team can accomplish when no one cares who gets the credit.”

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AAOS President Daniel K. Guy, MD, FAAOS, Emphasizes ‘What Really Matters’

Daniel K. Guy, MD, FAAOS, prefaced his speech as 2021–2022 AAOS president with an admitted understatement of the obvious: “We’ve had a challenging year.” Despite these challenges, he continued, orthopaedic surgeons and AAOS have “stayed in the game, absorbing our losses, celebrating our wins, and getting here today to do it all over again.” Throughout his speech, Dr. Guy expressed gratitude for being part of a member organization designed to help the entire profession provide the best care to the patients they serve.

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Study: Mobile App Improves Patient Satisfaction and Compliance in High-demand TJA

After total joint arthroplasty (TJA), patients reported higher satisfaction and better compliance with both pre- and postoperative protocols with the use of mobile applications compared to standard care, according to a study being presented today at the Annual Meeting. This systematic review included 12 studies, comprising 9,521 patients. Half the studies reported improvements in patient satisfaction with the mobile applications, while six studies found improvements in compliance with mobile applications. Two studies noted lower incidence of unscheduled office and ED visits among patients who used mobile applications, compared to patients who did not.

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Study Points to High Complication Rates for Low-energy Ballistic Tibia Fractures

A study presented yesterday at the Annual Meeting challenges prior reporting of low complication rates with low-energy ballistic tibia fractures, suggesting more vigilant treatment strategies may be warranted. In total, 197 patients treated at four centers were retrospectively reviewed. The overall complication rate was high (49 percent), including 27 percent of patients experiencing wound complications, 26 percent requiring revision, and 20 percent developing nonunion. “Almost half of all low-energy ballistic tibia fractures developed a complication, with a deep surgical site infection rate of 14 percent,” presenting author Christopher Lee, MD, reported.

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Study: Short-term Outcomes of Intra-articular Osteotomy for Traumatic Ankle OA

A study of 20 patients who underwent intra-articular osteotomy for traumatic ankle osteoarthritis (OA) found significant short-term radiographic and functional improvements, according to findings published online in Injury. Average follow-up was 42 months. There were significant postoperative improvements in weight-bearing radiographic parameters, including changes to the tibial ankle surface angle, tibiotalar surface angle medial malleolar angle, empirical axis, fibular angle, talar tilt angle, and tibial lateral surface angle. Japanese Society for Surgery of the Foot ankle/hindfoot scale scores also significantly improved from pre- to postoperatively.

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Your AAOS

AAOS Releases 2020 Reports from the American Joint Replacement Registry and the Shoulder & Elbow Registry

The AAOS Registry Program released two new clinical data reports: the American Joint Replacement Registry (AJRR) Program 2020 Annual Report Supplement and the Shoulder & Elbow Registry (SER) 2020 Annual Report. The reports, which were released during the AAOS 2021 Annual Meeting in San Diego, offer actionable information to guide physicians’ decision making to improve care and pave the way for higher-quality orthopaedic outcomes in the United States. The reports and supplements are available for download on the AAOS Registry Program website.

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Read the SER 2020 Annual Report…