Today’s Top Story

AAOS 2022 Annual Meeting OnDemand Flash Sale Ends May 1

By all measures, the AAOS 2022 Annual Meeting in Chicago was a resounding success. The meeting packed five powerful days of education, innovation, and collaboration, with more than 15,000 people convening to reach new heights in orthopaedic surgery. All the Annual Meeting highlights and premier education content is available online at AAOS Annual Meeting OnDemand, as well as a 20 percent discount during a limited-time sale through May 1.

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In Other News

Study Examines Inconsistent Leg Length Discrepancy in Dysplastic Hip Osteoarthritis

In a retrospective study published online in BMC Musculoskeletal Disorders, pelvic oblique angle and long radiographic leg length discrepancy (LLD) were independent risk factors of inconsistent LLD in patients with dysplastic hip osteoarthritis. Inconsistent LLD was defined as the perceived LLD being shorter than radiographic LLD by ˃5 mm. In total, 120 patients were analyzed and grouped according to consistent and inconsistent LLDs. History of hip surgery, Japanese Orthopaedic Association classification pain scores, pelvic oblique angle, and length of radiographic LLD were notably higher in the inconsistent LLD group.

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Study: Factors Associated with Longer Return to Work Times after Carpal Tunnel Release

Demographic, occupational, psychosocial, and litigation factors have significant impacts on days out of work (DOOW) following carpal tunnel release (CTR), while surgical techniques do not, according to a retrospective study published online in The Journal of Hand Surgery. Of 4,596 patients identified from a workers’ compensation database, 12.4 percent had endoscopic CTR with a mean DOOW of 56.6, and 87.6 percent had open CTR with a mean DOOW of 58.4. Higher DOOW was associated with preoperative opioid use, legal representation, labor-intensive occupation, greater workers’ compensation filing lag time, and female sex.

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Study: Smoking, Open Fracture, and Older Age Are Associated with Deep Infection after Peritalar Fracture Dislocation

According to a retrospective study published in the May issue of the Journal of Orthopaedic Trauma, older age, smoking, and Gustilo-Anderson type 3 open fracture were associated with postoperative infection in patients with peritalar fracture dislocation. A total of 154 patients were assessed, and 12.3 percent developed a deep postoperative infection. The most common infected fractures were of the talus (47 percent), calcaneus (33 percent), and fibula (9 percent). Patients with infection were notably older and had high rates of below knee amputation compared with patients without infection.

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Study: Favorable Outcomes with 3D-printed Models and Cutting Guides for Pediatric Lower Limb Deformity Correction

Using three-dimensional (3D)-printed models and patient-specific cutting guides with locking points improved clinical outcomes for young patients with complex bone deformities in their lower limbs, according to a retrospective study published in the May/June issue of the Journal of Pediatric Orthopaedics. CT images from 17 patients (average age, 14.7 years) were imported into a postprocessing software to create 3D virtual models. Cutting guides with locking points were designed and used for planning and intraoperative guides. Surgical time was 101 minutes and follow-up findings showed high satisfaction for all 3D-printed cases, with an average time-to-bone union of 10.3 weeks.

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AAOS Now

Robotic versus Conventional Total Knee Replacements

In this article, two orthopaedic surgeons with extensive total knee replacement experience participate in a point/counterpoint discussion of the merits of robotic versus conventional knee replacement. Bradley Boyd, DO, FAAOS, and Randall Peyton, MD, FAAOS, discuss the current literature, learning curves, and potential differences in patient outcomes between these two techniques.

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Your AAOS

Forty-six Mental Health Groups Endorse AAOS-supported Prior Authorization Bill

On April 5, 46 mental health advocacy organizations sent a letter in support of the AAOS-endorsed Improving Seniors’ Timely Access to Care Act, which aims to reform the prior authorization process within Medicare Advantage plans. The bill has accumulated 300 cosponsors in both houses of the U.S. Congress. AAOS is working with sponsors to ensure a timely markup and inclusion in any moving legislative package. Ways & Means Committee Chairman Richard Neal (D-Mass.) has pledged to markup the legislation, although no official announcement has been made. AAOS used the Regulatory Relief Coalition’s Week of Action to spread awareness regarding this issue

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