Today’s Top Story

Save on AAOS 2022 Annual Meeting OnDemand through Sept. 18; Start Making Plans for the 2023 Annual Meeting Today

This week only, you can save 20 percent on AAOS 2022 Annual Meeting OnDemand, which offers any-time, any-device access to a user-friendly online library of more than 100 CME-eligible hours of educational content. AAOS 2022 packed five powerful days with education, innovation, and collaboration, with more than 15,000 people convening to reach new heights in orthopaedic surgery. The AAOS 2023 Annual Meeting will take place March 7 to 11 in Las Vegas. Registration and the full program will become available Nov. 9. In the meantime, get the best selection of Las Vegas hotel rooms when you book through www.aaos.org/annual, and revisit AAOS 2022 sessions or catch up on what you missed with OnDemand during this week’s sale. Your last opportunity to purchase AAOS 2022 OnDemand at a discount ends Sept. 18.

Order AAOS 2022 OnDemand now…

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In Other News

Clinical Trial Compares Intra-articular Injections of PRP, Hyaluronic Acid, and Their Combinations in Patients with Hip OA

A clinical trial, published in BMC Musculoskeletal Disorders, compared the effectiveness of intra-articular injections of platelet-rich plasma (PRP) and hyaluronic acid (HA) in patients with hip osteoarthritis (OA). Overall, 105 patients were randomly divided into three injection groups: PRP, HA, and PRP plus HA. The visual analog scale (VAS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) were assessed before and two and six months postinjection. All three groups showed significant improvement in WOMAC and VAS scores; however, when compared with the HA group, the PRP plus HA and PRP groups saw significantly better improvement at six months.

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Study: Preoperative Allergy Testing Is Economically Justified in Preventing Infection after TSA

According to an economic analysis published in the Journal of Shoulder and Elbow Surgery, routine preoperative penicillin allergy testing is an economically justified infection prevention strategy among total shoulder arthroplasty (TSA) patients reporting penicillin and cephalosporin allergies. The researchers utilized a break-even equation to assess allergy testing and infection-related care costs and infection rates after TSA following use of non-cefazolin antibiotics. Preoperative allergy testing was considered economically justified if it prevented at least one infection out of 223 shoulder arthroplasties, or a 0.45 percent absolute risk reduction.

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Study: Second Revision ACLR versus Nonsurgical Treatments after Failed First Revision ACLR

A cohort study published online in the The American Journal of Sports Medicine evaluated the outcomes of surgical versus nonsurgical management of a failed first revision ACL reconstruction (RACLR). Return to sport (RTS), Knee injury and Osteoarthritis Outcome Scores (KOOS) Quality of Life, and KOOS Sport and Recreation scores were the main outcome measures. Thirty-one patients who underwent a second RACLR and 10 nonsurgical patients were included in the analysis. There was a high RTS rate in both groups; however, patients undergoing second RACLR had significantly better KOOS Quality of Life and KOOS Sport and Recreation scores.

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Study: Mortality and Subsequent Fractures in Patients with Olecranon Fractures and Other Upper Extremity Osteoporotic Fractures

According to a study published online in Shoulder & Elbow, patients with olecranon fractures were found to have a significantly higher probability of a subsequent fracture compared with patients with proximal humerus fractures. Data was retrospectively reviewed in a total of 157 olecranon, 1,022 distal radius, and 451 proximal humerus fractures with a minimum five-year follow-up. Mortality rates and demographic data were collected. The risk of mortality after olecranon and distal radius fractures were significantly higher after proximal humerus fractures. The risk of subsequent fractures after olecranon fracture was 10 percent at one year and 14 percent at five years.

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AAOS Now

Dedicated Orthopaedic Trauma Room Improves Surgery Efficiency, Confers Cost Benefits

According to a study presented at the AAOS 2022 Annual Meeting, dedicated orthopaedic trauma rooms (DOTRs) increased surgical efficiency and resulted in marked cost benefits for centers. Researchers evaluated 1,960 orthopaedic surgery cases before and after DOTR implementation over a four-year period and performed a retrospective cost-analysis. The researchers noted that the mean weighted reduction in operative time was 31.4 percent, and the mean time saved was 29.6 minutes per intervention. Additionally, cost savings resulted in a net profit of $2,476. “Widespread implementation can improve patient care while still remaining financially favorable,” researchers concluded.

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Your AAOS

AAOS Leaders Advocate for Musculoskeletal Care at Second Combined NOLC/Fall Meeting

Today concludes the second-ever combined AAOS National Orthopaedic Leadership Conference (NOLC) and Fall Meeting in Washington, D.C. During the three-day event, Board of Councilors and Board of Specialty Society members raised four healthcare policy issues to legislators: Medicare payment changes, safety from workplace violence, protection of physician-led care teams, and support for a prior authorization reform bill (H.R. 3173), which passed the U.S. House today. Following congressional meetings with more than 250 offices, the Political Action Committee of the American Association of Orthopaedic Surgeons (OrthoPAC) hosted more than 25 bipartisan members of Congress from both the U.S. Senate and House of Representatives for a Capitol Club reception. At the evening event, AAOS Capitol Club Members had a second opportunity to talk with representatives about pressing legislative concerns.

Learn more about the healthcare policy issues…