January 12, 2023 | Today’s News

Be Ready to Make a Difference in Desperate Situations—Limited Space Remains for Disaster Response Course

In conjunction with the Society of Military Orthopaedic Surgeons, the Orthopaedic Trauma Association, and the Pediatric Orthopaedic Surgeons of North America, AAOS will present a one-day Disaster Response Course on March 7 during the AAOS 2023 Annual Meeting in Las Vegas. Taught by surgeons with military and disaster-response experience, this course includes a four-hour cadaver skills lab for techniques applied in uncertain and severe environments where resources are scarce, electricity rare, and injuries traumatic. Space is very limited. Secure your seat now.

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Retrospective Study Investigates Association between Comorbidities and Mortality in Elderly Hip Fracture Patients

A multicenter retrospective review assessing the association between specific patient comorbidities and outcomes in geriatric hip patients was published in the Jan. 15 issue of the Journal of the AAOS ^®. Secondary outcomes included length of stay (LOS), unplanned ICU admission, discharge disposition, and complications; in-hospital, 30-day, 60-day, and 90-day mortality rates were the primary outcomes. The study population included 2,300 patients. The in-hospital, 30-day, 60-day, and 90-day mortality rates were 1.8 percent, 7.0 percent, 10.9 percent, and 14.1 percent, respectively. Diabetes, cognitive impairment present on admission, and chronic obstructive pulmonary disease were associated with mortality and in-hospital adverse events.

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The Journal of Shoulder & Elbow Surgery published a study evaluating the incidence and 30- and 90-day readmission rates following primary shoulder arthroplasty in the United States. A national database was utilized to collect rates and causes of 30- and 90-day readmissions between 2016 and 2018, and data were compared between anatomic total shoulder arthroplasty (TSA), anatomic hemiarthroplasty (HA), and reverse shoulder arthroplasty (RSA). RSA utilization increased, while utilization of HA decreased and remained constant for TSA. Rates of 90-day readmission were 7.76 percent, 4.37 percent, and 9.18 percent for RSA, TSA, and HA, respectively.

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Knee Surgery, Sports Traumatology, Arthroscopy published a retrospective study analyzing the long-term outcomes of extensor mechanism allograft (EMA) reconstruction for chronic extensor mechanism failures following aseptic and septic revision total knee arthroplasty (TKA). Of the 35 patients identified, 13 were sorted into the septic cohort. EMA failure was considered for lag >20 degrees, Knee Society Score (KSS) <60 points, or in the case of revision of the allograft. Both cohorts had comparable KSS improvements. The survivorship at 10 years postsurgery was 83.3 percent in the aseptic cohort compared with 58 percent in the septic cohort.

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Using the Continuous Fragility Index (CFI) and Quotient (CFQ) to assess the statistical strength of data from randomized controlled trials (RCTs) evaluating platelet-rich plasma (PRP) for treatment of plantar fasciitis, a study found that the statistical fragility of RCTs is comparable to that of the sports medicine literature. The systematic review was published in Foot & Ankle Orthopaedics. Twenty RCTs were analyzed. The median CFI for all events was 9, and the corresponding CFQ was 0.177. Studies with reported P-values of <0.05 were more statistically fragile compared with studies with reported P-values of >0.05.

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AAOS Members Engage with Congress at the Combined NOLC/Fall Meeting

During the combined AAOS National Orthopaedic Leadership Conference (NOLC) and Fall Meeting in September, more than 300 orthopaedic surgeons from all over the country gathered in Washington, D.C., to meet with their elected officials on Capitol Hill and advocate about key issues that orthopaedic surgeons and their patients are facing. Members’ efforts focused on a variety of pressing orthopaedic issues, including physician reimbursement, prior authorization reform, healthcare workforce safety, and more.

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AAOS Board of Directors Approve a New Clinical Practice Guideline for the Treatment of Clavicle Fractures

The AAOS approved the new Clinical Practice Guideline (CPG) for the Treatment of Clavicle Fractures. This CPG focuses on the treatment of isolated clavicle fractures in both skeletally mature and immature patients. The CPG features three moderate-strength and one strong-strength recommendations, as well as two consensus and seven limited-strength options.

View the new CPG…