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| Your AAOS
Sign Up for AAOS’ Orthopaedic Advocacy Week, May 24–28
The AAOS Office of Government Relations, in conjunction with AAOS leadership, is hosting an Orthopaedic Advocacy Week May 24–28. This new, completely virtual event is open to all members and will amplify yearlong advocacy efforts on healthcare policy issues impacting musculoskeletal care including prior authorization, telemedicine, and physician mental health. Each day of Orthopaedic Advocacy Week will offer members quick and simple opportunities to raise these issues with lawmakers, whether it is sending pre-written letters through the Advocacy Action Center with two clicks of a button or meeting with members of Congress via Zoom. By signing up to participate, orthopaedic surgeons will have the unique opportunity to join these virtual meetings on May 27 and will receive daily emails throughout the week with more information and details on specific calls to action.
Learn more…
Sign up by April 30 to participate… |
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| In Other News
Study Identifies Risk Factors of Perioperative Blood Transfusion in Revision TJA
A study published in the April 15 issue of the Journal of the AAOS ® determined risk factors of perioperative allogeneic blood transfusions during lower-extremity revision total joint arthroplasty (TJA). In total, 251 cases performed between 2016 and 2018 were evaluated. Patients with preoperative anemia or infection as indication for revision were more likely to require transfusion. Procedure complexity was independently associated with risk of transfusion. Single- and dual-component revisions had greater odds of transfusion compared to polyethylene liner exchanges. Tranexamic acid use was a negative predictor of transfusion
Read the abstract… |
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| Study: Six-month Functional Scores Predict Two-year Outcomes of Arthroscopy for FAI
Patient-reported improvements six months after hip arthroscopy for femoroacetabular impingement (FAI) may predict two-year outcomes, according to a study of 173 patients published online in Arthroscopy. Most patients (98 percent) who achieved a minimal clinically important difference (MCID) in modified Harris Hip Scores at six months sustained this MCID after two years, versus 52 percent of patients without a six-month MCID. At two years, patient acceptable symptom state (PASS) was achieved in 88 percent of patients with a six-month MCID and 24 percent of those without. Six-month MCID as a cutoff showed a 96 percent sensitivity and 47 percent specificity for predicting PASS at two years.
Read the abstract… |
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| Study: Insertional Achilles Tendinopathy Repair with Debridement and Double-row Refixation
A study published online in Foot & Ankle International assessed outcomes of surgical treatment of insertional Achilles tendinopathy using a longitudinal tendon-splitting approach with debridement and double-row refixation. Forty-two patients treated between 2013 and 2017 were followed for a mean of 32.8 months. Pre- and postoperative Visual Analog Scale, American Orthopaedic Foot & Ankle Society Hindfoot Score, Foot and Ankle Outcome Score, and Foot Function Index scores were assessed for all patients. Average functional score totals and subscores showed significant overall improvement postoperatively. Thirty patients (71.4 percent) showed recurrent calcification via radiograph, which was not associated with worse outcomes or recurrent symptoms.
Read the abstract… |
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| Using Patient-reported Outcomes to Predict Failure of Lumbar Spinal Stenosis Surgery
A retrospective study published online in The Spine Journal assessed whether patient-reported outcomes after surgery for lumbar spinal stenosis predicted surgical failure and worsening. The researchers used a national spine registry to identify 10,822 patients aged ≥80 years, of whom 8,258 were evaluated 12 months postoperatively. Overall, there were 1,683 failures (20 percent) and 476 cases of worsening (6 percent). Oswerty Disability Index (ODI) scores were most accurate for identifying both failure and worsening postoperatively. Less than 20 percent improvement in ODI after 12 months was associated with procedure failure, and an ODI final score of ≥39 points was associated with worsening.
Read the abstract… |
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| AAOS Now
At the Helm: Daniel K. Guy, MD, Begins Term as AAOS President
At the March Business Meeting, Daniel K. Guy, MD, FAAOS, assumed the position of AAOS 2021–2022 President, following immediate Past President Joseph A. Bosco III, MD, FAAOS. Because of the COVID-19 pandemic and rescheduling of this year’s Annual Meeting from March to Aug. 31–Sept. 3, Dr. Guy did not have the opportunity to introduce himself to members in a speech before a convention center great room. In this article, Dr. Guy takes an opportunity to thank the members for the honor to serve as AAOS President and discusses his goals, priorities, and hopes for his term in office.
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| Your AAOS
AAOS Appoints Thomas “Quin” Throckmorton, MD, FAAOS, Editor-in-chief of OrthoInfo
AAOS announced Campbell Clinic shoulder and elbow surgeon, Thomas W. (Quin) Throckmorton, MD, FAAOS, as the editor-in-chief designee of OrthoInfo, the AAOS’ patient education website. With more than 2 million unique monthly visitors per month, OrthoInfo offers patients reliable resources to help them better understand musculoskeletal conditions and make informed decisions about their health.
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