Today’s Top Story

Proposed Amendment to Professional Relationships SOP

Ballots will shortly be distributed to AAOS Fellows to allow voting on one proposed bylaws amendment, one Standards of Professionalism (SOP) amendment, and nine five-year resolutions. To address recent questions about the proposed amendment to the SOP on Professional Relationships, background information on the Professional Compliance Program and its grievance process are available via the link below.

Read more about the Professional Compliance Program…

 
 
 
 
In Other News

Study Investigates Timing and Factors Associated with Revision for Infection after TKA

A study in the Journal of Arthroplasty evaluated the factors related to the incidence and timing of infection following total knee arthroplasty (TKA) utilizing data from the American Joint Replacement Registry. Multivariate Cox regression was performed using patient, surgical, and institutional factors from 525,887 TKAs. Overall, 2,821 TKAs were revised for infection. Men had an increased risk of revision for infection at all time intervals, and patients undergoing TKA for osteoarthritis had an increased risk of revision for infection at ≤90 days. Mortality was more likely among patients who had a Charlson Comorbidity Index ≥5 and older patients.

Read the study…

 
 
 
 
Study Examines the Preventative Efficacy of Intrawound Vancomycin Powder during TSA

A retrospective analysis of 827 patients undergoing total shoulder arthroplasty (TSA) found the use of intrawound vancomycin powder significantly reduced the rate of periprosthetic infection without any increase in local and systemic aseptic complications. The study, published in the Journal of Shoulder and Elbow Surgery, compared patient demographics, comorbidities, and perioperative information between a control group of 405 patients and a group of 422 patients who received an intraoperative insertion of intrawound vancomycin powder. Thirteen cases of infection were observed in the control group compared with none in the intrawound vancomycin group.

Read the abstract…

 
 
 
Study Compares Nonoperative Management, Repair, and Reconstruction of the MCL in Combined ACL and MCL Injuries

The American Journal of Sports Medicine published a systematic review and meta-analysis comparing the outcomes of ACL reconstruction with either nonoperative treatment of medial collateral ligament (MCL) injury, concomitant MCL repair, or concomitant MCL reconstruction in cases of combined ACL and MCL injuries. Eighteen studies and 1,534 cases comprised the review, while 16 studies and 997 cases met the inclusion criteria for the meta-analysis. Patient-reported outcomes (PROs) and functional outcomes were compared between groups. No statistical differences between groups regarding PROs, range of motion, or quadriceps strength.

Read the abstract…

 
 
 
 
Advocacy News

Bill Introduced to Tie Physician Payments to Inflation-based Index

This week, a bipartisan coalition of doctors in Congress introduced the Strengthening Medicare for Patients and Providers Act (H.R. 2474). The bill follows the recent recommendation of the independent Medicare Payment Advisory Commission and would change the physician payment rate above the current law by providing an annual Medicare physician payment update tied to inflation, as measured by the Medicare Economic Index. Healthcare organizations, including AAOS, view the move as a critical first step toward reforming Medicare to address payment uncertainty affecting participating physicians and to ultimately serve patients better.

Learn more about the bill…

 
 
 
AAOS Now

We Are Human; It Is OK to Forgive Ourselves

In this edition of the Final Cut, AAOS Now Editorial Board member Gregory G. Gallant, MD, MBA, FAAOS, shares how a recent personal tragedy led him to reflect on bad outcomes and the self-blame that results from them. “When patients blame us, we tend to blame ourselves as well—maybe due to guilt about outcomes or the unrealistic standard of perfection we physicians hold ourselves to—the standard of never making a mistake,” he writes. However, Dr. Gallant urges self-forgiveness: “We are only human; we are not gods. We will make mistakes.”

Read more…

 
 
 
Your AAOS

AAOS 2024 Annual Meeting Call for Abstracts Now Open

The AAOS Annual Meeting is the must-attend event of the year for orthopaedic professionals from all over the world, making it the premier venue to share your knowledge and showcase your research. The Academy is currently seeking abstracts and applications for possible presentation at the 2024 Annual Meeting, which will take place Feb. 12 to 16 (Monday through Friday) in San Francisco. The first submission deadline is right around the corner on May 1.

Learn more and submit…