Today’s Top Story

Orthopaedic Advocacy Week Kicks Off, Offers Simple Ways to Advance MSK Care

Today marks the official start of AAOS’ second annual Orthopaedic Advocacy Week. While formal registration has closed, U.S. AAOS members can still participate in the daily virtual event activities to advocate for priority healthcare policy issues. Today, members are raising awareness across social media to capture the attention of lawmakers before sending formal letters to Congress tomorrow. Wednesday’s activity involves signing onto AAOS-led letters to regulatory agencies, Thursday will focus on the economic impact orthopaedic surgeons have on the national and state economies, then Friday is about getting invested with the Orthopaedic Political Action Committeee (OrthoPAC).

Participate in the event…

Day 1 activity…

 
 
 
 
In Other News

Study: Effects of Preoperative MRI Coracoid Dimensions on Outcomes of Latarjet Procedure for Anterior Shoulder Instability

In a retrospective study published in the Orthopaedic Journal of Sports Medicine, patients undergoing Latarjet surgery for anterior shoulder instability had similar postoperative outcomes regardless of preoperative coracoid dimensions. Fifty-six patients had preoperative MRI scans and a minimum of two years of follow-up. Patients with longer coracoids ( >22 mm) had similar rates of recurrent instability, complications, reoperation, return to sport, and American Shoulder and Elbow Surgeons scores compared to patients with shorter coracoids. Similar results were found in patients with wider coracoids (≥10 mm) compared to patients with narrower coracoids.

Read the abstract…

 
 
 
 
Study: Incidence Rates and Trends in Traumatic Lower-extremity Amputations in the United States

A study published online in Current Orthopaedic Practice evaluated incidence and trends in traumatic lower-extremity amputations over the past 10 years. Utilizing the National Electronic Injury Surveillance System, researchers assessed age at presentation, amputated appendage, disposition, and cause of amputation. An estimated total of 11,475 patients sustained lower-extremity amputation, with an incidence rate of 2.2 amputations per 100,000 person-years. The most common mechanism of injury in all age groups was lawnmowers, and the incidence of lower-extremity amputations was highest in those aged <5 years.

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Study: Investigation of the Efficacy of Postoperative Oral Antibiotic Use in Foot and Ankle Surgery

A retrospective chart review published online in Foot & Ankle International found that postoperative oral antibiotic use in foot and ankle surgery is not associated with lower infection rates or severity. Of 3,631 patients included, 2,394 patients received postoperative oral antibiotics and 1,227 patients did not. Demographics and comorbidities were recorded. The primary outcome of the study was postoperative infection within six months after surgery. Oral antibiotic use did not significantly affect infection rates or severity. Diabetes, hypertension, obesity, tobacco use, alcohol use, rheumatoid conditions, and age influenced postoperative infection rates and severity.

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Study: Functional Outcomes of Digit Replantation versus Amputation

The Journal of Orthopaedics and Traumatology published a study investigating the functional outcomes and sensory recovery after digit replantation versus amputation. The study population included 48 patients with 56 complete digit amputations (19 successful replantations and 37 primary or secondary amputations) who returned for a follow-up examination. The primary measures included range of motion (ROM), fingertip-to-table distance, fingertip-to-palm distance, grip and pinch strengths, and static two-point discrimination. Replanted digits achieved 58 percent of median total ROM, and there was significantly less pain after replantation at rest and under strain.

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AAOS Now

AAOS Issues Comments to the CDC Regarding Proposed CPG for Prescribing Opioids

AAOS issued formal comments to the Centers for Disease Control and Prevention (CDC) on the agency’s proposed 2022 Clinical Practice Guidelines (CPG) for Prescribing Opioids, including feedback on the proposed recommendations and additional components of pain care to be added to the guidance The new guidelines update the 2016 guidelines, with changes such as the elimination of specific dosage limitations.

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Your AAOS

Take Part in the Development of a Clinical Practice Guideline

AAOS is seeking volunteers to take part on the work group for the development of the Management of Acute Meniscal Pathology Clinical Practice Guideline. Don’t have a lot of time? Volunteer to be a part of the Key Informants Panel for the same topic. Due to limited space, applications will be reviewed and approved on a first come, first served basis.

Submit your application…