Your AAOS

Engage in Orthopaedic Excellence at AAOS 2021

Time is running out to register to participate in the most highly anticipated orthopaedic event of the year! The musculoskeletal health community will reunite in San Diego in less than two weeks at the AAOS 2021 Annual Meeting. Join us for four powerful days of EDUCATION, INNOVATION, and COLLABORATION. Get ready to refresh your approach, expand your network, and strengthen your skills with the latest innovations. AAOS remains committed to protecting your health, safety, and peace of mind as we cautiously return to live events.

Register now and make your plan…

 
 
 
 
In Other News

Study: Cost Savings Associated with Standardized Ankle Fracture Treatment Pathway

At a single trauma center, a standardized care pathway for ankle fracture treatment implemented in the orthopaedics department was associated with decreased costs and higher case volume compared to a podiatry department without a standardized pathway. These findings were published in the August 15 issue of the Journal of the AAOS ®. Outcomes from 2016–2018 were retrospectively assessed. Total costs declined by 18 percent and 8 percent in the orthopaedics versus podiatry departments. Compared to the podiatry department, the orthopaedics department had lower costs per case, supply costs, and total outpatient costs.

Read the abstract…

 
 
 
 
Study: Alcohol Withdrawal Linked to In-hospital Mortality, Complications in TJA

A study published online in The Journal of Arthroplasty found that alcohol withdrawal (AW) is associated with increased risk of mortality and complications in total joint arthroplasty (TJA). Using the National Inpatient Sample database, the investigators analyzed 2,971,539 hip arthroplasties (AW, 0.14 percent) and 6,367,713 knee arthroplasties (AW, 0.10 percent). AW was associated with increased risk of medical and surgical complications, total costs, length of stay, and a 4.79-times higher risk of in-hospital mortality compared to patients without AW. This increased risk was increased for knee arthroplasty patients in particular.

Read the abstract…

 
 
 
Study: Ramp Lesions in Injured ACL Is Associated with MCL Injury and Tibial Bruising on MRI

A study published online in Knee Surgery, Sports Traumatology, Arthroscopy found that medial meniscal ramp lesions in elite athletes with ACL injury were strongly associated with medial collateral ligament (MCL) injury and medial tibial bone bruising on preoperative MRI. One hundred patients were assessed. Sixteen percent had surgically diagnosed ramp lesions. Deep or superficial MCL injury and small medial-lateral tibial slope asymmetry were strongly associated with lesions. Deep MCL injury, reduced medial-lateral tibial slope, and ramp lesion on preoperative MRI increased the odds of lesion diagnosis during surgery

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Study: Muscle Mass Loss after Hip Fracture Linked to Reduced Postoperative Activity

In geriatric patients, significant muscle mass loss in the first year after hip fracture surgery led to impaired recovery of function, according to a study published online in Injury. Thirty patients aged a mean 80.8 years were assessed one year postoperatively. Patients demonstrated significant losses in activities of daily living (ADL), and only 43 percent of patients regained preinjury ADL levels. Patients lost a mean 4.63 percent of appendicular skeletal muscle mass (ASM). Sarcopenia was associated with greater ASM loss. Reductions in ASM and handgrip strength and increases in BMI were associated with decreased ADL levels.

Read the abstract…

 
 
 
Commentary: A Vision for the Future of Innovation at CMS

In a blog post published online on Health Affairs, current Centers for Medicare & Medicaid Services (CMS) administrator Chiquita Brooks-LaSure and colleagues discuss the Biden administration’s health policy agenda, including the plans for the Center for Medicare & Medicaid Innovation. “After launching more than 50 alternative payment models that reward health care providers for delivering high-quality and cost-efficient care, the Innovation Center has learned a great deal and is ready to build a stronger and more sustainable path forward,” the authors write. Ms. Brooks-LaSure also sat down for an interview with Health Affairs to further discuss the Biden administration’s healthcare agenda.

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Watch the interview with Ms. Brooks-LaSure…

 
 
 
AAOS Now

Grasstops Advocacy Is a More Targeted, Tactical Approach

In the June edition of his advocacy series, Advocacy Council Chair Douglas W. Lundy, MD, MBA, FAAOS, explored the concept of grassroots advocacy, a movement where the masses rise up and demand action from political leaders. In his July article, he discusses another strategy for political engagement: grasstop advocacy. “Technically speaking, grasstops advocacy describes the situation when specific opinion leaders are tactically deployed to effect change through the politic,” writes Dr. Lundy. “Grasstops advocacy relies on a much smaller group of people who have organizational positions of importance and/or personal relationships with elected officials.”

Read more…

Read the June article, “AAOS Leverages Grassroots Advocacy to Benefit Members”…