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| Today’s Top Story
AAOS Continues Its Commitment to Safety; Requires Masks at 2021 Annual Meeting
The AAOS 2021 Annual Meeting, Aug. 31 to Sept. 3 in San Diego, is just around the corner, and AAOS is committed to creating a safe and healthy environment for all attendees, exhibitors, San Diego Convention Center workers, AAOS staff, and the community. As such, all attendees will need proof of vaccination or a negative COVID-19 test result from within 72 hours of the first day of attendance in order to enter the convention center. Attendees will also need to properly wear a face covering/mask while in public event spaces. Faculty or designated speakers will be allowed to remove their masks while presenting but should wear masks at all other times. Visit the AAOS 2021 Health & Safety Resources webpage for the latest updates and guidance.
Read more… |
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| In Other News
Study: Previous Hip Arthroscopy Is Associated with THA Complications, Revision
A study published online in The Journal of Arthroplasty found increased complications with total hip arthroplasty (THA) among patients with previous ipsilateral hip arthroscopy (HA). In total, 1,940 patients with prior HA were propensity matched to 1,940 patients without HA. Previous HA was associated with higher risk of dislocation and implant failure within four years. Less than one year between procedures was associated with increased risk of dislocation, aseptic loosening, and revision at two and four years, compared to those with ≥1 year between procedures and those without HA.
Read the study… |
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| Study: Fewer Complications with Outpatient versus Inpatient UKA
A study published online in the Journal of Bone and Joint Surgery found fewer complications with outpatient versus inpatient unicompartmental knee arthroplasty (UKA). Patients were divided according to surgery before or after 2015 (2005–2015, n = 5,555 patients; 2016–2018, n = 5,627). Prior to 2015, inpatient UKA was associated with lower rates of surgical-site infection (0.84 percent) compared to outpatient (1.69 percent); however, other outcomes were comparable between groups. For patients treated in 2016 or later, inpatient UKA showed reduced risk versus outpatient UKA for overall complications and readmission.
Read the abstract… |
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| Study Compares Postoperative Analgesia Treatments for ACLR
A systematic review of analgesic methods after ACL reconstruction (ACLR) published online in the Journal of Arthroscopy found comparable improvements in pain and few differences between the different treatments. Sixty-six randomized controlled trials were included, comprising 4,168 patients. Periarticular infiltration was the only treatment significantly superior to placebo in pain scores and morphine consumption. There appeared to be no significant differences between adductor canal blocks and femoral nerve blocks in terms of pain scores, morphine consumption, and complications.
Read the abstract… |
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| Accountable Care Organizations Continue to Save Money for Medicare
On Aug. 25, the Centers for Medicare & Medicaid Services announced that Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program in 2020 earned performance payments, or shared savings, totaling nearly $2.3 billion. At the same time, these ACOs saved Medicare approximately $1.9 billion. This is the fourth consecutive year of savings for the program, which was established by the Affordable Care Act. Currently, over 12.1 million Medicare fee-for-service beneficiaries receive care from a healthcare provider participating in a Medicare ACO. In program year 2020, 88 percent of two-sided model ACOs (showing potential for shared savings or losses) and 55 percent of one-sided model ACOs (showing potential for shared savings only) earned shared savings payments.
Read the press release…
Learn about the Shared Savings Program…
See more details on the data… |
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| AAOS Now
MSK Injury versus Mental Health Disorder: A Very Different Perception
When professional athletes Naomi Osaka and Simone Biles announced their withdrawals from competition to focus on their mental wellbeing, they faced a tidal wave of criticism for prioritizing their mental health. James Lin, MD, FAAOS, and Julie Balch Samora, MD, PhD, MPH, FAAOS, FAOA, discuss the rising prevalence of mental health disorders among athletes and how orthopaedic surgeons can support their patients’ mental wellness. “For some athletes, their relationships with orthopaedic surgeons may be their most meaningful relationship they have with a doctor,” the authors wrote. “We have the opportunity to support the notion that it’s okay to show weakness, it’s okay to be injured internally, and, as Osaka eloquently asserted, ‘it’s okay to not be okay.’”
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| Your AAOS
Qualify for the Joint Commission Advanced Certifications with AAOS Registries
AAOS Registry Program participants can use registry data to help meet the requirements for collaborative programs like quality certification programs, federal quality initiatives, insurer’s distinction programs, and state collaboratives. Participation in the AAOS American Joint Replacement Registry is the sole pathway for meeting the registry requirement for the Joint Commission Advanced Certification for Total Hip and Total Knee Replacement. Active participation in the American Spine Registry, a collaborative effort of the American Association of Neurological Surgeons and AAOS, is required for the Joint Commission Advanced Certification in Spine Surgery.
Learn about more programs that use Registry data… |
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