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It’s Time to Make Your Plan for AAOS 2023 in Las Vegas

The AAOS 2023 Annual Meeting is poised to deliver one of the best and biggest live education experiences in years. Get ready to explore educational and scientific sessions relevant to your specialty. All with the entertainment capital of the world, Las Vegas, as the background.

Learn more, sign up, and make your plan…

 
 
 
 
In Other News

Chronic Opioid Use Associated with Increased Complications and Total Cost after TJA

The Journal of Arthroplasty published a study assessing whether chronic opioid use was an independent risk factor for inpatient postoperative complications and resource utilization following total joint arthroplasty (TJA). Utilizing a large national database, 3,545,565 patients undergoing elective, unilateral, primary total hip and knee arthroplasty for osteoarthritis were included. Postoperative complications, length of stay (LOS), and total costs were compared between patients with and without chronic opioid use. Chronic use patients had a higher risk of complications including respiratory, gastrointestinal, and blood transfusion, longer LOS (2.15 versus 203 days), and greater total costs ($16,619 versus $15,603).

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Retrospective Study Assesses Outcomes following Bankart Repair with Remplissage versus Latarjet Surgery

A retrospective study in the Journal of Shoulder and Elbow Surgery found that patients undergoing Latarjet surgery for primary shoulder stabilization were less likely to experience subjective shoulder instability compared with patients who underwent Bankart repair with concomitant remplissage. The rates of recurrent instability, revision, and return to sport (RTS), and patient-reported outcomes were compared between 43 Latarjet patients and 28 Bankart patients. There were no significant differences noted between groups regarding rates of dislocation, revision, reoperation, and RTS. Latarjet patients had larger amounts of bone loss (19 percent versus 11 percent).

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Pilot Study Finds Early Pain Is Associated with Loading Mechanics Six Months after ACLR

A cohort pilot study in Sports Health investigated the contributing factors leading to altered loading mechanics after ACL reconstruction (ACLR). Twenty ACLR patients completed the Knee Injury and Osteoarthritis Outcomes Score (KOOS) at one and six months after surgery. Patients underwent biomechanical testing and were compared with 20 control patients. The limb that underwent ACLR had reduced knee extension and ground-reaction forces compared with outcomes in the control group. One-month postsurgery, the KOOS pain score was associated with peak post-ACLR knee abduction. At six months, the KOOS sport score was associated with peak abduction in the ACLR limb.

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Prospective Study Compares Clinical Outcomes of Operative versus Nonoperative Treatment for Supracondylar Humerus Fractures

In a prospective study in the January issue of the Journal of Pediatric Orthopaedics, nearly 90 percent of pediatric patients with type IIa supracondylar humerus fractures receiving nonoperative treatment had good radiographic and functional outcomes with improvements in mild residual deformity. Forty-five nonoperative and 54 operative patients were included. Follow-up occurred at six, 12, and 24 months postinjury Four conservatively treated patients were converted to surgery after the first follow-up. Complications and patient-reported outcomes were similar between groups. The nonoperative group had more radiographic extension (176.9 versus 174.4 degrees).

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AAOS Now

Professionalism and Second Opinions: When Physicians Badmouth Other Physicians

In this edition of the Final Cut, AAOS Now Editorial Board Member Thomas Fleeter, MD, MBA, FAAOS, offered insights into how to give a second opinion on a patient’s treatment without passing judgment on the treating physician. “As physicians, we may have conflicting responsibilities of protecting patients and respecting our medical peers. However, it is possible to provide an honest opinion without badmouthing the original treating physician,” Dr. Fleeter wrote.

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Your AAOS

Submit AAOS Award Nominations Today

AAOS annually recognizes three of its living members with the Diversity, Humanitarian, and Leadership awards that are presented at the Annual Meeting The AAOS Awards Committee has oversight of the review process for all award nominees and recommends the AAOS Award winners to the AAOS Board of Directors for approval. AAOS Awards nominations will remain open through Dec. 31. Questions about the AAOS Awards should be directed to governance@aaos.org.

View award criteria and submit nominations…