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| Your AAOS
Apply for Volunteer Opportunities
Consider applying for the following positions:
- Coding, Coverage, and Reimbursement Committee Member position—applications are accepted until Dec. 21
- Foot and Ankle Content Committee Chair Designee position—applications are accepted until Jan. 3, 2021
- Political Action Committee of the AAOS Treasurer position—applications are accepted until Dec. 21
- Shoulder and Elbow Content Committee Member position—applications are accepted until Jan. 3, 2021
Learn more and submit applications…(member login required) |
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| In Other News
Study: How Do Total Joint Surgeons Perceive Robotic TJA?
A study published in the December issue of The Journal of Arthroplasty gleaned the perspectives of surgeons regarding robot arm assistance in total joint arthroplasty (TJA). Members of the American Association of Hip and Knee Surgeons received an online survey that asked about their motivations for using robotic technology, thoughts on outcomes and training, and personal characteristics that may have affected their answers. Most users’ primary reason to use robot arm assistance was increased precision (73.1 percent); 19.7 percent of users were motivated by nonclinical reasons. More than half of respondents said 20 to 40 surgical cases were needed to become competent with the technique.
Read the abstract… |
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| Study Analyzes Trends in PROMIS Use in Orthopaedic Practice and Research
A systematic review published online in the Journal of Orthopaedic Surgery and Research observed a recent increase in the reporting of Patient-reported Outcomes Measurement Information System (PROMIS) measures. PubMed, Embase, and Scopus were queried using keywords and database-specific subject headings to identify orthopaedic studies reporting PROMIS measures published through November 2018. Between 2013 and 2018, 88 studies were published, 50 of which were published in 2018 alone. PROMIS measures reported by body region were: upper extremity, 28 percent; lower extremity, 36 percent; spine, 19 percent; trauma patients, 10 percent; and general orthopaedic patients, 6 percent. Most studies reported from one to three PROMIS domains.
Read the study… |
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| Study Assesses Use of Four-step Protocol to Improve Chronic Ankle Instability
A retrospective study published online in Knee Surgery, Sports Traumatology, Arthroscopy evaluated long-term outcomes following the use of a four-step protocol to treat chronic ankle instability (CAI). A total of 54 patients (median age at surgery, 31.6 years) with isolated anterior talofibular ligament (ATFL) lesion experiencing CAI were examined. The four-step protocol consisted of synovectomy, debridement of ATFL lesion borders, capsular shrinkage, and 21-day immobilization and nonweight bearing. At a median 11 years of follow-up, significant improvements were observed in American Orthopaedic Foot & Ankle Society ankle and hindfoot and Karlsson–Peterson scores, Tegner activity level, and ankle stability. There were no major complications.
Read the abstract… |
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| Study Measures Impact of Multimodal Drug Infiltration on Pain in Lumbar Spine Surgery
A randomized, controlled trial published in the Dec. 15 issue of Spine assessed whether single-dose wound infiltration with multiple drugs affected pain management after splitting laminectomy of the lumbar spine. Final analysis consisted of 23 patients who received intraoperative wound infiltration of local anesthetics, morphine sulfate, epinephrine, and nonsteroidal anti-inflammatory drugs at the end of surgery, as well as patient-controlled analgesia (PCA) postoperatively, and 26 controls who only received postoperative PCA. The local infiltration group, compared to the control group, had reduced postoperative morphine consumption and decreased visual analog scale pain score. Patient satisfaction, hospital length of stay, and side effects did not largely differ between the groups.
Read the abstract… |
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| Joe Biden Selects HHS and CDC Leaders, Chief Medical Adviser
President-elect Joe Biden has asked California Attorney General Xavier Becerra to be his head of the Department of Health and Human Services (HHS). If the Senate confirms Mr. Becerra, he will be the first Latino to head the HHS. Mr. Biden also asked Harvard infectious disease expert Rochelle Walensky, MD, MPH, to lead the Centers for Disease Control and Prevention (CDC). He selected Anthony Fauci, MD, to serve as the president’s chief medical adviser.
Read more… |
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| AAOS Now
Tales from the Field: Managing Practice During COVID-19
During an AAOS webinar presented in August, surgeons from three different regions of the country recounted their institutions’ experiences confronting the onset of the COVID-19 pandemic. The webinar arose from an article published in the June 1 issue of the Journal of the AAOS ® titled “Practice Management During the COVID-19 Pandemic.” In part one of a series, Alexander Vaccaro, MD, MBA, PhD, FAAOS, president of Rothman Orthopaedics in Philadelphia, and Bruce E. Cohen, MD, FAAOS, chief executive officer of OrthoCarolina in Charlotte, N.C., discuss their experiences.
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