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| Your AAOS
Presidential Update from Joseph A. Bosco III, MD, FAAOS
In his latest message, AAOS President Joseph A. Bosco III, MD, FAAOS, shared his experience interviewing orthopaedic residency applicants, as well as a reminder that despite its many changes over the years, the orthopaedic profession remains just as rewarding and fun as ever. He also discussed the Biden administration’s push for another round of COVID-19 relief and temporary selections to lead some of the government’s healthcare agencies. The AAOS Office of Government Relations is poised to work with whoever is chosen to permanently head these agencies, Dr. Bosco said, since AAOS supports prioritizing the advancement of musculoskeletal care over everything else—including politics. Dr. Bosco concluded by giving an important reason to make sure the future of musculoskeletal care is bright: the next generation of orthopaedic surgeons. It’s up to the current members of the orthopaedic profession to get it right for patients as well as up and coming orthopaedic surgeons.
Read Dr. Bosco’s message… |
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| In Other News
Study: Teres Minor Muscle Hypertrophy Predicts Reverse TSA Outcomes
A study published online in the Journal of Shoulder and Elbow Surgery measured the impact of preoperative muscle quality and postoperative implant positioning on outcomes of reverse total shoulder arthroplasty (TSA). The muscle quality of 88 shoulders was evaluated via preoperative MRI, and postoperative implant position was determined via radiograph. Patient-reported outcomes were established by American Shoulder and Elbow Surgeons (ASES) scores after two years. After multivariate analysis, teres minor muscle hypertrophy was found to be an independent predictor of lower ASES scores.
Read the abstract… |
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| Study Compares Technical Factors’ Effects on Outcomes in Femoral Neck Fracture
A randomized, controlled trial published in the February issue of the Journal of Orthopaedic Trauma assessed whether cancellous screw (CS) and sliding hip screw (SHS) technical factors during low-energy femoral neck fracture fixation affected outcomes. In CS, technical factors analyzed included screw diameter, short versus long screw threads, screw number and formation, screw orientation, and washer use; in SHS, factors assessed included side plate length, supplemental screw use, lag screw position, and tip–apex distance. The three-screw inverted triangle pattern had a much lower two-year revision rate than the three-screw triangle formation, but no other technical factors were associated with revision risk or health-related quality of life.
Read the abstract… |
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| Study: PLC Injury Location Associated with Common Peroneal Nerve Palsy
A retrospective study published online in Knee Surgery, Sports Traumatology, Arthroscopy determined whether the location of posterolateral corner (PLC) injury was predictive of common peroneal nerve (CPN) palsy. A chart review was conducted for 47 patients who were surgically managed for PLC injury between 2014 and 2019. Of this group, 11 patients presented with clinical CPN palsy. Compared to middle or proximal injuries, distal PLC injuries were significantly associated with CPN palsy. Biceps femoris avulsion was also strongly associated with CPN palsy. Only four patients with CPN palsy achieved complete neurologic recovery.
Read the abstract… |
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| Study Measures Outcomes Following Talectomy in Pediatric Patients
A retrospective study published online in Foot & Ankle International assessed surgical outcomes for talectomy in 31 pediatric patients with nonidiopathic severely rigid talipes equinovarus. Outcomes were measured via American Orthopaedic Foot & Ankle Society score and patient- and caregiver-reported surveys. Postoperative plantigrade feet were achieved in 88.5 percent of cases. Deformity recurrence occurred for 21.2 percent of patients, with 17.3 percent requiring subsequent surgery. Satisfaction with post-talectomy functional status was reported by 63.5 percent of patients and 75.0 percent of caregivers.
Read the abstract… |
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| Fatal Shooting Occurs at Health Clinic in Minnesota
According to a news report from The Star Tribune, one person was fatally shot and four were injured on the morning of Tuesday, Feb. 9, at the Allina Health Clinic in Buffalo, Minn. Gregory Ulrich, 67, entered the health clinic and shot five individuals, killing one and injuring four others. Mr. Ulrich was taken into custody by the police shortly following the incident. According to police reports, Mr. Ulrich previously made threats against the clinic in October 2018. Three victims remain in critical condition.
Read more…
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| AAOS Now
A Rural Practitioner’s Experience with Providing Orthopaedic Care During the Pandemic
The COVID-19 pandemic led to a temporary shutdown of elective surgeries and limited in-person care, impacting operations at orthopaedic practices, particularly smaller practices in less populated regions. In this article, James Barber, MD, FAAOS, orthopaedic surgeon at Southeastern Orthopaedics in Douglas, Ga., shares his personal experience of being a rural orthopaedic practitioner during the COVID-19 pandemic.
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