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| Today’s Top Story
It Is Not Too Late to Participate in the Ongoing Orthopaedic Advocacy Week!
Since Monday, AAOS members nationwide have been setting aside a few minutes each day to participate in 2023 Orthopaedic Advocacy Week. They have raised awareness around five key healthcare policy issues on social media, sent letters directly to Congress, added their names to an AAOS regulatory agency letter, and invested in the Political Action Committee of the American Association of Orthopaedic Surgeons (OrthoPAC). It is not too late to participate in any or all these simple, virtual activities for advancing musculoskeletal care. When Advocacy Week ends, members are encouraged to stay involved in shaping the future of orthopaedic care year-round through the many opportunities offered by the AAOS advocacy team in Washington, D.C.
Take action now…
Amplify issues on social media…
Send letters to Congress…
Sign on to an AAOS regulatory agency letter…
Get invested in OrthoPAC…
Stay involved with advocacy… |
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| In Other News
Study Identifies Mortality Trends in Patients Aged ≥65 Years with Proximal Femoral Fractures
The Journal of the AAOS® published a retrospective study examining the mortality trends of 38,841 patients aged ≥65 years with proximal femoral fractures treated with early surgery (ES), delayed surgery (>48h), or conservative treatment (COT) from 2010 to 2019. The rate of ES increased from 68.4 percent in 2013 to 85 percent in 2017, while COT decreased from 8.2 percent in 2010 to 5.2 percent in 2019. Level 1 trauma centers and regional hospitals chose COT 2.3 and 1.4 times less, respectively, over the course of 10 years. The only treatment to see reductions in one-year mortality rates was ES.
Read the abstract… |
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| COVID-positive Asymptomatic Patients Face Higher PJI Risk after TJA
According to a study in the Archives of Orthopaedic and Trauma Surgery, asymptomatic patients who were COVID-positive within two weeks of undergoing total joint arthroplasty (TJA) were twice as likely to experience periprosthetic joint infection (PJI). Patients were divided into groups based on the time of positive COVID-19 test: between zero to two weeks before TJA (n = 1,749) and between two to four weeks before TJA (n = 599). Postoperative complications were compared to a matched group of patients without a history of COVID-19. No other significant differences in total complications were observed between asymptomatic patients with COVID-19 and those without.
Read the abstract… |
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| Study: Effectiveness of All-suture versus Solid-suture Anchor in Arthroscopic Rotator Cuff Repair
A randomized controlled trial in Arthroscopy compared the efficacy of all-suture anchors versus solid-suture anchors in 120 patients undergoing arthroscopic repair of a rotator cuff tear. The main outcome measurement was the Constant-Murley score, which was evaluated after 12 months, and the rate of retear was determined via MRI. At the 12-month follow up, there were no significant differences between groups in terms of Constant-Murley scores. The rate of retear was higher in the all-suture group compared with the solid-suture group, although it was not considered significant (5.7 percent versus 1.9 percent).
Read the abstract… |
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| Prospective Study: Risk Factors for Failure following Surgery in Patients with Diabetic Foot Syndrome
Foot & Ankle Orthopaedics published a prospective study identifying risk factors for reoperation within 60 days after debridement or amputation in patients with diabetic foot syndrome. Debridement, level of amputation, reoperation, and potential risk factors were assessed in 105 patients who underwent 174 surgeries. Thirty-one patients required reoperation within 60 days of initial surgery. Five risk factors were identified, including having >1 ulcer, peripheral artery disease, C-reactive protein >100 mg/L, diabetic peripheral neuropathy, and nonpalpable foot pulses. As the number of risk factors increased, the success rate at a specific level of amputation decreased.
Read the study… |
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| AAOS Now
A Debate for the ‘Ages’
In this month’s Editor’s Message, AAOS Now Editor-in-chief Robert M. Orfaly, MD, MBA, FAAOS, discusses the balance between rendering evidence-based care and providing maximal patient satisfaction. He cites a recap of a study, also published in the July edition, which found that surgeon factors, such as age, were associated with patient satisfaction, and a response from Thomas Fleeter, MD, FAAOS, who provides a “cautionary tale of extrapolating such data into permission to engage in ageism.” Overall, Dr. Orfaly writes, “I am heartened to see increased attention given to what used to be considered the ‘soft’ aspects of practicing medicine.”
Read more…
Read the study on patient satisfaction scores…
Read Dr. Fleeter’s Final Cut… |
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| Your AAOS
Virtual Course: Diagnostic and Treatment Dilemmas in Periprosthetic Hip and Knee Infections
Get up to speed on current knowledge in periprosthetic infection following total hip and total knee arthroplasty by attending this virtual course on Oct. 13, presented by AAOS, the Musculoskeletal Infection Society, and the International Consensus Meeting on Infection. Dynamic lectures, Q&A sessions, and challenging case discussions will give you the tools to evaluate diagnostic dilemmas, formulate treatment plans, and gain strategies for medical and social management in the preoperative period.
Register now… |
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