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Apply for Volunteer Opportunities

The Annual Meeting Committee has two open positions: member-at-large and resident-at-large. The Annual Meeting Committee is responsible for planning and implementing the Academy’s Annual Meeting. This includes designing, planning, and evaluating the educational opportunities and coordinating components of the meeting in conjunction with the Council on Education. The committee provides oversight for the Scientific Program Committee, Instructional Course Committee, and Exhibits Committee. The deadline to submit an application is Aug. 10.

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In Other News

Study Assesses Preoperative Screening Protocols in Lower Extremity TJA

A systematic review published online in The Journal of Arthroplasty evaluated preoperative screening protocols for modifiable risk factors to determine their effects on lower extremity total joint arthroplasty (TJA) outcomes. The researchers queried the Medline, Embase, CINAHL, and Cochrane Library databases, as well as the bibliographies of relevant studies. Studies that reported at least one established outcome after implementing a preoperative optimization protocol targeting modifiable risk factors were eligible for inclusion. Final analysis included eight retrospective cohort studies encompassing 9,915 total patients. Preoperative optimization protocols were associated with reductions in surgical site infection, hospital length of stay, mean cost of care, and hospital readmission rates.

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Study: Survival Rate of Closing Wedge High Tibial Osteotomy with High Valgus Correction

A study published online in Knee Surgery, Sports Traumatology, Arthroscopy observed a 92.5 percent 15-year survival rate of closing wedge high tibial osteotomy (CW-HTO) with high valgus correction. Statistical analysis included 120 knees in 96 patients. Sixteen knees in 15 patients (13.3 percent) required total knee arthroplasty (TKA) 14 years after CW-HTO. The five-, 10-, and 15-year survival rates were 99.2 percent, 96.7 percent, and 92.5 percent, respectively. Risk factors for poor clinical outcomes or conversion to TKA included obesity and the severity of preoperative knee symptoms.

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Study: Do Tendinopathic Characteristics in Asymptomatic Posterior Tibial Tendons Present on Ultrasound?

A study published online in Foot & Ankle International assessed the prevalence of abnormal ultrasound findings in asymptomatic posterior tibial tendons. Among 266 tendons assessed, 128 (48.1 percent) had at least one tendinopathic characteristic, including circumferential fluid (n = 51; 19.2 percent), noncircumferential fluid (n = 69; 25.9 percent), thickening (n = 22; 8.3 percent), heterogenicity (n = 31; 11.7 percent), hyperemia (n = 19; 7.1 percent), and calcification (n = 2; 0.8 percent). The rate of tendinopathic findings was three times higher among white patients compared to Black patients

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Study Evaluates Effectiveness of Cocktail Therapy After Arthroscopic RCR

A study published in the July issue of the Journal of Shoulder and Elbow Surgery compared cocktail therapy versus ropivacaine in arthroscopic rotator cuff repair (RCR) patients. Each group included 64 shoulders. The cocktail group received 20 mL of 0.75 percent ropivacaine, 5 mg of morphine, 0.3 mg of epinephrine, 2 mg of betamethasone, and saline solution; the ropivacaine group received ropivacaine and saline solution. At eight, 16, and 24 hours postoperatively, the cocktail group had significantly lower visual analog scale scores and fewer patients using suppositories. There were no differences in retear rates. The cocktail group had significantly better passive anterior elevation three months postoperatively.

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COVID-19 Updates

Study Analyzes Effect of COVID-19 Pandemic on Spine Surgeons

A study published in the August issue of Global Spine Journal evaluated the impact of the COVID-19 pandemic on spine surgeons across the globe. A total of 902 spine surgeons from seven global regions completed a multidimensional survey. About a third of respondents (36.8 percent) reported comorbidities. Among the surgeons tested for COVID-19, 15.8 percent tested positive; 7.2 percent said they would not disclose their infection to their patients. Globally, the most significant stressor was family health concerns (76 percent). Most surgeons (82.3 percent) anticipated that COVID-19 would change their clinical practice. Nearly all surgeons (94.7 percent) said there is a need for formal, international COVID-19 patient management guidelines.

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AAOS Now

AAOS Now Features Early Release and Online Exclusive Content

In order to bring readers the most up-to-date news in a timely manner, AAOS Now publishes articles online ahead of the print magazine and also features exclusive online only content. Content is added regularly, so be sure to check the AAOS Now homepage frequently for the latest articles. For example, some of the content from the July issue is already available online, including articles about creative alternatives to face the personal protective equipment (PPE) shortage, a resident’s perspective on education during the pandemic, the congressional response to COVID-19, and more.

Read “Physicians Develop Alternatives to Traditional PPE in the Wake of a Supply Chain Crisis”…

Read “A Resident’s Perspective on Education During the COVID-19 Pandemic”…

Read “Congressional Response to COVID-19”…