Today’s Top Story

AAOS Leadership Responds to George Floyd’s Tragic Death

AAOS President Joseph A. Bosco III, MD, FAAOS, addressed the recent tragic death of George Floyd at the hands of a Minneapolis police officer, saying that AAOS “strongly condemn(s)” what took place. Dr. Bosco emphasized that the Academy stands with its members of color and added that “although words are important, deeds matter most.” He referred to one of the goals of the Academy’s Strategic Plan: to evolve the culture and governance of AAOS’ board and volunteer structure to become more strategic, innovative, and diverse. “A more diverse Academy will lead to better care for our patients, including those of color. Your Academy will respond to these episodes by demonstrating the very best of human nature and compassion. Values we continue to uphold as we face our future together,” he said.

Read Dr. Bosco’s message…

In Other News

Study Assesses Safety, Efficacy of Gabapentinoids in TJA

A study published online in The Journal of Arthroplasty analyzed the safety and efficacy of gabapentinoids in total joint arthroplasty (TJA) to support the combined clinical practice guidelines (CPGs) of AAOS, the American Association of Hip and Knee Surgeons, The Hip Society, The Knee Society, and the American Society of Regional Anesthesia and Pain Management. Thirteen high-quality studies were assessed. During the perioperative period and after discharge, gabapentinoids did not reduce postoperative pain, but pregabalin reduced postoperative pain and opioid consumption.

Read the abstract…

Study Compares Bridge-enhanced ACL Repair Versus Autograft Reconstruction

According to a randomized clinical trial published in the May issue of The American Journal of Sports Medicine, bridge-enhanced anterior cruciate ligament (ACL) repair (BEAR) may not be inferior to autograft ACL reconstruction. The study included 100 patients (median age, 17 years) who were randomized to receive BEAR (n = 65) or autograft ACL reconstruction (n = 35 [33 with quadrupled semitendinosus-gracilis and two with bone-patellar tendon-bone]). At two years, no significant differences were observed between the BEAR and autograft groups in International Knee Documentation Committee subjective scores (88.9 versus 84.8, respectively) or instrumented anteroposterior knee laxity (1.61 mm versus 1.77 mm, respectively). Mean hamstring muscle strength index was higher in the BEAR group than the autograft group after two years (98.2 percent versus 63.2 percent).

Read the study…

Study Assesses Relative First Metatarsal Length After Modified Lapidus Procedure

A retrospective study published online in Foot & Ankle International evaluated radiographic outcomes in the modified Lapidus procedures. Among 32 procedures, relative metatarsal length (RML) was –0.8 mm preoperatively and –4.9 mm postoperatively. The procedure resulted in an average RML shortening of –4.1. The mean pre- and postoperative intermetatarsal angles were 15 degrees and 5 degrees, respectively, and pre- and postoperative distal metatarsal articular angles were 33 degrees and 9 degrees, respectively. One case of transfer metatarsalgia was reported and attributed to elevation of the first metatarsal.

Read the abstract…

Study Analyzes Care for Base of Thumb OA

A study published in the May issue of The Bone & Joint Journal assessed operative and nonoperative management strategies for osteoarthritis (OA) at the base of the thumb. Among 150 patients (mean age, 64 years; 119 were female), the median symptom duration before surgery was two years. Nonoperative management strategies included hand therapy (45 percent), splints (53 percent), and at least one intra-articular injection (81 percent); 32 percent of patients received all three treatments. The most common operations performed were simple trapeziectomy (n = 79) and trapeziectomy with ligament reconstruction and/or tendon interposition (n = 69). One patient each underwent arthrodesis and arthroplasty.

Read the abstract…


A Brush with Cancer: Insights from the Other Side

Douglas W. Lundy, MD, MBA, FAAOS, past president of Resurgens Orthopaedics in Atlanta, was recently diagnosed with and treated for prostate cancer. In this article, Dr. Lundy recounts his experience of being on the “other side” of health care as a patient. He provides three insights: (1) what his responsibility was to his friends, (2) do what you’re told, and (3) expect the unexpected.

Read more…


Volunteers Needed to Review New AAOS Guideline on Distal Radius Fractures

AAOS is seeking volunteers to peer review the CPG on the Management of Distal Radius Fractures prior to its publication. The deadline to volunteer is June 18.

Learn more and submit your application…