AAOS Now

AAOS Amplifies JRGOS Message, Stands Ready to Advocate for Change

As part of its ongoing effort to support members and diversify its own orthopaedic community, AAOS announced its support of the recent message from J Robert Gladden Orthopaedic Society (JRGOS) President Eric W. Carson, MD. Not only is the Academy committed to elevating this important call to action, but it also stands ready to work with colleagues and specialty groups to be a part of the solution to these racial and healthcare inequities. From becoming a more inclusive profession to advocating for changes that will narrow the disparity gap for patients, AAOS is dedicated to doing its part to make a real difference in this important movement: #HealthcareDisparity #DiversityandInclusion #antiracism #WhiteCoatsForBlackLives #ICantBreathe

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COVID-19 Updates

Presidential Update from Joseph A. Bosco III, MD, FAAOS

In his latest COVID-19 update, AAOS President Joseph A. Bosco III, MD, FAAOS, highlighted updates from AAOS’ Office of Government Relations (OGR). OGR is still working to attain more financial support for the orthopaedic community, but there are no significant funds expected in the near future. OGR has therefore shifted its focus to maintaining the regulatory gains achieved through the Public Health Emergency Declaration, including broader use of telehealth services. Additionally, OGR is advocating to ensure Medicare patients can continue to be treated in physician-owned hospitals, as well as for more ambulatory surgery centers in Certificate-of-need states. Finally, OGR is supporting H.R. 7059, the Coronavirus Provider Protection Act, which affords liability protection to physicians treating COVID-19 patients.

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Webinar: Updates from the Hill with Representative Larry Bucshon, MD

Join the AAOS OGR for this free webinar series dedicated to providing firsthand insight into the ongoing congressional response to COVID-19. The first webinar on Wednesday, June 17 at 8 p.m. ET will feature U.S. Representative Larry Bucshon, MD (R-Ind.), being interviewed by AAOS 2021 Distinguished Congressional Ambassador Robert Hagen, MD, FAAOS. Attendees are encouraged to submit questions in advance to dc@aaos.org.

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In Other News

Study Analyzes Failed Surgical Repair of the Knee Extensor Mechanism

A retrospective study published in the June issue of the Journal of Orthopaedic Trauma evaluated failure rates and risk factors in surgical knee extensor mechanism repair. Extensor mechanism repairs (n = 303) were stratified by quadriceps tendon repairs (QTR; n = 113), fracture repairs (FR; n = 112), and patellar tendon repairs (PTR; n = 68). The failure rates were 5 percent in the QTR group, 17 percent in the FR group, and 3 percent in the PTR group. Inflammatory arthritis was associated with QTR failure, and age was associated with FR failure. No significant risk factors were identified for PTR failure.

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Study: Is Orthopaedic Fellowship Training Worth the Financial Investment?

A study published in the June 15 issue of the Journal of the AAOS ® estimated the financial return on investment (ROI) of orthopaedic fellowship training versus general practice. The American Medical Group Association physician compensation surveys were used to collect data to estimate the net present value (NPV), internal rate of return (IRR), and break-even point for an average working career length of an orthopaedic surgeon. After five years, spine surgery fellowship training yielded the highest ROI, with a five-year breakeven point. Adult reconstruction yielded a positive NPV and IRR but was not advantageous over general practice when adjusting for number of weekly hours worked.

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Study Assesses Use of Tourniquet Without Epinephrine for Short Hand Surgery

According to a study published in the June issue of The Journal of Hand Surgery, tourniquet use was acceptable for short, wide-awake hand surgeries. Short hand procedures performed with only local anesthesia and a tourniquet (LA-T) were evaluated. Anesthetic injection-related pain was rated a mean 3.9 out of 10.0; mean tourniquet-related pain was 2.9 for high arm pneumatic tourniquets (n = 73) and 2.3 for forearm pneumatic tourniquets (n = 23). Nearly all patients (99 percent) said they would choose LA-T again for an equivalent procedure.

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Your AAOS

AAOS Board of Directors Approves New AUC for Psychosocial Risk and Protective Factors

The AAOS Board of Directors approved a new appropriate use criteria (AUC) for the Early Screening of Psychosocial Risk and Protective Factors. This AUC is presented via an online diagnostic tool and includes recommendations to determine appropriateness of early screening for psychosocial risk and protective factors for adult orthopaedic trauma. This new AUC supports the existing AAOS clinical practice guideline, Evaluation of Psychosocial Factors Influencing Recovery from Adult Orthopaedic Trauma.

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