Today’s Top Story

Study Surveys Black Orthopaedic Surgeons on Racial Discrimination in the Workplace

A survey of Black orthopaedic surgeons published online in the Journal of the AAOS ® found that racial discrimination and diminished opportunity are “pervasive” in the workplace, and many surgeons experienced racial microaggressions in practice. Of the 274 Black surgeons practicing in the U.S. surveyed, 97 percent believed that Black orthopaedic surgeons face workplace discrimination and <20 percent felt that national orthopaedic organizational leadership are “trying sincerely” to end discrimination. Black female surgeons reported fewer occupational opportunities and more frequent workplace discrimination compared to Black male surgeons.

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In Other News

Study Identifies Characteristics of 90-day Aseptic Femoral Revisions after THA

A study published online in The Journal of Arthroplasty found early aseptic femoral revision after total hip arthroplasty (THA) occurs primarily in older women with uncemented implants, and the revisions are frequently due to periprosthetic fractures. The investigators compared causes and complications of early (≥90 days), mid- (91 days–2 years), and late-term (>2 years) aseptic femoral revision THAs (n = 208). One-third occurred early, with the majority (81 percent) due to periprosthetic fracture. Most early (99 percent) and mid-term revisions (97 percent) had uncemented index implants.

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Study: Long-term Implant Survival of Single-design Condylar Constrained TKA

Total knee arthroplasty (TKA) with single-design condylar constrained (CCK) implants showed higher survival in primary versus revision surgery, with male sex, smoking, and obesity as revision risk factors, according to a retrospective study published online in Knee Surgery, Sports Traumatology, Arthroscopy. The researchers assessed 143 patients (primary, n = 24; revision, n = 119). Five-, 10-, and 15-year implant survival was 86.4 percent, 85.5 percent, and 79.8 percent, respectively. Fifteen-year implant survival was higher for primary (100.0 percent) versus revision procedures (76.0 percent). Infection caused 10 percent of revisions.

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Study: Anatomical Parameters Predict Full-thickness RCT

A study published online in Arthroscopy found higher acromion index (AI), critical shoulder angle (CSA), and coracoacromial ligament (CAL) thickness were independently associated with full-thickness rotator cuff tear (RCT). In total, 437 patients undergoing arthroscopic rotator cuff repair were compared to age- and sex-matched controls without shoulder pathology. There were significant differences between the RCT and control groups in AI, CSA, CAL thickness, CAL/subacromial space width ratio, and glenoid version angle. There was a significant correlation between AI and CSA.

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Study: Drug-resistant TB Is Associated with Poor Surgical Outcomes

A retrospective study published online in The Spine Journal found that, among children treated surgically for spinal tuberculosis (TB), drug-resistant disease was associated with increased complications and poor outcomes. Forty-one children treated with anti-TB therapy (ATT) were followed for ≥2 years. Fifteen were treated conservatively, including one with drug-resistant TB (DR-TB). Of the 26 patients treated surgically, eight had DR-TB and five were switched to second-line therapy after treatment failure. Five children had major complications requiring revision, with a significant association between revision and the requirement of second-line ATT.

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AAOS Now

Learn How AAOS Leaders Are Selected

The first of a two-part series on serving in AAOS, this article highlights the March webinar, titled “Selecting Future AAOS Leadership,” hosted by the then–Presidential Line (PL)—President Joseph A. Bosco III, MD, FAAOS; First Vice President Daniel K. Guy, MD, FAAOS; and Second Vice President Felix H. Savoie III, MD, FAAOS. The PL walked viewers through selection of the AAOS Nominating Committee, which identifies Board of Directors nominees, and detailed the AAOS Leadership Institute, which offers mentorship to those looking to succeed as volunteer leaders.

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Your AAOS

Create Your Customized Annual Meeting Experience Using the My Academy Mobile App

The AAOS Annual Meeting is the premier orthopaedic event offering the latest in research and cutting-edge technology. The user-friendly My Academy mobile app allows you to customize and optimize your meeting experience with ease. Highlights include building your custom on-site agenda by adding your must-attend education, exhibits, and networking activities happening throughout the meeting. With enhanced program filtering, you can easily browse programs by content area and preferred learning formats and purchase tickets directly in the app. While at the meeting, three-dimensional maps provide easy point-to-point navigation plus access to handouts and session evaluations in one easily accessible place.

Learn more and download the app for free from the App Store and Google Play…