Today’s Top Story

Supreme Court Rules Civil Rights Act Protects LGBTQ Employees from Discrimination

In a 6-3 ruling, the U.S. Supreme Court ruled that the 1964 Civil Rights Act protects LGBTQ (lesbian, gay, bisexual, transgender, and queer [or questioning]) employees from sex-related discrimination. Justice Neil Gorsuch, who wrote the majority opinion, stated, “Today, we must decide whether an employer can fire someone for being homosexual or transgender. The answer is clear.”

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In Other News

Study Validates Model to Predict Rehab Care Location After TKA

A study published in the July issue of The Journal of Arthroplasty detailed the development of and validated a model to predict rehabilitation care location in total knee arthroplasty (TKA) patients discharged to home. A total of 259 patients discharged to home health service (HHS) and 1,129 patients discharged to home with outpatient physical therapy (PT) were included in the model development cohort; in the validation cohort, 91 of 601 patients were discharged to HHS. The final model included age, gender, motivation for outpatient PT, and reliable transportation; the model performance in the development and validation cohorts was excellent.

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Study: Changes to OITE Oncology Section

A study published in the June 15 issue of the Journal of the AAOS ® compared changes to the oncology section of the Orthopaedic In-training Examination (OITE) from the 2002 to 2006 versus 2012 to 2016 examinations. The current OITE oncology section has significantly fewer questions compared to previous years (21.2 versus 27.2). Previous years’ examinations, compared to current ones, had significantly less testing of the interpretation of diagnostic imaging modalities (55.8 percent versus 78.3 percent). Current examinations have significantly fewer taxonomy 1 questions compared to previous years (24.5 percent versus 36.8 percent) but more taxonomy 3 questions (32.4 percent versus 48.1 percent).

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Study: Late Microsurgical Nerve Reconstruction for Brachial Plexus Birth Injury

A study published in the June issue of The Journal of Hand Surgery assessed outcomes of microsurgical nerve reconstruction for brachial plexus birth injury performed after nine months. Final analysis included 32 patients (median age at microsurgery, 11.3 months; 63 percent were female) with a median follow-up of 29.8 months. Most patients (n = 25) had an upper trunk injury. Total Active Movement Scores (AMS) improved for shoulder function and elbow flexion one year postoperatively. Total AMS scores and subscales did not largely differ between graft versus transfer patients after one year, two years, and more than two years.

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Study: Topical TXA for Post-traumatic Elbow Stiffness in Open Arthrolysis Patients

A study published in the July issue of the Journal of Shoulder and Elbow Surgery assessed the effect of topical tranexamic acid (TXA) on blood loss and effusions in elbow joint open arthrolysis patients. Sixty-one patients were randomized into two groups: intraoperative topical TXA (n = 31) or saline administration (n = 30). The TXA group had significantly lower tourniquet time, intraoperative blood loss, and postoperative drainage compared to the control group, but related complications and final function at final follow-up did not largely differ between the groups.

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June AAOS Now Is Now Available Online

AAOS members will soon receive the print edition of the June issue of AAOS Now, but the electronic edition is already available on the AAOS Now website and on iOS and Android devices through the AAOS Access app. This month’s issue highlights include why celebrating diversity encourages future orthopaedists, exercise and self-care for surgeons, AAOS’ strategic investment in orthobiologics, and more.

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Apply for the Committee on Evidence-based Quality and Value Open Positions

The Committee on Evidence-based Quality and Value has two open lay member positions. These positions are two-year terms that run from March 15, 2021, through March 10, 2023. Committee members plan, organize, direct, and evaluate evidence-based initiatives, including clinical practice guidelines, appropriate use criteria, systematic reviews, and performance measures, as well as oversee related education, dissemination, validation, and implementation activities. Applicants should have experience with evidence-based practice principles. The application deadline is Aug. 7.

Learn more and submit your application…(member login required)