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| Your AAOS
Fellows Elect AAOS Nominating Committee
The AAOS Fellowship have elected five members to the AAOS Nominating Committee, and the AAOS Board of Directors has appointed the chair. One additional member was jointly elected by the Board of Councilors (BOC) and the Board of Specialty Societies (BOS). The AAOS Nominating Committee will present its slate of nominees to the Fellowship by Nov. 24, 120 days prior to the Business Meeting at the AAOS 2022 Annual Meeting. The AAOS Nominating Committee members are Kristy L. Weber, MD, FAAOS (Pa.), chair; Julie E. Adams, MD, FAAOS (Tenn.), Joint BOC/BOS Representative; John J. Callaghan, MD, FAAOS (Iowa); Stephen M. McCollam, MD, FAAOS (Ga.); Mary I. O’Connor, MD, FAAOS (Fla.); Javad Parvizi, MD, FAAOS, FRCS (Pa.); and Roy W. Sanders, MD, FAAOS (Fla.). Charles Bush-Joseph, MD, FAAOS (Ill.), was elected as the alternate member of the committee. |
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| In Other News
Study: Perioperative Risk Factors of Extended LOS following Geriatric Hip Fracture Surgery
A study published online in the Journal of the AAOS: Global Research & Reviews ® identified risk factors of extended hospital length of stay (LOS) after hip fracture surgery in older patients. Using the National Surgical Quality Improvement Program Database, researchers evaluated 77,144 patients aged ≥65 treated between 2005 and 2018. Extended LOS was defined as ≥14 days Preoperative factors associated with extended LOS included male sex, dyspnea, ventilator use, chronic obstructive pulmonary disease, American Society of Anesthesiologist physical status classification of 3 and 4, and higher admission-to-operation time. Patients with postoperative acute renal failure, ventilator use of >48 hours, and pneumonia also had increased odds of extended LOS.
Read the study… |
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| Study: Increased Patellar Crepitus after Onlay versus Inlay Patellar Resurfacing in TKA
A randomized, controlled study published online in The Journal of Arthroplasty compared incidence of patellar crepitus (PC) complications between inlay and onlay patellar resurfacing during total knee arthroplasty (TKA) with a posterior-stabilized prosthesis. In total, 222 patients were randomized 1:1 to TKA with either inlay or onlay patellar resurfacing and were followed for up to 24 months postoperatively. PC was more common in the onlay compared to inlay group (17.9 percent versus 6.5 percent). Time to PC presentation was similar in both groups. Anterior knee pain occurred in 11.5 percent of PC cases, though none required surgical management. Overall outcomes were similar between groups.
Read the abstract… |
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| Study: Predictors and Incidence of Fasciotomy for Arterial Vascular Trauma of the Lower Extremity
A retrospective study published online in Injury assessed fasciotomy for compartment syndrome after arterial vascular trauma of the lower extremity. In total, 119 patients treated since 1990 at a single center were evaluated. The fasciotomy rate was 73.9 percent (n = 88); these patients were predominantly male (80.7 percent) and mean age was 37.5 years. Patients requiring fasciotomy presented with varied injuries (dissection, 25 percent; occlusion, 15.9 percent), higher Rutherford categories (grade III, 34.1 percent versus 9.7 percent), and longer hospitalization compared to patients without fasciotomy. Ischemia duration of >2.5 hours, Rutherford grade ≥IIa, and male sex, as well as site, type, and mechanism of trauma, significantly predicted fasciotomy.
Read the study… |
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| Study: Proximal Humerus Fracture Fixation with Intramedullary Cage and Lateral Plate
A study published online the Journal of Shoulder and Elbow Surgery assessed outcomes of proximal humerus fractures treated with a lateral humeral plate and intramedullary nitinol cage. Thirty-one patients treated by a single surgeon were followed for a minimum of one year postoperatively. Average follow-up was 91 weeks The rate of complications was 35 percent (n = 11), with two cases of axillary nerve neuropraxias and four cases of avascular necrosis. Nineteen percent (n = 6) required unplanned reoperation. Functional and radiographic outcomes at follow-up showed comparable fracture healing and clinical improvement compared to conventional ORIF (open reduction internal fixation) with screws and a side plate.
Read the abstract… |
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| AAOS Now
Osseointegration Is a Beneficial Solution for Amputees
Last year, the FDA approved the Osseoanchored Prostheses for the Rehabilitation of Amputees (OPRA) Implant System—the first implant system in the United States for transfemoral amputees who have difficulty using a conventional prosthesis. OPRA had been previously available and marketed under a humanitarian device exemption since 2015. In this article, Jason Stoneback, MD, FAAOS, considered a pioneer in this technique in the U.S., discusses the ideal candidate for this procedure and how the OPRA technique differs from other treatment options.
Read more… |
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| Your AAOS
The Bone Beat Podcast: Prior Authorization Reform—Conversations with Congress, Part 1
The first episode of this three-part series on the issues AAOS raised during Orthopaedic Advocacy Week focuses on prior authorization reform. In interviews with the original co-sponsors of the “Improving Seniors’ Timely Access to Care Act,” AAOS discusses how the bipartisan, bicameral legislation will help protect patients from unnecessary delays in care by streamlining and standardizing prior authorization in the Medicare Advantage program. Featured guests include Reps. Ami Bera, MD, (D-Calif), Larry Bucshon, MD, (R-Ind.), and Suzan DelBene (D-Wash.)
Listen to the episode… |
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