Today’s Top Story
AAOS Board approves policy and statement revisions.
At the AAOS Board of Directors meeting on Monday, Board members approved a new Clinical Practice Guideline on management of hip osteoarthritis. In addition, the Board approved revisions to AAOS Information Statement #1017: Patient-Physician Communication, and to Information Statement #1028: Communicating Adverse Events or Poor Outcomes, a new information statement on radiation safety, and revisions to the AAOS Long-Term Investment Policy. The Board also recognized retiring Board members and retiring AAOS chief executive officer Karen L. Hackett, FACHE, CAE.
Study: Ankle distraction may be an effective surgical treatment for end-stage ankle OA.
Ankle distraction may be an effective approach for treating end-stage ankle OA, according to Scientific Poster P209, presented in Academy Hall at the AAOS Annual Meeting. The research team retrospectively reviewed data on 109 patients with at least 1-year follow-up who had been treated with ankle distraction or ankle distraction with simultaneous supramalleolar osteotomy (SMO) to determine the effectiveness of ankle distraction for joint preservation. Among the 10 patients in whom distraction failed, seven required both repeat ankle distraction and an SMO. The research team found no significant difference in survival among patients treated with or without gastrocnemius recession, bone marrow aspirate injection, microfracture, or arthrotomy vs. arthroscopy. In addition, the researchers found no significant difference in survival based on age, laterality, or gender, and comorbidities were not significantly different between groups.
Study: What factors are linked to increased risk of reoperation in patients with open fractures?
According to Scientific Paper 197, presented yesterday at the AAOS Annual Meeting, lower extremity fractures, Gustilo-Anderson type III fractures, and moderate-to-severe wound contamination may be associated with an increased risk of reoperation in patients with open fractures. The researchers reviewed data on 2,447 patients with open extremity fractures from the Fluid Lavage of Open Wounds (FLOW) study and found that 323 participants required reoperation. They noted that risk of reoperation was also greater in patients whose initial surgery was performed 6 hours or longer after injury. However, patients who received a surgical preparation solution in the emergency department and those who received an iodine-based preparation solution in the operating room were at reduced risk of reoperation.
Study: Ergonomics assessment tool could help identify posture demands of surgery.
Findings from a pilot study published online in the journal IISE Transactions on Occupational Ergonomics and Human Factors suggest that an ergonomics assessment tool may help characterize the postural demands on surgeons and identify ergonomic interventions The researchers developed the ergonomics postural assessment in real-time (ErgoPART) tool by inputting data from four observers of vaginal surgical procedures into a computer program that provides visual feedback about posture and quantitative information about the frequency and duration of non-neutral body posture for the entire surgery and for specific surgical tasks. They write that the tool “allows multiple body postures to be assessed simultaneously, can be used to study the contributions of the individual, environment, tools, and task demands on working postures, and helps quantify the frequency and duration of non-neutral body postures.”
Read the abstract…
Call for volunteers: Federal Health Information Technology Advisory Committee.
AAOS seeks to nominate members to the federal Health Information Technology Advisory Committee. The 21st Century Cures Act established this committee to provide recommendations to the National Coordinator for Health Information Technology on policies, standards, implementation specifications, and certification criteria relating to the implementation of a health information technology infrastructure that advances the electronic access, exchange, and use of health information. Applicants for this position must be active fellows, candidate members, candidate members osteopathic, candidate member applicants for fellowship, or candidate member applicants for fellowship osteopathic. In addition, all applicants must provide the following: an online AAOS CAP application, a current curriculum vitae, a 100-word biosketch, and a letter of interest highlighting their expertise in the subject area All supporting materials must be submitted by April 9, 2017 at 11:59 p.m. CT, to Kyle Shah at firstname.lastname@example.org.
Learn more and submit your application…(member login required)