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| Today’s Top Story
There’s Still Time to Reach New Heights at AAOS 2022
The AAOS 2022 Annual Meeting returns to its traditional place on the calendar this month for the first time in three years. If you have not yet registered, there’s still time. Explore the education program, more than 500 exhibiting companies, and networking activities happening in Chicago, March 22–26.
Plan your meeting… |
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| In Other News
Study: BMI Cutoffs for TJA Create Disparities in Eligibility for Female, Black, and Hispanic Patients
Use of BMI cutoffs alone to determine total joint arthroplasty (TJA) eligibility disproportionally excludes women and Black and Hispanic individuals, according to a retrospective study published online in The Journal of Arthroplasty. The investigators queried three large national databases for primary TJA cases from 2011 to 2018. BMI cutoffs of <50, <45, <40, and <35 were applied. Black patients and female patients were significantly more likely to be ineligible for TJA at all cutoffs. Hispanic patients had lower rates of eligibility at the BMI cutoff of <35.
Read the abstract… |
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| Systematic Review: Single- or Double-bundle PCL Reconstruction Yield Similar Functional Outcomes
A systematic review and meta-analysis published online in Knee Surgery, Sports Traumatology, Arthroscopy reported comparable outcomes after single-bundle (SB) or double-bundle (DB) posterior cruciate ligament reconstruction (PCLR). Thirteen studies, comprising 603 patients, were included. Postoperative Lysholm Scores, Tegner Activity Scale scores, and International Knee Documentation Committee objective grades were similar overall. Posterior stability was also similar. However, the DB technique was associated with improved posterior laxity than SB PCLR.
Read the abstract… |
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| Study: Five-year Outcomes of Nonoperative Management of Proximal Fifth Metatarsal Fractures
At a minimum follow-up of five years, nonoperative management for proximal fifth metatarsal fractures led to high union rates, with no differences in time to union between weight-bearing treatment strategies, according to a retrospective study published in Foot & Ankle International. In total, 834 fractures were assessed. Zone 3 fractures required significantly longer time to union and had higher rates of refracture (8.9 percent versus 0.6 percent) than zone 1 fractures. There were no differences in time to union between a weight-bearing strategy and a non–weight-bearing strategy.
Read the abstract… |
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| Study: Lower Success Rates with Conservative Treatment for Pediatric Wrist Ganglion Cysts
A retrospective study published online in the Journal of Hand Surgery found lower rates of cyst resolution with nonoperative versus operative management of pediatric wrist ganglion cysts. From five institutions, 654 patients were included. Four treatment groups were identified: observation, cyst aspiration, removable orthosis, and surgical excision. At a minimum follow-up of two years, 44 percent of cysts resolved, with higher rates of resolution in the surgical versus observation and aspiration groups (73 percent versus 55 percent and 18 percent). Age >10 years was associated with lower likelihood of cyst resolution with observation.
Read the abstract… |
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| AAOS Now
Medical Liability Insurance: Do Surgeons Need Tail or Nose Coverage?
As more orthopaedic surgeons turn to employment with large groups and hospitals and changing practice situations, they may overlook how changing employers impacts their medical liability coverage. In this article, Thomas Fleeter, MD, MBA, FAAOS, describes insurance coverage for prior acts, also known as “tail” and “nose” malpractice insurance. “Orthopaedic surgeons should be aware of the limits of claims-made policies and research tail coverage if an employment situation changes,” Dr. Fleeter writes. “Going bare is always a bad idea.”
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| Your AAOS
AAOS Supports Humanitarian Efforts in Ukraine
In a letter to the AAOS membership, President Daniel K. Guy, MD, FAAOS, and International Committee Chair Coleen S. Sabatini, MD, MPH, FAAOS, addressed the current humanitarian crisis in Ukraine and shared resources for members interested in supporting medical relief or donating medical equipment to those impacted. “As a medical association, we are fully committed to reducing human suffering from injury, trauma, and disease—anywhere in the world. We encourage all interested AAOS members to offer help and support, in any way they can, to assist those in the medical community in Ukraine to care for the injured,” wrote Drs. Guy and Sabatini.
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