May 25, 2023 | Today’s News

BOS and BOC Leaders Weigh in on #VOTE4SOP Campaign

All AAOS Fellows are encouraged to vote on the proposed amendment to the Standard of Professionalism (SOP) on Professional Relationships before voting ends on June 3. According to Armando F. Vidal, MD, FAAOS, chair of the Board of Specialty Societies (BOS), “The current amendment would highlight harassment, bullying, and discrimination as unacceptable behaviors that fall under the professional conduct standard. This change does not alter the rigorous process for a formal compliance action. In short, it expresses and reinforces our commitment to being an organization that fosters a culture of mutual respect and professionalism.” Alfonso Mejia, MD, MPH, FAAOS, chair of the Board of Councilors (BOC), added that the proposed amendment “has already undergone an extensive review process, including an open hearing at the AAOS 2022 Combined National Orthopaedic Leadership Conference/Fall Meeting, where it received nearly unanimous votes of approval from both the BOS and BOC.” Find out more about the proposed SOP amendment and the Professional Compliance Program via the link below.

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Study Compares Femoral Component Sizing and Alignment after Automated versus Manual Mallet Impaction THA

The Journal of Arthroplasty published a retrospective study which compared femoral component canal fill ratio (CFR) and coronal alignment between primary total hip arthroplasty (THA) procedures performed with automated impaction versus manual mallet impaction. Sixty-two patients who underwent manual THA and 122 automated THA patients comprised the study group. Those in the automated cohort trended toward the use of a larger stem (5.67 versus 4.82) and had a larger CFR at all four levels within the proximal femur. Additionally, the automated cohort had significantly shorted operative times (78 versus 90 minutes).

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A study in the Orthopaedic Journal of Sports Medicine evaluated the outcomes and complications rates following arthroscopic-assisted versus full-arthroscopic latissimus dorsi tendon transfer (LDTT) in patients with irreparable posterosuperior massive rotator cuff tears. After a minimum two-year follow-up period, procedure duration, complications, clinical scores, and range of motion (ROM) were collected from 52 arthroscopically assisted and 38 fully arthroscopic patients. The complication rates for assisted and fully arthroscopic patients were 15.4 percent and 13.2 percent, respectively. The procedure time was approximately 18 minutes shorter in the fully arthroscopic cohort, but clinical scores and ROM were comparable.

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The Journal of Bone and Joint Surgery published a systematic review of cases of nontuberculous mycobacterial (NTM) infection following ACL reconstruction (ACLR). A database search was conducted for arthroscopic ACLR that resulted in a postoperative diagnosis of NTM infection, and six case reports met the inclusion criteria. The initial NTM presentation occurred after three to 52 weeks postoperatively. Researchers proposed that susceptibility testing on organisms to ensure successful treatment and minimize unnecessary antibiotic usage, and resolving the issue may necessitate the complete removal of hardware.

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A retrospective study in the Journal of Pediatric Orthopaedics investigated the response of femoral varus deformity in tibia vara to growth modulation with/without lateral tension band plating (LTBP). The study included 35 limbs with femoral LTBP, 50 limbs with femoral varus and no femoral LTBP. Patients were further stratified based on early (<7 years) or late onset (≥8 years). Radiographs were used to measure and compare overall correction between groups. Tibial LTBP success rate was 73 and 39 percent correction in the early- and late-onset groups, respectively. Limbs with femoral LTBP had statistically more successful femoral and overall limb varus correction.

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What Is New in Minimally Invasive Trauma Surgery?

The subspecialty of orthopaedic trauma surgery continues to evolve, with the incorporation of minimally invasive techniques for fracture fixation and treatment of complications associated with trauma. Advancements in intramedullary nailing, indirect fracture fixation, and other techniques have improved care for patients with compromised soft-tissue envelopes to achieve better outcomes with less morbidity.

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Next #AAOS2024 Call for Abstracts Deadline is June 1

Present your hard-earned research results to the largest orthopaedic audience possible at the AAOS 2024 Annual Meeting, Feb. 12 to 16 (Monday through Friday) in San Francisco. Paper and poster abstracts are due next week on June 1. OrthoDome™ and Orthopaedic Video Theater video applications are also being accepted through July 17.

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On Dec. 29, 2022, the Consolidated Appropriations Act of 2023 enacted a new, one-time requirement for all Drug Enforcement Administration (DEA)-registered practitioners to complete eight hours of training “on the treatment and management of patients with opioid or other substance use disorders,” effective June 27, 2023. The deadline to complete the training is the date of the practitioner’s next scheduled DEA registration submission. AAOS has developed an online resource center to provide information and links to resources from the American Medical Association, American Society of Addiction Medicine, Centers for Disease Control and Prevention, and AAOS to help fulfill this requirement, plus additional resources on opioids and substance abuse to aid in the safe and effective treatment of patients.

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