Today’s Top Story

AAOS Applauds Introduction of Legislation to Protect Healthcare Workers from Lawsuits

The House of Representatives recently introduced the Coronavirus Provider Protection Act, a bipartisan bill that would protect healthcare professionals and facilities called to duty during the COVID-19 public health emergency from the risk of lawsuits. The bill covers care during or 60 days after the emergency that was provided in good faith. AAOS applauded introduction of the bill as part of the Health Coalition on Liability and Access.

Read the press release…


Final Call: Apply for Volunteer Opportunities

Consider applying for the following positions:

  • National Quality Forum – Measure Applications Partnership member position—applications are accepted until May 30
  • International Society for Stem Cell Research Clinical Translation Committee member position—applications are accepted until June 1

Learn more and submit applications…(member login required)

In Other News

Study: Postoperative Urinary Retention Predictors After Joint Replacement

A study published in the May issue of the Journal of the AAOS: Global Research and Reviews ® described a model used to predict postoperative urinary retention (POUR) after lower limb arthroplasty. Among 1,220 patients, 124 POUR incidents (9.02 percent) were identified. In univariate analysis, the risk factors were older age, higher American Association of Anesthesiology score, history of knee replacement, obesity, hypertension, and history of benign prostatic hyperplasia (BPH) or neurologic disorders. Multivariate analysis predictors were age 60 to 69 years, 70 to 79 years, or > 80 years; knee replacement; and history of BPH.

Read the study…

Study: Reasons for Revision TKA Failure

A study published online in The Journal of Arthroplasty examined reasons for revision total knee arthroplasty (TKA) failure. A total of 1,632 procedures (1,560 patients; average age, 65.1 years) had an overall failure rate of 22.8 percent. The leading cause of failure was infection (38.5 percent), followed by aseptic loosening (20.9 percent) and instability (14.2 percent). Upon multivariate analysis, independent risk factors for failure included septic index revision, male sex, and age < 65 years.

Read the abstract…

Study Evaluates Surgeon Variability in Reverse TSA Planning

A study published online in the Journal of Shoulder and Elbow Surgery assessed surgeon variability in preoperative reverse total shoulder arthroplasty (TSA) planning. Forty-nine reverse TSA CT scans were planned for reverse TSA by nine fellowship-trained surgeon, then planned a second time six to 12 weeks later. Surgeon variability factors included implant selection, version correction, inclination correction, and implant face position. The frequency of augmented baseplate selection varied between surgeons and rounds for the same surgeon. Interclass correlation coefficients for version, inclination, and baseplate type for intersurgeon variability ranged from 0.25 to 0.43.

Read the abstract…

Study: Incidence of Spinal Epidural Hemorrhage After Spine Surgery

A study published online in BMC Musculoskeletal Disorders assessed the incidence and risk factors of spinal epidural hemorrhage (SEH) following spine surgery. Researchers retrospectively analyzed 17,549 spine surgery cases and found the SEH incidence rate was 1.15 percent, with no severe cases. In line with previous findings, SEH risk factors were lumbar surgery, intraoperative blood loss, prolonged surgical time, high blood pressure, use of nonsteroidal anti-inflammatory drugs, and concurrent bleeding factors, while the anterior approach provided a protective effect, and anticoagulant use presented no statistical significance.

Read the study…


Surgeons Discuss How Orthopaedic Trauma Has Evolved Over Time

Lisa K. Cannada, MD, FAAOS, who completed residency from 1996–2001 at Case Western University Hospitals and a trauma fellowship from 2001–2002 at the R.A. Cowley Shock Trauma Center, talked about the trauma workforce with both “senior” and “junior” orthopaedic traumatologists: Douglas W. Lundy, MD, MBA, FAAOS, who completed residency from 1993–1998 at Georgia Baptist and a trauma fellowship from 1998–1999 at Vanderbilt University Medical Center in Nashville, Tenn., and Jennifer Bruggers, MD, FAAOS, who completed residency from 2008–2013 at Ochsner Clinic and a trauma fellowship from 2013–2014 with Orthopaedic Trauma Surgeons of Northern California in Roseville, Calif.

Read more…