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| Today’s Top Story
Presidential Update from Joseph A. Bosco III, MD, FAAOS: OrthoPAC Election Updates
In his latest message, AAOS President Joseph A. Bosco III, MD, FAAOS, highlighted updates from the 2020 election cycle. Of the 245 candidates for federal office that the Orthopaedic Political Action Committee (OrthoPAC) supported, 92 percent have won with 13 races yet to be called. The list includes Roger Marshall, MD (R-Kan.), who will now be the nation’s newest physician senator, bringing the total number to four.* They join 12 other physicians in the House of Representatives, which is a historic number of physicians in Congress. Dr. Bosco closed by reminding members that when the divisive politics and election are behind us, it will be time to come together as an orthopaedic community and get to work building relationships and advocating our healthcare priorities with the new 117th Congress.
Read Dr. Bosco’s message…
Read more about the election…
*A previous version of this summary, published Monday, Nov. 9, incorrectly stated that the total number of candidates for federal office that the OrthoPAC supported and have won was four. |
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| In Other News
Study Evaluates Effect of Early Functional Mobilization on Tendon Elongation and Muscle Atrophy After Achilles Tendon Rupture Repair
A study published in the November issue of The American Journal of Sports Medicine compared early functional mobility (EFM) versus standard treatment following Achilles tendon rupture repair in tendon elongation and muscle atrophy over time. Eighty-six patients (mean age, 39.3 years) were randomized to receive either immediate postoperative weight bearing and ankle motion (EFM group) or immobilization in a below-knee plaster cast for two weeks (control group). The EFM group had significantly more pronounced tendon elongation at two weeks. But at six and 12 months, tendon elongation increased in the control group and decreased in the EFM group, leaving no significant between-group differences.
Read the abstract… |
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| Study Assesses Different Doses of TXA in Revision THA
A study published in the Nov. 4 issue of The Journal of Bone & Joint Surgery evaluated different dosing regimens of tranexamic acid (TXA) for perioperative blood loss in revision total hip arthroplasty (THA). Six centers randomized 175 patients to either 1 g intravenous (IV) TXA prior to incision, 1 g IV TXA prior to incision followed by 1 g IV TXA after arthrotomy wound closure, a combination of 1 g IV TXA prior to incision and 1 g intraoperative topical TXA, or three doses totaling 1,950 mg oral TXA. The groups did not largely differ in terms of reduction in hemoglobin, calculated blood loss, or transfusion rates.
Read the abstract… |
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| Study Compares PRP Versus Corticosteroid in Partial Thickness Rotator Cuff Tears and Tendinopathy
A randomized, controlled trial (RCT) published online in Arthroscopy compared outcomes between patients with rotator cuff tendinopathy and partial thickness rotator cuff tears who received platelet-rich plasma (PRP) versus standard corticosteroid (CS). PRP (n = 47) and CS (n = 52) patients were followed for 12 months post-injection. At three months, the PRP group had superior improvement in visual analog scale for pain, American Shoulder and Elbow Surgeons, and Western Ontario Rotator Cuff Index scores. However, at six weeks and 12 months, patient-reported outcomes did not differ. Failure rates and conversion to surgery did not differ between the groups.
Read the abstract… |
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| Study: Surgical Site Irrigation with Betadine Versus Saline for Wound Contamination in Pediatric Spinal Surgery
An RCT published in the November/December issue of the Journal of Pediatric Orthopaedics compared wound contamination rates between pediatric posterior spine fusion patients irrigated with povidone-iodine (PVI-I) versus sterile saline (SS). Patients were randomized to PVP-I (n = 77) or SS (n = 76). Pre-irrigation, cultures were positive in 18 percent of PVP-I samples and 17 percent of SS samples; post-irrigation, the rates were 16 percent and 18 percent, respectively. Thirty days postoperatively, three patients—all of whom were deemed high risk for infection—experienced infection: one PVP-I and two SS patients. No low-risk infection patients experienced infection.
Read the abstract… |
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| AAOS Now
Single-screw Fixation During Latarjet Procedure Increases Risk of Complications
Graft- and nerve-related complications are relatively common following the Latarjet procedure. Fixation with only one screw was a significant predictor of graft failure, according to a study that Benjamin A. Hendy, MD, presented as part of the Annual Meeting Virtual Experience.
Read more… |
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| Your AAOS
AAOS Named a 2020 Chicago Top Workplace
AAOS has been awarded a Top Workplaces 2020 honor by the Chicago Tribune. The award winners are based on employee feedback gathered through a third-party survey, which anonymously measured 15 drivers of engaged cultures that are critical to the success of any organization. “I am very proud of our team for being recognized with this honor,” said AAOS Chief Executive Officer Thomas E. Arend Jr, JD, CAE. “Our staff are vital to achieving our mission of serving our profession to provide the highest-quality musculoskeletal care. I am thrilled that collectively they view our organization as a fulfilling, innovative, and supportive place to work. Together, we are doing amazing work on behalf of orthopaedic surgeons and their patients around the world.”
Read the AAOS press release…
Read the Chicago Tribune article… |
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