Today’s Top Story

Call for OrthoDome Video Submissions

OrthoDome is returning to the AAOS 2023 Annual Meeting after a successful debut at AAOS 2022, and you could be a presenter! Take advantage of this opportunity to showcase your skills through 4K and/or 3D video content in this cutting-edge educational format, featuring expert faculty and led by OrthoDome Chairs Ronald A. Navarro, MD, FAAOS, and Lisa K. Cannada, MD, FAAOS.

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In Other News

Study: Outcomes and Complications in TJA Patients after Solid Organ Transplants

A retrospective study published online in International Orthopaedics compared perioperative complications, implant survivorship, and mortality for patients undergoing total joint arthroplasty (TJA) following solid organ transplant (SOT). Sixty-three total knee (TKA) and 119 total hip arthroplasties (THA) were included in the analysis. The primary outcomes were transfusions, 90-day readmissions and ED visits, revisions, and mortality. Implant survivorship was 95.6 percent at one year and 92.1 percent at four years. The mortality rates at one year and four years were 2.9 percent and 23.2 percent, respectively. The highest average TKA postoperative transfusion rate was 50 percent in the lungs.

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Study Compares Periprosthetic Femoral Fractures in Cementless Short versus Straight-stem THA

Increased age was a significant risk factor of periprosthetic femoral fracture (PFF) in cementless total hip arthroplasty (THA) for both short and straight stems, according to a propensity score matched analysis published in The Journal of Arthroplasty. The rates of PFFs and fracture patterns were compared between 1,147 short-stem and 1,147 straight-stem THAs. The overall rate of PFF was 1.7 percent and 3.2 percent with short stems and straight stems, respectively. Women were at a significantly increased risk of PFFs after straight-stem THA, and increased age was a risk factor in both stems.

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Study: Associations between the Rate of Meniscal Repair, Age, and BMI

Arthroscopy published a retrospective study online investigating the associations between the rate of meniscal repair or meniscectomy, age, and BMI. Overall, 489 patients who underwent ACL reconstruction were included in the study. The researchers gleaned patient records for data on prevalence of meniscal tears, surgical timing, patient age, and BMI. Female patients had significantly increased rates of meniscal lesions between 24 and 60 months after injury. Increasing age was associated with a higher prevalence of meniscal tears in patients aged from 30 to 50 years; however, there was no association between BMI and associated lesions.

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Study: Tear Characteristics and Outcomes after Traumatic Rotator Cuff Tears with Concomitant Shoulder Dislocation

A retrospective study published in the Journal of Shoulder and Elbow Surgery compared outcomes and tear characteristics between patients undergoing arthroscopic rotator cuff repair following traumatic tear with or without concomitant shoulder dislocation. There were 18 patients in the dislocation and tear (DT) cohort and 36 patients in the tear-only (T) cohort. The primary outcomes were tendon involvement and tear size. Patients in the DT cohort had larger mean tear size (34 mm versus 19 mm) and greater infraspinatus involvement (78 percent versus 36 percent) compared with the T cohort. There were no differences between groups regarding postoperative complications.

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AAOS Now

Linking of the OITE and ABOS Part I Examination

The Orthopaedic In-Training Examination ® (OITE ®) produced by AAOS and taken each year during residency, and the American Board of Orthopaedic Surgery (ABOS) Part I Examination, taken just after residency, are now roughly linked. With the OITE functioning as a formative knowledge measure, the two organizations wanted to link the examinations and increase the value of the OITE for orthopaedic surgery residents and their program directors, as a means to follow resident acquisition of knowledge throughout residency.

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Your AAOS

Advocacy Action Alert: Ask Your Senators to Support Prior Authorization Reform Bill

The Improving Seniors’ Timely Access to Care Act (H.R. 3173/S. 3018) now has 46 cosponsors in the U.S. Senate. The legislation, which aims to streamline prior authorization processes within Medicare Advantage plans, passed the U.S. House of Representatives in September, just one day after AAOS members were on Capitol Hill advocating for its passage. Now AAOS and other physician groups are pushing even harder to build Senate support, with hopes that the bill will pass before the end of the year. Help strengthen this advocacy by quickly and easily sending a prewritten letter to your representatives, requesting or thanking them for their support of the bill, via the Advocacy Action Center.

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