Presidential Update from Joseph A. Bosco III, MD, FAAOS

In his latest message, AAOS President Joseph A. Bosco III, MD, FAAOS, discussed the AAOS 2021 Annual Meeting, which will take place at the San Diego Convention Center from Aug. 31, 2021, to Sept. 4, 2021. Submissions for applications and abstracts will remain open until Oct. 1. More than 7,000 abstracts have already been submitted. Dr. Bosco acknowledged the Annual Meeting Committee and the Council on Education for their hard work in rescheduling the meeting.

Read Dr. Bosco’s message…

In Other News

Study Assesses Opioid Prescribing by State in Opioid-naïve TKA Patients

A study published online in BMJ Open observed significant state-based differences in opioid prescriptions among opioid-naïve patients following total knee arthroplasty (TKA). The researchers retrospectively reviewed commercial insurance claims data to identify patients who had a pharmacy claim for filling an opioid within three days postoperatively. Nearly three-quarters (72 percent) of the cohort filled an opioid prescription. The highest and lowest prescribing rates were in Nebraska (85 percent) and South Dakota (40 percent), respectively.

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Study: Do Patient Perceptions of Surgeons’ Attire Differ by Sex?

A study published in the August issue of the Journal of the AAOS: Global Research & Reviews ® assessed how a surgeon’s attire affects a patient’s perception of them. A total of 238 patients at four orthopaedic surgeons’ sport medicine or foot and ankle clinics filled out an image survey with 10 photos of male and female models in various attire; patients voted on which surgeon showed more competence, ability to excel in performing the physical components of surgery, likelihood to provide a good surgical outcome, and trustworthiness. Even in similar clothing, men were significantly more likely to be identified as surgeons than women, except in business attire without a white coat.

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Study Measures Quality of Care for Operative Hip Fracture Patients at Critical Access Hospitals

A study published online in Clinical Orthopaedics and Related Research ® observed better outcomes for hip fracture patients treated at critical access hospitals (CAHs) compared to non-CAHs. The researchers queried the 2005 to 2014 Medicare 100 Percent Standard Analytical Files to identify Medicare-eligible beneficiaries treated at either a CAH (n = 29,058) or non-CAH (n = 29,058). Patients treated at CAHs had lower risks of myocardial infarction, sepsis, acute renal failure, Clostridium difficile infections, and all-cause 90-day readmissions and mortality, as well as risk-adjusted lower 90-day Medicare payments, compared to patients treated at non-CAHs.

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Study Compares Percutaneous Versus Open Repair for Acute Achilles Tendon Rupture

A study published online in BMC Musculoskeletal Disorders compared outcomes between acute Achilles tendon rupture patients aged younger than 45 years treated with percutaneous repair (modified Bunnell suture technique; group A) versus open repair (bundle-to-bundle suture technique; group B). Final analysis included 61 patients; mean follow-up in both groups was at least 22.61 months. Significant between-group differences were observed in the heel-rise test and Achilles tendon length. Group A had a significantly smaller cross-sectional diameter in the Achilles tendon.

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Study Assesses Six-month Arthroscopic Rotator Cuff Repair Complications

A study published online in Arthroscopy assessed arthroscopic rotator cuff repair complications six months postoperatively. Final analysis included 1,661 procedures performed in 1,594 patients (mean age, 57 years; 38 percent were female). A total of 329 postoperative events were observed in 307 procedures (305 patients); 93 percent sustained one adverse event (AE). The cumulative six-month AE risk was 18.5 percent: 21.8 percent for partial tears, 15.8 percent for full-thickness single-tendon tears, and 18.0 percent and 25.6 percent for two- and three-ruptured tendon tears, respectively. Most AEs had severity grades 1 (49 percent) and 2 (36 percent).

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September Issue of AAOS Now Is Now Available Online

AAOS members will soon receive the print edition of the September issue of AAOS Now, but the electronic edition is already available on the AAOS Now website and on iOS and Android devices through the AAOS Access app. This month’s issue highlights include a discussion of America’s return to sports, the Centers for Medicare & Medicaid Services’ calendar year 2021 Medicare Physician Fee Schedule and Hospital Outpatient Prospective Payment System/Ambulatory Surgical Center proposed rules, why orthopaedists should be on social media, and more.

Read more…