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Pat on the Back...

R. Shay Bess, MD, president of the International Spine Study Group Foundation. New officers and board members of the American Society for Surgery of the Hand: Neil F. Jones, MD, president; Ghazi M. Rayan, MD, president-elect; James Chang, MD, vice president; William H. Seitz Jr, MD, immediate past president; Julie E. Adams, MD, and Steven L. Moran, MD, members-at-large; Jeffrey A. Greenberg, MD, MS, practice division director. New officers and board members of the Association of Bone and Joint Surgeons: Marlene DeMaio, MD, president; Donald H. Lee, MD, first vice-president; Richard J. Friedman, MD, second vice-president; R. Lor Randall, MD, FACS, secretary; Xavier A. Duralde, MD, treasurer; Guido Marra, MD; treasurer-elect; Charles L. Saltzman, MD, immediate past president; Miguel A. Ayerza, MD, past president; Randall E. Marcus, MD, chair, Clinical Orthopaedics and Related Research (CORR) board of trustees; Matthew B. Dobbs, MD, member-at-large; Todd J. Albert, MD, FACS, editor’s voting representative; and Seth S. Leopold, MD, editor-in-chief, CORR. Behrooz A. Akbarnia, MD, and Randal R. Betz, MD, recipients of Scoliosis Research Society Lifetime Achievement Awards.

Revision anterior cruciate ligament reconstruction surgery.

Revision anterior cruciate ligament (ACL) reconstruction is indicated for selected patients with recurrent instability after a failed primary procedure. The cause of the failure must be carefully identified to avoid pitfalls that may cause the revision to fail as well. Associated instability patterns must be recognized and corrected to achieve a successful result. The choice of graft, the problem of retained hardware, and tunnel placement are the major challenges of revision ACL reconstruction. The patient must have reasonable expectations and understand that the primary goal of surgery is restoration of the ability to perform activities of daily living, rather than a return to competitive athletics. The results of revision ACL reconstructions are not as good as those after primary reconstructions; however, the procedure appears to be beneficial for most patients.

Congratulations to the 2018 Senior Achievement Award and Achievement Award Winners

Volunteer involvement is at the heart of all AAOS activities. The Academy’s meetings, courses, educational materials, clinical practice guidelines, and advocacy efforts are just a few of the many activities that depend on volunteer participation. Not only are volunteers vital to the AAOS, they also play a significant role in local, state, and national orthopaedic societies; specialty societies; and the broader medical community.


Congratulations to our first class of Achievement Award Winners!

Active volunteer involvement is at the heart of AAOS activities. Our meetings, courses, educational materials, clinical practice guidelines, and advocacy efforts are just a few of the many activities that depend on participation by volunteers for their success. Volunteers are vital—not only to the AAOS, but also to orthopaedic specialty societies; national, state, and local orthopaedic societies; and the broader medical community.

The AAOS Board of Directors established the Achievement Award Program to encourage and enhance individual growth of Academy members, and to thank them for their many contributions to education, research, and advocacy in orthopaedics. This new program recognizes participation by AAOS members in Academy programs and elsewhere in orthopaedics.

This program was designed to recognize those who are freely giving back and to create an incentive for others to do the same. For more information on the Achievement Awards Program, visit www.aaos.org/news/whatsnew/achievementawards.asp

The Implications of Diabetes for Orthopaedic Practice

Rishin J. Kadakia, BSc; James M. Tsahakis, BA; Neil M. Issar, BSc; Mallory Powell, BA; William T. Obremskey, MD, MPH; A. Alex Jahangir, MD; Manish K. Sethi, MD

Diabetes mellitus is one of the most common chronic medical conditions in the United States. In addition to the disease’s direct complications, most patients also have other chronic conditions and are at an increased risk for a variety of complications such as nontraumatic limb amputations. The incidence of diabetes is increasing globally; estimates are that diabetes will affect 7.7 percent of the world’s population between the ages of 20 and 79 by 2030. The prevalence may be even higher—perhaps up to 20 percent—among orthopaedic patients.

Approximately one of every seven U.S. healthcare dollars is spent on treating people with diabetes. As the incidence and prevalence of diabetes rise, so will this figure. This makes patients with diabetes an ideal population for developing cost-effective practices aimed at reducing unnecessary healthcare costs.

Reporting complications does not need to be complicated

By Margaret M. Maley, BSN, MS

Treating surgical complications can be difficult, but reporting them can be straightforward—particularly if you have a thorough understanding of modifier 78. The definition of modifier 78 is an “unplanned return to the operating/procedure room by the same physician following initial procedure for a related procedure during the postoperative period.”

The following example can provide a better understanding of how to use modifier 78.

Decreasing Variation in Clinical Practice

Care Pathways, Care Process Models, and SCAMPs

  The current "cost crisis" in health care has resulted in greater emphasis on increasing value in healthcare delivery, particularly in orthopaedics. As orthopaedic practitioners, we are best positioned to streamline musculoskeletal care and to guide changes in practice. Among the many tools that can be used to increase the value of orthopaedic care are Standardized Clinical Assessment and Management Plans (SCAMPs).