Do Half of Orthopaedic Surgeons Change Jobs within Their First 2 Years?: An Analysis Using the American Board of Orthopaedic Surgery Database.

Background: The claim that "50% of orthopaedic surgeons leave their first job within 2 years" did not originate from evidence. The purpose of this study was to investigate practice change rates among board- eligible orthopaedic surgeons using the American Board of Orthopaedic Surgery (ABOS) database.

Methods: We utilized information provided by orthopaedic surgeons taking the ABOS Part II Examination across 6 different years.

Assessing social disparities in inpatient vs. outpatient arthroplasty: a in-state database analysis.

Introduction: Given the growing emphasis on patient outcomes, including postoperative complications, in total joint arthroplasty (TJA), investigating the rise of outpatient arthroplasty is warranted. Concerns exist over the safety of discharging patients home on the same day due to increased readmission and complication rates. However, psychological benefits and lower costs provide an incentive for outpatient arthroplasty.

AOA Critical Issues Symposium: The Dynamic Environment of Health Care.

The dynamic health-care environment continues to undergo disruptive change. As the health-care system emerges from the pandemic, underlying issues have progressively become critical. Private equity acquisition is dramatically increasing, and consolidation in the entire health-care system limits choice and access.

Trauma systems in North America.

North American trauma systems are well developed yet vary widely in form across the continent. Comparatively, the Canadian trauma system is more unified, and approximately 80% of Canadians live within 1 hour of a level I or II center. In the United States, trauma centers are specifically verified by the individual states and thus there tends to be more variability across the country.

Revisiting the Classic Open Fracture Studies to Correct Misperceptions and Errors.

The Gustilo and Anderson open fracture system is a commonly used classification in orthopaedic surgery. Unfortunately, misunderstandings of the original manuscripts are common, and familiar treatment and classification dogma are scribed to the landmark studies. This study describes the actual assertions of the work, and several misperceptions are set straight.

Use of the SIGN IM nail system to stabilize tibiotalocalcaneal arthrodesis in two African hospital settings.

Objectives: To determine the effectiveness and describe the technique of using the Surgical Implant Generation Network (SIGN) nail to augment tibiotalocalcaneal (TTC) arthrodesis in the developing world.

Design: Retrospective review of the SIGN database and description of surgical technique.

Setting: Two centers in rural Kenya, East Africa.

The American Board of Orthopaedic Surgery Response to COVID-19.

The COVID-19 pandemic has disrupted every aspect of society in a way never previously experienced by our nation's orthopaedic surgeons. In response to the challenges the American Board of Orthopaedic Surgery has taken steps to adapt our Board Certification and Continuous Certification processes. These changes were made to provide flexibility for as many Candidates and Diplomates as possible to participate while maintaining our high standards.

Providing Value in Fracture Care: Academic Versus Private Setting.

Although the science of fracture care transcends the setting, the delivery of value may be dramatically different depending on the practice situation. Compared to our colleagues specializing in total joint arthroplasty, trauma surgeons have a greater challenge demonstrating increased quality relative to the cost of care. Although most orthopedic surgeons are in private practice, their individual practice settings vary significantly.

AAOS Systematic Literature Review: Summary on the Management of Surgical Site Infections.

The purpose of this systematic review is to improve outcomes for the care of surgical site infections by presenting the current best evidence on important diagnostic and care issues. The findings led to ten recommendations and five consensus statements that address diagnosis and treatment of orthopaedic surgical site infections. There is strong evidence to supports anemia, obesity, HIV/AIDS, depression, dementia, immunosuppressive medications, duration of hospital stay, history of alcohol abuse, and history of congestive heart failure as factors that increased the risk of infection, some of which are modifiable before surgical intervention.

Use of Patient-Related Outcomes After Orthopaedic Trauma: Helpful or Not So Much?

Over 100 years ago, the orthopaedic surgeon, Ernest Codman, recommended that surgeons and hospitals be paid by the "end result." Healthcare Reform is moving to value over volume, and patient-reported outcomes (PROs) are 1 measure of quality and outcomes that are becoming pervasive. In this study, the current status of patient-reported outcomes and their use in orthopaedic trauma was reviewed.