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Proceedings of the 2021 AAHKS Meeting

  • Antonia F. Chen
    Correspondence
    Address correspondence to: Antonia F. Chen, MD, MBA, 75 Francis Street, Boston, MA 02115.
    Affiliations
    Department of Orthopaedic Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts
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Published:March 11, 2022DOI:https://doi.org/10.1016/j.arth.2022.03.024
      It was a true pleasure to serve as the 2021 American Association of Hip and Knee Surgeons (AAHKS) Annual Meeting Program Chair. We all genuinely enjoyed meeting in person after our well-executed hybrid meeting last year, and it was great to spend time catching up with colleagues and friends. I want to thank the members of the Program Committee (Drs. R. Michael Meneghini, Jeremy Gililland, Ran Schwarzkopf, Jonathan Vigdorchik, Adam Sassoon, Lucian Warth, Gregory Polkowski, James Browne) for their hard work throughout the year preparing the program. I also want to especially thank the AAHKS staff members Sigita Wolfe, MA and Natalie Loper for their incredible hard work and dedication on bringing the meeting to fruition.
      Similar to last year, we couldn't predict how the pandemic was going to affect us in November 2021. We knew from the previous year that the number of COVID cases would likely increase in winter. Therefore, throughout the year, the AAHKS Program Committee prepared for an in person and hybrid meeting. Thanks to the preparation from the previous year, we were able to seamlessly integrate a combination of live and virtual attendees, including a live stream of all presentations into the hotel rooms. We had a total of 3459 attendees, including 3011 live attendees (1590 clinical and 1251 exhibitor attendees) and 448 virtual attendees. In addition, we were able to integrate questions from the online platform that were asked by live in-person moderators. Thank you to the virtual question and answer moderators Drs. Javad Parvizi, Gregory Polkowski, Matthew Abdel, and Anna Cohen-Rosenblum for fielding questions during the sessions and engaging the online community.
      As always, the courses before the meeting were well attended this year. Dr. R. Michael Meneghini was able to pivot the resident cadaver course at the last minute to a well-received, practical business course for the residents. Concurrently, a resident cadaver lab course taught by Drs. Ran Schwarzkopf, Brian Hallstrom, Thorsten Seyler, Matthew Squire, and Antonia Chen covered the basics of total knee and hip arthroplasty cementing. An all female arthroplasty surgeon panel from the Women in Arthroplasty Committee taught the Techniques of Total Joint Arthroplasty course, and included the faculty members Drs. Rina Jain, Amanda Marshall-Rodriguez, Kimberly Tucker, Linda Suleiman, Anna Cohen-Rosenblum, Cara Cipriano, and Jenna Bernstein.
      The AAHKS Resident Arthroplasty Course, led by Drs. Michael J. Taunton and Scott M. Sporer, covered the fundamentals of arthroplasty for the residents, while the AAHKS Orthopedic Team Member Course, led by Dr. Denis Nam and Christin A. Van Dine, PA-C, covered the fundamentals of arthroplasty for orthopedic team members. The AAHKS Business of Total Joint Replacement Course was led by past presidents, Drs. C. Lowry Barnes, Michael Bolognesi, and Craig Della Valle. This year, a new AAHKS Research Course was introduced which described methods of performing studies, especially large database studies, and was led by Drs. Bryan Springer and Ran Schwarzkopf. Before the meeting started, the four Ask The Experts Case Sessions on primary and revision hip and knee were standing room only, and were led by moderators, Drs. Charles Nelson, Carlos Higuera, Douglas Padgett and Seth Jerabek.
      AAHKS President Dr. Richard Iorio welcomed everyone to the AAHKS Annual Meeting and the meeting started with a wonderful tribute to Dr. Lawrence (Larry) Dorr. His wife, Marilyn Dorr, and son, Michael Dorr, were both present for the tribute. The Humanitarian Award was renamed for our dear friend and AAHKS member Lawrence D. Dorr, MD, and the Lawrence D. Dorr, MD Humanitarian Award was presented to Dr. John Barrington for his leadership in medical missions to rural areas within the Dominican Republic. The AAHKS Presidential Award was presented to Dr. Jonathan Schaffer for his incredible contributions to AAHKS throughout the years, especially as the past chair of the Industry Relations Committee and for growing and evolving the Annual Meeting Exhibit Hall. Additionally, Dr. Ran Schwarzkopf, the Chair of the AAHKS Research Committee, presented the FARE Grant Award to Dr. Joshua Roth for his study proposal “Functional Phenotypes of TKA Patients—A Key Step Toward Personalization.”
      There were 4 outstanding research studies selected for AAHKS awards, including:
      • James A. Rand Young Investigators Award was awarded to Dr. Charles Lawrie for his study, “Questioning the “Nickel Free” Total Knee Arthroplasty.”
      • AAHKS Surgical Techniques & Technologies Award was given to Dr. Kevin Plancher for his research, “Patient Acceptable Symptom State (PASS) in Medial and Lateral Unicompartmental Knee Arthroplasty: Does the Status of the ACL Impact Outcomes?”
      • AAHKS Clinical Research Award went to Dr. Abhijit Seetharam for the study, “Are Minimum 2-Year PROMS Necessary for Accurate Assessment of Patient Outcomes After Primary TKA?”
      • AAHKS Best Podium Presentation Research Award was presented to Dr. William Hamilton for his presentation “Femoral Perforation During Anterior Approach Primary Total Hip Arthroplasty: Incidence and Outcomes.” This award was based on evaluation by the Program Committee and the AAHKS membership who voted through the AAHKS Meeting app.
      There were also 8 phenomenal research studies selected for AAHKS poster awards:
      • Primary Knee Category–Effect of Total Knee Arthroplasty on Coronal Alignment of the Ankle Joint (Dr. Erel Benari)
      • Revision Knee Category–What Dose of Preoperative Opioids Affects Outcomes After Revision Total Knee Arthroplasty? (Dr. Bailey Terhune)
      • Primary Hip Category–Repeat Dose of Intravenous Dexamethasone Can Effectively Reduce Pain and Opioid Use in Primary THA (Dr. Martin Buttaro)
      • Revision Hip Category–Minimal Clinically Important Difference at One-Year Postoperatively in Aseptic Revision THA (Dr. Ilya Bendich)
      • Infection Category–Antibiotic Administration Prior to Knee Aspiration Precludes Utility of Diagnostic Markers for PJI (Dr. Christopher Melnic)
      • Complications Not Including Infection Category–Short Stay Arthroplasty Is Not Associated with Increased 90-Day Complications (Dr. Christine Wu)
      • Non-arthroplasty and Miscellaneous Category–Total Hip and Knee Arthroplasty Patient Telemedicine Experience During COVID-19 (Nancy Giunta, PA-C)
      • Health Policy Category–Predicting Total Knee Arthroplasty Outpatient Discharge: Surgeons vs. Insurance Companies (Dr. Samuel Rodriguez)
      During the meeting, Keynote speaker, Dr. Martin Makary and AAHKS President Dr. Richard Iorio had a lively fireside chat discussing the roles physicians should take in the healthcare system to make medicine more patient centric and relationship based. For the meeting program, there were 59 podium presentations, 360 posters, 8 symposia, and over 100 speakers. We featured the most diverse panel of speakers at this year’s annual meeting. In addition, the symposia featured key areas of interest for today’s arthroplasty surgeon. One novel symposium focused on caring for diverse and high-risk patients, as we learned techniques on how to combat systemic biases and address social disparities to better care for our arthroplasty patients. There has been greater emphasis on performing outpatient total joint arthroplasty, especially during the COVID-19 pandemic, along with the economic value of arthroplasty surgeons which were highlighted in 2 symposia. Clinical practice focused symposia included conversion total hip arthroplasty, various antibiotic uses in arthroplasty, painful total hip arthroplasty, and occupational hazards that we all face as arthroplasty surgeons and how to mitigate them. The symposia this year included:
      • Symposium I–Optimizing the Outpatient Hip and Knee Arthroplasty Pathway: From Practical Protocols to Optimal Outcomes (Moderator: Dr. Michael Ast)
      • Symposium II–The Popular Conversion Total Hip Arthroplasty: How to Attack These Tough Cases (Moderator: Dr. Matthew Abdel)
      • Symposium III–Caring for Diverse and High-Risk Patients: Surgeon, Health System, and Patient Integration (Moderator: Dr. Kimberly Tucker)
      • Symposium IV–The Current State of Practice Patterns of AAHKS Members (Moderator: Dr. Jay Lieberman)
      • Symposium V–How Should Antibiotics Be Used in Primary and Revision Hip and Knee Replacement? (Moderator: Dr. Henry Clarke)
      • Symposium VI–The Changing Economic Value and Leverage of Arthroplasty Surgeons (Moderator: Dr. Richard Iorio)
      • Symposium VII–Occupational Hazards to the Joint Replacement Surgeon (Moderator: Dr. Jonathan Vigdorchik)
      • Symposium VIII–The Painful Total Hip Arthroplasty: Looks Good but Feels Bad (Moderator: Dr. R. Michael Meneghini)
      Importantly, Dr. John Callaghan should be well recognized for his incredible work as Editor-In-Chief of the Journal of Arthroplasty. Under his leadership, the readership of the Journal of Arthroplasty has grown, the impact factor has increased, and meaningful scientific articles pertinent to arthroplasty have been published. This 2021 Proceedings of the AAHKS Annual Meeting published in the Journal of Arthroplasty continues a long-established tradition of publishing high quality research, and could not happen without Editor-In-Chief Dr. Michael Mont, Emeritus Editor-in-Chief Dr. John Callaghan, associate editor Dr. J. Bohannan Mason, and the editorial staff at the Journal of Arthroplasty.
      This meeting is a success because of all the individuals and volunteers who contributed to the program and the AAHKS mission. I want to personally thank Michael Zarski, JD, for his leadership over AAHKS, and all of the AAHKS staff who worked tireless throughout the year:
      Sharon M. Creed, Joshua M. Kerr, MA, Natalie Loper, Eileen Lusk, Renalin Malvar-Ledda, Jeff Mitchell, Kenneth Robinson Jr., Chiara Rodgers, MPH, CCRC, Stella Whitney, and Sigita Wolfe, MA. I am honored to call you colleagues and friends. I would also like to thank the AAHKS Presidential Line and Board of Directors, who supported and provided direction to the Program Committee. Finally, I would like to personally thank Dr. Richard Iorio for entrusting me as Program Chair, to deliver a meeting that challenged the status quo and provided relevant, practice-changing information to arthroplasty surgeons.
      It was my genuine honor to serve as the 2021 AAHKS Annual Meeting Program Chair, and I hope that you enjoy the scientific content within the “2021 AAHKS Proceedings” in the Journal of Arthroplasty.

      Appendix A. Supplementary Data