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146 Preoperative Contralateral Joint Pain and/or Back Pain Are Associated with Worse Baseline PROMs and Failing to Achieve the 22-Point Substantial Clinical Benefit for HOOS-JR after THA: Implications for the New CMS PROMs Policy

147 One Size Fits None: Why Universal Clinically Significant PROMs' Thresholds Fail Total Hip Arthroplasty Patients—A PROMs Phenotype-Driven Outcome Assessment

149 Time-Driven Activity Based Cost Analysis of Medical and Social Optimization of Patients Before Hip and Knee Arthroplasty in a Health Safety Net Hospital

154 Time-Dependent Limb Assessment of High-Energy Lower Extremity Trauma Improves Prediction of Amputation A Secondary Analysis of the OUTLET Study

155 Pain Outcomes Following Modern External Ring Fixation versus Internal Fixation for Severe Open Tibial Fractures: A Secondary Analysis of a Prospective Randomized Trial (FIXIT)