Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for September 2010. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.
Exercise Preserves Functioning in Women With Osteopenia
TUESDAY, Sept. 28 (HealthDay News) -- An exercise program in elderly women with osteopenia appears to preserve physical functioning and decrease the risk of fractures and mortality, according to a study in the Sept. 27 issue of the Archives of Internal Medicine.
RA May Raise Complication Risk After Ankle Arthroplasty
MONDAY, Sept. 27 (HealthDay News) -- Underlying inflammatory connective-tissue disease, primarily rheumatoid arthritis, is associated with an increased risk for major incision complications and additional surgery for patients who have undergone total ankle arthroplasty, according to research published in the Sept. 15 issue of the Journal of Bone & Joint Surgery.
Health Plan Orthopedist Tiering Found Biased, Inconsistent
FRIDAY, Sept. 24 (HealthDay News) -- Current methods used by health plans to rank orthopedic surgeons by quality performance and cost-efficiency are not consistent and appear to have geographic and other biases, according to a study in the Sept. 15 issue of the Journal of Bone & Joint Surgery.
Venous Thromboembolism Seen After 1% of Hip Replacements
THURSDAY, Sept. 23 (HealthDay News) -- Venous thromboembolism following total hip replacement occurs in roughly 1 percent of patients who receive pharmacological thromboprophylaxis, and factors associated with increased risk of venous thromboembolism include osteoarthritis, a history of cardiovascular disease, and previous thromboembolism, according to research published in the Sept. 15 issue of the Journal of Bone & Joint Surgery.
Depression, Burnout Have Dire Impact on Medical Training
TUESDAY, Sept. 14 (HealthDay News) -- Depressed medical students are more likely to endorse depression stigma attitudes than nondepressed students, and those with burnout are more likely to engage in unprofessional conduct and less likely to hold altruistic views of physicians' social responsibilities than those without burnout, according to two articles published in the Sept. 15 issue of the Journal of the American Medical Association.
Sacrifice Makes Industry Gifts Seem More Acceptable
TUESDAY, Sept. 14 (HealthDay News) -- Residents who are reminded of the sacrifices they made to attain their medical education tend to rate the acceptability of industry-sponsored gifts higher than those who are not reminded, according to research published in the Sept. 15 issue of the Journal of the American Medical Association.
Osteoporosis Drugs Linked to Rare but Serious Thigh Breaks
TUESDAY, Sept. 14 (HealthDay News) -- Long-term use of bisphosphonates, a medication class widely prescribed for osteoporosis, may be associated with atypical and serious thigh bone fractures, according to the report of a professional task force published in the September issue of the Journal of Bone and Mineral Research.
Re-Consent Important Before Secondary Use of Genetic Data
MONDAY, Sept. 13 (HealthDay News) -- Most research participants want to be asked for secondary consent -- referred to as re-consent -- before their existing personal genetic data are added to the federal database of Genotypes and Phenotypes (dbGaP), according to research published in the September issue of the Journal of Empirical Research on Human Research Ethics.
Use of Bone Morphogenetic Protein Has Risen
FRIDAY, Sept. 10 (HealthDay News) -- Between 2002 and 2007, the use of bone morphogenetic protein (BMP) rose steeply, and the majority of procedures using BMP were for off-label applications, according to research published in the Sept. 1 issue of Spine.
Inflammation Biomarkers ID Prosthetic Joint Infection
THURSDAY, Sept. 9 (HealthDay News) -- Several inflammation biomarkers, including interleukin-6, C-reactive protein level, erythrocyte sedimentation rate, and white blood-cell count, can effectively diagnose prosthetic joint infection at the time of total hip or knee arthroplasty, according to a meta-analysis published in the Sept. 1 issue of the Journal of Bone & Joint Surgery.
Perioperative Stroke Rare but Deadly in Joint Replacement
THURSDAY, Sept. 9 (HealthDay News) -- Though rare, perioperative stroke following joint replacement has a high rate of both mortality and morbidity, according to a study in the Sept. 1 issue of the Journal of Bone & Joint Surgery.
Back Injury Patients Adjust Seated-Task Torso Movement
THURSDAY, Sept. 9 (HealthDay News) -- People with spinal cord injury (SCI) and low back pain (LBP) may adjust the movement of their torsos while executing seated tasks to compensate for lack of balance in the former group and to minimize pain in the latter group, according to research published in the Sept. 1 issue of Spine.
Annual Medical Liability Costs Surpass $50 Billion
THURSDAY, Sept. 9 (HealthDay News) -- The annual costs of the medical liability system in the United States total more than $50 billion, which accounts for a relatively small but non-trivial portion of total health care spending, according to an article in the September issue of Health Affairs.
Bisphosphonates May Raise Esophageal Cancer Risk
FRIDAY, Sept. 3 (HealthDay News) -- Oral bisphosphonate use over five years may double one's risk of developing esophageal cancer, according to a study published online Sept. 2 in BMJ.
Protocol Guides Wound Closure Timing for Open Fractures
THURSDAY, Sept. 2 (HealthDay News) -- Use of a protocol based on wound culture results after irrigation and surgical debridement of open fractures appears to result in a low rate of infection and may help guide decisions on wound closure timing, according to research published in the Aug. 18 issue of the Journal of Bone & Joint Surgery.
Gender-Specific Knee Implants May Have No Benefits
THURSDAY, Sept. 2 (HealthDay News) -- Gender-specific posterior cruciate-substituting high-flexion knee prostheses don't appear to have any clinical advantages over standard models, at least in the short term, according to research published in the Aug. 18 issue of the Journal of Bone & Joint Surgery.
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