Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for June 2012. 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.
Few Retears After Partial-, Full-Thickness Rotator Cuff Repair
FRIDAY, June 29 (HealthDay News) -- Retear rates after arthroscopic repair of both partial-thickness and full-thickness rotator cuff tears are low, with no difference in the retear rate or postoperative shoulder stiffness rate for tear thickness, according to a study published in the June 20 issue of The Journal of Bone & Joint Surgery.
Survivorship of Uncemented Acetabular Parts Compared
FRIDAY, June 29 (HealthDay News) -- For total hip arthroplasty revisions, titanium wire mesh cups and cross-linked polyethylene liners are among new uncemented acetabular components that improve long-term implant survival, according to a study published in the June 20 issue of The Journal of Bone & Joint Surgery.
Supreme Court Upholds Health Care Reform Law
THURSDAY, June 28 (HealthDay News) -- The U.S. Supreme Court voted June 28 to uphold the constitutionality of the Patient Protection and Affordable Care Act (PPACA), which has been the subject of debate and multiple lawsuits since its 2010 inception.
Muscle Mass Linked to Parameters of Bone Health
THURSDAY, June 28 (HealthDay News) -- Muscle mass is associated with bone parameters at several sites in the body, according to a study published online May 23 in the Journal of Bone and Mineral Research.
Prolonged Disability Predictors Identified for Low Back Pain
THURSDAY, June 28 (HealthDay News) -- In patients with chronic nonspecific low back pain (LBP), impaired fasting glucose tolerance, greater pain-related disability, higher body mass index, and lower quality of life (QoL) at baseline are all associated with an increased pain-related disability at one year, according to a study published online June 20 in Spine.
Duplicate Payments by Federal Government Increasing
WEDNESDAY, June 27 (HealthDay News) -- The federal government spends a substantial and increasing amount on individuals who are dually enrolled in separate managed care programs (the Veterans Affairs health care system [VA] and Medicare Advantage plan [MA]), according to a study published online June 26 in the Journal of the American Medical Association to coincide with presentation at the Annual Research Meeting of AcademyHealth, held from June 24 to 26 in Orlando, Fla.
Use of Electronic Records Tied to Fewer Malpractice Claims
TUESDAY, June 26 (HealthDay News) -- Use of electronic health records (EHRs) is associated with fewer medical malpractice claims among physicians from multiple surgical and medical specialties, according to a research letter published online June 25 in the Archives of Internal Medicine.
Regional Anesthesia Linked to Better Hip Fracture Outcomes
TUESDAY, June 26 (HealthDay News) -- Regional anesthesia is associated with a lower risk of death and pulmonary complications compared with general anesthesia in patients undergoing surgery for hip fracture, with improved outcomes specific to patients with intertrochanteric fractures, according to a study published in the July issue of Anesthesiology.
Incomplete Recovery of Lumbar Discs Two Years After Bed Rest
FRIDAY, June 22 (HealthDay News) -- Recovery of the lumbar intervertebral discs following a 60-day period of bed rest is a lengthy process, with recovery incomplete at two years, according to a study published in the June 15 issue of Spine.
Parents Overestimate Deformity-Related Stress in Scoliosis
THURSDAY, June 21 (HealthDay News) -- Patients with idiopathic adolescent scoliosis and their parents perceive the emotional stress connected to brace treatment in the same way, but parents overestimate the stress related to body deformity, according to a study published in the June 15 issue of Spine.
Half of Residents Report Working While Sick
THURSDAY, June 21 (HealthDay News) -- About half of residents have worked while sick, with many reporting feeling obligated to colleagues and patients, according to a research letter published online June 18 in the Archives of Internal Medicine.
IVC Filters Confirmed Effective for Patients at Embolism Risk
THURSDAY, June 21 (HealthDay News) -- Inferior vena cava (IVC) filters are safe for use in patients at higher risk for venous thromboembolic events (VTEs) while undergoing major spinal surgery, according to research published in the June issue of the Journal of Spinal Disorders & Techniques.
Pedicle Breach Rate 6.2 Percent With 2D Fluoroscopy
WEDNESDAY, June 20 (HealthDay News) -- A two-dimensional (2D) fluoroscopic technique is safe for percutaneous placement of pedicle screws during transforaminal lumbar interbody fusion (TLIF), with a pedicle breach rate of 6.2 percent, according to a study published online June 7 in the Journal of Spinal Disorders & Techniques.
Surgical Interns Concerned About Duty-Hour Restrictions
TUESDAY, June 19 (HealthDay News) -- Surgical interns have significant concerns about the impact of new Accreditation Council for Graduate Medical Education (ACGME) core competency duty-hour restrictions on the quality of their training, according to a study published in the June issue of the Archives of Surgery.
Research Suggests Flavocoxid Causes Acute Liver Injury
TUESDAY, June 19 (HealthDay News) -- Flavocoxid, a proprietary prescription medical food used to treat osteoarthritis, appears to cause acute liver injury within months of initiating use, according to research published in the June 19 issue of the Annals of Internal Medicine.
Patient-Rated Elbow Evaluation Most Responsive Instrument
MONDAY, June 18 (HealthDay News) -- The Patient-Rated Elbow Evaluation form (PREE) is the most responsive instrument to identify and quantify elbow joint-specific changes before and after total elbow arthroplasty, according to a study published online June 5 in Arthritis Care & Research.
Coexistent Lumbar Disorders Complicate Hip Arthroplasty
MONDAY, June 18 (HealthDay News) -- Patients undergoing total hip arthroplasty (THA) who have coexistent lumbar spine disorders (LSDs) do not report as much improvement in pain and function after arthroplasty compared with patients without lumbar disorders, according to a study published in the May issue of The Spine Journal.
Human Perivascular Stem Cells Superior for Bone Formation
FRIDAY, June 15 (HealthDay News) -- A population of stem cells isolated from adipose tissue can differentiate into bone more easily and efficiently than other fat cell populations, according to a study published online June 11 in Stem Cells Translational Medicine.
Single-Leg Spica Cast Effective for Child Femoral Fractures
THURSDAY, June 14 (HealthDay News) -- For young children with diaphyseal femoral fractures, treatment with a single-leg spica cast is safe and effective, and facilitates patient care and function compared with double-leg spica casting, according to a study published online June 13 in The Journal of Bone & Joint Surgery.
Gender Gap Exists in Physician Researchers' Salaries
TUESDAY, June 12 (HealthDay News) -- A survey of mid-career academic physician researchers shows that gender differences in salary exist even after adjusting for differences in specialty, institutional characteristics, academic productivity, academic rank, and work hours, according to a study published in the June 13 issue of the Journal of the American Medical Association.
Task Force Questions Use of Vitamin D, Calcium Supplements
TUESDAY, June 12 (HealthDay News) -- Current evidence is insufficient to support the use of vitamin D and calcium supplements to protect against cancer or osteoporotic fractures, according to a draft recommendation issued by the U.S. Preventive Services Task Force (USPSTF).
Three Percent of Hip, Knee Replacements Need Critical Care
FRIDAY, June 8 (HealthDay News) -- Three percent of patients who undergo knee and hip replacements require critical care services (CCS), and they are more likely to be older and have more comorbidities than those who do not require CCS, according to a study published online May 24 in Anesthesiology.
Higher Risk of VTE in CKD Surgical Patients on Enoxaparin
FRIDAY, June 8 (HealthDay News) -- For patients with chronic kidney disease (CKD) who undergo total hip replacement (THR), the rate of major venous thromboembolism (VTE) is significantly higher in those treated with enoxaparin compared to those treated with desirudin, according to a study published online June 4 in the Journal of Thrombosis and Haemostasis.
Link Between Vascular Disease and Disc Height Loss Examined
FRIDAY, June 8 (HealthDay News) -- The association between vascular disease, as measured by abdominal aortic calcifications (AACs), and disc height loss is independent of cardiovascular disease and is largely explained by patient age, gender, and body mass index (BMI), according to a study published in the April issue of The Spine Journal.
Early Physical Therapy Beneficial for Low Back Pain
THURSDAY, June 7 (HealthDay News) -- Early physical therapy, within 14 days of diagnosis, for the treatment of newly diagnosed low back pain is associated with a reduced risk of subsequent health care utilization and associated costs, compared with delayed physical therapy, according to research published online May 18 in Spine.
Aspirin Ups Risk of Bleeding in All But Diabetes Patients
TUESDAY, June 5 (HealthDay News) -- Aspirin use is associated with an increased risk of major bleeding, while patients with diabetes have a high risk of bleeding, independent of aspirin use, according to a study published in the June 6 issue of the Journal of the American Medical Association.
Troponin T May Help Predict Death After Noncardiac Surgery
TUESDAY, June 5 (HealthDay News) -- Elevated peak troponin T (TnT) measurements in the first three days after noncardiac surgery are associated with an increased risk of 30-day mortality, according to a study published in the June 6 issue of the Journal of the American Medical Association.
Self-Management Has Small Effect on Low Back Pain
TUESDAY, June 5 (HealthDay News) -- Compared to minimal interventions, self-management has a small effect on pain and disability in non-specific low back pain (LBP), according to a review published online May 23 in Arthritis Care & Research.
Morbid Obesity Ups Complication Rate in Spinal Fusion Surgery
MONDAY, June 4 (HealthDay News) -- Morbid obesity increases the risk of multiple complications in spinal fusion surgery, particularly in patients undergoing anterior cervical or posterior lumbar procedures, according to research published in the May 15 issue of Spine.
Spondylolisthesis Linked to Spinous Process Fractures
FRIDAY, June 1 (HealthDay News) -- There is a strong association between degenerative spondylolisthesis and spinous process fracture in patients undergoing interspinous process spacer (IPS) surgery, according to a study published online May 24 in The Spine Journal.
Disability in Juvenile Arthritis Affects Adult Employment
FRIDAY, June 1 (HealthDay News) -- Disability resulting from juvenile idiopathic arthritis (JIA) can affect educational attainment and ultimately impact employment in adulthood, according to a study published online May 31 in Arthritis & Rheumatism.
Rats Regain Ability to Walk After Spinal Cord Injury
FRIDAY, June 1 (HealthDay News) -- Rats with spinal cord injury are able to regain locomotion after electrochemical treatment and encouragement of supraspinally mediated movements, in a cortical-dependent manner, according to a study published in the June 1 issue of Science.
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