Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for July 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.
New Cervical Spine Stability Procedure Described
THURSDAY, July 26 (HealthDay News) -- A "skip" corpectomy, in which the middle vertebra is left intact, may prove to be a good alternative to the standard three-level corpectomy procedure for cervical spine stability, according to a study published online July 13 in the Journal of Spinal Disorders & Techniques.
Female Athletes Have Shorter Season Time to Injury
THURSDAY, July 26 (HealthDay News) -- Female varsity athletes have a significantly shorter time to injury than males, regardless of sport or preseason fitness, according to a study published online July 23 in the Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology.
InteguSeal Does Not Reduce Scoliosis Surgery Infections
THURSDAY, July 26 (HealthDay News) -- Preoperative cyanoacrylate sealant (InteguSeal) application does not reduce the risk of surgical site infection for patients undergoing scoliosis surgery, according to a study published online July 18 in Spine.
Curettage Alone Not Advised for Sacral Giant Cell Tumors
WEDNESDAY, July 25 (HealthDay News) -- For patients with sacral giant cell tumors (GCTs), curettage alone is not recommended for surgical management, according to a study published online July 16 in The Spine Journal.
Increased Risk of Heart Attack After Hip, Knee Replacement
WEDNESDAY, July 25 (HealthDay News) -- There is a significantly elevated risk of acute myocardial infarction (AMI) in the six weeks following total hip replacement (THR) and the two weeks following total knee replacement (TKR) surgery, according to a study published online July 23 in the Archives of Internal Medicine.
Most Idiopathic Toe-Walkers Stop Spontaneously by Age 5.5 Years
MONDAY, July 23 (HealthDay News) -- Idiopathic toe-walking at age 5.5 years is more prevalent among children with a neuropsychiatric diagnosis or developmental delay, according to a study published online July 23 in Pediatrics.
Most Doctors Satisfied With Electronic Health Records
THURSDAY, July 19 (HealthDay News) -- Although only 55 percent of physicians had adopted electronic health records (EHRs) in 2011, most are somewhat or very satisfied with their system and most report enhanced patient care, according to a July data brief issued by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).
Poorer Patient Experience at Safety-Net Hospitals
THURSDAY, July 19 (HealthDay News) -- Safety-net hospitals (SNHs) perform worse on nearly every measure of patient experience, according to a study published online July 16 in the Archives of Internal Medicine.
~12,000 Preventable Deaths in English Hospitals Annually
THURSDAY, July 19 (HealthDay News) -- Approximately 12,000 hospital deaths in England each year are preventable, according to research published online July 7 in BMJ Quality & Safety.
Discrepancy in Perception of RA Disease Activity Elucidated
THURSDAY, July 19 (HealthDay News) -- Patients with rheumatoid arthritis (RA) see pain as the most significant determinant of their disease activity, while physicians see joint swelling as the most important determinant, according to a study published online July 18 in Arthritis & Rheumatism.
Social Network Analysis IDs Informal Physician Networks
TUESDAY, July 17 (HealthDay News) -- Informal networks among physicians who share patients demonstrate substantial geographic variability, while within networks, physician and patient characteristics are similar, according to a study published in the July 18 issue of the Journal of the American Medical Association.
Prevalence of Gout Increases With Increasing BMI
TUESDAY, July 17 (HealthDay News) -- Having an increased body mass index (BMI) correlates with increased prevalence of gout in adults, according to study published online July 6 in Arthritis Care & Research.
Pain, Disability Don't Predict Function in Spinal Stenosis
MONDAY, July 16 (HealthDay News) -- For patients with lumbar spinal stenosis (LSS), subjective measures of pain and disability have limited ability to predict real-life ambulatory performance, according to a study published in the July 1 issue of Spine.
Claims Data Reveals Patients at Post-Op Infection Risk
FRIDAY, July 13 (HealthDay News) -- Claims data can be used to accurately identify rates and risk factors for surgical site infection (SSI) following spinal surgery, according to a study published in the July 1 issue of Spine.
Alcohol Intake Attenuates Bone Turnover After Menopause
WEDNESDAY, July 11 (HealthDay News) -- For postmenopausal women, there are increased levels of markers of bone turnover with alcohol abstinence, while resumption of alcohol intake reduces levels of these markers, according to a study published online July 9 in Menopause.
Resistance Training Improves Some Inflammatory Markers
WEDNESDAY, July 11 (HealthDay News) -- Resistance training (RT) can reduce visceral fat and alter levels of certain inflammatory markers, according to research published in the July issue of Obesity Reviews.
Tests ID'd for Use in Outcome Assessment of Spinal Stenosis
WEDNESDAY, July 11 (HealthDay News) -- For patients with lumbar spinal stenosis the Oswestry Disability Index, Modified Swiss Spinal Stenosis Scale (SSS), and Patient Specific Functional Scale have been shown to possess adequate psychometric properties for use in assessment of outcome, according to a study published online July 2 in The Spine Journal.
Lateral Transpsoas Approach Difficult in Lumbarized Sacra
TUESDAY, July 10 (HealthDay News) -- In patients with lumbarized sacra, a lateral transpsoas surgical approach to the L5-6 disc space can be managed with appropriate preoperative planning, including axial magnetic resonance imaging (MRI) and advanced neuromonitoring, according to a study published in the July issue of the Journal of Spinal Disorders & Techniques.
Classification Rule IDs Four Risk Groups in Scoliosis Progression
MONDAY, July 9 (HealthDay News) -- The risk of curvature progression in patients with adolescent idiopathic scoliosis (AIS) can be based on initial angle of curvature, age, menarcheal status, and height, according to a study published online June 25 in The Spine Journal.
Correlates of Diabetic Foot Complications Identified
FRIDAY, July 6 (HealthDay News) -- For patients with diabetes, increased poly(ADP-ribose) (PAR) immunoreactivity, reduced abundance of type 1 procollagen, and impaired skin structure correlate with foot complications, according to a study published online June 29 in Diabetes Care.
High-Dose Vitamin D 'Somewhat Favorable' in Fracture Prevention
THURSDAY, July 5 (HealthDay News) -- High-dose (≥800 IU daily) vitamin D supplementation is associated with a decreased risk of hip fracture and nonvertebral fractures among older adults, according to a study published in the July 5 issue of the New England Journal of Medicine.
Infection Rates Unaffected by Time to Debridement of Open Fx
TUESDAY, July 3 (HealthDay News) -- There is no association between infection rates and time to operative debridement of open fractures, according to research published in the June 20 issue of The Journal of Bone & Joint Surgery.
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