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Category: Orthopedics | Monthly Briefing

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August 2011 Briefing - Orthopedics

Last Updated: September 01, 2011.

Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for August 2011. 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.

Public Sector Funds Large Part of State Obesity-Related Costs

MONDAY, Aug. 29 (HealthDay News) -- Between 22 and 55 percent of U.S. state-level obesity-related costs are financed by the public sector via Medicare and Medicaid, according to a study published online June 16 in Obesity.

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Loss of Jobs Means Loss of Health Coverage for Many in U.S.

MONDAY, Aug. 29 (HealthDay News) -- For American adults who lose their health insurance coverage when they lose their jobs, the majority remain uninsured, delay getting needed health care or prescriptions, and report financial difficulties paying medical bills, according to a report published online Aug. 24 by The Commonwealth Fund.

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Complementary Medicine Used More by Health Care Workers

FRIDAY, Aug. 26 (HealthDay News) -- U.S. health care workers, especially health care providers, are more likely to use complementary and alternative medicine (CAM) than the general, employed U.S. population, according to a study published online Aug. 22 in Health Services Research.

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Pharmaceutical Ads Often Don't Adhere to U.S. FDA Guidelines

THURSDAY, Aug. 25 (HealthDay News) -- Physician-targeting pharmaceutical advertisements have low rates of adherence to U.S. Food and Drug Administration (FDA) guidelines and provide inadequate information for safe prescribing, according to a study published online Aug. 17 in PLoS One.

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Occipital Padding Maintains Neutral Spine Alignment

THURSDAY, Aug. 25 (HealthDay News) -- The placement of padding beneath the occiput after helmet removal may be used as an effective measure to maintain neutral cervical spine alignment in the event of helmet removal among football athletes, according to a study published online Aug. 18 in Spine.

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No Benefit for Patellar Resurfacing at Five Years

WEDNESDAY, Aug. 24 (HealthDay News) -- Clinical outcomes and health care costs at five years are not significantly affected by the addition of patellar resurfacing to the surgical procedure during total knee arthroplasty, according to a study published Aug. 17 in the Journal of Bone and Joint Surgery.

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Bone Contusions Prevalent in Patients With ACL Rupture

WEDNESDAY, Aug. 24 (HealthDay News) -- Bone contusions are prevalent in patients with anterior cruciate ligament (ACL) ruptures, and the injuries to the median and lateral menisci and medial collateral ligament (MCL) increase with progression of bone contusions, according to a study published online Aug. 17 in The Journal of Bone and Joint Surgery.

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Fibronectin-Aggrecan Complex IDs Epidural Steroid Response

MONDAY, Aug. 22 (HealthDay News) -- In patients receiving lumbar epidural steroid injection (ESI) for radiculopathy from lumbar herniated nucleus pulposus (HNP), fibronectin-aggrecan complex (FAC) can act as an accurate and independent biomarker of response to ESI, according to a study published in the Aug. 15 issue of Spine.

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Carpal Tunnel Patients Likely to Share Surgical Decisions

MONDAY, Aug. 22 (HealthDay News) -- The majority of patients undergoing carpal tunnel release prefer to share surgical decision making with their surgeon, and these patients have less severe symptoms than those who are fully active or fully passive in decision making, according to a study published in the Aug. 17 issue of The Journal of Bone & Joint Surgery.

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CDC: 2010/2011 Flu Vaccination Coverage Studied

THURSDAY, Aug. 18 (HealthDay News) -- Influenza vaccination coverage among health care personnel (HCP) and pregnant women in the 2010/2011 influenza season was similar to coverage for the 2009/2010 season, according to two reports in the Aug. 19 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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High Cumulative Malpractice Risk for All Physicians

THURSDAY, Aug. 18 (HealthDay News) -- Physicians in all specialties have a high cumulative risk of facing a malpractice claim by age 65; although most claims do not lead to indemnity payments, according to a study published in the Aug. 18 issue of the New England Journal of Medicine.

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Factors Identified for Spinal Stenosis Surgery Outcome

THURSDAY, Aug. 18 (HealthDay News) -- A history of psychiatric disease and a higher preoperative body mass index (BMI) are associated with poorer clinical outcomes following surgery for lumbar spinal stenosis, while more severe preoperative disability results in a better outcome, according to a study published in the July issue of The Spine Journal.

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Altered Movement Biomechanics in Obese Tied to Osteoarthritis

MONDAY, Aug. 15 (HealthDay News) -- Obese individuals have altered movement strategies during everyday movements, including walking and sit-to-stand, according to a review published online Aug. 3 in Obesity Reviews.

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Spinal Manipulation Therapy Effectively Treats Low Back Pain

MONDAY, Aug. 15 (HealthDay News) -- Spinal manipulation therapy (SMT) is an effective treatment for patients with chronic, nonspecific low back pain (LBP), and maintenance SMT provides long-term pain relief, according to a study published in the Aug. 15 issue of Spine.

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Psychiatric Comorbidity Affects Costs in Severe Back Pain

FRIDAY, Aug. 12 (HealthDay News) -- Patients with severe back pain undergoing disc surgery have high direct and indirect costs, which are influenced by psychiatric comorbidity, according to a study published in the July issue of The Spine Journal.

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Three Distinct Aspects of Knee Shape ID'd in Osteoarthritis

FRIDAY, Aug. 12 (HealthDay News) -- In women, knees with osteoarthritis (OA) have wider femoral and tibial bone, extend more during radiography, and have an elevated lateral tibial plateau, according to a study published online Aug. 2 in Arthritis & Rheumatism.

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Epidermal Electronic System Monitors Heart, Brain Activity

FRIDAY, Aug. 12 (HealthDay News) -- An ultrathin epidermal electronic system (EES), comparable to skin, can effectively monitor the electrical activity of heart, brain, and skeletal muscle when laminated onto the skin like a temporary transfer tattoo, according to a study published in the Aug. 12 issue of Science.

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CT Not Ideal to Assess Spinal Fusion Post Lumbar Arthrodesis

THURSDAY, Aug. 11 (HealthDay News) -- Computed tomography (CT) proves to be less than ideal to assess the extent of bony fusion after attempted lumbar arthrodesis, according to a study published in the July issue of The Spine Journal.

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Anthropometric Differences Seen in Teen Girls With Scoliosis

WEDNESDAY, Aug. 10 (HealthDay News) -- Girls with adolescent idiopathic scoliosis (AIS) have anthropometric differences, including lower mean weight, lower body mass index (BMI), and higher ponderal index (IP), compared to healthy age-matched peers, according to a study published in the Aug. 15 issue of Spine.

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More Accurate Alignment With Computer-Aided Knee Surgery

WEDNESDAY, Aug. 10 (HealthDay News) -- Computer-assisted total knee arthroplasty results in a more accurate implant alignment compared to conventional surgery with intramedullary or extramedullary guides, according to a study published in the Aug. 3 issue of The Journal of Bone & Joint Surgery.

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Encouraging Results With the Mobility Prosthesis Ankle Implant

TUESDAY, Aug. 9 (HealthDay News) -- The clinical and radiographic results of total ankle arthroplasty with Mobility prosthesis are appreciable and comparable to that of other modern three-component implants, according to a study published in the Aug. 3 issue of The Journal of Bone & Joint Surgery.

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Soy Isoflavones Don't Prevent Menopausal Bone Loss

TUESDAY, Aug. 9 (HealthDay News) -- Soy isoflavone tablets, administered once daily, do not prevent bone loss or menopausal symptoms in women during the first five years of menopause, according to a study published in the Aug. 8/22 issue of the Archives of Internal Medicine.

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Cost of Interacting With Payers Higher in U.S. Than Canada

FRIDAY, Aug. 5 (HealthDay News) -- Physician practices in the United States spend considerably more on interactions with health plans than Canadian practices, according to a study published in the August issue of Health Affairs.

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Tissue-Engineered Interverterbral Implant Feasible

WEDNESDAY, Aug. 3 (HealthDay News) -- After being implanted into the caudal spine, a living, tissue-engineered intervertebral disc (IVD) gets integrated into the spine, maintains disc space height, and produces new extracellular matrix (ECM) and intact motion segment similar to the native IVD, according to an experimental study published online Aug. 1 in the Proceedings of the National Academy of Sciences.

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Neurologic Lesions Common in Reverse Shoulder Arthroplasty

WEDNESDAY, Aug. 3 (HealthDay News) -- Peripheral neurologic lesions following reverse shoulder arthroplasty are common but usually temporary, and may be attributed to arm lengthening, according to a study published in the July 20 issue of The Journal of Bone & Joint Surgery.

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Infection Incidence After Spinal Tumor Surgery ~10 Percent

TUESDAY, Aug. 2 (HealthDay News) -- The incidence of surgical site infections (SSIs) following spinal tumor surgery ranges from 8.89 to 13.7 percent, and the risk is associated with perioperative factors, including previous spinal surgeries, increased number of comorbidities, previous hospital-acquired infection, and increased hospital stay, according to a study published in the Aug. 1 issue of Spine.

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Pubertal Status Predicts Some Functional Somatic Symptoms

MONDAY, Aug. 1 (HealthDay News) -- There are no significant gender differences in the association between pubertal development and functional somatic symptoms (FSS) in Dutch or American adolescents, but pubertal stage can predict later back pain, overtiredness, and dizziness, according to a study published online Aug. 1 in Pediatrics.

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Knee Arthroplasty Unaffected by Patellar Resurfacing

MONDAY, Aug. 1 (HealthDay News) -- Neither patellar resurfacing nor the design of the prosthetic affects the clinical outcome of total knee arthroplasty, according to a study published in the July 20 issue of The Journal of Bone & Joint Surgery.

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