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Weekly News, Analysis, and Commentary

Spinal Cap III: The Taming of the Pedicle Screw – Part I

Photo creation by RRY Publications LLC / Sources: Wikimedia Commons and Kaudris
Photo creation by RRY Publications LLC / Sources: Wikimedia Commons and Kaudris

The whistleblower lawsuit that started the FBI Spinal Cap investigation in California has been made public. Michael Drobot is still at the center of this drama. Act III of the drama now unfolds as patients sue Drobot and his accomplices for causing counterfeit screws and rods to be implanted in their spines. Read Part 1 this week.

HSS Surgeon: Shoulder Arthroplasty and Reverses on the Uptick // Brown University Surgeon Helps Out in Ukraine // and More!

Courtesy: Edward Craig, M.D., M.P.H.
Courtesy: Edward Craig, M.D., M.P.H.

Edward Craig, M.D. of Hospital for Special Surgery gives details on the explosion in shoulder arthroplasty and reverse replacements. On his own dime and his own time, Roman Hayda, M.D., traveled to Ukraine to get a better understanding of the care provided to war casualties. And John Flynn, M.D. discusses his new appointment as chief of the Division of Orthopedic Surgery at The Children’s Hospital of Philadelphia.

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Lee v. Lombardi Over Patient Specific Instrumentation

Image created by RRY Publications, LLC
Image created by RRY Publications, LLC

“The data does not support the use of patient specific instrumentation (PSI),” says Gwo-Chin Lee. “Claims of decreased operative time and improved alignment are unfounded.” Adolph Lombardi states, “The majority of studies DO show decreased processing and sterilization time, turnover time, etc. And hey, these things could soon be delivered to your OR by drone.”

Peer Review Scam Hits Close to Home

Courtesy: Retraction Watch.com
Courtesy: Retraction Watch.com

How often is the managing editor of a major peer review journal also the lead author of a study appearing in that same journal? To put an even finer point on it, how often in such cases is the “peer review” process a scam? Thanks to Retraction Watch, the web site that tracks bad behavior on the part of peer-reviewed authors, we have an answer.

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Obamacare May Not Survive a 2nd Supreme Challenge

Photo creation by RRY Publications LLC / Sources: Pete Souza and U.S. Government
Photo creation by RRY Publications LLC / Sources: Pete Souza and U.S. Government

The Roberts Court wants a second look at Obamacare. Odds are it may not survive this vote. And in the process two legacies—the President’s and a U.S. Chief Justices’—may well be changed forever. And as that drama unfolds, the medical device tax repeal may well be able to slip through and get to Obama’s desk for signature. Read how.

Jones v. MacDonald Over Tourniquetless TKA

Image created by RRY Publications, LLC
Image created by RRY Publications, LLC

“OK, so you have a bloodless field using a tourniquet in TKA,” says Dickey Jones. “But there are many downsides, such as nerve damage and a delay in the recovery of muscle function.” Hold on says Steve MacDonald, “There is no clinical evidence of nerve damage or delays in muscle function recovery when employing a tourniquet.”

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