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Weekly News, Analysis, and Commentary

New King of the Ambulatory Surgical Jungle

Image created by RRY Publications, LLC / Source: Wikimedia Commons
Image created by RRY Publications, LLC / Source: Wikimedia Commons

For 40 years, ambulatory surgical centers (ASC) have been an oasis for surgeons who want to own their own means of production, control their practices and realize the financial benefits of owning facilities. But on March 23, 2015, Tenet Healthcare became the King of a fragmented ASC jungle as “Big Health” begins the march towards consolidation.

Best Small Spine Meeting Got Better

Hawks Cay Fire Pit Gathering
Hawks Cay Fire Pit Gathering

Tony Castellvi’s Duck Key meeting, which was one of the best small spine meetings, just got better. James Billys is the meeting’s new director. He’s added two cadaver labs, two point/counter point debates, a slew of new faculty including a group of neurosurgeons and grants for residents to attend the meeting.

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Bisphosphonates: Discontinue After How Many Years? // Alert: Diabetics Nearly 19x More Likely to Experience Infection after ACL Surgery // and More!

Source: Pixabay
Source: Pixabay

Research from Brown University discusses how to treat patients with atypical femur fractures. MOON Group researchers find that diabetics are almost 19x more likely to get an infection after ACLR. And new work points to polyethylene debris in osteolytic cysts in total ankle replacement.

Dunbar, Haddad Debate Femoral Neck Modularity in Primary THA

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

“Femoral neck modularity lacks proof of superiority, increases the risk of corrosion and fracture, and makes everyone’s life miserable,” argues Mike Dunbar. “Let’s not overreact,” cautions Fares Haddad. “We need to learn from modular implant failures and then move forward and still be able to use modularity for patients in the future.”

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AAOS Award Winning Paper Presented Stunning Conclusion

Radiographs of experimentally created mouse tibial plateau fracture (left) and clinically observed human tibial plateau fracture (right). Reprinted with permission from Furman BD, Strand J, Hembree WC, Ward BD, Guilak F, Olson SA: Joint degeneration following closed intraarticular fracture in the mouse knee: A model of posttraumatic arthritis. J Orthop Res 2007;25:578–592
Radiographs of experimentally created mouse tibial plateau fracture (left) and clinically observed human tibial plateau fracture (right). Reprinted with permission from Furman BD, Strand J, Hembree WC, Ward BD, Guilak F, Olson SA: Joint degeneration following closed intraarticular fracture in the mouse knee: A model of posttraumatic arthritis. J Orthop Res 2007;25:578–592

This year’s $20,000 Kappa Delta Sorority Award winning paper looked at the problem of post-traumatic arthritis of the knee in a new and novel way and may well have uncovered a remarkable new therapy or approach to preventing arthritis in knee trauma cases.

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80%+ of Patients Undergoing ACI in the Patella Excellent Results // Study: AIS Patients Should Stick With High Volume Centers // and More!

Michelangelo’s David/Photo creation by RRY Publications, LLC and Wikimedia Commons
Michelangelo’s David/Photo creation by RRY Publications, LLC and Wikimedia Commons

New BWH research shows that autologous chondrocyte implantation in the patella can reduce pain and improve function. In another fascinating study, Tom Errico reveals there are fewer re-ops for adolescent idiopathic scoliosis at high volume centers. And now…further proof that blood transfusions bring a significant risk of complications.

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