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Weekly News, Analysis, and Commentary

General Topics Features & News

The Genetic Origins of Spinal Stenosis; Robust Steroid Study for Knee OA; New Tool Improves Surgical Training

Source: Wikimedia Commons and BruceBlaus

University of Hong Kong researchers are advancing our understanding of the etiology of spinal stenosis. OA Study: intra-articular corticosteroid injections give less pain, better function…for some. UK researchers find that Cognitive Task Analysis furthers surgical training.

ChoiceSpine’s Donation Program; Lowry Barnes, M.D. Now Carl L. Nelson Distinguished Chair; and Acetabular Surgery in the Developing World

Courtesy of Smoky Mountain Service Dogs

Veterans are set to benefit from ChoiceSpine’s generosity. Lowry Barnes, M.D. has become the Carl L. Nelson, M.D., Distinguished Chair in Orthopaedic Surgery at UAMS. And a survey of orthopedic surgeons in the developing world finds great needs in the realm of acetabular and pelvic surgery.

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Pain Med Non-Compliance Rate 70%; Rothman Partners With Capital Health; More Arthroscopy Practice Required

Source: Wikimedia Commons and Christine Dela Cerna

Large numbers of patients are misunderstanding and even altering their pain medication regimen. Rothman Institute expands, partnering with Capital Health. And new research suggests that an increased number of cases may be needed for competency in arthroscopy.

Alcohol Improves Bone Density?; Early Motion = Less Rotator Cuff Pain; Muscle Mass Predicts Mortality in Fracture Patients

Source: Wikimedia Commons and Mary

Level 1 trauma center finds that moderate drinkers have higher bone density than non-drinkers. Another study finds that early movement after arthroscopic rotator cuff repair can reduce recovery pain. And finally, lack of muscle mass is highly correlated with mortality following hip fractures in elderly patients.

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Lifetime Achievement Award for Sculco; Gun Shot Infections; Best Healthcare Work Places

(L to R): Honoree Thomas Sculco, M.D., surgeon-in-chief emeritus at HSS, with host Maria Bartiromo, Fox Business Network anchor and global markets editor, and Mario Gabelli, an underwriter of the event. / Courtesy of Don Pollard

Thomas P. Sculco, M.D. has been honored with the Lifetime Achievement Award from HSS. New trauma research establishes standards for low energy gunshot injuries to the extremities. And Hoag Orthopedic Institute is named a Modern Healthcare ‘Best Places to Work in Healthcare.’

OpWalk Carolinas Heads to Cuba; U.S.TKA Cost Varies Wildly; Capsular Repair Cuts Conversion to Hip Replacement

Bryan Springer, M.D. with Cuban patient, Paula post-knee surgery. / Courtesy of Operation Walk Carolinas

Ortho Carolina helps OpWalk in Cuba! Harvard finds ways to decrease variations in TKA cost. A new study finds that capsular repair decreases rate of conversion to hip replacement compared to unrepaired capsulotomy.

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Musculoskeletal Research: The Kappa Delta/OREF Awards

(L to R): Scott Wolfe, M.D., Hospital for Special Surgery, Robin Queen, Ph.D., Virginia Tech, Henrik Malchau, M.D., Ph.D., Harvard Medical School, and Matthew Dobbs, M.D., Washington University in St. Louis

Congratulations to Drs.,Wolfe, Queen, Dobbs, Malchau and their remarkable research teams for winning this year series of prestigious awards from the Orthopaedic Research and education Foundation. These are among the most sought after awards in orthopedics so it is with great pleasure that we recognize these leading scientists and their work.

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Maloney Elected President of AAOS; Shadan Appointed to AdvaMed Board; Enhanced MRI Detects Early Osteoarthritis!

William J. Maloney III, M.D. / Courtesy of AAOS

William J. Maloney III, M.D., the chair of orthopedics at Stanford, is the new president of AAOS. Martha Shadan brings her skills and leadership to the AdvaMed Board of Directors. And new multicenter research is enhancing our ability to detect early changes in articular cartilage after an ACL injury.

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U.S. Neurosurgeons Overly Defensive?; 1st Annual Anterior Hip Foundation Meeting; Sagittal Deformity and THA Dislocation Linked!

Source: Wikimedia Commons and Photography Harris A Ewing

A new study says that U.S. spine neurosurgeons are roughly three times more likely to practice defensively compared than other neurosurgeons! The Anterior Hip Foundation is debuting its innovation symposium in June. And NYU Langone finds that sagittal deformity patients undergoing THA have a particularly high rate of instability.

BMI Irrelevant to Meniscus Repair; Sarcopenia Raises Mortality Rate; Rothman’s New Post-Op Data System Cuts Readmissions

Close-up of a tear in a medial meniscus and scar / Source: Wikimedia Commons, Rodhullandemu, and Tim1965

New work from Ohio State finds that body mass index has no influence on whether a meniscal repair will fail. In the elderly, sarcopenia may be a better indicator of musculoskeletal health and mortality than other measures. Rothman Institute and Force Therapeutics have created a thorough pre-and-post-op experience for over 15,000 patients.

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New MIS Spine Study Group Launch; New Study Targets Cellular RA Triggers; Active Implants Names Ted Davis President, CEO

Kern Singh, M.D. / Courtesy of Midwest Orthopaedics at Rush, Wikimedia Commons, and Brandonng06

Kern Singh, M.D. is advancing the science of spine with the establishment of the MISSG. New research suggests that we need to look deeper into RA to treat it. Ted Davis, 25-year veteran of life sciences, takes helm at Active Implants.

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Cell Therapy for DDD; Joint Replacement Risk Unpredictable?; Open Fracture Injection Insight

Mesenchymal Stem and Disc Degeneration Disease / Source: Wikimedia Commons, Robert M. Hunt and Nephron

Study finds that the environment in which you inject stem cells—and the timing—likely impacts the efficacy of the therapy. Three different risk adjustment indices have proved useless at predicting readmissions among osteoarthritis patients. New research finds variation in hospital, season to another for that particular hospital, and infection following open fractures.

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ACS, AAOS, OTA, SOMOS & AASST Prepare for a Disaster; New! Ankle Replacement Guidelines; New Study: XLPE Wear Rates

Sources: Wikimedia Commons and FEMA Photo Library

AAOS, OTA and others are ramping up to prepare the nation for disasters. New guidelines mean surgeons can address complex ankle replacements systematically and objectively. And new research finds that larger wear rates of larger articulations are no greater than those of standard-sized articulations.

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Silver Ions vs. MRSA; Low Calcium NOT High Fracture Risk?; Protein Signaling Protects Cartilage

(L to R): Scaffold-no bacteria and Scaffold with bacteria. / Courtesy of Elizabeth G. Loboa, Ph.D. and University of Missouri, Columbia

Silver ions, scaffold inhibit MRSA in bone. Research from China shows that for those on a plant-based diet, low calcium is not associated with high fracture risk. Another study shows that EGFR signaling is essential for protecting superficial layer of cartilage.

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Real (not Virtual) Reality App Covers 100s of Cases; Extremity War Injuries Symposium; Andrews Institute Renovates Surgical Skills Lab

ICUC / Courtesy of ICUC and Pixabay

A new app provides details on hundreds of cases—start to finish. AAOS, OTA, SOMOS, ORS are again hosting the Extremity War Injuries Symposium. And the Andrews Institute has undergone a renovation that allows physicians to practice arthroscopic and other surgeries.

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In-Office $450 MRI Alternative; “First-in-the-NFL” Ankle Study; No “July Effect” for Orthopedic Training?

Trice Medical Tablet Screen / Courtesy of Trice Medical

New tool means patients can come to the office and leave with a definitive diagnosis. James Bradley, M.D. discusses arthroscopic debridement for anterior ankle impingement. And maybe there is no “July Effect” when it comes to residents and fellows.

Alzheimer’s Bone, Brain Link!; Significant Increase in Bone Formation; Cost of Preoperative Interventions

Photo creation by RRY Publications, LLC, Wikimedia Commons, Auguste Deter, Popular Science Monthly Volume 42 and Pixabay

New work shows that reduced BMD could signal Alzheimer’s risk. New research from three major universities tackles MSC’s role in bone formation. TKA Study: most preop costs occur three months prior to surgery.

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Obesity and Permanent Bone Loss; Education Improves TKR for Patients; Avoid Tunnel Convergence in Knee Surgery

Image acquired using a SCANCO Medical XtremeCT Scanner. / Courtesy of Radiological Society of North America

Obese adolescents could suffer bone problems for life! Education key to reducing racial variation in total knee replacement access and outcomes. Multiligament reconstructions: avoid tunnel convergence with good surgical planning.

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