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Weekly News, Analysis, and Commentary

General Topics Features & News

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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Front Line Surgery in Syria; New Patient Reporting Systems; THA Improvements Specific to Sex

Robert Loeffler, M.D. / Courtesy of Robert Loeffler, M.D.

Robert Loeffler, M.D. was the only American and the only orthopedic surgeon with Medecins Sans Frontires during a recent mission to Syria. The NIH PROMIS system one-upping the traditional, ‘legacy’ patient-reported measures. And new work from the University of Chicago indicates that men and women have different improvements after THA.

Top Award Granted African Orthopedics Organization; NASS Selects Wetzel to Succeed Bono as President; CTGF Protein Missing Link to Spinal Cord Repair?

FOCOS staff with patients and Dr. Boachie / Courtesy of FOCOS

FOCOS, founded by Oheneba Boachie-Adjei, M.D., has received an award for high quality orthopedic care. F. Todd Wetzel, M.D. begins his term as president of NASS. And researchers find the specific protein that allows zebrafish to regenerate their spinal cords.

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HSS: Only NY Hospital on Healthgrades Spine List; Closed Drain in THA: Largely Unnecessary; Robotic Exoskeleton: Novel Design

Courtesy of Hospital for Special Surgery (HSS)

HSS only NY facility on the Healthgrades Top 100 Spine Surgery List. Cleveland Clinic study says closed drains don’t improve THA. Chinese, Danish researchers take novel approach to wearable robotic exoskeleton for stroke and other disabled patients.

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AAOS Issues Osteoporosis Policy; Andrews Institute Tackles Stem Cells; Patient Compliance Issues

Osteoporosis and David D. Teuscher, M.D. / Sources: BruceBlaus, Wikimedia Commons and Beaumont Bone and Joint Institute

A past president of AAOS explains multi-organizational effort to advance osteoporosis care. International stem cell research has novel goal. Despite education about possible complications associated with weight-bearing, patients are not listening.

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What Being an Olympic Doctor Is All About; Pittsburgh Declares Freddie Fu Day!; “Off” Switch for Pain

Opening ceremonies with the basketball team. / Courtesy of Gloria Beim, M.D.

Gloria Beim, M.D. discusses her role as Chief Medical Officer for Team USA 2016 Paralymics in Rio. The city of Pittsburgh proclaimed September 13, 2016 to be “Dr. Freddie Fu Day.” And researchers are developing an “off” switch in order to block pain.

Largest Nonunion Study Ever!; Latest News on Human Tissue Regeneration; Causal Link Between Age and OA Defined

Robert D. Zura, M.D. / Courtesy of Robert D. Zura, M.D., Wikimedia Commons and RSJThompson

Researchers pinpoint the unique factors that influence whether a fracture will heal or not. Found…a molecular pathway common across species points the way toward limb regeneration. And Mayo Clinic researchers have found a causal link between the aging-related cells and OA.

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Five Physicians Join Rush; New Vertebroplasty Study; Need Surgery? Name Your Price!

Top row: Jeremy Alland, M.D., Nicholas Ting, M.D. and Gregory D. Lopez, M.D. Bottom Row: Nicole T. Boniquit, M.D. and Kamran Hamid, M.D. / Courtesy of Midwest Orthopaedics at Rush

Midwest Orthopaedics at Rush is welcoming five new physicians! New research from Australia is re-examining an old vertebroplasty debate. ZendyHealth and Kerlan-Jobe have teamed up to offer a “name your price” surgery option.

Shoulder Cartilage Biochemically Weaker Than Knee or Ankle Cartilage; Wrist Fractures Could Portend Falls; Immunotherapy Lowers Cardiovascular Risk in RA patients

Photo creation by RRY Publications, LLC, Pixabay, Wikimedia Commons and Anatomy & Physiology, Connexions Web site

New Rush study finds that glenohumeral joint cartilage is not as hardy as other cartilage. Wrist fractures in elderly patients might mean they are set for a fall. And for RA patients, immunotherapy drugs can lessen disease activity AND reduce the risk of cardiovascular events.

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HSS at Rio Olympics; Ortho Hospitals Shorten Arthroplasty LOS?; New Tool for Avoiding Avascular Necrosis

Courtesy of Scott Rodeo, M.D. and Rio Olympics

HSS not only provided superb care for Olympic athletes in Rio, but Scott Rodeo, M.D. developed a sports emergency curriculum for medical professionals. Shorter LOS at orthopedic specialty hospital following shoulder arthroplasty? And Harvard researchers have found a new tool for avoiding avascular necrosis of the femoral neck.

Child’s Bilateral Hand Transplant One Year Later; Mitochondria Important for Bone Formation?; Transiliac–Transsacral Screws=Unilateral Iliosacral Screw Fixation

Source: The Children’s Hospital of Philadelphia

Baseball and football one year after the world’s first bilateral hand transplant! Temple University research finds evidence that mitochondria may impact bone healing. New research shows no difference between transiliac-transsacral and unilateral iliosacral screws.

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RA Drugs Increase Flesh-Eating Strep Risk!?;Back to Running After Femoral Neck Stress Fractures; Women STILL Vastly Underrepresented in Orthopedics

Streptococcus Pyogrnese Bacteria / Source Wikimedia Commons

Study: RA patients 300x more likely to get flesh-eating bacteria! Runners with femoral neck stress fractures now know when they can get back to running. And there is much room for improvement when it comes to women choosing orthopedic careers.

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Phillips New Head of Spine at Rush; TKR Complication Rate Higher for Minorities; Innovation MIA for Cartilage Repair?

Courtesy of Rush University Medical Center

Renowned spine surgeon Frank Phillips, M.D. is Rush’s new Director of the Division of Spine Surgery. A new Wash U study finds higher TKR complications for blacks, Native Americans and other minority patients, and a surprising JBJS Study says cartilage innovation has stopped. Cold.

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Updating Capsular Management in Hip Arthroscopy; Osteonecrosis Genetic Mutation Found; Mercy Health Wins AOSSM Systematic Review Award

Sources: Wikimedia Commons, Gileshugo and Smith & Nephew

New capsular management techniques preserve the capsule, add stability. Canadian researchers looking into possible causation between gene mutation and osteonecrosis. And Mercy Health wins AJSM Systematic Review Award from the AOSSM.