January 2009 Briefing - Orthopedics

Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for January 2009. 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.

US Outpatient Surgeries Increasingly Common

FRIDAY, Jan. 30 (HealthDay News) -- Outpatient surgery visits are rising in the United States, with the number increasing from 20.8 million in 1996 to 34.7 million in 2006. They now account for nearly two-thirds of all surgery visits compared to about half of all surgery visits in 1996, according to a report issued Jan. 28 by the U.S. Centers for Disease Control and Prevention.

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Clinical Information Technology Leads to Safer Hospitals

TUESDAY, Jan. 27 (HealthDay News) -- Hospitals that make use of clinical information technology to automate notes, records, order entry and clinical decision support have lower mortality rates, fewer complications and also save money, according to a report published in the Jan. 26 issue of the Archives of Internal Medicine.

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Prolonged Use of Loop Diuretics May Raise Fracture Risk

MONDAY, Jan. 26 (HealthDay News) -- Postmenopausal women who use loop diuretics are at increased risk of fractures, according to a report published in the Jan. 26 issue of the Archives of Internal Medicine.

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Meditation Practice Linked to Less Pain Sensitivity

MONDAY, Jan. 26 (HealthDay News) -- Experience in Zen meditation is associated with reduced pain sensitivity, a finding supporting the value of mindfulness-based meditation, according to research published in the January issue of Psychosomatic Medicine.

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Seat Belt, Air Bag Protect Against Spinal Fracture

FRIDAY, Jan. 23 (HealthDay News) -- Although the occurrence of spinal fractures among drivers and front-seat passengers in motor vehicle crashes has increased despite increases in seat belt and air bag use, their combined use is protective against spinal fractures, according to study findings published in the February issue of the Journal of Neurosurgery: Spine.

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Parathyroid Hormone Linked to Post-Fusion Benefits

FRIDAY Jan. 23 (HealthDay News) -- Parathyroid hormone (PTH) may hold potential for improving outcomes following spinal fusion, according to research published in the Jan. 15 issue of Spine.

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Educational Booklets Don't Affect Neck-Pain Outcomes

THURSDAY, Jan. 22 (HealthDay News) -- In neck-pain patients receiving workers' compensation, the use of educational booklets has no significant effect on improving outcomes, according to study findings published in the Jan. 15 issue of Spine.

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Calcium Phosphate Cement Not Recommended for Kyphoplasty

THURSDAY, Jan. 22 (HealthDay News) -- In osteoporotic vertebral body fracture augmentation, calcium phosphate cement may not be a suitable replacement for polymethylmethacrylate because its use is associated with a higher risk of cement failure and subsequent loss of correction, according to study findings published in the Jan. 15 issue of Spine.

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Disc Prosthesis Shows Efficacy in Cervical Disease

WEDNESDAY, Jan. 21 (HealthDay News) -- In patients with single-level cervical disc disease, arthroplasty with a cervical disc prosthesis appears to be a reasonable alternative to anterior cervical discectomy and fusion, according to research published in the Jan. 15 issue of Spine.

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Review Explores Benefits of Injections for Back Pain

MONDAY, Jan. 12 (HealthDay News) -- Randomized controlled trials examining injection treatment for lower back pain show no beneficial effect and are often of poor quality, according to a review in the Jan. 1 issue of Spine.

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Arthritis Patients, Providers Disagree About Knee Surgery

MONDAY, Jan. 12 (HealthDay News) -- Patients with osteoarthritis and their providers often disagree about the severity of their disease, and the risks and benefits of knee replacement surgery, which affects patient satisfaction and likelihood of adhering to treatment recommendations, according to a report in the Jan. 15 issue of Arthritis Care & Research.

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Heredity Plays Key Role in Risk of Disc Degeneration

FRIDAY, Jan. 9 (HealthDay News) -- Contrary to the common view that disc degeneration is a result of aging and wear and tear, heredity plays a significant role in the risk of lumbar degeneration, researchers report in the January issue of The Spine Journal.

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Total Hip Arthroplasty Revision Becoming More Common

MONDAY, Jan. 5 (HealthDay News) -- Revision total hip arthroplasty procedures are becoming more common in the United States, and hip instability and mechanical loosening are leading reasons for them, according to research published in the January issue of the Journal of Bone & Joint Surgery.

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Oral Bisphosphonate Use Linked to Osteonecrosis of the Jaw

MONDAY, Jan. 5 (HealthDay News) -- Osteonecrosis of the jaw may be more common in people who have used the oral bisphosphonate Fosamax than data has previously reported, especially following tooth extraction, according to an article published online Jan. 1 in the Journal of the American Dental Association.

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Physician's Briefing