Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for June 2011. 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.
No Clinical Benefit to Spinal Manipulative Therapy
THURSDAY, June 30 (HealthDay News) -- Despite having a small but significant effect, spinal manipulative therapy (SMT) does not appear to offer clinically relevant short-term pain relief and improved function for patients with chronic low-back pain compared to other interventions, according to a review published in the June 1 issue of Spine.
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Synthetic Mesh Effective for Patellar Tendon Reconstruction
WEDNEDSAY, June 29 (HealthDay News) -- Reconstruction of patellar tendon disruption using synthetic mesh is an effective technique, according to a study published in the June 15 issue of The Journal of Bone & Joint Surgery.
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In Lumbar Stenosis, ABI and TBI Needed for PAD Diagnosis
WEDNESDAY, June 29 (HealthDay News) -- In patients with lumbar spinal canal stenosis (LSCS) with or without normal arterial pulses, screening for peripheral artery disease (PAD) should include measuring the ankle brachial pressure index (ABI) and toe brachial pressure index (TBI), according to a study published in the July 1 issue of Spine.
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Brief Intervention Helps Employees Return to Work
TUESDAY, June 28 (HealthDay News) -- A brief intervention is as efficient as multidisciplinary intervention for increasing one-year return to work (RTW) for sick-listed employees with low back pain (LBP), according to a study published in the July 1 issue of Spine.
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Morphologic Changes Occur Over First Two Years Post-ACL Injury
TUESDAY, June 28 (HealthDay News) -- Significant changes are seen in cartilage thickness two years after acute injury of the anterior cruciate ligament (ACL), and these changes are associated with age at the time of injury, according to research published in the June 15 issue of The Journal of Bone & Joint Surgery.
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Few Complications Seen With Surgical Hip Dislocation
MONDAY, June 27 (HealthDay News) -- The surgical hip dislocation approach has a low incidence of complications, according to a study published in the June 15 issue of The Journal of Bone & Joint Surgery.
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Physical Therapy Post Lumbar Discectomy May Be Ineffective
FRIDAY, June 17 (HealthDay News) -- The effectiveness of outpatient physical therapy after first single-level lumbar discectomy is unclear, due to a lack of conclusive evidence, according to a review published in the June 15 issue of Spine.
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Hospital Surgery Volume Tied to Arthroplasty Complications
FRIDAY, June 17 (HealthDay News) -- For patients undergoing primary elective total hip arthroplasty (THA) in hospitals with a low annual volume of surgeries, the risk of venous thromboembolism and one-year mortality is significantly higher than in high-volume hospitals, and for patients aged 65 or older undergoing total knee arthroplasty (TKA) at a low-volume hospital, there is an associated risk of increased one-year mortality, according to a study published online June 7 in Arthritis & Rheumatism.
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Unequal Care Access for Children With Public Insurance
THURSDAY, June 16 (HealthDay News) -- Access to outpatient care is restricted for children with public insurance compared to those with private insurance, according to a study published in the June 16 issue of the New England Journal of Medicine.
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Life Expectancy in U.S. Counties Below Many Nations
WEDNESDAY, June 15 (HealthDay News) -- Most counties within the United States fall behind the international frontier with the best life expectancies in the world, according to a study published online June 15 in Population Health Metrics.
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Similar Number for Outpatient, Inpatient Malpractice Claims
TUESDAY, June 14 (HealthDay News) -- The number of paid malpractice claims is similar in both inpatient and outpatient settings, according to a study published in the June 15 issue of the Journal of the American Medical Association.
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First Ceramic-on-Metal Hip Replacement Approved
TUESDAY, June 14 (HealthDay News) -- The first ceramic-on-metal total hip replacement system has been approved by the U.S. Food and Drug Administration.
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Low Complication Rate for Posterior C2 Screw Placement
TUESDAY, June 14 (HealthDay News) -- Posterior C2 screw placement may have a lower rate of complications than previously reported, according to a study published in the June 15 issue of Spine.
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Modular Prostheses Provide Stable Elbow Reconstruction
MONDAY, June 13 (HealthDay News) -- Elbow reconstruction with modular prostheses of the distal end of the humerus offers stable reconstruction after tumor resection, but it is less successful for revision surgery in patients without a tumor, according to a study published in the June 1 issue of The Journal of Bone & Joint Surgery.
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Splints May Reduce Hand Pain in Hand Osteoarthritis
FRIDAY, June 10 (HealthDay News) -- Use of splints may reduce hand pain in patients with hand osteoarthritis, according to a review published online May 31 in Arthritis Care & Research.
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Large Increase in Knee Arthroscopies From '96 to '06
FRIDAY, June 10 (HealthDay News) -- The number of arthroscopic procedures performed for knee injuries increased by nearly 50 percent between 1996 and 2006, according to a study published in the June 1 issue of The Journal of Bone & Joint Surgery.
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Gene Mutation Links Hormone Resistance, Acrodysostosis
WEDNESDAY, June 8 (HealthDay News) -- A germ-line mutation found within the cyclic adenosine monophosphate (cAMP) signaling pathway may explain the association between congenital bone dysplasia and resistance to several hormones in patients with acrodysostosis, according to a study published online June 9 in the New England Journal of Medicine.
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RTES Is Safe for Eliciting Evoked Motor Potential
WEDNESDAY, June 8 (HealthDay News) -- Repetitive transcranial electric stimulation (RTES) is a safe method for eliciting transcranial electric motor-evoked potential (tceMEP) for intraoperative monitoring of spinal cord motor tract function, according to a study published in the June 1 issue of Spine.
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NSAID Use Linked to Increased Venous Thromboembolism Risk
WEDNESDAY, June 8 (HealthDay News) -- The use of nonselective nonsteroidal anti-inflammatory drugs (NSAIDs) or cyclooxygenase-2-selective inhibitors (COX2Is) is associated with an increased risk of venous thromboembolism (VTE), according to a study published online May 18 in the Journal of Thrombosis and Haemostasis.
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Anterior-Posterior Stabilization Best After Spondylectomy
MONDAY, June 6 (HealthDay News) -- After L5 spondylectomy, supplementation of the L4 to S1 cage with short posterior instrumentation and anterior lumbar plate offers maximum stability in all three planes of motion, according to a study published in the June 1 issue of Spine.
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Disability Pension Not Affected by Family Background
MONDAY, June 6 (HealthDay News) -- The incidence of disability pension (DP) due to low back disorders (LBD) is affected by sociodemographic and health-related factors independent of familial background, according to a study published in the May issue of the Journal of Occupational and Environmental Medicine.
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Shoulder Dislocations Recur After External Rotation Immobilization
FRIDAY, June 3 (HealthDay News) -- Shoulder joint immobilization with external rotation in patients with first-time traumatic anterior shoulder dislocation does not reduce the recurrence rate more than traditional immobilization with internal rotation, according to a study published in the May 18 issue of The Journal of Bone & Joint Surgery.
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No Kyphosis With Bryan Prosthesis Cervical Arthroplasty
FRIDAY, June 3 (HealthDay News) -- Cervical arthroplasty with Bryan Cervical Disc Prosthesis results in a clinically insignificant increase in segmental kyphosis in patients with one-level cervical disease, according to a study published in the June 1 issue of Spine.
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Low Success Rate for Universal Wrist Prosthesis in RA
FRIDAY, June 3 (HealthDay News) -- Wrist arthroplasty with Universal wrist prosthesis has a high failure rate in patients with rheumatoid arthritis (RA), mainly due to carpal component loosening, according to a study published in the May 18 issue of The Journal of Bone & Joint Surgery.
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Sagittal Alignment Affects Spinal Load and Mobility
THURSDAY, June 2 (HealthDay News) -- Changes in sagittal alignment may lead to kinematic changes in the lumbar spine and may influence load bearing and disc degeneration, according to a study published in the May 15 issue of Spine.
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