September 2007 Briefing - Orthopedics

Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for September 2007. 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.

Familiar Doctor Linked to More Satisfaction for Urgent Care

TUESDAY, Sept. 25 (HealthDay News) -- Patients who receive urgent medical care from family physicians or after-hours clinics affiliated with their physicians are more likely to be satisfied with the encounter than patients who use other sources of urgent care, according to research published in the September/October issue of the Annals of Family Medicine.

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Acupuncture May Benefit Patients with Low Back Pain

MONDAY, Sept. 24 (HealthDay News) -- In patients with low back pain, both traditional Chinese verum acupuncture and sham acupuncture may be more effective than conventional therapy, researchers report in the Sept. 24 issue of the Archives of Internal Medicine.

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Adolescent Girls More Likely to Survive Traumatic Injury

THURSDAY, Sept. 20 (HealthDay News) -- Adolescent girls who experience severe trauma are more than twice as likely to survive as adolescent boys subjected to equivalent trauma, according to a report published in the September issue of the Archives of Surgery.

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FDA Approves Rapid Test for Platelet Contamination

THURSDAY, Sept. 20 (HealthDay News) -- The U.S. Food and Drug Administration has approved a disposable test strip that can be used in hospitals to detect bacterial contamination of blood platelets prior to transfusions. The Platelet Pan Genera Detection Test System is made by Verax Biomedica Inc. of Worcester, Mass., and can be used to retest platelets shortly before use.

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Cost of Physiotherapy Interventions Compared

WEDNESDAY, Sept. 19 (HealthDay News) -- A treatment for back and neck pain that utilizes traditional physical therapy appears to be more cost-effective than a newer approach based on cognitive-behavioral principles, according to research published in the September issue of Rheumatology.

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Medical Schools Vary in Approach to Case Reports

WEDNESDAY, Sept. 19 (HealthDay News) -- Most medical school institutional review boards (IRBs) don't treat individual case reports as "research," as it's defined by the United States Government Code of Federal Regulations, according to a research letter published in the Sept. 19 issue of the Journal of the American Medical Association.

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Zoledronic Acid Cuts Mortality After Hip Fracture

TUESDAY, Sept. 18 (HealthDay News) -- In patients with low-trauma hip fracture, an annual infusion of zoledronic acid starting within 90 days of surgical repair of the fracture may decrease the risk of new fractures and improve survival, according to a study published online Sept. 17 in the New England Journal of Medicine.

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Diabetics See Better Control with Variety of Exercise Types

TUESDAY, Sept. 18 (HealthDay News) -- Patients with type 2 diabetes who participate in either aerobic or resistance training improve glycemic control, but those who engage in both have even more improvement, according to the results of a study published in the Sept. 18 issue of the Annals of Internal Medicine.

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Muscle-Building Exercise Linked to Insulin Sensitivity

TUESDAY, Sept. 18 (HealthDay News) -- Men and women who participate in muscle-strengthening activities may be increasing their sensitivity to insulin, according to the results of a large population-based study in the September issue of Diabetes Care.

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Acupuncture Eases Pain for Those Waiting for Arthroplasty

MONDAY, Sept. 17 (HealthDay News) -- Acupuncture can offer acute knee pain patients awaiting knee replacement surgery temporary relief from pain and mobility problems, according to the findings of a randomized trial published in the September issue of Rheumatology.

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FDA Approves Evista to Prevent Invasive Breast Cancer

MONDAY, Sept. 17 (HealthDay News) -- The U.S. Food and Drug Administration has approved raloxifene (Evista) for the prevention of invasive breast cancer in high-risk, postmenopausal women as well as those postmenopausal women taking the drug to prevent osteoporosis.

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New Genetic Link Associated with Rheumatoid Arthritis

FRIDAY, Sept. 14 (HealthDay News) -- A new genetic locus associated with rheumatoid arthritis in European populations has been identified, according to the results of a study published Sept. 6 in the New England Journal of Medicine.

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Dabigatran Etexilate Reduces Hip Surgery Blood Clot Risk

FRIDAY, Sept. 14 (HealthDay News) -- Oral dabigatran etexilate reduces the risk of venous thromboembolism after hip replacement surgery just as effectively as subcutaneous enoxaparin, according to a report published in the Sept. 15 issue of The Lancet.

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Antioxidants May Curb Bone Loss After Menopause

THURSDAY, Sept. 13 (HealthDay News) -- Postmenopausal women have an increase in tumor necrosis factor-alpha (TNFα) that can lead to bone loss, but this process could potentially be blocked by antioxidants or an immunosuppressant, according to the results of a study in mice published online Sept. 11 in the Proceedings of the National Academy of Sciences.

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Epidural Injections Can Lead to Hematoma and Paralysis

WEDNESDAY, Sept. 12 (HealthDay News) -- Cervical nerve-root epidural injections can lead to cervical epidural hematomas and paralysis, according to a case report published in the September issue of the Journal of Bone & Joint Surgery.

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Hip Synovectomy Helps Young Rheumatoid Arthritis Patients

TUESDAY, Sept. 11 (HealthDay News) -- Open hip-joint synovectomy is safe for juvenile rheumatoid arthritis patients and often benefits hip mobility up to five years after surgery, according to a report in the September issue of the Journal of Bone & Joint Surgery.

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Tadalafil Improves Sexual Function After Spinal Injury

TUESDAY, Sept. 11 (HealthDay News) -- Men with spinal cord injury are more likely to have erections and engage in sexual activity if they use 10 or 20 milligrams of tadalafil, according to research published online Sept. 10 in the Archives of Neurology.

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Vitamin D Modestly Reduces Death Risk from Any Cause

MONDAY, Sept. 10 (HealthDay News) -- Vitamin D supplements modestly reduce the risk of mortality from any cause, according to a report in the Sept. 10 issue of the Archives of Internal Medicine.

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Attitude May Help Outcome in Rotator Cuff Surgery

MONDAY, Sept. 10 (HealthDay News) -- High patient expectations prior to surgery for chronic rotator cuff injuries are associated with better overall outcomes and performance, according to a report in the September issue of the Journal of Bone & Joint Surgery.

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Kneeling Increases Leg Pressure During Spinal Surgery

MONDAY, Sept. 10 (HealthDay News) -- The kneeling position adopted during spinal surgery increases intramuscular pressure in the anterior compartment of the leg, which may increase the risk of acute compartment syndrome, researchers report in the September issue of the Journal of Bone & Joint Surgery.

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Knee Monoarthritis Signals Lung Cancer in Some Patients

FRIDAY, Sept. 7 (HealthDay News) -- In some patients, monoarthritis of the knee may be a warning sign of non-small cell lung cancer, according to research published online Sept. 3 in the Annals of the Rheumatic Diseases.

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Accelerated Rehab Improves Hip Replacement Results

FRIDAY, Sept. 7 (HealthDay News) -- Minimally invasive joint arthroplasty with accelerated rehabilitation involving enhanced preoperative and postoperative care, results in a smaller incision, less pain and improved patient satisfaction with hip joint replacement, according to a report published in the September issue of the Journal of Bone & Joint Surgery.

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Ultraviolet Light Reduces Infection Risk After Surgery

THURSDAY, Sept. 6 (HealthDay News) -- Ultraviolet light during surgery can reduce the risk of infection after joint replacement more so than laminar airflow, although appropriate safety precautions are needed, including protective eye-shields and clothing. The findings are published in the September issue of the Journal of Bone & Joint Surgery.

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Implants Can Be Safely Removed After Fractures Heal

THURSDAY, Sept. 6 (HealthDay News) -- Many orthopaedic implant patients with lingering pain after a fracture heals can safely have the implant removed to reduce pain and improve mobility, researchers report in the September issue of the Journal of Bone & Joint Surgery.

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Procrit Does Not Reduce Need for Transfusion in Critically Ill

WEDNESDAY, Sept. 5 (HealthDay News) -- Procrit (epoetin alfa) does not reduce the need for a blood transfusion in patients in the intensive care unit, although it may lower mortality in trauma patients and increase hemoglobin concentration and thrombotic events, according to the results of a trial published in the Sept. 6 issue of the New England Journal of Medicine.

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