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September 2008 Briefing - Orthopedics

Here are what the editors at HealthDay consider to be the most important developments in Orthopedics for September 2008. 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.

News Media Under-Report Drug Company Funding of Research

TUESDAY, Sept. 30 (HealthDay News) -- Reports on medication research /published in general news media often fail to disclose that the research received pharmaceutical company funding and frequently refer to drugs by brand name rather than using the generic name, according to an article published in the Oct. 1 issue of the Journal of the American Medical Association.

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Opioid Dependence Linked to Poorer Post-Rehab Outcomes

MONDAY, Sept. 29 (HealthDay News) -- Prescription opioid dependence was found to be relatively common in patients with chronic disabling occupational spinal disorders beginning a functional rehabilitation program, according to research published in the Sept. 15 issue of Spine.

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Minimally Invasive Procedures Changing Spinal Surgery

FRIDAY, Sept. 26 (HealthDay News) -- Minimally invasive surgery of the spine is an emerging neurosurgical field with multifaceted uses, according to a report in the August issue of Neurosurgical Focus.

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Asymmetric Loading Linked to Disc Degeneration

WEDNESDAY, Sept. 24 (HealthDay News) -- Whereas healthy discs have mostly uniform coronal disc pressure profiles regardless of spinal alignment, degenerated discs have asymmetric disc pressure profiles, especially in the presence of spinal malalignment, according to study findings published in the Sept. 15 issue of Spine.

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No Change to 2009 Part B Medicare Premium

MONDAY, Sept. 22 (HealthDay News) -- There will be no change to the Part B Standard Medicare premium in 2009 compared with 2008. This is the first time since 2000 that the premium has not risen over the prior year, according to an announcement by the Department of Health and Human Services' Centers for Medicare & Medicaid Services (CMS).

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Vitamin C Can Protect Against Bone Loss in Elderly Men

MONDAY, Sept. 22 (HealthDay News) -- High vitamin C intake can protect against bone loss in some groups of elderly men but not elderly women, even after adjusting for fruit and vegetable intake, according to research published in the October issue of the Journal of Nutrition.

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Alendronate Boosts Bone Density in Prostate Cancer Therapy

FRIDAY, Sept. 19 (HealthDay News) -- Alendronate (Fosamax) improves bone density in men receiving androgen-deprivation therapy for prostate cancer, but discontinuing the drug leads to bone loss and increased bone turnover, according to the results of a study published in the Sept. 20 issue of the Journal of Clinical Oncology.

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Editorial

Antibiotic Resistance Has Become a Global Pandemic

FRIDAY, Sept. 19 (HealthDay News) -- A concerted international and national response, behavior change by consumers and providers, and the development of antibacterial agents are all urgently needed to tackle the global problem of rapidly increasing antibiotic resistance, according to an article published online Sept. 18 in BMJ.

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Interleukin-20 May Be Important in Disc Herniation

THURSDAY, Sept. 18 (HealthDay News) -- The cytokine interleukin (IL)-20 -- which is involved in inflammatory diseases such as rheumatoid arthritis -- was found in herniated intervertebral disc tissue and may be involved in the pathogenesis of disc herniation, according to research published in the Sept. 1 issue of Spine.

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Methylprednisolone Shows Benefits After Disc Surgery

TUESDAY, Sept. 16 (HealthDay News) -- The use of epidural methylprednisolone immediately after lumbar discectomy may improve patients' recovery from the procedure, according to research published in the Sept. 1 issue of Spine.

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No Effect of Analgesic on Spinal Fusion After Surgery

FRIDAY, Sept. 12 (HealthDay News) -- The use of the analgesic ketorolac (Toradol) does not affect fusion rates after spinal fusion surgery, researchers report in the Sept. 1 issue of Spine.

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Knee Injury and Obesity Increase Osteoarthritis Risk

FRIDAY, Sept. 12 (HealthDay News) -- Osteoarthritis represents a significant public health burden that might be lessened with weight loss and management interventions aimed at decreasing lifetime risk of symptomatic knee osteoarthritis, according to a report in the Sept. 15 issue of Arthritis Care & Research.

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Spinal Surgery Appears to Be Cost-Effective Choice

THURSDAY, Sept. 11 (HealthDay News) -- Surgical treatment of lumbar disc herniation was more costly than non-operative care but offered better health outcomes in subsequent years, making it a moderately cost-effective choice, according to research published in the Sept. 1 issue of Spine.

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Knee Surgery Does Not Improve Arthritis Outcomes

WEDNESDAY, Sept. 10 (HealthDay News) -- Arthroscopic surgery does not improve outcomes in patients with osteoarthritis of the knee, and meniscal damage in the knee is not necessarily correlated with arthritis or joint problems, according to two studies published in the Sept. 11 issue of the New England Journal of Medicine.

Abstract - Kirkley
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Abstract - Englund
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Editorial

Education May Help Improve Surgeon-Patient Discussions

WEDNESDAY, Sept. 10 (HealthDay News) -- During office visits in which orthopedic surgeons and patients discuss surgery, opportunities exist to improve informed decision-making, but informed decision-making can be accomplished in a time-efficient manner, according to an article published in the September issue of the Journal of Bone & Surgery Surgery.

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Total Ankle Replacement Options Increase

MONDAY, Sept. 8 (HealthDay News) -- While several implant options exist for total ankle replacement, there is little evidence to guide indications for total ankle replacement or choosing a total ankle replacement device, according to a report in the September issue of the Journal of the American Academy of Orthopaedic Surgeons.

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Return Visits Unlikely in Joint Replacement Patients

MONDAY, Sept. 8 (HealthDay News) -- In patients who undergo total joint arthroplasty, compliance with recommendations to return for periodic clinical and radiographic evaluation is poor, researchers report in the September issue of the Journal of Bone & Joint Surgery.

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Hip Surgery Outcomes Poor in the Very Elderly

MONDAY Sept. 8 (HealthDay News) -- In very elderly patients who undergo either surgery for hip fracture or total hip replacement, survival and other outcomes are relatively poor, according to two studies published in the September issue of the Journal of Bone & Joint Surgery.

Abstract - Holt
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Abstract - Ogino
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Herniation Level Affects Operative Treatment Outcomes

FRIDAY, Sept. 5 (HealthDay News) -- In patients with lumbar disc herniations, the herniation level has a significant effect on the outcomes of operative and non-operative care, according to research published in the September issue of the Journal of Bone & Joint Surgery.

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