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Orthopedics

News, opinions and meeting coverage in surgery.

Study: Orthopedic Surgery Patients Given Too Many Opioids

Most don't take all they're prescribed

Pre-TKA Opioid Script Predicts Post-Op Prescription

Especially prevalent after 6 months post-op

Flag Football Has Higher Youth Injury Rates

But comparison to tackle leagues hampered by study limitations

Um, Excuse Me, Why Did You Stop My Post-Op Anticoagulant?

Cardiology writer learns firsthand about real-world practice

Knee Cartilage Repair Product Wins FDA Nod

First of its kind to be approved, agency says

10 Questions: Rep. Tom Price, MD (R-Ga.)

What's the biggest barrier to practicing medicine today? Medical decisions being made by nonmedical people, says Rep. Tom Price, MD (R-Ga.), an orthopedic surgeon who has served in Congress since 2005.

Pulmonary Emboli Frequent After Knee Surgery

Rapid heartbeat leading symptom of lung blood clots after replacement surgery

Podcast: 10th Anniversary for HealthNewsReview.org

Gary Schwitzer reflects on high points, low points, lessons learned

Here's Why You Can't Compare Healthcare to the Airline Industry

There are big differences between the two, says Suneel Dhand, MD

In NFL Players, Poor Outcomes With Tendon Repair

Only half who had patellar tendon repair returned to play

Ankle Steroid Shots Tied to Post-Op Infections

Study showed doubled rate of infections with intra-articular injections

Meniscal Tears in OA: Arthroscopy No Help

Patients with arthroscopy were 30% more likely to have joint replacement

Timing of Injections Affects Trigger Finger Outcome

Need for surgery high if steroid injections repeated within 6 months

Nasal Staph Linked With Post-Op Infection

Patients at risk include those with diabetes, immunosuppression, and renal insufficiency

Dedicating a Career to Diversity and Disparities

NMA president Edith Mitchell, MD, laments racial gaps in medicine

Ultrasound Shows Why Knuckles Are so Noisy

Cavitation allows gas to escape while cracking

'Failure to Communicate' Drives Misdiagnosis

Electronic medical records also need to be improved, says Mark Graber, MD

Teach Patients How to Communicate Symptoms Better

Patients should learn the eight characteristics of a symptom

Doctors Urged to Practice 'Conservative Diagnosis'

And sharing cell phone numbers is a good idea

HypeWatch: Cannabis Bone-Healing Study Oversold

Forget the headlines you read. Here's what you should know.

Novel Drug for Cramping Shows Promise in Early Trial

Could benefit patients with MS spasticity and cervical dystonia.

Crosslinks Unhelpful in Spinal Fusion for Scoliosis

Crosslinks didn't improve outcomes, but added bulk and cost.

New Rx Protocol Improves Knee Replacement Recovery

Total knee arthroplasty patients back on feet sooner with new approach to pain management.

Excerpt From 'The Secret Language of Doctors'

ED doc Brian Goldman investigates slang to "crack code of hospital culture."

Orthopedists' Financial Conflicts Can Hurt Patients, Surgeon Says

It's financially compelling for doctors to do things that don't help patients.

Stop DMARDs Before Orthopedic Surgery in RA Patients?

Deft medication management is important.

Knee Surgery Linked to Higher OA Risk

Can meniscus repairs actually worsen joint damage?

FDA Panel Wants Safer Epidural Steroid Shots

Majority votes to end epidural injections with "particulate" steroids.

FDA Advisers Tackle Epidural Steroid Shots

Focus on adverse neurologic effects.

Case Study: Fecal Transplant Clears K. Pneumoniae

Treatment of teenage girl suggests another use for fecal microbiota transplant.

PRP Shows Promise for Hamstring Tears

Hamstring injuries are notoriously slow to heal. Can platelet-rich plasma help?

Richard III: Shakespeare Blew It

Shakespeare got almost everything wrong about Richard III鈥檚 physical appearance.

Medtronic's Infuse Moves From Operating Room to Courtroom

An investigative series by 麻豆传媒/Milwaukee Journal Sentinel has been tracking the spinal fusion device called Infuse in a 4-year-long series and now reports how a flawed FDA system for device approval may have led to a long string of adverse events culminating in thousands of liability suits.

Bupivacaine Formula Cuts Narcotic Use

NEW ORLEANS -- A long-lasting formulation of the analgesic bupivacaine (Exparel) can do as good a job reducing post-surgical pain among knee replacement patients as continuous femoral nerve blocks, researchers said here.

Medtronic Sued by 1,000 Infuse Patients

Medtronic said about 1,000 people have sued the company over its bone morphogenetic protein-2 product, Infuse, and that many more lawsuits may be coming.

Vitamin D Blog: Cutting Edema in Athletes' Bones

Vitamin D supplementation might help professional athletes who are being treated for bone marrow edema with bisphosphonates, according to a new study.

Scoliosis Tied to HTN Risk in Adolescents

ORLANDO -- Children with severe spinal curving from scoliosis were more likely to have worsening risk indicators for pulmonary hypertension, researchers reported here.

Opioid Use Common After Spine Surgery

NEW ORLEANS -- One year after surgery to relieve back pain, about of third of patients still were using narcotic painkillers, according to a study that raised new concerns about the long-term use of opioids.

Acute Pain Yields to Lower-Dose Diclofenac

FORT LAUDERDALE, Fla. - Lower-dose submicron particle diclofenac offered good pain control compared with placebo, researchers reported here.

Spinal Implant Prices Vary, Process Drives Up Costs

CHICAGO -- Wide variations exist in the cost of the screws, plates, and cages for spinal implants, which contributes to the escalating costs of surgery and healthcare overall, a researcher said here.

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