News Blog (Part 7)

All physicians must be actors when performing on the health care stage

Posted on November 11, 2009

Studies show that having a caring, empathetic manner have fewer lawsuits, better outcomes. By B. Joseph Pine II; James H. Gilmore ORTHOPEDICS TODAY 2009; 29:14 As we demonstrated in our last column, to be successful today you must surround your existing goods and services with a rich, compelling experience — but then you also …

Soft tissue reactions to metal-on-metal hip arthroplasty are due mostly to surface wear

Posted on November 11, 2009

The relationship of wear and tissue reaction is linked to joint size and orientation, not gender. By Robert Trace ORTHOPAEDICS TODAY EUROPE 2009; 12:6 MANCHESTER — Researchers reported that adverse soft tissue reactions following metal-on-metal hip arthroplasty are typically due to increased wear of the bearing surfaces, and patients with smaller femoral heads may …

High-dose Steroids for Neurotrauma – Another Thing to Watch

Posted on October 13, 2009

by Charles Sorbie, MB, ChB, FRCS(E), FRCS(C) High-dose steroid treatment given for acute brain and spinal cord injuries needs careful consideration of its risks. A case described by Tsao et al (Lancet. 2009; 374[9688]:500) had only one warning signal for risk, mild anemia. A 37-year-old woman was admitted with a …

Patients’ Perceptions of Hip Resurfacing Arthroplasty

Posted on October 13, 2009

by Todd P. Murphy, MD; Robert T. Trousdale, MD; Mark W. Pagnano, MD; Tad M. Mabry, MD; Rafael J. Sierra, MD Abstract The purpose of this study was to understand patients’ perceptions regarding hip resurfacing arthroplasty relative to conventional total hip arthroplasty (THA). A consecutive group of 139 patients being …

Orthopedic surgeon is ready to embark on mission to the space station

Posted on October 11, 2009

Robert L. Satcher Jr, MD, PhD will operate and repair the 80-foot long robotic arms on the station. by Gina Brockenbrough Surgeons have an intimate view into the workings of the human body. As the first orthopedic surgeon in space, Robert L. Satcher Jr., MD, PhD, will also be privy …

The increasing number of THA revisions in the United States: Why is it happening?

Posted on October 11, 2009

Kevin J. Bozic, MD, MBA, answers 4 Questions about the reasons for revision hip arthroplasty. Over the years one of the better ways to improve our surgical results has been to review our failures. It appears we are seeing increasing numbers of total hip revisions in the United States. For …

Sacral Fractures: Current Strategies in Diagnosis and Management

Posted on October 11, 2009

by David J. Hak, MD, MBA; Sean Baran; Philip Stahel, MD While many sacral fractures can be treated nonoperatively with restricted weight bearing, unstable fractures and fractures with associated nerve injury may require surgical management. Sacral fractures can result from a range of injury mechanisms. While sacral fractures typically result …

Upper Airway Compromise by Extravasated Fluid: A Rare Complication After Arthroscopic Repair of Atrophic Cuff Tear

Posted on October 11, 2009

by Gorthi Venkat, MS; Young Lae Moon, MD; Woong Chae Na, MD; Keum Young So, MD Abstract During arthroscopic procedures, leakage of irrigation fluid into surrounding tissue planes is a frequently noticed phenomenon usually clinically asymptomatic and resolving within 12 hours postoperatively. Although rare, this fluid may produce life-threatening complications …

AAOS approves new guideline for the treatment of pediatric diaphyseal femur fractures

Posted on July 23, 2009

By Robert Press 1st on the web (July 23, 2009) The American Academy of Orthopaedic Surgeons’ (AAOS) Board of Directors approved a new clinical practice guideline for the treatment of pediatric diaphyseal femur fractures. The new guideline — the first of its kind in the field — provides physicians with an established metric …

External rotation, supraspinatus strength related to injury in baseball pitchers

Posted on July 11, 2009

By Lee Beadling 1st on the web (July 14, 2009) KEYSTONE, Colo. — An investigation of professional baseball pitchers has revealed a significant association between external rotation strength, both seated and prone, and supraspinatus strength and injuries requiring surgical intervention. “It has been theorized that an imbalance between the relatively strengthened internal …