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Healthcare News

Evaluating VTE Risk in Revision THA Patients

Source: ICJR

A study presented at the AAOS Annual Meeting shows that healthy revision total hip arthroplasty patients have about the same chance of developing a deep vein thrombosis or pulmonary embolism as healthy patients undergoing primary hip replacement.

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Study shows cycling as number one cause of cervical fractures in men

Source: Medical News Today

A crick in the neck makes the neck feel stiff and less mobile than usual. Some people report that a crick also feels like something in the neck needs to pop into place.

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New imaging system makes back surgery safer, faster and less expensive

Source: Science Daily

Researchers develop a new way to make back surgery safer, faster and more cost effective. Scientists have developed and tested a 3-dimensional, real-time optical tracking system, like a ‘Google Maps’ for the body.

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Are Pricey Orthotic Insoles Worth It for Heel Pain?

Source: HealthDay

For people with chronic heel pain, costly “custom” shoe inserts are probably a waste of money, a new research review suggests.

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What is the best thing for stiff joints?

Source: Medical News Today

Many people experience stiff joints as they age. Others may experience joint stiffness due to medical conditions and lifestyle choices. Sometimes, people can treat stiff joints at home.

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Return to play for soccer athletes and risk for future injury

Source: Medical Xpress

A new study presented at the 2018 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS) looked at soccer athletes who sustained an anterior cruciate ligament (ACL) reconstruction to better understand the average return to play time and their risk of injury following a revision ACL reconstruction.

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Evidence mounts that daily opioid users may fare worse after spine surgery, study finds

Source: Medical Xpress

In a multicenter database study of adults who had undergone surgery for spinal deformities, researchers say that those who had used narcotics daily on average had worse outcomes, such as longer intensive care unit stays and more severe postop disability, compared with those who did not use opioids preoperatively.

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What causes the outside of your foot to hurt?

Source: Medical News Today

Lateral foot pain is pain that runs along the outer side of the foot and ankle. It can occur before, during, or after activities such as walking and running. Lateral foot pain can make it difficult for people to move around or even stand.

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Obesity and total joint arthroplasty: Time to examine needs in a different light

Source: Healio

The prevalence of obesity in the general population is increasing. Obesity is estimated to affect approximately one-third of adults in the United States. It is estimated that 6.1 million patients who undergo total joint arthroplasty will be obese by 2040.

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Lifelong physical activity increases bone density in men

Source: Science Daily

Men have many reasons to add high-impact and resistance training to their exercise regimens; these reasons include building muscle and shedding fat. Now a researcher has determined another significant benefit to these activities: building bone mass. The study found that individuals who continuously participated in high-impact activities, such as jogging and tennis, during adolescence and young adulthood, had greater hip and lumbar spine bone mineral density than those who did not.

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ORIF, new casting method showed similar results for unstable ankle fractures

Source: Healio

Fewer resources were used in close contact casting compared with open reduction internal fixation.

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Degree of spinal deformity affects hip replacement surgery success

Source: NYU Langone Hospitals

People with a spinal deformity also requiring a total hip replacement are at greater risk for dislocation or follow-up revision surgery, suggesting that these higher-risk patients may benefit from a more personalized approach to surgery to reduce the risk of poorer outcomes.

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Care of Shoulder Pain in the Overhead Athlete

Source: Healio

Shoulder complaints are common in the overhead athlete. Understanding the biomechanics of throwing and swimming requires understanding the importance of maintaining the glenohumeral relationship of the shoulder. Capsular laxity, humeral retrotorsion, glenoid retroversion, glenohumeral internal rotation deficit, and scapular dyskinesis can all contribute to shoulder dysfunction and pain

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Back pain is common in highly active older adults

Source: Science daily

In a Journal of the American Geriatrics Society study, many well-functioning and highly active older adults experienced back pain, which was linked with poorer perceived and observed walking endurance.

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Use of off-label devices increased costs and length of stay in TJA

Source: Healio

Greater length of stay, admission costs, long-term complications risks and inpatient facility discharge likelihood was found among patients who underwent total hip or knee arthroplasty with an off-label prosthesis, according to results.

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Patient-reported results, knee stability improved after all-inside double-bundle ACL reconstruction

Source: Healio

Investigators found significant improvements from preoperative measures at 24.8-month follow-up for both mean side-to-side differences and Lysholm scores in patients who underwent double-bundle ACL reconstruction using a special drill pin guide and reamer, along with a laser-guided device to facilitate a transtibial approach.

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Innovative tissue engineering strategies to repair spinal disc herniation

Source: EurekAlert!

New therapeutic approaches to repair herniated discs in the lumbar spine using novel tissue engineering and regenerative medicine strategies have shown promising outcomes in preclinical studies and target the underlying problem of disc injury or instability, unlike current nonsurgical and surgical treatments.

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Martial arts can be hazardous to kids

Source: Medical Xpress

(HealthDay)—Perhaps there’s a black belt in your child’s future. But for safety’s sake, kids should only engage in noncontact forms of martial arts, a new American Academy of Pediatrics report says.

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New system to detect spinal deformity

Source: Science Daily

Researchers have developed a symmetry-recognition system for the surface of the human back that can three-dimensionally detect the early stages of idiopathic scoliosis, a type of spinal deformity, without the help of a specialist doctor.

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Older age, obesity cited as risk factors for deep SSI after plate fixation of proximal tibial fractures

Source: Healio

Researchers of this study identified older patient age, obesity, alcohol abuse and specific fracture type as risk factors for deep surgical site infection among patients who underwent plate fixation for proximal tibial fractures.

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Femoral Component Revision of Total Hip Arthroplasty

Source: Healio

The authors are from the Philadelphia College of Osteopathic Medicine (JMB, JJC), Philadelphia, Pennsylvania; the Rubin Institute for Advanced Orthopedics (JBM, RKE), Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Baltimore, Maryland; the Department of Orthopaedic Surgery (MC, MAM), Cleveland Clinic, Cleveland, Ohio; and the Adult Reconstruction Service (SFH), Mount Sinai Beth Israel, New York, New York.

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Over-the-counter painkillers treated painful injuries just as well as opioids in new study

Source: Los Angeles Times

In an opioid epidemic that currently claims an average of 91 lives per day, there have been many paths to addiction. For some, it started with a fall or a sports injury, a trip to a nearby emergency room and a prescription for a narcotic pain reliever that seemed to work well in the ER.

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Visiting the doctor for low back pain? Expect something different now

Source: Science Daily

If you visit your family doctor with low back pain (LBP), you may be surprised at the treatment options they suggest now. Recent changes to major international guidelines for the management of LBP mean that general practitioners (GP) are now unlikely to recommend pain medicines which were previously the go-to treatment. Instead of pain medicines, GPs might suggest non-medicinal approaches including yoga, mindfulness and various types of physiotherapy and psychological therapies.

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Plantar pressures are higher in cases with diabetic foot ulcers compared to controls despite a longer stance phase duration

Source: PubMed

Current international guidelines advocate achieving at least a 30 % reduction in maximum plantar pressure to reduce the risk of foot ulcers in people with diabetes. However, whether plantar pressures differ in cases with foot ulcers to controls without ulcers is not clear. The aim of this study was to assess if plantar pressures were higher in patients with active plantar diabetic foot ulcers (cases) compared to patients with diabetes without a foot ulcer history (diabetes controls) and people without diabetes or a foot ulcer history (healthy controls).

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Researchers use novel imaging technique for precise assessment of spinal degeneration

Source: News-medical.net

Research by a Barrow Neurological Institute neurosurgery team on novel imaging technique assessment of patients with lumbar spine degeneration was published in the Aug. 28 issue of PLOS ONE.

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