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  • Multiple risk factors, BMD associated with hip fracture in older men

    Source: Healio

    Older men with an increasing number of specific risk factors combined with decreased bone mineral density at the femoral neck are at elevated risk for hip fracture, according to study findings.

    Jane A. Cauley, DrPH , professor and vice chair for research in the department of epidemiology at the University of Pittsburgh Graduate School of Public Health, and colleagues analyzed data from 5,876 men not assigned osteoporosis medications at baseline who participated in the Osteoporotic Fractures in Men (MrOS) study, a multicenter, prospective study of risk factors for fractures. Researchers followed the cohort for incident hip fractures (regardless of trauma level) for a mean of 8.6 years; questionnaires were administered by telephone or mail every 3 years, and hip fractures were verified by physician adjudication of medical records.

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  • Patients may not need to wait two weeks to shower following knee replacement surgery

    Source: Science Daily

    A Loyola Medicine study suggests it may not be necessary for knee replacement patients to wait up to two weeks after surgery before showering, as many surgeons now require.

    The study compared patients who were allowed to shower two days after surgery with patients who had to wait 10 to 14 days. Researchers performed bacterial culture swabs of skin next to incisions, and no differences were found between the early-shower and delayed-shower groups. No patient in either group experienced an infection. As expected, patients overwhelmingly preferred being allowed to shower early.

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  • Comparable results seen with high- vs low-intensity plyometric exercise after ACL reconstruction

    Source: Healio

    Results from this randomized controlled trial showed both low- and high-intensity plyometric exercise for rehabilitation following ACL reconstruction positively affected knee function, knee impairments and psychological status among patients after 8 weeks of intervention.Researchers randomly assigned 24 patients who underwent ACL reconstruction to 8 weeks of either low- or high-intensity plyometric exercise, and the groups were distinguished by the anticipated magnitude of vertical ground-reaction forces. Investigators assessed patient outcomes with the IDKC subjective knee form and a biomarker for articular cartilage degradation.

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  • High patient satisfaction seen after osteochondral allograft transplantation

    Source: Healio

    Excellent clinical outcomes were seen after fresh osteochondral allograft transplantation in patients with articular cartilage damage of the femoral trochlea, according to study results. Researchers used an osteochondral allograft (OCA) database and identified 28 patients (72.4% were male patients) treated with a fresh OCA transplant for the femoral trochlea. The mean follow-up was 7 years. Investigators used the Kaplan-Meier method to calculate allograft survivorship.

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  • Anterior vs. posterior: Does surgical approach impact hip replacement outcomes?

    Source: Medical Xpress

    The surgical approach to total hip replacement (THR)—either from the front of the body or the side/back (anterior versus posterior)—has no impact on outcomes six months after surgery, according to research presented today at the 2016 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS).

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  • Reducing opioid use prior to joint replacement surgery linked to better outcomes

    Source: Medical Xpress

    The use of opioids (narcotic pain medication), often prescribed for chronic musculoskeletal pain, has skyrocketed in recent years with 98 percent of the world’s opioid prescriptions filled in North America. Two research studies presented this week at the 2016 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS), link decreased opioid use prior to joint replacement surgery with improved patient satisfaction and outcomes, fewer complications, and a reduced need for post-surgical opioids.

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  • New pain relief technique for ACL knee surgery preserves muscle strength

    Source: Medical News Today

    Anesthesiologists can significantly reduce loss of muscle strength in ACL knee surgery patients using a new pain management technique, a new study has found.

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  • TXA safe and effective to reduce blood loss in joint replacement surgery, study finds

    Source: Medical Xpress

    Blood loss and the need for a blood transfusion are major concerns in joint replacement surgery, but a new use for an old drug is proving effective in reducing blood loss and transfusion rates, according to a study at Hospital for Special Surgery (HSS). The drug, tranexamic acid, or TXA, has been used for decades in heart surgery, to treat hemophilia and to stop excessive uterine bleeding.

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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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  • Shorter hospital stay for hip fracture associated with increased odds of survival

    Source: Medical Xpress

    The longer a hip fracture patient stays in a hospital, the more likely that patient will die within 30 days of leaving, according to a study led by Stephen Kates, M.D., chair of the Department of Orthopaedic Surgery at the Virginia Commonwealth University School of Medicine.

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