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Knee & Hip Arthroplasties: Analyzing the Obesity Effect

The growth in total knee arthroplasty volume has outpaced that of total hip arthroplasty among Americans who are obese and overweight. If obesity rates continue to climb, the magnitude of this effect will become increasingly problematic.

“Doctor Shopping” After Orthopedic Trauma

Postoperative “doctor shopping” for narcotic providers appears to be common among orthopedic trauma patients. Surgeons are recommended to prescribe these potent drugs with great care and vigilance to minimize risks for abuse, dependence, and other adverse events.

Comparing Approaches to ACL Tears

Value-based medicine has gained more attention in recent years, leading many providers and healthcare systems to focus on the cost effectiveness of services they offer. This focus is important in orthopedic surgery, where procedures like anterior cruciate ligament (ACL) reconstruction have high costs but can also potentially improve quality of life and functional ability.…

The Impact of Obesity on Total Knee Arthroplasty

New data show that severely obese patients who undergo total knee arthroplasty appear to have longer hospital stays and higher costs than non-obese patients. This observed effect appears to be independent of obesity-related comorbid conditions and complications.

Robotic Technology Enhances TKR

According to recent estimates, more than 4.7 million Americans are currently living with a prosthetic knee. The incidence of total knee replacement (TKR) increased by 120% from 2000 to 2009, but it has also increased by 188% for patients aged 45 to 64 and by 89% for patients aged 65 to 84.…

Spine Surgery & Preoperative Psychological Assessments

Few spine surgeons appear to follow guideline recommendations for routine psychological screenings of patients before major back surgery. Efforts are needed to better recognize and appreciate how psychological factors and mental health can impact the success of these procedures.


Paralyzed Surgeon Overcomes the Odds to Re-enter the OR

After a devastating health diagnosis, major spinal surgery and paralysis from the waist down, no one would have blamed Ted Rummel, DO, if he had decided to retire and lead a low-key life. But a lot of people would have been surprised, most of all Dr.…

Limb Lengthening – Video Highlight

A doctor takes his patients to great new heights—by breaking their legs. National Geographic presents a video on the taboo procedure of limb lengthening.

Source: National Geographic…

New Guidelines on Osteoporosis in Men

This week, the Endocrine Society issued guidelines on managing osteoporosis in men. Published in the June 1, 2012 issue of Journal of Clinical Endocrinology & Metabolism, the guidelines recommend the following:

Men at increased risk for osteoporosis should be tested by measurement of bone mineral density (BMD).…

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