Today’s Top Story

Study: Does High Vitamin B Intake Increase Hip Fracture Risk?

Postmenopausal women who take more than the recommended dietary allowance of vitamins B 6 and B 12 may be more likely to sustain a hip fracture, according to a cohort study published online in JAMA Network Open. Researchers used data from the Nurses’ Health Study on 75,864 postmenopausal women, of whom 2,304 had a hip fracture. An increased intake of both vitamins B 6 and B 12 was associated with an increased risk ratio for hip fracture. Compared to women with a low intake of both vitamins, those who had a high intake had an almost 50 percent increased risk for hip fracture.

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Other News

Study Evaluates Effect of Postoperative Alignment on Distal Femoral Fracture Union

According to a study published in the May/June issue of Current Orthopaedic Practice, proper anatomical alignment is significantly associated with union in infraisthmal and supracondylar fractures. Radiographs for 89 distal femoral fractures were evaluated for fracture location, alignment, and healing. Chi-square analysis, a t-test for two independent samples for proportions, and Fisher’s exact tests all showed that fractures with anatomic alignment had significantly improved healing rates compared to those with nonanatomic alignment.

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Study Associates Posterior Cervical Fusion and Decompression with Good Outcomes

In a study published online in The Spine Journal, subaxial posterior cervical fusion with decompression was associated with good clinical outcomes and patient-reported outcomes (PROs). The meta-analysis included 31 articles with 1,238 total patients. The study included two subgroup analyses: One included studies where only myelopathy or radiculopathy (or both) were stated as surgical indications, and the other included studies where only myelopathy or ossification of the posterior longitudinal ligament (or both) were stated as surgical indications. Every cumulative PRO change was positive in the overall analysis and two subgroup analyses, and the majority of changes in PROs exceeded the minimal clinically important differences. Pooled successful fusion rate for all surgical indications was 98.25 percent; revision and complications/adverse events rates were 1.09 percent and 9.02 percent, respectively.

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Study Finds Knowledge Gap on Chronic Pain Among Occupational Safety and Health Professionals

Occupational safety and health (OSH) professionals could benefit from chronic pain education, according to a study published online in the Journal of Pain Research. The study included 88 OSH undergraduate students enrolled in a certificate program at the Université du Québec en Abitibi-Témiscamingue in Quebec, of whom 30 percent were already employed within OSH or human resources, and 40 percent said they have been involved in chronic pain cases at work. However, more than half (56 percent) of respondents said they received no training on chronic pain and its treatment within the last five years, and just 14 percent had enrolled in an optional 45-hour pain course. Just over half (51.9 percent) did not know that one in five adults is affected by chronic pain.

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Avoidable Hospital Deaths on the Decline

An estimated 161,250 avoidable deaths occur in hospitals each year, according to researchers from the Johns Hopkins Armstrong Institute for Patient Safety and Quality. This figure represents a decline from previous years. If hospitals graded as B, C, D, or F came up to grade A standards, more than 50,000 lives could be saved, the researchers estimate.

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AAOS Now

Growing International Medical Tourism Affects U.S. Healthcare System and Patients

In part one of a two-part series on medical tourism, Eeric Truumees, MD, discusses international medical tourism. The number of Americans traveling for elective orthopaedic surgery is growing. Although the number of those seeking care abroad remains relatively small, the rate of domestic medical tourism is rapidly rising. Orthopaedic surgeons should be aware of both forms of medical tourism, the factors driving the phenomenon, and the potential for ethical and operational complications.

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Your AAOS

Apply for the Bylaws Committee Member Position

The Bylaws Committee has two open member positions. Over the course of a two-year term, the member will participate in an open hearing during the Annual Meeting and discuss committee recommendations at the Association business meeting. Other committee activities include a pre-Annual Meeting conference call, meetings during the Annual Meeting, and development and approval of background materials for the Fellowship. The application deadline is June 10.

Learn more and submit your application…(member login required)

 

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