The use of tramadol in older patients is associated with a higher risk of hip fracture compared with the use of codeine or commonly used nonsteroidal anti-inflammatory drugs (NSAIDs), say researchers recently writing in in the Journal of Bone and Mineral Research.
Hip replacements may not be the best choice for acute kidney injury patients, shows a new study that highlights above normal rates of death, longer hospital stays, revisions, transfusions, implant problems, above norm hospital charges; and, discharge to rehab hospitals.
Neither intermittent nor daily dosing of vitamin D alone was associated with reduced risk of fracture, but daily supplementation with both vitamin D and calcium showed promise in a study recently published in JAMA Network Open.
Total hip arthroplasty does not provide a clinically significant improvement over hemiarthroplasty in function and quality of life over 24 months, shows a NEJM study. The incidence of secondary procedures did not differ significantly between the two groups.
The American Society for Bone and Mineral Research has developed clinical recommendations for the prevention of secondary fractures for patients aged 65 years and older after an initial hip or vertebral fracture. The recommendations were published in the Journal of Bone and Mineral Research last month.
The clinical burden of fracture on Medicare fee-for-service beneficiaries is significant, with patients continuing to experience additional fractures at high rates. The survival after a subsequent fracture is approximately 180 days, shows a report issued in August by the National Osteoporosis Foundation
Recent advances in partial and total knee arthroplasty show that taking essential amino acids may improve outcomes post-surgery; more patients may be having physical therapy with a virtual reality game instead of a physical therapist; and, a Florida hospital experiments with bundled care for arthroplasty procedures. Learn more in this slideshow.