Patients with mental illness fare worse after hip surgery
BY MADELINE KENNEDY

(Reuters Health) – People with psychiatric illnesses are more likely to have complications after hip replacement surgery, according to a recent analysis.

This added risk is something doctors and patients should discuss in advance, the study team writes in The Journal of Arthroplasty.

Previous studies have linked depression and other mental illnesses to greater complications after surgery and worse outcomes for patients, the researchers note.

In particular, patients with psychiatric disease are known to have more complications after cardiac, spine and general surgery, lead author Dr. Mitchell Klement told Reuters Health.

“We wanted to see if the same effect was true in total hip replacements,” said Klement, an orthopedic surgery resident at Duke University Medical Center in North Carolina.

Read the original article on Reuters. Copyright 2016. Follow Reuters on Twitter.

SOURCE: bit.ly/1Qqh4FM The Journal of Arthroplasty, online March 17, 2016.

We would like to congratulate William Eward, DVM, MD, who was featured in Raleigh Magazine for his work with the Consortium for Comparative Canine Oncology, a collaboration between the Duke Cancer Institute and North Carolina State University College of Veterinary Medicine. Duke and NC State have joined forces to further explore new cancer therapies offering better efficacy and less toxicity for both humans and canines. Researchers at both institutions are studying naturally occurring cancers in humans and canines and this collaboration will allow investigators to leverage research and resources to benefit both species, ensuring better treatments and outcomes.

You can read the full article here.

Starting Wednesday, April 27, 2016, Dr. Anand Joshi (@AnandJoshiMD) will be posting a series of educational videos designed to give early-stage learners background on the evaluation of #lowbackpain, so they can be better prepared to see patients when they come to clinic. One video will be posted each week, and the first video tweeted can be found here.

We encourage anyone interested to join the discussion today!

Duke Honors Sustainability Leaders

Leonard White, PhD, recently participated in a unique interdisciplinary conference on humor at the University of North Carolina Chapel Hill (see website for complete description of the conference: http://humor.web.unc.edu/). His talk and demonstration was entitled, “A Neurobiological Consideration of Humor”.  In keeping with his teaching style, he brought human brain specimens to demonstrate to the diverse audience how the brain processes humor. The audience included social scientists, psychologists, philosophers, humanists, feminists, humorists, television “sit-com” writers and producers, professional comedians, and students from a variety of disciplines. Several attendees gathered around the brains at the conclusion of the presentation for a closer look, to ask questions, and to hold a brain.

Pain-free after shoulder and knee surgery

After two successful arthroscopic surgeries at Duke, Lieutenant Colonel Todd Turner is pain-free and ready for his next assignment.

From left to right: Drs. Ben Alman and David Little

J. Leonard Goldner, MD

On April 27, 2016, we were honored and delighted to welcome David G. Little, MBBS, FRACS(Orth), PhD, to Grand Rounds as our 24th Annual J. Leonard Goldner Visiting Professor. His talk was entitled, “Current and Future Treatment of Perthes Disease.”

Dr. Little is the head and founder of Orthopaedic Research and Biotechnology at the Department of Orthopaedic Surgery and conjoint professor of Pediatrics and Child Health at the University of Sydney-Children’s Hospital at Westmead in Westmead, Australia. In 2005, Dr Little was awarded his PhD on bisphosphonates in distraction osteogenesis. He has initiated further research on osteonecrosis, fracture healing, and the interaction of the anabolic and catabolic responses in bone repair. His current focuses include improving bone healing outcomes in neurofibromatosis, and using muscle for in vivo bone tissue engineering.

From left to right: Drs. Lou DeFrate, Julie Neumann, Jonathan Godin, and Ben Alman

After Dr. Little’s talk, he, along with Drs. Ben Alman and Lou DeFrate, presented the Annual Award for Excellence in Orthopaedic Research to chief residents Julie A. Neumann, MD, for her talk, “Interposition Porcine Dermal Matrix Xenografts: A Successful Alternative to Traditional Treatment of Massive Rotator Cuff Tears,” and Jonathan A. Godin, MD, for his talk, “The Effects of Time to Return to Sport and Physical Therapy Utilization on Subsequent Anterior Cruciate Ligament Injury after ACL Reconstruction: Local and National Perspectives.”

Please enjoy more photos taken during Grand Rounds below.

From left to right: Dr. Steven Olson, Matt Flynn (Health Care Liaison to Senator Tom Tillis from NC), Dr. Douglas Meckes, and Mr. Craig King (from SC)

On Thursday, April 14, 2016, Steven A. Olson, MD, FACS, and his patient, Douglas Meckes, DVM, travelled to Washington, D.C., to participate in the AAOS Capitol Hill Research Days and to lobby Congress on the critical need for research funding. Below is a press release from the AAOS, as well as why patients like Douglas Meckes, DVM, hope that further research and physician education will advance the standard of care for trauma patients.

For more information, contact:
Elizabeth Fassbender / fassbender@aaos.org / 202.548.4143

For Immediate Release
April 22, 2016

Orthopaedic Surgeons, Patients, and Researchers Personalize the Critical Need for Research Funding

Over 100 Million Americans a Year Identify Bone and Joint Disorders as Their Number One Health Concern

Washington, D.C. — Orthopaedic surgeons, patients, and researchers visited Capitol Hill on Thursday, April 14 to raise awareness about the debilitating and costly musculoskeletal diseases and disorders afflicting millions of Americans and emphasize the need for research funding. Advocacy teams urged Congress to appropriate $34.5 billion in FY 2017 to the National Institutes of Health (NIH) and to support the Next Generation Researchers Act. Continue reading →

Approximately 10,000 to 20,000 new patients are affected by osteonecrosis of the femoral head (ONFH) each year in the United States. Although many joint-preserving procedures are available to treat ONFH, free vascularized fibular grafts (FVFG) can be an appropriate strategy for select patients to relieve pain, preserve or restore the femoral head, and delay the need for total hip arthroplasty. Review factors to consider, including disease stage, etiology, lesion size and location, and the presence of comorbidities, to help determine the most appropriate intervention for individual patients with ONFH.

FACULTY

Marc J. Richard, MD
Orthopaedic Surgeon
Duke University Medical Center
Durham, NC
To learn more about this activity, call (toll-free) 866-858-7434, email info@med-iq.com, or visit www.Med-IQ.com/a855.