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March 2025

Vitamin D often low in orthopedic patients

Some 40% of patients scheduled for orthopedic surgery have low levels of vitamin D that may negatively affect outcomes, a new study finds. Vitamin D helps the body absorb calcium and is essential for optimal bone health and muscle function. Researchers from New York City's Hospital for Special Surgery retrospectively…

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By: OR Manager
November 1, 2010
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Initiative: Greater role for nursing

Nurses need to be able to practice to the full extent of their skill and education to meet the nation's health care needs, a national panel announced. Results of the 2-year Initiative on the Future of Nursing by the Institute of Medicine and the Robert Wood Johnson Foundation were rolled…

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By: OR Manager
November 1, 2010
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Predicting frailty risk in older patients

About half of all surgery in the US is performed on patients over 65. These older patients have been found to be at increased risk for post-operative complications. Complications often lead to disability loss of independence, poorer quality of life, high costs, and mortality. Though many patients over 65 do…

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By: OR Manager
November 1, 2010
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Help in evaluating bone allografts

Second in a series on managing bone allografts. Bone-graft substitutes in all of their many forms have one purpose—to replicate the "gold standard" for bone repair and healing—the patient's own bone. Though a patient's own tissue—an autograft—is the ideal replacement for injured or diseased bone, an autograft may not be…

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By: Heather Brannen, PhD
November 1, 2010
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Making good choices of DBM products

With their array of gels, pastes, and putties, demineralized bone matrix (DBM) products are a confusing area. What questions can your OR team ask to help make good product choices? OR Manager talked with experts who outlined issues to consider. Suggested questions to ask companies are in the sidebar on…

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By: Pat Patterson
November 1, 2010
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Bone allografts: Understanding their roles in the healing process

Bone-graft substitutes are one of the most challenging types of materials OR teams must consider. They include grafts made from human tissues, animals, synthetics, and combinations. They all attempt to replicate the "gold standard" for bone repair, the patient's own tissue. This issue continues our series on bone-graft substitutes in…

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By: OR Manager
November 1, 2010
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Bone allografts: Options for healing

These are examples of types of bone allograft products and purposes they serve. With the chart on page 12, this information can help OR teams determine where a new allograft product would fit into current inventory. Allograft cancellous chips Cancellous chips, a common nonstructural human allograft bone material, serve as…

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By: OR Manager
November 1, 2010
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Steps to preventing DVT for outpatients

It's a common scenario. A patient has a minor orthopedic procedure, such as a hammertoe repair, and receives a cast. The patient is immobilized at home and ends up with deep vein thrombosis (DVT). Venous thromboembolism (VTE), a frequent complication of surgery that manifests as DVT or pulmonary embolism (PE),…

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By: Judith M. Mathias, RN, MA
November 1, 2010
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