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Orthopaedic Surgery

Let Orthopedic Surgery Wait Until Morning When Possible

Scheduling a prime daytime slot to undergo an orthopedic procedure may lower your risk of an unplanned follow-up surgery later on, a new study published in The Journal of Bone and Joint Surgery has found.
Includes comments by surgeon William Ricci, chief of WUSTL medical school's Orthopaedic Trauma Service.

References:
- Sept. 7,
2009
—
Let Orthopedic Surgery Wait Until Morning When Possible
in the U.S. News & World Report online
and 8 others.
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After-hours bone surgery slightly riskier

A study published in the Journal of Bone and Joint Surgery found after-hours orthopaedic surgeries risk a slightly higher rate of necessary follow-up surgeries. WUSTL orthopaedic surgron and lead author William Ricci comments.

References:
- Sept. 2,
2009
—
After-hours bone surgery slightly riskier
in the United Press International
and 3 others.
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Surgeon accused of faking study resigns

Timothy Kuklo, a former U.S. Army surgeon, "voluntarily" resigned from WUSTL, effective Sept. 30, and "will have no clinical, research or educational duties for the university between now and that date," a spokeswoman for the university's medical school said in a statement.

References:
- Aug. 20,
2009
—
Surgeon accused of faking study resigns
in the United Press International
and 1 others.
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Surgeon Tied to Bone Product Inquiry Resigns

Timothy Kuklo, a former Army surgeon accused of falsifying a study on a bone growth product used on severely injured Iraq war veterans, has resigned his teaching position at WUSTL, according to spokeswoman Joni Westerhouse.
Kuklo tendered his resignation on July 30, according to Don Clayton, associate vice chancellor and director for medical public affairs. University officials declined to comment further.

References:
- Aug. 19,
2009
—
Surgeon Tied to Bone Product Inquiry Resigns
in the The New York Times
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Wash. U: Doctor hid Medtronic ties

WUSTL orthopaedic surgeon and researcher Timothy Kuklo, who was accused by the Army of falsifying a medical study, delayed disclosing his consulting ties to the school, according to its response to a U.S. Senate investigation. The doctor was put on leave by the university pending an internal review. According to Chancellor Mark Wrighton, WUSTL also suspended open human research projects by Kuklo.

References:
- July 16,
2009
—
Wash. U: Doctor hid Medtronic ties
in the St. Louis Business Journal online
and 2 others.
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Former Army Doctor Accused of Research Fraud Takes Leave From University

Orthopaedic surgeon Timothy Kuklo, a former Army physician accused of falsifying research involving injured soldiers, has taken a leave of absence from WUSTL medical school and its affiliated hospitals.

References:
- May 23,
2009
—
Former Army Doctor Accused of Research Fraud Takes Leave From University
in the The New York Times
and 6 others.
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Ouch! How not to be a slave to pain

Top medical experts offer tips on how you can learn to control pain. Includes comments by WUSTL orthopaedic surgeon Matthew Matava.

References:
- May 24,
2009
—
Ouch! How not to be a slave to pain
in the MSNBC
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Sen. Grassley investigating army surgeon who allegedly wrote bogus study of Medtronic graft

Influential Senator Charles Grassley is investigating a former Army surgeon who the Army says forged signatures and falsified data in a study touting the benefits of an implant from Medtronic. Orthopaedic surgeon Timothy Kuklo retired from the Army in 2007 and is now a professor of orthopedic surgery at WUSTL. WUSTL spokeswoman Joni Westerhouse comments.

References:
- May 19,
2009
—
Sen. Grassley investigating army surgeon who allegedly wrote bogus study of Medtronic graft
in the Los Angeles Times
and 8 others.
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Senator Seeks Data on Doctor Accused by Army of Falsifying a Product Study

A top Republican lawmaker has opened an inquiry into a former Walter Reed Army Medical Center doctor whom the Army has accused of falsifying a medical study involving a product made by Medtronic, a company for whom he works as a paid consultant. The doctor currently works as an associate professor at WUSTL Medical School.

References:
- May 19,
2009
—
Senator Seeks Data on Doctor Accused by Army of Falsifying a Product Study
in the The New York Times
and 1 others.
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Doctor Falsified Study on Injured G.I.'s, Army Says

According to the Army, WUSTL orthopaedic surgery professor Timothy Kuklo, a former surgeon at Walter Reed Army Medical Center, who is a paid consultant for a medical company, published a study that made false claims and overstated the benefits of the company's product in treating soldiers severely injured in Iraq. A WUSTL official declined to say whether it was investigating Dr. Kuklo but added that he remained on the faculty.

References:
- May 13,
2009
—
Doctor Falsified Study on Injured G.I.'s, Army Says
in the The New York Times
and 9 others.
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Injury Histories Hamper Some N.F.L. Prospects

An analysis published in the April issue of The American Journal of Sports Medicine indicates that previously injured players may be riskier draft picks than most realize. The study, co-written by medical personnel from two N.F.L. teams, found that certain injury histories among players at certain positions — however healed — probably hamper their ability to play in the N.F.L. WUSTL orthopaedic surgeon and lead author Robert Brophy also serves as an assistant team physician with the St. Louis Rams.

References:
- April 26,
2009
—
Injury Histories Hamper Some N.F.L. Prospects
in the The New York Times
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Hard to predict if players will be injury-prone
 WUSTL orthopaedic surgeon Matthew Matava, who is a team physician for the St. Louis Rams and Blues, comments on how to determine which players are injury prone and which ones are more durable.

WUSTL orthopaedic surgeon Matthew Matava, who is a team physician for the St. Louis Rams and Blues, comments on how to determine which players are injury prone and which ones are more durable.

References:
- Feb. 21,
2009
—
Hard to predict if players will be injury-prone
in the Associated Press
and 38 others.
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Andrew Bynum's injuries probably just bad luck
 WUSTL orthopedic surgeon Matthew Matava comments on the latest injury to LA Lakers' center Andrew Bynum.

The latest injury to LA Lakers' center Andrew Bynum probably has more to do with bad karma than inherently bad knees, medical experts said Tuesday. Includes comments by WUSTL orthopedic surgeon Matthew Matava, the chief team doctor for the St. Louis Rams.

References:
- Feb. 4,
2009
—
Andrew Bynum's injuries probably just bad luck
in the Los Angeles Times
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Learning How to Walk (Chewing Gum Not Included)

Aches and pains may be a result of walking incorrectly. Yoga practices have helped some people relearn how to walk. WUSTL orthopaedic surgery professor Heidi Prather warns that breaking bad habits is no easy task.

References:
- Nov. 13,
2008
—
Learning How to Walk (Chewing Gum Not Included)
in the The New York Times
and 15 others.
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Gene Plays Key Role in Clubfoot
 The first gene linked to clubfoot has been identified by WUSTL researchers who analyzed the DNA of 35 extended family members of a male infant with clubfoot.

The first gene linked to clubfoot has been identified by WUSTL researchers who analyzed the DNA of 35 extended family members of a male infant with clubfoot.

References:
- Oct. 27,
2008
—
Gene Plays Key Role in Clubfoot
in the U.S. News & World Report
and 8 others.
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Straightening bent fingers, no surgery required

Needle aponeurotomy, which leaves only superficial puncture wounds, was developed 30 years ago by a group of French rheumatologists and is now being practiced in the United States by fewer than a dozen physicians. Thousands of patients are flocking to these doctors every year, many against the advice of hand surgeons who say open hand surgery is more effective. ''Surgery has a lower recurrence rate,'' said Dr. Richard Gelberman, chairman of the department of orthopedics at Washington University in St. Louis, and president of the American Society for Surgery of the Hand.

References:
- July 24,
2007
—
Straightening Bent Fingers, No Surgery Required
in the The New York Times
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Smoking weakens tendon-to-bone healing
 The School of Medicine's Leesa Galatz and colleagues have found that smoking weakens tendon-to-bone healing.

WUSTL researchers led by orthopaedic surgery professor Leesa Galatz say exposure to nicotine delays tendon-to-bone healing, suggesting the cause of failure of rotator-cuff repair following surgery, according to the study published in the Journal of Bone & Joint Surgery.

References:
- Oct. 18,
2006
—
Smoking weakens tendon-to-bone healing
in the United Press International
and 1 others.
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Botox for foot wounds
 WUSTL physical therapist, Mary Hastings, is leading a study on the ability of botox to assist in healing foot ulcers.

It's been used for wrinkles, muscle spasms and even Tourette syndrome, but Botox may now save limbs from amputation because of diabetic foot ulcers.
WUSTL orthopedic foot and ankle surgeon Jeffrey Johnson and WUSTL physical therapist Mary Hastings, who is leading the study, comment.

References:
- July 18,
2005
—
Botox for foot wounds
in the News 14 Carolina online (Raleigh, North Carolina)
and 1 others.
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New surgical procedure for diabetics

In a new surgical procedure, doctors lengthen the achilles tendon -- the cord that connects the calf muscle to the heel. Jeffrey Johnson developed the breakthrough technique at Washington University in St. Louis. "In many patients with diabetes, they get tightness in their tissues and shortness of their achilles tendon," said Johnson. A shorter tendon restricts the ankle's range of motion.

References:
- April 16,
2004
—
New surgical procedure for diabetics
in the News 9-Cable San Antonio, TX
and 20 others.
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