The cost of fragmented advice when you sell your practice

For orthopedic surgeons, the practice market today offers more options than ever before.
Some are recruited into hospital or health system employment. Others weigh private equity recapitalizations of their group, buy-ins from younger partners or succession plans with associates they have spent years mentoring. Many also hold ownership stakes in ASCs that factor heavily into any transition. After decades of building a successful practice, it is natural to focus on the offer itself — who the buyer is, what they are willing to pay and what life looks like after closing.
Those questions matter. But

Failure rate higher in young patients after ACL repair vs. reconstruction

Patients who underwent ACL repair had similar functional outcomes but higher failure rates at 5 years compared with patients who underwent ACL reconstruction, according to recently published data.
“[The graft failure rate] at 2 years is acceptable, but at 5 years, it is absolutely a shame to have this result for a younger population,” Bertrand Sonnery-Cottet, MD, PhD, an orthopedic surgical consultant at the Centre Orthopédique Santy in Lyon, France, told Healio | Orthopedics Today.
Researchers analyzed the same patients from a 2022 study by Sonnery-Cottet and colleagues that evaluated the

Atropine may lower accommodative amplitude at morning, midday

Children using atropine for myopia control had lower accommodative amplitudes in the first half of the day, according to a study published in Optometry and Vision Science.
“Despite its demonstrated efficacy in slowing the progression of myopia, low-dose atropine can have potential side effects,” Kaylin M. Maxwell, OD, MS, of The Ohio State University College of Optometry, and colleagues wrote. “There is a great deal of interest in assessing accommodative abilities in children using low-dose atropine eye drops due to the potential for side effects that could interfere with treatment compliance

Menopausal hormone therapy tied to lower risk for outcomes related to Alzheimer’s disease

Women who used estrogen-only menopausal hormonal therapy later in life had lower risks for neuropathologic and clinical outcomes related to Alzheimer’s disease, according to data published in Neurology.
“As part of an NIH-funded study examining how aging interacts with Alzheimer’s disease, we were particularly interested in sex differences,” Hadi Hosseini, PhD, associate professor of psychiatry and behavioral sciences, Stanford Medicine, told Healio.
Women represent two-thirds of patients with Alzheimer’s disease and have twice the risk for disease compared with men, Hosseini continued, noting

Individual guidance on high altitude activities needed

PARK CITY, Utah — While high-altitude activities are generally safe for women who are pregnant, a presenter here said recommendations should be made based on the individual and their goals.
“We lack evidence on what is safe or dangerous for pregnancy, so we have been making fear-based recommendations,” Linda E. Keyes, MD, FACEP, FAWM, adjoint professor of emergency medicine at the University of Colorado, told Healio. “Instead, we should be making recommendations that are compatible with the pregnant person’s goals and risk tolerance until we can get more research

GLP-1s may not raise odds for insulin discontinuation

Adults with type 2 diabetes have a similar likelihood for insulin discontinuation if they were using a concomitant GLP-1 receptor agonist compared with an SGLT2 or DPP-IV inhibitor, researchers reported in Annals of Internal Medicine.
In a target trial emulation using electronic health record data from the Veterans Health Administration Corporate Data Warehouse, researchers found that 16% to 18% of adults with type 2 diabetes using basal insulin were able to stop therapy within 3 years, regardless of which medication class they were using. Kasia J. Lipska, MD, MHS, assistant professor of

Cholesterol guideline defended against critics on social media

SCOTTSDALE, Ariz. — Criticism of the 2026 American Heart Association/American College of Cardiology/Multisociety Guideline on the Management of Dyslipidemia abounds on social media.
A speaker at the American Society for Preventive Cardiology Congress on CVD Prevention decided to take all of it on at once.
In the guise of social media critics, Ann Marie Navar, MD, PhD, FAHA, FACC, FASPC, associate professor of medicine in the division of cardiology at UT Southwestern Medical Center, went through the common critiques of the guideline on social media, and then as herself, she rebutted them.

NICU stays impact parents’ mental health, interventions can help

NICU stays can affect more than an infant’s health, causing a lasting impact on the family and the parents’ mental well-being.
Interventions can help ease these stresses beyond the hospital stay.
As a pediatric psychologist with the Heart and Mind Wellbeing Center of Cincinnati Children’s Hospital Medical Center, Claire E. Niehaus Milligan, PhD, took an interest in the impact of NICU stays on parents and how hospital-based interventions can support parents through this difficult time.
“The more I see families facing complex medical concerns in early life, the more

Novel ovarian cancer prevention surgery benefits sexual function

Genetic variants significantly impact risk for ovarian cancer, but standard of care preventive surgery to remove a woman’s ovaries and fallopian tubes causes early menopause, sleep disturbances and worse sexual function.
“Thirty years ago, women were identified as BRCA mutation carriers because they were young and had breast cancer,” Karen H. Lu, MD, executive vice president and physician in chief at Moffitt Cancer Center, told Healio. “When they were sent to me to talk about ovarian cancer risk, they’d already undergone surgery, chemotherapy and radiation for their breast cancer. At the first