News Updates

Obesity and total joint arthroplasty: Time to examine needs in a different light
Source:
Healio

It is a known fact that obese patients undergoing total joint arthroplasty (TJA) are at higher risk of all complications in general, particularly infection. An increased risk for wound healing, infection, anemia, acute renal insufficiency, respiratory failure and urinary tract infection have been linked to obesity in patients undergoing TJA. Multiple studies have shown obesity can negatively impact the technical performance of both total hip arthroplasty (THA) and total knee arthroplasty (TKA), as well as influence the implant survivorship..

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Lifelong physical activity increases bone density in men
Source:
Science Daily

Men have many reasons to add high-impact and resistance training to their exercise regimens; these reasons include building muscle and shedding fat. Now a researcher has determined another significant benefit to these activities: building bone mass. The study found that individuals who continuously participated in high-impact activities, such as jogging and tennis, during adolescence and young adulthood, had greater hip and lumbar spine bone mineral density than those who did not..

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ORIF, new casting method showed similar results for unstable ankle fractures
Source:
Healio

Treatment of overtly unstable malleolar fractures with close contact casting showed outcomes equivalent to those of open reduction and internal fixation among elderly patients and were associated with a cost reduction in results of a multicenter study presented at the Orthopaedic Trauma Association Annual Meeting, here.

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Rates of Complications and Secondary Surgeries After In Situ Cubital Tunnel Release Compared With Ulnar Nerve Transposition: A Retrospective Review
Source:
PubMed

A retrospective cohort study was performed by query of hospital billing records for all patients who underwent cubital tunnel surgery from August 2008 to July 2013, yielding 421 patients. Exclusion criteria were acute trauma, revision surgery, neoplasm, age younger than 18 years, incomplete records, and postoperative follow-up less than 3 months. Of the remaining 234 patients, 147 patients underwent 157 in situ cubital tunnel releases and 87 patients underwent 90 ulnar nerve transpositions..

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Use of off-label devices increased costs and length of stay in TJA
Source:
Healio

Greater length of stay, admission costs, long-term complications risks and inpatient facility discharge likelihood was found among patients who underwent total hip or knee arthroplasty with an off-label prosthesis, according to results.

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Study supports efficacy of closed reduction, percutaneous fixation of crescent-fracture dislocations
Source:
Healio

Recently published data highlight the safety and efficacy of closed reduction and percutaneous screw fixation for the treatment of crescent fracture-dislocation of the sacroiliac joint and indicate satisfactory function and radiographic outcomes with the procedure.

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Imaging identifies cartilage regeneration in long-distance runners
Source:
Medical News Today

Using a mobile MRI truck, researchers followed runners for 4,500 kilometers through Europe to study the physical limits and adaptation of athletes over a 64-day period, according to a study presented today at the annual meeting of the Radiological Society of North America (RSNA).

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Debridement cited as better initial option to treat infection after reverse shoulder arthroplasty
Source:
Healio

Results from a retrospective, multicenter study by French researchers that investigated treatment options for infection after reverse shoulder arthroplasty supported the use of debridement as a first-line treatment, but noted this option had a 54% healing rate.

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What Happens When You Crack Your Knuckles
Source:
Daily Rx News

Despite the wives' tales that tie cracking your knuckles to problems like arthritis, many habitual knuckle-crackers just can't help themselves. But do they really have anything to fear?

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Patient-reported results, knee stability improved after all-inside double-bundle ACL reconstruction
Source:
Healio

Investigators found significant improvements from preoperative measures at 24.8-month follow-up for both mean side-to-side differences and Lysholm scores in patients who underwent double-bundle ACL reconstruction using a special drill pin guide and reamer, along with a laser-guided device to facilitate a transtibial approach.

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Joint Surgery Predicted By Number Of Children And Use Of HRT
Source:
Medical News Today

According to a study published in the Annals of the Rheumatic Diseases, women who have many children, usedhormone replacement therapy, and had early puberty are more likely to have surgery performed on their joints - especially on their knees.

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Pro athletes may safely return to competition after lumbar microdiscectomy
Source:
Healio

CHICAGO — The pooled rate of return to play following lumbar microdiscectomy for herniated disc nucleus was 83.5%, according to results presented at the North American Spine Society Annual Meeting, and the overall return to play rate for elite athletes with a herniated disc after this procedure was 84.5%.

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Satisfactory results seen in revision THA with acetabular reinforcement, HA granules, autograft
Source:
Healio

Using acetabular revision for loosening as an endpoint, investigators of this study found more than 90% acetabular component survival at 10 years among patients who underwent revision total hip arthroplasty for acetabular bone deficiency using a Kerboull-type acetabular reinforcement device to support hydroxyapatite granules and structural autograft.

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Recommendations for patient activity after knee replacement vary among surgeons
Source:
Healio

During recovery after knee replacement surgery, exercise is critical. After initial recovery, patients will want to resume more strenuous activities. In addition to exercise prescribed by a physical therapist, several studies have shown patients who participated in athletic activities prior to surgery will want to continue this practice after surgery. However, how much activity and how strenuous this activity should be remains unclear.

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KATOR suture anchor system receives FDA 510(k) clearance
Source:
Healio

KATOR announced it has received FDA 510(k) clearance for the KATOR Suture Anchor System.

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Most patients return to activity without pain after surgery for tarsal coalitions
Source:
Healio

A survey of patients who underwent surgical excision of tarsal coalitions at age 18 years or younger showed 73% reported their activity was not inhibited by foot pain at midterm follow-up, and investigators found no significant differences in patient-reported outcomes between those treated for calcaneonavicular and talocalcaneal conditions.

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Stresses on elbow during pitching may alter multiple structures
Source:
Healio

In a pre- and post-season ultrasound evaluation of high school pitchers’ elbows, adaptive changes occurred to multiple structures about the elbow from stresses placed on the elbow during one season of pitching, based on results of a recently published study.

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Cholesterol levels and tendon pain may be related
Source:
Reuters

(Reuters Health) – People with unhealthy blood cholesterol levels are more likely to have tendon pain or altered tendon structure, according to a new review.

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Prevalence of Total Hip and Knee Replacement in the United States
Source:
JBJS

Background: Descriptive epidemiology of total joint replacement procedures is limited to annual procedure volumes (incidence). The prevalence of the growing number of individuals living with a total hip or total knee replacement is currently unknown. Our objective was to estimate the prevalence of total hip and total knee replacement in the United States.

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Bats and balls, not base runners, cause worst injuries to major league catchers
Source:
Medical Xpress

Contrary to popular belief, the worst injuries baseball catchers face on the field come from errant bats and foul balls, not home-plate collisions with base runners, according to findings of a study led by researchers at the Johns Hopkins University School of Medicine.

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The use of bisphosphonate drugs is associated with an increased risk of atypical hip fractures
Source:
Medical News Today

The use of bisphosphonates, a group of drugs used to prevent hip breakages in women with osteoporosis, is associated with an increased risk of atypical fractures in this joint, understood as those that occur in less frequent locations. It has been established thus in the PhD thesis by Javier Gorricho-Mendívil, a graduate in pharmacy, and read at the NUP/UPNA-Public University of Navarre. The author advocates encouraging other preventive measures such as "strategies to reduce falls and an active lifestyle to improve bone density and health"

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A 48-year-old woman with right knee pain
Source:
Healio

A 48-year-old woman with a history of hypertension, rheumatoid arthritis treated with chronic prednisone, and a two-pack-per- week cigarette use, presented to clinic with 8 years of right knee pain. She had an intra-articular steroid injection with some relief 6 years ago. She denied any hip pain and uses a cane for ambulation. On physical examination she appears to be a healthy 5’2’’, 160-pound woman who walks with an antalgic gait. She has a 20° flexion contracture, with flexion limited to 90°, and a mild valgus deformity of her knee. The extremity was neurovascularly intact and she had full, painless hip range of motion.

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Stiff shoulders less likely to re-tear after rotator cuff repair vs non-stiff shoulders
Source:
Healio

Patients who had preoperative shoulder stiffness and those who developed stiffness at 6 weeks and 12 weeks postoperatively after rotator cuff repair were less likely to experience a re-tear compared with patients who had no stiffness, according to results presented here.

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What constitutes good treatment of tennis elbow?
Source:
Medical Xpress

The two most common treatments for tennis elbow are physiotherapy and cortisone injections. It is unclear which of these gives the best result, and diagnosis can be problematic for general practitioners. Now researchers at teh University of Oslo have taken a closer look at the treatment methods.

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THE CHANGING LANDSCAPE OF JOINT REPLACEMENT
Source:
ICJR

The International Congress for Joint Reconstruction (ICJR) recently sponsored a CME symposium, accredited by Marshall University, designed to help orthopaedic surgeons understand the steps involved in planning and implementing an outpatient joint replacement surgery program.

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Greater strength, endurance found in quadriceps after PCL tear vs ACL tear
Source:
Healio

Compared with ACL tears, the quadriceps muscle of the injured limb had greater strength and endurance after PCL tears, according to study results.

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UNMC study: knee replacement viable option for rheumatoid arthritis
Source:
Medical News Today

Kaleb Michaud, Ph.D., has for a long time listened to patients with rheumatoid arthritis (RA) talking about improved quality of life after their total joint replacements. But until now, there's been little information that actually measures how the surgery impacts quality of life for RA patients.

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Treatment of shoulder instability helps return collegiate athletes to playing field
Source:
Medical News Today

Athletes who suffer a shoulder instability injury may return to play more successfully after being treated arthroscopically compared to nonoperative treatment, say researchers presenting their work at the American Orthopaedic Society for Sports Medicine's (AOSSM) Annual Meeting.

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Shoulder dominance has no effect on function, quality of life after proximal humerus fracture
Source:
Healio

Recently published data indicated there was no significant difference with regard to shoulder dominance in the functional outcome and quality of life perception observed in proximal humeral fractures.

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