May 30, 2017 BMJ Open TAKE-HOME MESSAGE The authors of this systematic review compared outcomes following arthroscopic surgery and conservative management in patients with degenerative knee disease. When compared with conservative management, knee arthroscopy resulted in a very small reduction in pain and improvement in function for up to 3 months, but this was not […]
No difference in outcomes for patients with degenerative meniscal tears and no OA by Judy George, Contributing Writer, MedPage TodayMay 28, 2017 After 2 years of follow-up, arthroscopic partial meniscectomy (APM) was no better than sham surgery for patients with degenerative medial meniscal tears and no evidence of knee osteoarthritis, reported Finnish researchers in Annals of the Rheumatic […]
Kim IB, et al. Arthroscopy. 2016;doi:10.1016/j.arthro.2016.03.012. April 12, 2017 Duration of symptoms before surgery of full-thickness rotator cuff tears, tear size and tendon involvement may be used to preoperatively predict retear after arthroscopic repair using the suture bridge technique, according to results of this prognostic case series. Researchers identified 282 patients who underwent arthroscopic rotator […]
BMJ 2017; 357 doi: https://doi.org/10.1136/bmj.j1982 (Published 10 May 2017) Cite this as: BMJ 2017;357:j1982 What you need to know We make a strong recommendation against the use of arthroscopy in nearly all patients with degenerative knee disease, based on linked systematic reviews; further research is unlikely to alter this recommendation This recommendation applies to patients […]
Applied Ergonomics Volume 60, April 2017, Pages 334-341 Applied Ergonomics lM.S.Hallbeck Highlights • Surgeons report high prevalence of neck, shoulder and back pain and discomfort. • Intraoperative microbreaks/stretches did not significantly increase surgical duration. • Microbreaks improved self-reported physical performance and mental focus. • Body part discomfort improved (significantly for shoulders) with microbreaks. • 87% […]
Medscape.com Pam Harrison March 29, 2017 Total knee replacement provides minimal quality-of-life benefit for patients with less severe disability at baseline, according to new research. Thus, the treatment, as currently practiced in the United States, is not cost-effective. “Improvements in quality of life with total knee replacement were on average smaller than previously shown,” Bart […]
NBC NEWS MAR 14 2017, 4:38 PM ET by MAGGIE FOX Wasted treatments for knee pain have racked up millions of dollars in medical bills, researchers reported Tuesday. Patients who had knee replacements went through treatments such as injections that did not help, that are not recommended, and that accounted for a third of their […]
Boyd JA, et al. Orthopedics. 2016;doi:10.3928/01477447-20160719-01. March 7, 2017 Results from this study demonstrated women, patients 70 years and older, obese patients, those with diabetes, depression disorders and rheumatoid arthritis had a higher chance of conversion to total knee arthroplasty 2 years following a knee arthroscopy. Researchers identified 68,090 patients older than 50 years who […]
What are the side effects of orthopedic surgery? One of the more disturbing things we see in interventional orthopedics is patients who have undergone multiple aggressive types of orthopedic surgery. The behavior is a bit like a gambler at a casino. If you don’t hit it big the first time, keep doubling down until you […]
Authors: Rodrigo Núñez-Cortés, PT Published: Journal of Orthopaedic & Sports Physical Therapy, 2017 Volume:0 Issue:0 Pages:1–24 DOI: 10.2519/jospt.2017.7089 Study Design Case series. Background The purpose of this case series is to describe a combined program of dry needling (DN) and therapeutic exercise in a small group of patients with persistent pain post total knee arthroplasty. […]
Osteoarthritis Cartilage. 2017 Jan;25(1):23-29. doi: 10.1016/j.joca.2016.09.013. Epub 2016 Oct 3. Rongen JJ, Rovers MM, van Tienen TG, Buma P, Hannink G. Abstract OBJECTIVE: The primary objective was to assess whether patients with knee osteoarthritis and whom undergo arthroscopic meniscectomy have an increased risk for future knee replacement surgery. DESIGN: Data used were obtained from the […]
Jason A. Boyd, MD; Ian M. Gradisar, MD Orthopedics November/December 2016 – Volume 39 · Issue 6: e1041-e1044 Posted November 29, 2016 DOI: 10.3928/01477447-20160719-01 Abstract Several orthopedic registries have described the incidence of total knee arthroplasty (TKA) in patients who have undergone knee arthroscopy. Patient risk factors may play a role in the conversion […]
Date: October 23, 2016 Source: University of East Anglia Summary: Surprisingly, new research shows that patients’ physical activity does not increase following hip replacement surgery. New research from the University of East Anglia (UEA) shows that, surprisingly, patients’ physical activity does not increase following hip replacement surgery. Total hip replacement is one of the most […]
What are the findings? Meniscal pathology features such as tear type, tear size and tear location identified at arthroscopy were not associated with preoperative self-reported knee pain and function in patients undergoing arthroscopic meniscal surgery. Other structural knee joint pathologies found at surgery, such as cartilage damage, were not associated with preoperative self-reported knee pain […]
Tedesco D, et al. JAMA Surg. 2017;doi:10.1001/jamasurg.2017.2872. August 16, 2017 Investigators found electrotherapy and acupuncture after total knee arthroplasty correlated with a decrease in and later use of opioids. Researchers performed a systematic review and found 5,509 studies of nonpharmacological interventions for postoperative pain following total knee arthroplasty. Of these studies, 39 randomized controlled trials […]
More systematic ways to evaluate revision surgery are warranted to treat adolescents with revision ACL reconstruction. Orthopedics Today, August 2016 Pediatric patients who underwent revision ACL reconstruction experienced suboptimal outcomes, according to recently presented data. “We found revision [ACL] surgery in children and adolescents was associated with suboptimal patient outcomes, high graft retear rates, high […]