Clint Wooten, MD; Brian Curtin, MD Orthopedics July/August 2016 – Volume 39 · Issue 4: 207-209 Posted July 25, 2016 Our waiting room provides evidence each day that obesity continues to be a major problem, if not an epidemic, within the United States. It is particularly challenging in the world of arthroplasty. As reported by […]
June 22, 2016 According to results recently published in Pain, many patients who took opioids prior to total knee or total hip arthroplasty persisted to use opioids 6 months postoperatively and a smaller percentage of patients who were opioid-naïve preoperatively also remained on opioids at the follow-up. “After a successful surgery as pain in the […]
Caroline N. Park, BA Orthopedics March/April 2016 – Volume 39 · Issue 2: e246-e252 Posted March 31, 2016 Abstract Although total knee arthroplasty is a successful and cost-effective procedure, patient dissatisfaction remains as high as 50%. Postoperative residual knee pain after total knee arthroplasty, with or without crepitation, is a major factor that contributes to […]
Global Spine J. 2013 Dec;3(4):231-6. doi: 10.1055/s-0033-1354252. Epub 2013 Aug 21. Stoker GE1, Buchowski JM1, Chen CT1, Kim HJ1, Park MS2, Riew KD1. Abstract Study Design Single-center, retrospective study. Objective Suboptimal concentrations of vitamin D have been linked to hip and knee osteoarthritis in large, population-based cohort studies. We sought to examine the association of vitamin D […]
Should I Have Meniscus Surgery? No… The most common orthopedic surgery in America had it’s final epitaph written this month with a level-1 study showing that surgery for meniscus locking is no better than placebo. Given that this was the final indication for the surgery, based on the research, to use a party analogy, the […]
03.06.2016 Patients with arthroscopy were 30% more likely to have joint replacement by Nancy Walsh Senior Staff Writer, MedPage Today ORLANDO — Among patients who have meniscal damage complicated by knee osteoarthritis (OA), arthroscopy did not decrease or delay the likelihood of eventually having knee replacement, a researcher reported here. In a large cohort of […]
March 3, 2016 ORLANDO, Fla. — In patients with appropriate indications, total hip arthroplasty performed in an outpatient setting is safe and effective, according to study data presented here. Researchers culled data from an institutional registry for 549 patients who underwent a mini-posterior approach for total hip arthroplasty at a freestanding independent ambulatory surgical center […]
J Pain Res. 2016; 9: 17–22. Published online 2016 Jan 12. doi: 10.2147/JPR.S96754 PMCID: PMC4716715 Bruno Bordoni and Fabiola Marelli Abstract Failed back surgery syndrome (FBSS) is a term used to define an unsatisfactory outcome of a patient who underwent spinal surgery, irrespective of type or intervention area, with persistent pain in the lumbosacral region with […]
Spine: February 2016 – Volume 41 – Issue 4 – p 293–298 doi: 10.1097/BRS.0000000000001241 Wakao, Norimitsu MD, PhD Abstract Study Design. Observational study using a retrospective single-institute database. Objective. To investigate the prevalence of a medial loop (ML) of the vertebral artery (VA) and internal carotid artery (ICA), which might be an anatomical risk factor […]
Mechanical Symptoms and Arthroscopic Partial Meniscectomy in Patients With Degenerative Meniscus Tear: A Secondary Analysis of a Randomized Trial Raine Sihvonen, MD, PhD Background: Recent evidence shows that arthroscopic partial meniscectomy (APM) offers no benefit over conservative treatment of patients with a degenerative meniscus tear. However, patients who report mechanical symptoms (sensations of knee catching […]
January 3, 2014 Older patients and patients with diabetes have an increased risk of mortality and postoperative complications following primary total unilateral knee arthroplasty, according to recently published data. Philip J. Belmont, Jr., MD and colleagues studied 15,321 patients who underwent primary unilateral total knee arthroplasty (TKA). They found that the results “underscore that diabetes […]
Le Manach Y, et al. JAMA. 2015; doi:10.1001/jama.2015.10842. September 23, 2015 In this study, patients who underwent hip fracture surgery had a higher chance of in-hospital mortality after adjustment for age, sex and comorbidities than patients who underwent elective total hip replacement. Researchers included 690,995 patients from the French National Hospital Discharge Database, 371,191 of […]
Date: August 31, 2015 Source: Wiley Summary: Contrary to recent reports, researchers found that osteoarthritis patients who had total knee or hip joint replacement surgery, known as arthroplasty, were at increased risk of heart attack (myocardial infarction) in the early post-operative period. However, findings indicate that long-term risk of heart attack did not persist, while […]
NEJM Journal Watch June 17, 2015 By Christine Sadlowski Edited by David G. Fairchild, MD, MPH, and Lorenzo Di Francesco, MD, FACP, FHM Arthroscopic surgery for knee pain in middle-aged and older patients is not more beneficial than standard care beyond 6 months and is associated with harms, a BMJ meta-analysis shows. In nine studies, […]