Devices

Meniscus surgery criteria called into question

Surgeons should not necessarily operate on patients with degenerative meniscus tears whose knees catch and lock, researchers say. In a secondary analysis of data from a randomized controlled trial, such patients fared equally well … READ MORE

Knee instability treatment may help older adults prevent falls

Interventions that reduce knee buckling may help prevent falls, fall-related injuries and adverse psychological consequences of falls in persons with knee OA. Hikers in Banff National Park Symptoms of knee instability in older adults … READ MORE

Rockers and rollovers: Implications for AFOs

Practitioners and researchers are redefining rocking and rolling as key components of gait, and designing ankle foot orthoses and other orthotic and prosthetic devices to specifically address impairments in the way certain patients … READ MORE

Biomechanics of propulsion: Implications for AFOs

For many patients, the ability of an ankle foot orthosis to enhance propulsion is key to improving gait efficiency and reducing fatigue. But experts are only beginning to understand the biomechanical complexities that influence … READ MORE

Charcot-Marie-Tooth: AFO mechanics and gait patterns

Patients with Charcot-Marie-Tooth disease showing the greatest increase in speed appear to respond to and utilize the energy storing and releasing properties of a carbon fiber composite ankle foot orthosis differently from those who … READ MORE

Foot instability in Down syndrome linked to hallux valgus, narrow shoes

Regular foot checks may curb problems. A recent study published in the Journal of Foot and Ankle Research found that hallux valgus and too-narrow footwear contribute to foot-specific disability in children with Down syndrome. … READ MORE

Wearable chair for surgeons

Here is a wearable chair that allows surgeons to perform long surgeries with less muscle fatigue. It supports a half-sitting posture and reduces the burden of standing for hours each day. Cool Wearables. Archelis wearable chair helps … READ MORE

Effectiveness of arthroscopic surgery compared with non-operative management of knee osteoarthritis

A new study from Western’s Bone and Joint Institute could save the health-care system millions of dollars while also preventing some of the more than 250 million knee osteoarthritis (OA) sufferers from going under the knife. British … READ MORE

Gait and energy efficiency of stance control knee–ankle–foot orthoses

Stance control orthoses are a new generation of orthotic intervention that could potentially be significant in assisting to improve the gait kinematics by knee-ankle-foot orthosis users. The use of knee-ankle-foot orthoses with drop … READ MORE

Strategies to reduce progression of structural changes in osteoarthritis

Chondroitin sulfate is more efficient than anti-inflammatory drugs for delaying the progression of knee osteoarthritis. Pelletier, et al, Osteoarthritis Research Unit, University of Montréal Hospital Centre, Notre-Dame Hospital, … READ MORE

Panel discusses nonoperative treatment of knee osteoarthritis

Clinical practice guidelines for knee osteoarthritis (OA) were developed and published by the American Academy of Orthopaedic Surgeons (AAOS) in 2008. The guidelines have been helpful and have stimulated discussion among physicians as … READ MORE

Is your child’s achy back more than just growing pains?

Nearly one in three adolescents report back pain. According to a new literature review in the January issue of the Journal of the American Academy of Orthopaedic Surgeons, it’s becoming more common for children and adolescents … READ MORE

OA bracing: Spin class

Rotation may be key to pain relief. Research from the Hospital for Special Surgery in New York City confirms that the kinetic effects of osteoarthritis knee bracing are in fact related to bracing’s effects on knee pain—but not in … READ MORE

Biomechanics play key role in knee osteoarthritis

Researchers and clinicians often point to biomechanical elements, particularly aberrant biomechanical forces and pathological responses to them, as key factors in osteoarthritis (OA) disease progression. However, little is known about … READ MORE

Going the distance – all 26.2 miles – with MS

Cheryl Hile started running marathons before she was diagnosed with MS, and her goals have only gotten bigger since. Cheryl Hile’s new goal is to become the first person with MS to run seven marathons on seven continents in 12 … READ MORE

When not to fix: Thoughts of an orthopaedic surgeon

One driving force that is emerging in our high-tech, low-touch approach to healthcare is our tendency to rely far too much on technology such as MRI findings, and too little on our physical exam findings and on the story our patient … READ MORE

Spenser’s knee braces are awesome!

Up and coming superstar Spenser Wilton’s father writes about Endurocross competition and knee safety. Third edition of Red Bull Rocks & Logs in Calgary Sept. 12-14, 2015. More video coverage here. I just wanted to drop you a … READ MORE

Conservative biomechanical strategies for knee osteoarthritis

Knee osteoarthritis (OA) is one of the most prevalent forms of this disease, with the medial compartment most commonly affected. The direction of external forces and limb orientation during walking results in an adduction moment that … READ MORE

Knee brace reduces damage, pain in osteoarthritis

For the first time, a scientific study has shown that a simple slip-on knee brace reduces bone marrow lesions and pain associated with osteoarthritis. Alice Goodman, Medscape Multispecialty October 31, 2013 “There is a pressing … READ MORE

Lil Soles Footwear children’s shoes in Calgary

Marc recommends Little Footprints and Lil Soles for ‘AFO friendly footwear.’ Little Footprints is a family run boutique, which specializes in developmentally conducive children’s footwear. We carry Calgary’s biggest … READ MORE

Tomasz Bugajski, PhD Candidate, Biomedical Engineering

Tomasz’s Master’s thesis was focused on the Calgary Protocol for the Treatment of Pectus Carinatum, developed by Dr. David S. Sigalet, General Surgery Clinic at the Alberta Children’s Hospital. This method of … READ MORE

Bracing results in significant improvements in Pectus carinatum

Comfort is the key because the brace is worn continuously to provide compression during regular daily activity. Patients are more compliant with the Braceworks PC brace and encouraging results are often apparent early in treatment. … READ MORE

Fee for the Braceworks Pectus Brace in Alberta

The Calgary Protocol: bracing for Pectus carinatum. The Braceworks Pectus Brace® is a cost-shared benefit insured by Alberta Aids to Daily Living (AADL). With AADL, patients are responsible for 25 percent of the total cost of the … READ MORE

Pectus carinatum treatment in Canada: current practice

The Calgary Protocol: bracing for Pectus carinatum BACKGROUND Multiple treatment options currently exist for the correction of pectus carinatum (PC). We performed a survey of Canadian pediatric surgeons to define current practices. … READ MORE

Low intensity intervention yields modest benefit in knee and hip osteoarthritis

The combined patient and provider intervention resulted in modest improvement in self-reported physical function in patients with hip and knee osteoarthritis. Allen, Yancy, Bosworth, et al. The Lantern Path in the woods of Hakone, … READ MORE

Equinus: Its surprising role in foot pathologies

Treatment for equinus should be aimed at increasing ankle joint dorsiflexion to facilitate normal gait mechanics. In most cases, non-spastic forms of equinus tend to be more treatable and easily corrected than the spastic … READ MORE

Gait retraining improves symptoms of knee OA

Walking differently to reduce knee pain. A number of different gait modifications have been demonstrated to significantly reduce the knee adduction moment in patients with knee osteoarthritis (OA). Now research suggests gait … READ MORE

Out on a limb: Hockey gets hip to FAI

Despite evidence of significant lower extremity injury risks associated with ice hockey, even at youth levels, preventing those types of injuries has never been a priority in that sport. But that may be starting to change. Young ice … READ MORE

Battle of Achilles II: How the debate is informing clinical practice

Four years later, the ongoing discussion of the relative merits of surgical and nonsurgical management of Achilles tendon rupture is starting to affect practice patterns – even in the US. Sara Mearns, New York City Ballerina. … READ MORE

Ankle motion may predict who will respond to lateral wedge insoles

Lateral wedge insoles are a potential simple treatment for medial knee osteoarthritis (OA) patients by reducing the external knee adduction moment (EKAM). However in some patients, an increase in their EKAM is seen. Understanding the … READ MORE

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