Orthopedic medicine

Prehab can help mitigate impact of delayed surgeries amid COVID-19

Hospitals in Ontario have been ramping down elective surgeries and other non-urgent activities in an effort to mobilize health workers in the fight against COVID-19. Peter Griffin, Public Domain By Jelena Damjanovic, University of … READ MORE

Regeneration race: Cartilage regrows faster in some joints than others

Thought regenerating tissue was just for salamanders? It turns out that humans can regenerate certain tissues faster than others too. A study authored by Duke researchers found that humans have the ability to regenerate cartilage in … READ MORE

Mystery arthritis-linked knee bone three times more common than 100 years ago

The fabella, a small bone in the knee once lost to human evolution, has made a surprising resurgence over the last century. BBC Breakfast – The fabella, 3.5 times more common today than 100 years ago. mikeb951. Youtube Apr 22, … READ MORE

Knee replacement timing is all wrong for most

People delay surgery and lose function; others get it too soon with less benefit. When surgery is delayed, people don’t get full benefit of new knee. When surgery is premature, patients assume unnecessary risk and may need a … READ MORE

Younger knee replacement patients more likely to require reoperation than those 60 and older

Knee replacement surgery, also known as total knee arthroplasty (TKA), is increasing among patients 65 and younger. One study projects a potential 183% increase in the number of TKA and revision TKA surgeries by the year 2030 in that … READ MORE

Self-reported stiffness comparable to MRI in predicting radiographic knee OA

Self-reported data on swelling and morning stiffness showed comparable efficacy to MRI in predicting incident radiographic knee osteoarthritis, according to findings presented here. Healio May 4, 2019 TORONTO — “There is relevant … READ MORE

Humans have salamander-like ability to regrow cartilage in joints

The process could be harnessed as a treatment for osteoarthritis. “We believe that an understanding of this ‘salamander-like’ regenerative capacity in humans, and the critically missing components of this regulatory circuit, … READ MORE

Suffering from bad knees, some look for alternatives to surgery

The burning in his kneecaps was what Richard Bedard noticed first. Then came the tenderness and pain. Sitting for 10 hours a day as a financial editor in Hong Kong was agonizing. So was walking short distances or just standing in the … READ MORE

University of Barcelona researchers describe a new anatomic structure in the ankle

This ligament complex would explain chronic pain after an ankle sprain. The superior fascicle of the anterior talofibular ligament (1) is an intra-articular non-isometric structure, that is, it relaxes when the foot is on dorsal … READ MORE

Strenuous exercise is safe for people at high risk of knee OA

People at high risk for knee osteoarthritis (OA) may be reluctant to participate in strenuous physical activities such as jogging, cycling, singles tennis, and skiing. But a new study from Northwestern Medicine, published in JAMA … READ MORE

New online tool predicts individual risks and benefits of joint replacements

An innovative online tool devised by researchers from the University of Sheffield will give patients unique personalised information about the risks and benefits of having a joint replacement for the first time. University of … READ MORE

Physiatrists offer non-surgical approach to treating muscle, joint, other conditions that impede function

Dr. Julio A. Martinez-Silvestrini is medical director of Baystate Physical Medicine and Rehabilitation that has a number of locations in the western Massachusetts area. The physiatrist, shown here at Baystate Health and Wellness … READ MORE

Fall risk reduced in older adults with exercise

10 things you can do to prevent devastating falls. A new study shows we know how to stop the leading cause of injury among older people, writes Dr. Eric B. Larson. All we have to do is use that knowledge. By Lisa Rapaport, Medscape … READ MORE

Dodgy treatment: it’s not us, it’s the other lot, say the experts. So who do we believe?

Will my surgery work? Well, it depends on who you ask. Patients might not be getting the best advice about which treatments do or don’t work, according to our study published today. We found professional societies are more likely to … READ MORE

New evidence: Hip, knee steroid injections more dangerous than thought

A new study reveals that commonly given hip and knee steroid intra-articular injections may be harmful in some patients with at-risk conditions or may cause complications that are not well understood. These findings appear online in … READ MORE

Is joint replacement surgery necessary?

Non-surgical and minimally invasive surgical options for deteriorating joints may allow some patients to delay or avoid joint replacement surgery. OssKin Evoke By Kim Waterman, Northwestern Medicine, Orthopedics May 15, 2019 Hip and … READ MORE

On bended knees: The quest for new knees is complete

Last fall I decided to face my biggest challenge and undergo bilateral knee replacement surgery. It was a fascinating journey I had actually started years earlier – but my own paralyzing fear kept me postponing surgery dates after … READ MORE

Study tackles non-surgical treatment of knee osteoarthritis

This study is a head-to-head comparison of non-surgical treatment of knee osteoarthritis and total knee replacement surgery. Here is what they found. Florence Dressler illustration in Feminology 1902, page 607. Library of … READ MORE

Prehabilitation for TKA may yield shorter length of stay, better discharge disposition

Patients who participated in a prehabilitation protocol for total knee arthroplasty experienced shorter length of stay and better discharge disposition, according to results published in The Annals of Translational Medicine. Prehab … READ MORE

Three reasons to avoid – or delay – knee replacement surgery

Hitting your 50s or 60s can bring several life changes, and increasingly those include artificial joints. For much of the aging U.S. population, knees in particular are wearing out. OssKin Evoke The Davis Clipper November 21, 2018 … READ MORE

Joint mobilization plus exercise beneficial for knee osteoarthritis

Patellar mobilization therapy (PMT) plus exercise has the potential to reduce pain and improve function and quality of life for patients with knee osteoarthritis, according to a phase 2 study published Nov. 12 in the Annals of Family … READ MORE

Funding for physiotherapy led exercise programs is key to proper OA management

Osteoarthritis (OA) is a debilitating and painful condition affecting more than 2.2 million Australians at a cost to the health system of $2.1 billion annually. As Australia’s population ages and obesity rates climb, this figure is … READ MORE

Higher intensity walking may lower risk of knee replacement in people with OA

Patients with knee osteoarthritis who walk at a moderate-to-vigorous intensity may lower their risk of total knee arthroplasty, or joint replacement surgery, according to new research findings presented this week at the 2018 ACR/ARHP … READ MORE

Orthopaedic surgeons on the common knee procedure that may cause more harm than good

Nearly half of Canadians aged 65 and over experience osteoarthritis in their knees. Osteoarthritis is the most common form of arthritis and occurs when the protective cartilage on the ends of bones wears down over time leading to … READ MORE

On bended knees: Two steps forward, one step back

Sun Media national lifestyle and food editor Rita DeMontis recently wrote about her struggles with advanced osteoarthritis knee issues, and how she faced the toughest challenge of her life: Bilateral knee surgery. In Part Four of her … READ MORE

If your knee hurts, keep exercising, says expert

If you take up exercise later in life, as a treatment for joint or hip pain, you should expect a small, temporary increase in pain. But if you proceed sensibly, you will be rewarded with pain relief similar to that of a non-steroidal … READ MORE

First 3D colour x-ray of a human using CERN technology

What if, instead of a black and white X-ray picture, a doctor of a cancer patient had access to colour images identifying the tissues being scanned? This colour X-ray imaging technique could produce clearer and more accurate pictures … READ MORE

Scientists uncover why knee joint injury leads to osteoarthritis

Knee joint injuries are typically related to sports, such as football, rugby or ice hockey, but people often do not know that such injuries may lead to joint inflammation and post-traumatic osteoarthritis. OssKin Evoke University of … READ MORE

Physical therapies underused following total knee replacement

Evidence-based physical therapy interventions for patients who undergo total knee replacement surgery are underused, and the dosage may not be adequate to achieve optimal outcomes, according to a retrospective review in Arthritis Care … READ MORE

The stages of knee osteoarthritis

Osteoarthritis is a common form of arthritis that often affects the knee. In the first stage, symptoms are mild, but by the fourth, a person may need surgery. Conservative biomechanical strategies for knee osteoarthritis. Paulo … READ MORE

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