Orthopedic medicine

Success in 3D bio-printing of cartilage

A team of researchers at Sahlgrenska Academy has managed to generate cartilage tissue by printing stem cells using a 3D bio-printer. The fact that the stem cells survived being printed in this manner is a success in itself. In … READ MORE

Read this before you get your knee replaced

More than sixty thousand Canadians per year, and climbing, get knee replacement surgery. A U.S study published last week in the British Medical Journal finds that a good number of patients south of the border may be getting new knees … READ MORE

3D printable implants may ease damaged knees

Printable hydrogel matches the strength and elasticity of human cartilage. A cartilage-mimicking material created by researchers at Duke University may one day allow surgeons to 3D print replacement knee parts that are custom-shaped … READ MORE

Women more sensitive to metal used in joint replacement

Why are women at higher risk of complications after total hip or knee replacement surgery? An increased rate of hypersensitivity to the metals contained in joint implants might be a contributing factor, suggests a study in the April … READ MORE

Prehabilitation for TKA: Preop and postop benefits

Prehabilitation, particularly in the form of exercise, has the potential to significantly improve preoperative and postoperative outcomes in patients with knee osteoarthritis who are undergoing total knee arthroplasty. Both … READ MORE

Doctor-Patient communication, a thorny challenge

Many veteran doctors have probably been there: You sit your patient down and explain their diagnosis. You walk them through how to take their medication. They nod and promise that they don’t have any questions. Next visit, you … READ MORE

Home may be the best place to recover after total joint replacement surgery

Despite higher costs, many doctors recommend and some patients prefer, recovery at an in-patient rehabilitation facility following total hip (THR) or total knee replacement (TKR) surgery. And yet a new study to be presented Thursday, … READ MORE

Shared doctor-patient orthopaedic treatment decisions improve outcomes, patient experience

Well-informed patients who decide with their orthopaedic surgeon what treatment is best for them have better outcomes and higher patient satisfaction rates, according to new study presented today at the 2017 Annual Meeting of the … READ MORE

Recent generations are experiencing higher rates of arthritis

A Singular Rise for Arthritis and Obesity. A Canadian study spanning 18 years confirms that arthritis is more prevalent today, but also that people are increasingly being diagnosed at a younger age and with an increasingly higher BMI. … READ MORE

Risk factors for conversion to TKA following knee arthroscopy

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 … READ MORE

Knee surgery holds even in heavier patients

Success rates for meniscus surgery were similar for those with average and higher BMI. Some surgeons may be hesitant to repair a torn meniscus on heavier patients, assuming there is a higher chance of the repair failing. But a study … READ MORE

Women had significantly greater involvement in knee OA-related health care before TKA

In the 12 months preceding total knee arthroplasty, women experienced significantly greater utilization of knee osteoarthritis-related health care than men, according to results. Boost your knee health—and help decide whether knee … READ MORE

Not all meniscal pathology is relevant in patients with knee OA

Some—but not all—characteristics of meniscal damage on magnetic resonance imaging (MRI) scans are associated with knee osteoarthritis (OA) severity and two-year progression, according to research from Tufts Medical Center in … READ MORE

Orthopaedic research helps patient regain mobility and grow as a nurse

Working as a bedside nurse requires extensive physical effort — pushing wheelchairs and beds, twisting and lifting, and long periods on your feet. Jennifer Thomas, who’s been a nurse at UK HealthCare for six years, can attest … READ MORE

US study finds no way to predict risk of joint replacements

The American federal government has started a program that penalizes hospitals for readmission of joint replacement patients within 90 days, but a new study finds there is no good index for assessing that risk. Replace, but … READ MORE

Part 2: When a knee replacement specialist needs his own new knee

A noted surgeon gains insight into managing postop pain—his own. In part 1 of his account of his knee replacement surgery, knee replacement specialist Ira H. Kirschenbaum MD, chairman of the Department of Orthopedics at … READ MORE

Pre-referral MRIs not often necessary

An MRI isn’t always the best first-choice for diagnosis when patients present with knee pain. While MRI is highly sensitive and it can detect intra-articular pathology, these changes might be associated with degenerative joint … READ MORE

Safely managing acute osteoarthritis in the emergency department

An Evidence-Based Review. Osteoarthritis (OA) is a common problem, the incidence of which is increasing every day. By 2030, as much as 25% of the adult population is expected to have self-reported or physician-diagnosed arthritis. … READ MORE

Supervised neuromuscular exercise prior to hip and knee replacement

Total hip and knee replacement (THR and TKR) surgery are recognized treatments for pain relief in patients with severe symptoms from hip or knee osteoarthritis (OA). Nevertheless, one year after surgery up to 50% of patients … READ MORE

Quicker weight bearing may be safe after knee cartilage surgery

People receiving a graft of their own knee cartilage cells may be better off returning to full weight bearing after six weeks instead of the standard eight, a small study suggests. The knee brace is amazing. It actually allowed me to … READ MORE

Stem cell ‘living bandage’ for knee injuries in human trial

A ‘living bandage’ made from stem cells, which could revolutionise the treatment and prognosis of a common sporting knee injury, has been trialled in humans for the first time by scientists at the Universities of Liverpool and … READ MORE

For articular cartilage injury, a holistic approach is best

A Surgeon’s Holistic Approach. After years of treating knee injuries, I’ve come to a realization about articular cartilage: You’ve got to understand the whole knee. It’s not enough to master arthroscopy. You … READ MORE

Comparing physical therapy and knee surgery

Predictors of crossover to surgery in patients with meniscal tears and OA. Can “prehab” improve outcomes after acl surgery? Dr. David Geier Susan London, Internal Medicine News May 13, 2015 SEATTLE – Certain clinical factors … READ MORE

Complementary medicine helps reduce pre-op anxiety

A combination of complementary medicine and standard care shows potential to reduce preoperative anxiety levels and improve the outcome of the operation, state authors of a new report. Integrative Medicine: Healing Focused on Your … READ MORE

Positive effects of exercise therapy on pain and function in osteoarthritis

Evoke 3D printed custom knee brace. Osskin Despite the high prevalence and burden on health care systems, currently there is no cure for osteoarthritis (OA), whilst the number of individuals affected with symptomatic OA is expected to … READ MORE

Physiotherapists as primary care practitioners for patients with musculoskeletal disorders

Musculoskeletal (MSK) disorders, such as osteoarthritis, rheumatoid arthritis, osteoporosis and low back pain, represent an important burden in terms of direct and indirect health care costs in western countries. In Canada, pressure … READ MORE

Self-care and exercise effective in managing knee conditions

Self-care is a concept widely applied across healthcare and can be broadly defined as “what people do for themselves to establish and maintain physical and emotional health and prevent or deal with minor illness, injury, or chronic … READ MORE

What you need to know about prehabilitation

Most of us know the value of rehabilitation following a surgery, such as a joint replacement, and how it restores physical strength and function. What may be less familiar is the concept of rehabilitation prior to surgery, or … READ MORE

Part 1: When a knee replacement specialist needs his own new knee

Ira H. Kirschenbaum MD, chairman of the Department of Orthopedics at Bronx-Lebanon Hospital Center, Bronx, New York, has performed over 3500 total knee replacements. When Dr Kirschenbaum needed a new knee himself, he kept a diary from … READ MORE

Got knee pain? The best tool for evaluating knee pain among middle-aged patients is an x-ray

Knee pain is common among Americans age 40 and up. Nearly 1 in 17 people visit doctors’ offices each year for knee pain or injuries from osteoarthritis—a progressive “wear and tear” disease of the joints. Those odds increase … READ MORE

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