Orthopedic medicine

Is the complex primary total knee arthroplasty glass half full or half empty?

Total knee arthroplasty as we know it today, for the vast majority of patients, is really a resurfacing of the knee. Approximately a centimeter of bone is shaved off all of the surfaces of each bone and replaced with metal and/or … READ MORE

Themes patients focus on when selecting treatment for OA

Investigators of this study identified key themes, such as the characteristics of a treatment and the time and money investment required, which guide patients with hip or knee osteoarthritis when they decide on a treatment option. … READ MORE

You’ll know when you’re ready: When the time is right for joint replacement surgery

Pool Exercises for Joint Pain, Arthritis Foundation. Background. While some studies have identified patient readiness as a key component in their decision whether to have total joint replacement surgery (TJR), none have examined how … READ MORE

Activity limitations and pain in patients scheduled for total knee arthroplasty

This paper reports the functional and activity limitations among persons scheduled for TKA, stratified by preoperative pain level. About one-fifth of subjects in the cohort reported Low WOMAC Pain scores (0–25) prior to surgery. … READ MORE

Many treatment guidelines are written by experts with financial conflicts

Physicians typically rely on treatment guidelines issued by medical associations, but a new study finds that many experts involved in assembling these guidelines in Canada have financial ties to drug makers. And the study authors … READ MORE

All in the hips – professional golfers more likely to have different shaped hip joints

Lack of success on the fairway may not be due to your swing – it could be your hips that are to blame. New research from the University of Warwick has found that professional golfers are more likely to have different shaped … READ MORE

Minorities less likely to have knee replacement surgery, more likely to have complications

Minority populations have lower rates of total knee replacement (TKR) utilization but higher rates of adverse health outcomes associated with the procedure, according to a new study appearing in today’s issue of the Journal of … READ MORE

Cover lets household drills into surgery

A sterile cover for hardware-store drills, which allows them to be used in operating rooms, is one of several innovations that the Grand Challenges of Canada program has chosen to support financially. A sterile cover for … READ MORE

9 things no one ever tells you about getting a knee replacement

After 20 years of pain and icing her knee nightly, Sue Minutaglio of Westchester NY, knew she couldn’t put off a knee replacement any longer. What she didn’t know was what a long, grueling road was ahead of her. “After 2 … READ MORE

Exercise as effective as surgery for middle aged patients with knee damage

Study raises questions over widespread practice without supporting evidence. Exercise therapy is as effective as surgery for middle aged patients with a common type of knee injury known as meniscal tear (damage to the rubbery discs … READ MORE

Relief for joints besieged by arthritis

If you live long enough — that is, beyond 50 or 60 — chances are one or more of your joints, probably your knees or hips, will become arthritic. And if pain or stiffness begin to seriously limit your ability to enjoy life and … READ MORE

Quality of physiotherapist led orthopaedic triage compared with standard practice in primary care

Physiotherapist-led orthopaedic triage, where physiotherapists diagnose and determine management plans, aims to enhance effectiveness and provide the best care. However, scientific evidence for the effectiveness of this model of care … READ MORE

Benefits of psychological care in pain management

Doctors should consider cognitive therapies as potential first-line treatment. Increasing practitioner skepticism about the long-term safety of opioid pain medications for treating chronic pain and compelling evidence showing the … READ MORE

Wait two weeks to shower following knee replacement surgery?

It may not be necessary for knee replacement patients to wait up to two weeks after surgery before showering, as many surgeons now require, new research indicates. Loyola University Health System May 11, 2016 Rob Greenfield. Photo … READ MORE

Total knee arthroplasty, TKA not detrimental to participation in sports

“This study documented that patients were not only able to maintain, but to increase activity following surgery. Since subjective scores, such as the OKS and the VAS for pain, improved significantly over preoperative [measures] and … READ MORE

Improving surgery outcomes for children with cerebral palsy

Children with cerebral palsy frequently undergo invasive surgeries — lengthening tendons, rotating bones, transferring muscles to new locations — in hopes of improving their physical ability to walk or move. Walk-DMC is a new, … READ MORE

Current thinking in surgical approaches to meniscus repair

With a Torn Meniscus, the Clock Is Ticking. Not so long ago, surgeons thought that the meniscus was a vestigial structure. If it was damaged, we cut it out. But the more we have learned, the more we understand about the necessity of … READ MORE

Empowering orthopaedic patients: Digital fitness devices monitor health and activity, improve outcomes

Apps allow patients to share data with their doctor. Many orthopaedic patients are eager to track and improve their health and progress before, during and after treatment. A digital fitness device, technology already owned by 1 in 10 … READ MORE

Significant degeneration of knee cartilage in overweight people, over time

Osteoarthritis is a degenerative disease in which the articular cartilage protecting the joint starts to degenerate and wear off over time. The main risk factors of osteoarthritis are advanced age and overweight-induced significant … READ MORE

Is hip arthroscopic surgery a sham?

Minimal access hip arthroscopy surgery has become the treatment of choice for hip pain in young adults, especially athletes, but a team of McMaster University surgeons is looking to see if the procedure is a sham. “The evidence to … READ MORE

Aggressive rehab safe after knee replacement

Aggressive rehabilitation after total knee arthroplasty is safe and could lead to earlier functional recovery without compromising range of motion, new research shows. 5 tips for faster knee surgery recovery. Spring Loaded Technology … READ MORE

Digital fitness devices monitor health and activity, improve outcomes

“If we can get people more involved in their care and help them get in better shape, then everyone wins – patients, physicians, and the entire health care system.” Claudette Lajam MD. Apps allow patients to share data … READ MORE

Remote orthopaedic care successful with common conditions

In new study, nearly 80 percent of rural fracture patients avoided travel to an urban medical center, saving $3.7 million in transportation costs. “These results show that you don’t need an expensive, elaborate system to … READ MORE

Calgary OA knee brace clinic – relieve knee pain, boost your mobility

Resume the activities you love. Unloading braces cushion the knee joint, help absorb impact and prevent bone to bone contact due to cartilage degeneration. Relieve knee pain due to degeneration or inflammation linked to … READ MORE

Physical therapy following total knee replacement raises new concerns over referral for profit

A new study concludes that patients who undergo total knee replacement (TKR) surgery and are referred to a physical therapist (PT) not affiliated with their surgeon’s practice have fewer visits and more individualized, … READ MORE

Brace yourself for knee pain relief

If you’re among the estimated 10 million [Americans, annually] who have been diagnosed with osteoarthritis of the knee, take heart in knowing that several nonsurgical options, pharmacologic and otherwise, are available for … READ MORE

Patients benefit from one-on-one education prior to joint replacement surgery

Education session with a physical therapist prior to knee or hip replacement benefits patients. A study at Hospital for Special Surgery (HSS) finds that patients benefit from a one-on-one education session provided by a physical … READ MORE

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

Canadian patients had higher major complication rates after TKA

Patients from Canada who underwent total knee arthroplasty experienced a higher rate of major complications compared with patients from the United States, according to results recently published in JAMA Surgery. by Casey Tingle, … 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

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