Brian S. Parsley, M.D, flag

News Updates

Patient factors, not procedure, linked with major complications after surgery for femoral neck fracture
Source:
Healio

The risk of major postoperative complications after hemiarthroplasty or total hip arthroplasty for treatment of femoral neck fractures is influenced by patient factors, rather than choice of procedure, according to study results.

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Towards better hip replacements
Source:
Healio

Patients with degenerative arthritis who underwent total hip or knee arthroplasty experienced better survival compared with the general population for about 8 years after surgery, according to results.

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Early life intervention may prevent knee OA later in life
Source:
Healio

A recent narrative review of the association between childhood or early adulthood risk factors and the development of knee osteoarthritis showed osteoarthritis may be prevented later in life with early life intervention.

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Effect of General Anesthesia on Preoperative Hip Range of Motion in Patients Undergoing Hip Arthroscopy

Source: Healio

Hip ROM does not change to a clinically significant extent with induction of general anesthesia. Small increases in external rotation in patients with FAI or acetabular dysplasia are within the standard error for ROM measurements.

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Study: Risk stratification protocol reduced rate of postoperative aggressive anticoagulation
Source:
Healio

Recently published results showed 70% of patients who underwent total hip or knee arthroplasty avoided more aggressive anticoagulation after the use of a risk stratification protocol for venous thromboembolism.

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Primary hip arthroscopy yields improved patient-reported outcome scores
Source:
Healio

Patients who underwent primary hip arthroscopy experienced greater improvement in patient-reported outcome scores at 2-year follow-up compared with patients who underwent revision arthroscopy, according to recently presented data.

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Morbidly obese, nonobese patients experienced similar outcomes after revision THA
Source:
Healio

No differences found in incidence of complications or survivorship free of reoperation or rerevision.

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Anterior vs. posterior: Does surgical approach impact hip replacement outcomes?
Source:
Medical Xpress

The surgical approach to total hip replacement (THR)—either from the front of the body or the side/back (anterior versus posterior)— has no impact on outcomes six months after surgery, according to research presented today at the 2016 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS).

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Total knee arthroplasty: analysis shows EXPAREL reduces length of hospital stay and improves discharge status compared to standard analgesic modality
Source:
Medical News Today

Pacira Pharmaceuticals, Inc. has announced results of new data showing that EXPAREL® (bupivacaine liposome injectable suspension) infiltration compared to a standard analgesic regimen in patients undergoing total knee arthroplasty (TKA) significantly decreased the length of hospital stay and increased the likelihood that a patient would be discharged to their home rather than a care facility when released from the hospital.

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Procedures to repair knee cartilage show promise in treating patients over 40
Source:
Medical News Today

Patients who have cartilage damage in their knees often experience pain and are unable to engage in sports and other activities they enjoy. Two studies at Hospital for Special Surgery (HSS) find that cartilage restoration procedures are a viable treatment option for patients over 40 years old.

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Use MIS for hip fractures if it is right for the patient, not to shorten hospital stays
Source:
Healio

In the literature, minimally invasive surgery for hip fractures has been shown to possibly reduce by several days the length of a patient’s hospital stay, as well as reduce blood loss and soft tissue damage vs. open procedures, but this topic is controversial and there are differences in opinion about when hip fractures should be treated with a minimally invasive technique.

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Improved care and fewer deaths since introduction of NHS hip fracture initiative
Source:
Medical News Today

Substantial improvements in the care and survival of older people with hip fracture in England have followed the introduction of a collaborative national initiative to tackle the issue, according to a new study published in the Medical Care journal.

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UNMC study: knee replacement viable option for rheumatoid arthritis
Source:
Medical News Today

Kaleb Michaud, Ph.D., has for a long time listened to patients with rheumatoid arthritis (RA) talking about improved quality of life after their total joint replacements. But until now, there’s been little information that actually measures how the surgery impacts quality of life for RA patients.

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Which Patients Are at Greatest Risk for Readmission after THA?
Source:
ICJR

A recently published multi-center study provides guidance on modifiable risk factors orthopaedic surgeons can address prior to surgery to reduce the chances of patients being readmitted following total hip arthroplasty.

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FDA Approves New Leg Prosthesis for Amputees
Source:
DailyRx

The U.S. Food and Drug Administration today authorized use of the first prosthesis marketed in the U.S. for adults who have amputations above the knee and who have rehabilitation problems with, or cannot use, a conventional socket prosthesis.

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Patient-specific predictive model offers more accurate preoperative templating in hip arthroplasty
Source:
Healio

A prediction model presented better estimates of the actual size of implants used in total hip arthroplasty and, in the long term, may help reduce the cost of health care by minimizing implant inventory costs, according to study results.

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A Different Perspective on Metal-on-Metal Implants for THA
Source:
ICJR

Henri Migaud, MD, told attendees at the recent World Arthroplasty Congress that abandoning all metal-on-metal implants for total hip arthroplasty without considering which ones could be safely used is a mistake. The right implant with the right patient can still produce a good outcome.

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Routine gait analysis may be a helpful guide for post-TKA rehabilitation
Source:
Healio

Many patients who underwent total knee arthroplasty did not experience improvement in their gait relative to preoperative patients by 12 months postoperatively; however, use of routine gait analysis was helpful for guiding patients’ postoperative rehabilitation and may be useful for developing strategies for mobility improvement, according to researchers’ findings.

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Benefit of preoperative exercise for post-TKR functional outcomes unclear
Source:
Healio

According to study results, a median of 10 exercise sessions before total knee replacement demonstrated a small yet non- significant improvement in functional assessments compared with patient education only; however, benefits were not sustained after surgery, demonstrating inconclusive results regarding whether preoperative exercise was beneficial for postoperative functional outcomes.

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PRP did not improve clinical outcomes of hip arthroscopy for labral tears
Source:
Healio

Results of a prospective study showed patients who had an intraoperative platelet-rich plasma injection at the end of hip arthroscopy for labral treatment trended toward higher pain scores and lower modified Harris Hip Scores at 2-years compared with patients who received bupivacaine.

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Risk Factors for Postoperative Urinary Retention in Men Undergoing Total Hip Arthroplasty
Source:
Healio

Postoperative urinary retention is a common complication after major orthopedic procedures of the lower limb. In total hip arthroplasty and total knee arthroplasty, the incidence ranges from 7% to 84%. In this study, the incidence and risk factors for postoperative urinary retention were described in a cohort of 376 men undergoing total hip arthroplasty.

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Biomarkers of Inflammation Don’t Correlate with Early Outcomes of THA
Source:
ICJR

A study from Mayo Clinic – reported at the MAOA annual meeting – found no differences in pain and early functional outcomes in direct anterior THA patients vs. mini-posterior THA patients regardless of any changes in serum biomarkers for muscle damage.

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Hip Fracture Patients: Nearly half have delirium, study suggests
Source:
Science Daily

48 percent of hip fracture patients, age 65 and older, had delirium, or acute confusion, before, during and after surgery (perioperative), resulting in significantly longer hospital stays and higher costs for care, a new study concludes.

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Freezing Knees, Stopping Pain
Source:
Ivanhoe

More than 10-million Americans suffer from knee pain. Drugs and surgery can be a fix, but now, there’s a better option for some patients and doctors are freezing away the pain! Sixteen-year-old Abbey Watson has been running her whole life.

Watson told Ivanhoe, “I did my first 5k when I was four years old!”

The cross country athlete has even gone to states. But recently, knee pain slowed her down.

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Study: Hip replacement an excellent option to relieve pain in juvenile arthritis patients
Source:
Medical News Today

Implant lasts at least 10 years in 85 percent of patients

Hip replacement is often performed in patients with juvenile arthritis when their joints have been severely damaged by the disease. A study at Hospital for Special Surgery (HSS) finds that the procedure is an excellent option to alleviate pain and improve function in juvenile arthritis patients under age 35 when conservative treatments fail to provide relief.

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Women fare better than men following total knee, hip replacement
Source:
Medical Xpress

While women may have their first total joint replacement (TJR) at an older age, they are less likely to have complications related to their surgery or require revision surgery, according to a new study presented today at the 2015 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS). The findings contradict the theory that TJR is underutilized in female patients because they have worse outcomes then men.

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Patients going home after knee replacement do as well as those going to rehab facility
Source:
Medical Xpress

A study by researchers at Hospital for Special Surgery (HSS) finds that patients who go home after knee replacement and receive physical therapy at home do as well as those discharged to an in-patient rehabilitation facility. There’s a common belief that people should go to a rehab facility after joint replacement,” said Douglas E. Padgett, MD, the lead investigator and chief of the Adult Reconstruction and Joint Replacement Service at HSS. “Our study found that patients can be safely discharged to their home following knee replacement, dispelling the notion that rehabilitation at an inpatient facility is essential for a successful recovery.”

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  • surgicalhospital.com
  • memorialhermann.org
  • faithinpractice.org
  • aahks.org
  • thehealthmuseum.org/index.aspx
  • https://med.uth.edu/ortho/
  • bcm.edu

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