News Blog (Part 12)

Microfracture success depends not only on the operation but rehabilitation as well

Posted on November 10, 2007

Surgeon shares pearls for optimal results with using microfracture to repair articular cartilage. By Tina DiMarcantonio ORTHOPEDICS TODAY 2007; 27:34 To achieve satisfactory results with microfracture, one expert suggests the following: Adhere to the selection criteria, follow the appropriate procedure and always prescribe standard rehabilitation for 8 weeks postoperatively. “When we started …

Treatment of Heterotopic Ossification

Posted on November 10, 2007

By Samuel T. Chao, MD; Michael J. Joyce, MD; John H. Suh, MD ORTHOPEDICS 2007; 30:457 June 2007 Heterotopic ossification is defined as bone formation in nonosseous tissues. Heterotopic ossification usually occurs in trauma such as fractures and surgical procedures. Heterotopic ossification of the hip, for example, is …

Pain, disability decrease after augmenting vertebral fractures with bioceramic filler

Posted on October 1, 2007

Patients in two IDE studies had vertebroplasty or kyphoplasty with synthetic bone not PMMA. by Susan M. Rapp A bioceramic material used in vertebroplasty and kyphoplasty procedures to augment vertebral compression fractures proved safe and effective at up to 3 years follow-up, investigators said. At the International Society for the …

Metal-metal Hip Resurfacing Offers Advantages Over Traditional Arthroplasty in Selected Patients

Posted on September 10, 2007

By Robert L. Barrack, MD ORTHOPEDICS 2007; 30:725 September 2007 Total hip arthroplasty (THA) is among the most successful interventions in medicine. It is the best option for most patients with end-stage arthritis of the hip. However, THA has some limitations, and problems with THA are far from nonexistent. Revisions account for …

Patellar redislocation rate up to 20% with MPFL reinsertion or conservative care

Posted on September 7, 2007

Kujala subscores showed more stability for medial patellofemoral ligament refixation patients. By Susan M. Rapp 1st on the web (September 7, 2007) September 2007 FLORENCE — Danish investigators studying the role the medial patellofemoral ligament plays in patellar stability found that surgically reinserting it after a patellar dislocation did little to prevent …

Keep the Metal in Mind

Posted on August 12, 2007

By Charles Sorbie, MB, ChB, FRCS(E), FRCS(C) ORTHOPEDICS 2007; 30:603 August 2007 Although uncommon, hypokalemia can be the reason for a puzzling quadriparesis associated with trauma. Sudden loss of muscle power usually can be traced to an injured spinal cord. Other conditions such as infections, tumors, and illnesses affect the neurological system …

Reconstruct soft tissue constraint to correct lateral patellar dislocation

Posted on August 10, 2007

Part 1 of a two-part series on patellofemoral instability looks at the soft-tissue approach. By Susan M. Rapp ORTHOPEDICS TODAY 2007; 27:16 August 2007 Orthopedic surgeons traditionally resolve joint instability problems by trying to reconstruct the anatomy of the torn structure. Extending this approach to the patellofemoral joint, reconstruction of the medial …

Low morbidity, few dislocations make hip resurfacing an option for young patients

Posted on August 10, 2007

Careful selection can help patients regain function and have a satisfactory quality of life. by Susan M. Rapp Better surgical techniques and patient selection will enable total joint surgeons to achieve more reproducible results in the young arthritic patient with hip resurfacing implants, according to Paul E. Beaulé, MD, FRCSC. …

Injury prevention strategy helps cut ACL tear rates 50% and reduces injury risk

Posted on July 10, 2007

Norwegian multidisciplinary approach shifts emphasis away from treating injuries. By Susan M. Rapp ORTHOPAEDICS TODAY INTERNATIONAL 2007; 10:8 July 2007 FLORENCE — Researchers at the Oslo Sports Trauma Research Center reported good results with their sports injury prevention trials after stepping up efforts in this area using a multidisciplinary approach. A study …

Learning curve may be longer than thought for placing hip resurfacing components

Posted on May 10, 2007

It took surgeons 55 to 60 cases to get femoral components within ±5° of planned placement. by Susan M. Rapp British and Australian researchers collaborating on a prospective study identified a longer-than-expected learning curve to accurately perform hip resurfacing arthroplasties. Hip surgeons taking part in the study, all of whom …