Publisher: Healio
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Orthopedics
Journal Prestige (SJR): 0.734 ![]() Citation Impact (citeScore): 1 Number of Followers: 6 ![]() ISSN (Print) 0147-7447 - ISSN (Online) 1938-2367 Published by Healio ![]() |
- Arthroscopic, mini-open biceps tenodesis may yield similar long-term
outcomes-
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Authors: Casey Tingle
Abstract:LAS VEGAS — Arthroscopic inlay suprapectoral biceps tenodesis may yield similar long-term outcomes compared with mini-open onlay subpectoral biceps tenodesis in patients with biceps tendinopathy, according to results presented here.
“Are onlay techniques equivalent to inlay techniques based on the results of the study? I think the answer is yes, so I think we can all feel comfortable at proceeding with our procedure of choice and feeling good about our patients’ outcomes,” Stephen F. Brockmeier, MD, FAAOS, professor of orthopedic surgery at the University of Virginia,
PubDate: Tue, 28 Mar 2023 19:18:47 Z
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- VIDEO: General anesthesia may increase adverse events, complications in
older patients-
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Authors: Nishant Suneja; MD
Abstract:LAS VEGAS — Results showed general anesthesia was an independent predictor for increased risk of adverse events and postoperative complications in older patients who underwent operative treatment of intertrochanteric fractures.
Among older patients undergoing operative treatment of intertrochanteric fractures, researchers found patients who received general anesthesia had more adverse events and complications vs. those who had spinal anesthesia. Multivariate logistic regression analysis also showed general anesthesia was an independent predictor for increased risk of adverse events,
PubDate: Tue, 28 Mar 2023 19:03:24 Z
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- VIDEO: Venous thromboembolic prophylaxis may not increase complications in
spine surgery-
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Authors: R. Kiran Alluri; MD
Abstract:LAS VEGAS — Results presented at the American Academy of Orthopaedic Surgeons Annual Meeting showed venous thromboembolism prophylaxis may not increase the risk of postoperative complications in patients undergoing elective spine surgery.
“Ultimately, this study supports the currently existing literature that, in elective spine surgery, the epidural hematoma rate is probably about the same with or without anticoagulation,” R. Kiran Alluri, MD, orthopedic spine surgeon at the University of Southern California Spine Center at the Keck Medical School at USC, told Healio. “Whether
PubDate: Mon, 27 Mar 2023 18:27:09 Z
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- Chronic pain, opioids and the ‘false dream of mass anesthesia’
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Authors: Rob Volansky
Abstract:For more than a decade, the medical community as a whole, and particularly the field of rheumatology, has been trying to move away from opioids for the management of chronic pain — with varying degrees of success.
However, for a growing number of medical experts — in rheumatology and elsewhere — a completely new paradigm and understanding of pain, and its management, is needed. According to these sources, this new understanding should focus on and accept the reality that many patients with chronic pain are already facing — that living pain-free is an unrealistic goal
PubDate: Mon, 27 Mar 2023 14:36:49 Z
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- VIDEO: Racial, ethnic disparities more pronounced in ambulatory vs.
inpatient setting-
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Authors: Saad Chaudhary; MD
Abstract:LAS VEGAS — Results showed racial and ethnic disparities are more pronounced in the ambulatory care setting compared with the inpatient setting for lumbar surgical care.
“This topic and this research is not to indicate that we are not providing adequate care for our minority population, but it’s to highlight that more can be done to educate our patients, as well as to provide access across the board to everybody,” Saad Chaudhary, MD, FAAOS, assistant professor at the Mount Sinai Health System and spine surgeon at the Icahn School of Medicine, told Healio about results
PubDate: Mon, 27 Mar 2023 14:03:53 Z
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- Woven Orthopedics receives FDA 510(k) clearance of implant enhancement
system-
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Abstract:Woven Orthopedic Technologies has announced FDA 510(k) clearance of the Ogmend implant enhancement system to help surgeons achieve strong screw fixation during spine surgery, according to a press release.
The Ogmend system facilitates bone healing by securing screws into bone, according to the release.
“We are thrilled to deliver surgeons a simple, reliable solution to help overcome one of the most prevalent yet least discussed challenges in orthopedic and spine surgery: the ability to more confidently use surgical screws when operating in compromised fixation scenarios,” Brandon
PubDate: Sun, 26 Mar 2023 12:00:00 Z
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- Tyber Medical receives FDA clearance, MRI conditional labeling of anatomic
plating system-
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Abstract:Tyber Medical LLC has announced FDA 510(k) clearance and magnetic resonance conditional labeling of 100 new anatomic plates for use in orthopedic trauma, extremity and spine surgery, according to a press release.
The FDA clearance expands the anatomical plating system portfolio from Tyber Medical, which includes 391 plate configurations to treat deformities, trauma and degenerative conditions of the wrist, foot, ankle and long bones, according to the release.
“Our latest 510(k) clearance, including the [magnetic resonance] MR conditional designation from the FDA, expands the scope and
PubDate: Sat, 25 Mar 2023 12:00:00 Z
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- Evidence remains limited on effectiveness of analgesic medication for
acute low back pain-
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Authors: Andrew Rhoades
Abstract:Researchers urged physicians use caution when treating patients with analgesic medication.
After reviewing data from nearly 100 randomized controlled trials, researchers reported there is “considerable uncertainty” regarding the safety and efficacy of analgesic medications for acute non-specific low back pain.
Michael A. Wewege, PhD, a research fellow at Neuroscience Research Australia, told Healio that the study was prompted “because medicines are the most common treatment for adults with acute low back pain, and one of the most important questions is, ‘What is the best
PubDate: Fri, 24 Mar 2023 19:47:16 Z
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- VIDEO: Robotic assistance may be warranted for complex adult spinal
deformity surgery-
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Authors: Andrew J. Schoenfeld; MD
Abstract:LAS VEGAS — In this video from the American Academy of Orthopaedic Surgeons Annual Meeting, Andrew J. Schoenfeld, MD, discussed the cost-utility benefits of robotic assistance for adult spinal deformity procedures.
“The robot can be deployed in any setting, but it should be done judiciously. If these are procedures where there’s a low likelihood of complication or malposition hardware, etc., it may be best to reserve the robot for other procedures,” Schoenfeld said. “But when we’re talking about complex adult deformity surgery [with] dysplastic posterior
PubDate: Fri, 24 Mar 2023 17:00:00 Z
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- VIDEO: In-office needle arthroscopy is a ‘revolution’ in
orthopedics-
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Authors: John G. Kennedy; MD, MCh, MMSc, FFSEM, FRCS (Orth); Arianna Gianakos, DO
Abstract:LAS VEGAS — In this video from the American Academy of Orthopaedic Surgeons Annual Meeting, John G. Kennedy, MD, and Arianna Gianakos, DO, spoke about in-office needle arthroscopy for patients with anterior ankle impingement.
“[The patient is] actually just coming into the office in their clothes. They roll up their pant leg if they need it, and they are able to walk out of there, typically, because it is a minimally invasive procedure,” Gianakos said. “So, they don’t feel like they’re hurt. They don’t feel like they’re injured, and they want to
PubDate: Fri, 24 Mar 2023 13:00:00 Z
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- ‘A good start’: ACR guideline heralds increased use, recognition of
integrative therapies-
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Authors: Rob Volansky
Abstract:Integrative medicine approaches such as tai chi and yoga, which have long been used in rheumatology in a secondary or supplementary role, are increasingly being viewed as essential care.
The recent publication of a guideline for integrative strategies in rheumatoid arthritis by the American College of Rheumatology represents one big step forward in that regard.
“It is important to recognize that integrative medicine has elevated in recognition by both patients and providers in recent years,” Benjamin J. Smith, DMSc, PA-C, DFAAPA, program director and associate dean at the Florida
PubDate: Fri, 24 Mar 2023 09:30:00 Z
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- FDA issues reminder on defective packaging of some Exactech joint
replacement devices-
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Abstract:The FDA has issued a reminder to health care providers and patients about the risks of Exactech joint replacement devices from 2004 to 2021, which were recalled in 2021 and 2022 due to defective packaging.
According to an FDA press release, Exactech joint replacement devices between 2004 and 2021 were packaged in bags that were missing an oxygen barrier layer. The defect potentially exposed the devices to oxidation, a chemical reaction that degrades plastic over time. According to the release, oxidation of devices has been shown to accelerate wear, component cracking and fracture, which could
PubDate: Thu, 23 Mar 2023 18:47:50 Z
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- VIDEO: Surgeon volume associated with revision surgery after total
shoulder arthroplasty-
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Authors: Jon J.P. Warner; MD, FAAOS
Abstract:LAS VEGAS — In this video from the American Academy of Orthopaedic Surgeons Annual Meeting, Jon J.P. Warner, MD, FAAOS, discussed the association between surgeon annual volume and revision surgery after total shoulder arthroplasty.
“It’s difficult for patients to know who really is an expert, because we don’t have transparency in health care. It’s clear the experience surgeons have and the volume of procedures that they do directly correlate with the safety of an operation,” Warner said. “There are new technologies that are being applied for education,
PubDate: Thu, 23 Mar 2023 14:41:12 Z
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- Synovial fluid cultures had consistent positivity, organism profiles
during transport time-
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Authors: Casey Tingle
Abstract:LAS VEGAS — Synovial fluid cultures had consistent positivity and organism profiles for at least 1 to 6 days of transport time to the laboratory, according to results presented at the American Academy of Orthopaedic Surgeons Annual Meeting.
“In synovial fluid acquis, it looks like the organisms stay good for culture for over several days,” Carl A. Deirmengian, MD, FAAOS, said in his presentation here. “Nevertheless, we advocate for the shortest possible transport time as the best practice.”
Deirmengian and colleagues retrospectively reviewed data for 147,246
PubDate: Wed, 22 Mar 2023 13:41:26 Z
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- Role of surgeon may affect revision rate after TKA more than choice of
prosthesis-
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Authors: Casey Tingle
Abstract:LAS VEGAS — Results presented here showed the role of the surgeon may have a greater effect on revision rates after total knee arthroplasty than the choice of the prosthesis.
“Future research should identify surgeon variables associated with lower revision rates and whether simply changing prostheses is enough to decrease your rate of revision,” Wayne Hoskins, PhD, FRACS, said in his presentation at the American Academy of Orthopaedic Surgeons Annual Meeting.
Using data from the Australian Orthopaedic Association National Joint Replacement Registry, Hoskins and colleagues
PubDate: Wed, 22 Mar 2023 13:31:29 Z
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- VIDEO: Tranexamic acid may be safe for patients with cancer who undergo
hip replacement-
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Authors: Nicola Fabbri; MD
Abstract:LAS VEGAS — In this video from the American Academy of Orthopaedic Surgeons Annual Meeting, Nicola Fabbri, MD, discussed the use of tranexamic acid for patients with metastatic cancer who undergo total hip arthroplasty or hemiarthroplasty.
“Historically, the use of tranexamic acid has been seen as potentially not safe in the cancer population because of the increased risk for thromboembolic disease,” Fabbri said. “[Tranexamic acid] in this study has been safe and effective for reducing perioperative bleeding and transfusion requirements without increasing the risk of
PubDate: Tue, 21 Mar 2023 20:00:00 Z
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- VIDEO: Physical therapy after TJA can be done in the home
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Authors: Richard Iorio; MD, FAAOS
Abstract:LAS VEGAS — In this video from the American Academy of Orthopaedic Surgeons Annual Meeting, Richard Iorio, MD, FAAOS, spoke about the state of physical therapy after total joint replacement.
“In this day and age, outpatient physical therapy isn’t absolutely necessary for all patients,” Iorio said. “For the vast majority of patients, their needs can be serviced in-home on a technology application or even with an analog program that they can administer themselves,” he said.
PubDate: Tue, 21 Mar 2023 13:44:00 Z
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- Private equity in health care continues to grow
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Authors: Alex Young
Abstract:Private equity has had a long involvement with and continues to stay active in the business of health care.
In a panel discussion at the University of Pennsylvania’s Leonard Davis Institute of Health Economics, Rachel M. Werner, MD, PhD, executive director at the institute, said the number of private equity deals in health care has increased from 325 in 2010 to more than 1,000 in 2021.
“Private equity firms have invested nearly $1 trillion through thousands of deals to acquire hospitals and specialized practices in the last decade alone,” she said.
The driving force behind
PubDate: Mon, 20 Mar 2023 19:48:00 Z
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- VIDEO: Talus osteochondral allograft may be optimal bone plug for
Hill-Sachs lesions-
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Authors: Phob Ganokroj; MD
Abstract:LAS VEGAS — In this video, Phob Ganokroj, MD, of Bangkok, discusses a study done at The Steadman Philippon Research Institute in which talus osteochondral allografts converted off-track Hill-Sachs lesions to on-track lesions.
Ganokroj, Matthew T. Provencher, MD, and colleagues studied talus osteochondral allografts (OCAs), which have been shown to a have high congruence match for the humeral head, as well as variable sizes. They sought to determine the optimal characteristics of these allografts when used to treat Hill-Sachs lesions of the humeral head.
“To use a single graft or
PubDate: Mon, 20 Mar 2023 15:09:13 Z
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- VIDEO: High flow oxygen decreases superficial surgical site infection
rates-
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Authors: Joshua Layne Gary; MD, FAAOS
Abstract:LAS VEGAS — In this video from the American Academy of Orthopaedic Surgeons Annual Meeting, Joshua Layne Gary, MD, FAAOS, spoke about high perioperative oxygen to lower the risk of surgical site infection in orthopedic trauma patients.
“We enrolled 1,130 patients in a randomized prospective trial. These patients had high-energy pilon, tibial plateau and calcaneus fractures, and these patients were randomized to different levels of oxygen intraoperatively and then for 2 hours postoperatively,” Gary said. “The summary is that high flow oxygen can decrease surgical site
PubDate: Mon, 20 Mar 2023 15:01:21 Z
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