Obesity and total joint arthroplasty: Time to examine needs in a different light
The prevalence of obesity in the general population is increasing. Obesity is estimated to affect approximately one-third of adults in the United States. It is estimated that 6.1 million patients who undergo total joint arthroplasty will be obese by 2040.
Lifelong physical activity increases bone density in men
Source: Science Daily
Men have many reasons to add high-impact and resistance training to their exercise regimens; these reasons include building muscle and shedding fat. Now a researcher has determined another significant benefit to these activities: building bone mass. The study found that individuals who continuously participated in high-impact activities, such as jogging and tennis, during adolescence and young adulthood, had greater hip and lumbar spine bone mineral density than those who did not.
ORIF, new casting method showed similar results for unstable ankle fractures
Fewer resources were used in close contact casting compared with open reduction internal fixation.
Degree of spinal deformity affects hip replacement surgery success
Source: NYU Langone Hospitals
People with a spinal deformity also requiring a total hip replacement are at greater risk for dislocation or follow-up revision surgery, suggesting that these higher-risk patients may benefit from a more personalized approach to surgery to reduce the risk of poorer outcomes.
Care of Shoulder Pain in the Overhead Athlete
Shoulder complaints are common in the overhead athlete. Understanding the biomechanics of throwing and swimming requires understanding the importance of maintaining the glenohumeral relationship of the shoulder. Capsular laxity, humeral retrotorsion, glenoid retroversion, glenohumeral internal rotation deficit, and scapular dyskinesis can all contribute to shoulder dysfunction and pain
Back pain is common in highly active older adults
Source: Science daily
In a Journal of the American Geriatrics Society study, many well-functioning and highly active older adults experienced back pain, which was linked with poorer perceived and observed walking endurance.
Use of off-label devices increased costs and length of stay in TJA
Greater length of stay, admission costs, long-term complications risks and inpatient facility discharge likelihood was found among patients who underwent total hip or knee arthroplasty with an off-label prosthesis, according to results.
Patient-reported results, knee stability improved after all-inside double-bundle ACL reconstruction
Investigators found significant improvements from preoperative measures at 24.8-month follow-up for both mean side-to-side differences and Lysholm scores in patients who underwent double-bundle ACL reconstruction using a special drill pin guide and reamer, along with a laser-guided device to facilitate a transtibial approach.
Innovative tissue engineering strategies to repair spinal disc herniation
New therapeutic approaches to repair herniated discs in the lumbar spine using novel tissue engineering and regenerative medicine strategies have shown promising outcomes in preclinical studies and target the underlying problem of disc injury or instability, unlike current nonsurgical and surgical treatments.
Martial arts can be hazardous to kids
Source: Medical Xpress
(HealthDay)—Perhaps there’s a black belt in your child’s future. But for safety’s sake, kids should only engage in noncontact forms of martial arts, a new American Academy of Pediatrics report says.
New system to detect spinal deformity
Source: Science Daily
Researchers have developed a symmetry-recognition system for the surface of the human back that can three-dimensionally detect the early stages of idiopathic scoliosis, a type of spinal deformity, without the help of a specialist doctor.
Older age, obesity cited as risk factors for deep SSI after plate fixation of proximal tibial fractures
Researchers of this study identified older patient age, obesity, alcohol abuse and specific fracture type as risk factors for deep surgical site infection among patients who underwent plate fixation for proximal tibial fractures.
Femoral Component Revision of Total Hip Arthroplasty
The authors are from the Philadelphia College of Osteopathic Medicine (JMB, JJC), Philadelphia, Pennsylvania; the Rubin Institute for Advanced Orthopedics (JBM, RKE), Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Baltimore, Maryland; the Department of Orthopaedic Surgery (MC, MAM), Cleveland Clinic, Cleveland, Ohio; and the Adult Reconstruction Service (SFH), Mount Sinai Beth Israel, New York, New York.
Over-the-counter painkillers treated painful injuries just as well as opioids in new study
Source: Los Angeles Times
In an opioid epidemic that currently claims an average of 91 lives per day, there have been many paths to addiction. For some, it started with a fall or a sports injury, a trip to a nearby emergency room and a prescription for a narcotic pain reliever that seemed to work well in the ER.
Visiting the doctor for low back pain? Expect something different now
Source: Science Daily
If you visit your family doctor with low back pain (LBP), you may be surprised at the treatment options they suggest now. Recent changes to major international guidelines for the management of LBP mean that general practitioners (GP) are now unlikely to recommend pain medicines which were previously the go-to treatment. Instead of pain medicines, GPs might suggest non-medicinal approaches including yoga, mindfulness and various types of physiotherapy and psychological therapies.
Plantar pressures are higher in cases with diabetic foot ulcers compared to controls despite a longer stance phase duration
Current international guidelines advocate achieving at least a 30 % reduction in maximum plantar pressure to reduce the risk of foot ulcers in people with diabetes. However, whether plantar pressures differ in cases with foot ulcers to controls without ulcers is not clear. The aim of this study was to assess if plantar pressures were higher in patients with active plantar diabetic foot ulcers (cases) compared to patients with diabetes without a foot ulcer history (diabetes controls) and people without diabetes or a foot ulcer history (healthy controls).
Researchers use novel imaging technique for precise assessment of spinal degeneration
Research by a Barrow Neurological Institute neurosurgery team on novel imaging technique assessment of patients with lumbar spine degeneration was published in the Aug. 28 issue of PLOS ONE.