Recently, a strong emphasis has been placed on establishing rehabilitation protocols after primary total hip and knee arthroplasty in an attempt to shorten, improve, and standardize the postoperative period of recovery. Less invasive surgical techniques, patient demands, and the pressure of insurance regulations have forced postoperative rehabilitation to be placed on an expedited scale. With these concerns in mind, we introduce a pre- and postarthroplasty program involving the Pilates method. Modified exercises have been developed to account for the postoperative precautions and needs of total hip and knee arthroplasty patients. A patient-driven interest in the use … Read the Rest
November 3, 2018 Dallas – Data presented at the American Association of Hip and Knee Surgeons Annual Meeting showed total hip arthroplasty performed with a highly crosslinked acetabular liner in patients younger than 50 years of age was associated with Kaplan-Meier overall survivorship of 93% at 15 years when revision due to failure was the endpoint.
Hip arthroscopy for the treatment of labral tears and FAI in patients ≥50 years old demonstrates statistically significant PRO improvements at minimum 5-year follow-up. However, due to potential for subsequent need for THA in a subset of this population, surgeons should use rigorous selection criteria and counsel patients appropriately.… Read the Rest
Talking With Docs Published on July 24, 2018 – Dr. Paul Zalzal and Dr. Brad Weening discuss different surgical approaches to hip replacement surgery. There has been a lot of interest in the anterior hip approach recently. This video compares anterior approach to lateral and posterior approaches.
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Do NOT use the Video for medical emergencies. If you have a medical emergency, call a physician or qualified healthcare provider, or CALL 911 immediately. Under no circumstances should you attempt self-treatment based on anything you have seen or read on the … Read the Rest
August 2, 2018 – A long-term follow-up study from Australia confirms that hip implants with components made of cross-linked polyethylene (XLPE) substantially lower the risk of revision surgery after total hip replacement, reports a study in the August 1, 2018 issue of The Journal of Bone & Joint Surgery. The journal is published in the Lippincott portfolio in partnership with Wolters Kluwer.
“The use of XLPE has resulted in a significant reduction in the rate of revision at 16 years following total hip arthroplasty for osteoarthritis,” writes Professor Richard de Steiger, MBBS, FRACS, FAOrthA, and colleagues of … Read the Rest
7/19/2018 – Ormonde M. Mahoney, MD, and Andrew M. Shimmin, MBBS, FRACS, debated the use of highly crosslinked polyethylene for patients who undergo total hip arthroplasty at the Orthopedics Today Hawaii Annual Meeting
He (Shimmin) emphasized that ceramic bearing wear products have less biological activity and minimal reports of osteolysis with its long-term use…
…Furthermore, Shimmin noted ceramic-on-ceramic bearings can be made with larger articulations, which can lead to greater jump height and more stability…
…“In the registry data that I presented yesterday, larger ceramic bearings are revised less than smaller diameter ceramic-on-ceramic bearings,” he said.… Read the Rest
After undergoing a successful Total Hip Replacement (THR) and reconstruction surgery in Mumbai, 19-year-old Zinatu Umar from Nigeria took her first step in over two and a half years…
…A fatal car accident in September 2016 left Zinatu left bedridden…
Speaking about her condition post surgery, Dr Kaushal Malhan, Senior Knee and Hip Surgeon at Fortis Hospital, Mulund, said, “The patient had not gone to school for over a year and was completely bedridden. She was looked after by her father and sister continuously. She is now able to walk using crutches. She has been put … Read the Rest
ROGERS, Ark. June 14, 2018 /PRNewswire-USNewswire/ — Pain in Mindy Shufelt’s hip began several years ago and slowly got worse. Because of a physically demanding job where she’s on her feet, she resorted to a strange gait to help her get through the day. She calls it “the pirate walk.”
“Hitch and drag, hitch and drag,” she explained.
An X-ray showed severe hip arthritis that was “bone on bone.” Mercy orthopedic surgeon, Dr. W. Cody Grammer, recommended total hip replacement and because of Mindy’s age and otherwise good health, she was able to leave the same day as her … Read the Rest
December 2017 American Academy of Orthopaedic Surgeons
The American Academy of Orthopaedic Surgeons Board of Directors have approved a new “Use of Emerging Biologic Therapies” position statement highlights the importance of understanding the risks and benefits of stem cell and other biologic treatments for musculoskeletal joint conditions.
Unlike many traditional orthopedic treatments, emerging biologic therapies may not have safety and efficacy profiles, according to the statement. Since patient education is needed for informed consent, the statement includes two additional AAOS guidelines—“Orthopaedic Surgical Consent” and “Standards of Professionalism”—that reinforce the orthopedic surgeon’s role of fully informing patients … Read the Rest
June 6, 2018 – For elderly trauma patients, a basic goal is early mobilization, as immobilization can trigger various complications, such as venous thromboembolism, pneumonia, urinary tract infections, and pressure ulcers. Although partial weight-bearing has been shown to significantly increase mortality compared with unrestricted weight-bearing, it remains a frequent recommendation of aftercare following lower-extremity fracture fixation…
…Elderly patients seem to be unable to maintain weight-bearing restrictions. As early mobilization of geriatric trauma patients is an important element for a successful rehabilitation, the directive of postoperative partial weight-bearing for these patients should be abandoned.… Read the Rest
June 6, 2018 – Obesity is a negative prognostic factor for various surgical procedures. The purpose of this study was to compare patients with obesity who underwent hip arthroscopy for femoroacetabular impingement and labral tears with a match-controlled group of normal-weight patients…
…Hip arthroscopy for the treatment of femoroacetabular impingement and labral tears in patients with obesity yielded significant improvements at ≥5 years; these results were similar to a matched group of normal-weight patients. However, patients with obesity demonstrated a twofold increased risk of conversion to total hip arthroplasty.… Read the Rest
February 16, 2018