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Orthopedic Surgery News

Seniors Get Good Results From Herniated Disc Surgery

Posted 8 days ago by Drugs.com

FRIDAY, June 16, 2017 – People over age 65 shouldn't avoid surgery for a herniated disc just because of their age. Seniors benefit from the procedure as much as younger patients, Norwegian research shows. The study involved more than 5,500 people with a herniated, or "slipped" disc. The condition occurs when one of the discs that cushions bones in the spine gets damaged, causing it to push forward. The result is lower back pain that can extend to the leg and foot, and even lead to paralysis. Exercise, heat and pain medication provide relief in some cases. But people with severe pain or disability may need surgery, according to researchers at St. Olav's Hospital in Trondheim, Norway and the Norwegian University of Science and Technology (NTNU). The investigators compared patient-reported outcomes after disc surgery. The study included nearly 5,200 patients under age 65, and about 380 ... Read more

Related support groups: Back Pain, Sciatica, Herniated Disc, Scoliosis, Orthopedic Surgery, Radiculopathy

New Guidelines Say No to Most 'Keyhole' Knee Surgeries

Posted 11 May 2017 by Drugs.com

WEDNESDAY, May 10, 2017 – "Keyhole" arthroscopic surgery should rarely be used to repair arthritic knee joints, a panel of international experts says in new clinical guidelines. Clinical trials have shown that keyhole surgery doesn't help people suffering from arthritis of the knees any more than mild painkillers, physical therapy or weight loss, said lead author Dr. Reed Siemieniuk. He is a health researcher with McMaster University in Toronto, Canada. "You can make a pretty strong statement saying that from a long-term perspective, it really doesn't help at all," Siemieniuk said. "If they knew all the evidence, almost nobody would choose to have this surgery." Keyhole surgery is one of the most common surgical procedures in the world, with more than 2 million performed each year, Siemieniuk said. The United States alone spends about $3 billion a year on the procedure. The new ... Read more

Related support groups: Osteoarthritis, Knee Joint Replacement, Hip Replacement, Orthopedic Surgery, Arthrography

Do Your Knees Crackle and Pop?

Posted 5 May 2017 by Drugs.com

FRIDAY, May 5, 2017 – Knees that "pop," "click" or "crackle" may sometimes be headed toward arthritis in the near future, a new study suggests. It's common for the knees to get a little noisy on occasion, and hearing a "crack" during your yoga class is probably not something to worry about, experts say. But in the new study, middle-aged and older adults who said their knees often crackled were more likely to develop arthritis symptoms in the next year. Of those who complained their knees were "always" noisy, 11 percent developed knee arthritis symptoms within a year. That compared with 4.5 percent of people who said their knees "never" popped or cracked. Everyone else fell into the middle. Of people who said their knees "sometimes" or "often" made noise, roughly 8 percent developed knee arthritis symptoms in the next year. Doctors have a term for those joint noises: crepitus. Patients ... Read more

Related support groups: Osteoarthritis, Knee Joint Replacement, Hip Replacement, Fracture, bone, Orthopedic Surgery

Artificial Hand 'Sees' Objects

Posted 4 May 2017 by Drugs.com

THURSDAY, May 4, 2017 – An artificial hand that "sees" is being tested for the first time. The "bionic hand" allows the wearer to reach for objects automatically, without thinking, just as a real hand would, British researchers report. The hand has a camera that instantaneously takes a picture of an object in front of it, to determine the shape and size of the object. Muscles in the arm are then stimulated to prompt the artificial hand to grasp the object. The study authors said that the hand is being tested in a small number of amputee patients. "Prosthetic limbs have changed very little in the past 100 years – the design is much better and the materials are lighter weight and more durable, but they still work in the same way," said study co-author Kianoush Nazarpour. He is a senior lecturer in biomedical engineering at Newcastle University in England. "Using computer vision, we have ... Read more

Related support groups: Surgery, Orthopedic Surgery, Diagnosis and Investigation

Women More Sensitive to Metal Joint Implants Than Men: Study

Posted 26 Apr 2017 by Drugs.com

WEDNESDAY, April 26, 2017 – One reason women are more likely than men to have complications after hip or knee replacement surgery may be because they're more sensitive to the metals in joint implants, a new study suggests. Researchers reviewed the cases of more than 2,600 patients who were evaluated for unexplained pain after total hip and/or knee replacement. All had metal implants. None had signs of infection, inflammation or other conditions that would explain their pain. Sixty percent of the patients were women. They had higher average pain scores than men – 6.8 vs. 6.1 on a scale of 0-10, according to the study. Blood tests showed signs of immune sensitization to implant metals in 49 percent of the women and 38 percent of the men. The gender difference remained even after researchers used a stricter definition of sensitization – 25 percent versus 18 percent. "These findings may ... Read more

Related support groups: Surgery, Allergic Reactions, Allergies, Knee Joint Replacement, Hip Replacement, Orthopedic Surgery

Smoking May Raise Risk of Complications After Joint Surgery

Posted 5 Apr 2017 by Drugs.com

WEDNESDAY, April 5, 2017 – Hip or knee replacement patients who smoke are at increased risk for infections requiring repeat surgery, researchers report. They analyzed data from more than 15,000 patients who underwent either total hip or knee replacements between 2000 and 2014. The investigators found that the overall risk of repeat surgery for infections within 90 days was only 0.71 percent. However, the risk was 1.2 percent for current smokers, compared with 0.56 percent for nonsmokers. After adjusting for other factors, the researchers concluded that current smokers' risk was 80 percent higher than nonsmokers and former smokers. The researchers also found that for both current and former smokers, the risk of 90-day hospital readmission not involving surgery rose with the number of "pack-years" smoked – a calculation of the number of packs smoked per day over a number of years. ... Read more

Related support groups: Smoking, Smoking Cessation, Knee Joint Replacement, Hip Replacement, Nicotine, Orthopedic Surgery, Nicorette, Nicoderm CQ, Nicotrol Inhaler, Commit, Habitrol, Nicotrol TD, Nicorelief, Nicorette DS, Nicotrol NS, ProStep

Knee Replacement Doesn't Always Pay, Researchers Say

Posted 29 Mar 2017 by Drugs.com

TUESDAY, March 28, 2017 – Knee replacement surgery isn't always a game changer, according to a new study that raises questions about the increasingly common procedure. The patients who benefit most have severe osteoarthritis. But for people with milder symptoms, the expense might not be justified, researchers determined. "This study suggests we should reconsider doing this procedure on people who have more mild pain, and less severe knee arthritis and loss of function," said Daniel Riddle. He's a professor of physical therapy and orthopaedic surgery at Virginia Commonwealth University. Some in the medical community wonder if the procedure is overused, said Riddle, who wasn't involved in the study. For now, "the jury is still out," he added. In 2010, total knee replacement was the most frequently performed inpatient procedure on U.S. adults aged 45 and older, according to the U.S. ... Read more

Related support groups: Knee Joint Replacement, Orthopedic Surgery

How Doctors Decide to Treat a Ruptured Achilles

Posted 27 Mar 2017 by Drugs.com

SATURDAY, March 25, 2017 – Whether your doctor recommends surgery for a ruptured Achilles tendon may depend partly on your age and activity level, foot experts say. The Achilles tendon is a band of tissue that runs down the back of the lower leg and connects the calf muscle to the heel bone. A rupture is a complete or partial tear of the tendon that leaves the heel bone separated or partially separated from the knee. Length of recovery from this type of injury varies depending on whether a patient undergoes surgical or nonsurgical treatment. "Treatment processes are dependent upon a patient's overall health, activity level and ability to follow a functional rehabilitation protocol," said Dr. Jeffrey McAlister, a foot and ankle surgeon in Sun City West, Ariz. Advances in treating Achilles tendon rupture were discussed by McAlister and other specialists at a recent meeting of the ... Read more

Related support groups: Surgery, Tendonitis, Fracture, bone, Orthopedic Surgery

Physical Therapy as Good as Surgery for Carpal Tunnel Syndrome: Study

Posted 25 Mar 2017 by Drugs.com

FRIDAY, March 24, 2017 – Surgery is a common approach to treat carpal tunnel syndrome. But, physical therapy may work just as well, a new study indicates. Researchers found that physical therapy – particularly so-called manual therapy – improved hand and wrist function and reduced pain as effectively as a standard operation for the condition. Moreover, after one month, physical therapy patients reported better results than those who underwent surgery. "We believe that physical therapy should be the first therapeutic option for almost all patients with this condition," said lead study author Cesar Fernandez de las Penas. "If conservative treatment fails, then surgery would be the next option," said de las Penas, a professor of physical therapy at King Juan Carlos University in Alcorcon, Spain. Also, one extra benefit of therapy over surgery may be cost savings, he noted. Carpal tunnel ... Read more

Related support groups: Carpal Tunnel Syndrome, Orthopedic Surgery

Obesity May Not Compromise Knee Surgery Success

Posted 24 Mar 2017 by Drugs.com

FRIDAY, March 24, 2017 – Weight doesn't seem to affect whether a common type of knee surgery will be successful, a new study shows. About 15 percent of meniscal repair surgeries fail, researchers said. It's been widely believed that patients with a higher body mass index (BMI) are at increased risk for failure because more weight puts more pressure on the knee. BMI is an estimate of body fat based on height and weight. But this study of 410 patients who had meniscal repair surgery found no significant differences in failure rates between those with a normal BMI of less than 25 (considered normal weight) and those with a BMI of between 25 and 35 (up to 29.9 is overweight, and above 30 is obese). An adult who is 5 feet, 9 inches tall has a normal BMI if their weight is between 125 to 168 pounds, according to the U.S. Centers for Disease Control and Prevention. If that same person weighs ... Read more

Related support groups: Obesity, Weight Loss, Knee Joint Replacement, Orthopedic Surgery

Scientists Working on Solar-Powered Prosthetic Limbs

Posted 23 Mar 2017 by Drugs.com

THURSDAY, March 23, 2017 – It may be possible to use the sun's energy to power artificial limbs, U.K. researchers report. The University of Glasgow team previously developed an "electronic skin" covering for prosthetic hands made from graphene, a transparent substance that is stronger than steel. Graphene's transparency allows around 98 percent of the light that strikes its surface to pass through it. This makes it ideal for gathering solar energy, the researchers explained in a university news release. In their new study, the scientists integrated photovoltaic cells into their graphene skin. Photovoltaic cells generate power when illuminated. The graphene skin requires just 20 nanowatts of power per square centimeter. That's easily provided by even the poorest-quality photovoltaic cells currently available, the Scottish team noted. Currently, energy generated by the graphene skin's ... Read more

Related support groups: Periodic Limb Movement Disorder, Orthopedic Surgery

ACL Surgery Usually Puts Athletes Back in Play: Study

Posted 23 Mar 2017 by Drugs.com

WEDNESDAY, March 22, 2017 – Most athletes who undergo reconstructive surgery for a torn anterior cruciate ligament (ACL) are able to return to sports, a new study says. Researchers from the Hospital for Special Surgery in New York City followed more than 200 athletes who had ACL reconstruction there between 2009 and 2013. An average of 10 months after surgery, nearly nine out of 10 patients had resumed their sport. Of those patients, 89 percent said they had returned to their prior level of competition, the researchers reported. "Our study found that patient satisfaction was very high after ACL reconstruction, and that satisfaction correlated highly with return to a sport," Dr. Benedict Nwachukwu said in a hospital news release. Overall, 85 percent were very satisfied with the results, and 98 percent said they would undergo the procedure again if necessary, the study found. The ACL is ... Read more

Related support groups: Knee Joint Replacement, Orthopedic Surgery

Many Doctors Get Payments From Drug Companies, Study Shows

Posted 21 Mar 2017 by Drugs.com

TUESDAY, March 21, 2017 – Many American doctors receive payments from drug companies, but few patients know about those financial ties, a new study finds. Researchers surveyed 3,500 adult patients and then checked on their doctors in Open Payments, a government website that reports drug and medical device company payments to physicians. The study found that within the previous year, 65 percent of patients visited doctors who got payments or gifts from drug or medical device companies, but only 5 percent of the patients were aware of those doctor-industry links. Patients who visited certain types of specialists were even more likely to have seen a doctor who had been paid. For example, the rates were 85 percent among patients who saw an orthopedic surgeon and 77 percent among patients who saw an obstetrician or gynecologist. The study was published recently in the Journal of General ... Read more

Related support groups: Surgery, Orthopedic Surgery, Gynecological Conditions, Labor and Delivery including Augmentation

Smokers Prone to Problems After Joint Replacement: Study

Posted 16 Mar 2017 by Drugs.com

THURSDAY, March 16, 2017 – Quitting smoking before knee or hip replacement surgery may cut the risk of complications after surgery, a new study suggests. Instead of just telling people to quit smoking, these findings suggest that doctors should guide people into pre-surgery smoking-cessation programs for smokers, the researchers said. "We've known that smokers do worse than non-smokers after joint replacements, and now this research shows there's good early evidence that quitting smoking before surgery may improve their outcomes," said study author Dr. Amy Wasterlain. She's a fourth-year orthopaedic surgery resident at NYU Langone Medical Center in New York City. "Not every risk factor can be reduced before a joint replacement, but smoking status is one that should be a top priority for orthopedic surgeons and their patients," she added in an NYU news release. The study included more ... Read more

Related support groups: Smoking, Smoking Cessation, Knee Joint Replacement, Hip Replacement, Nicotine, Orthopedic Surgery, Nicorette, Nicoderm CQ, Nicotrol Inhaler, Commit, Habitrol, Nicotrol TD, Nicorelief, Nicorette DS, Nicotrol NS, ProStep

Home Beats Rehab for Knee, Hip Replacement Recovery

Posted 16 Mar 2017 by Drugs.com

THURSDAY, March 16, 2017 – Patients who go straight home from the hospital following hip or knee replacement surgery recover as well as, or better than, those who first go to a rehabilitation center, new research indicates. And that includes those who live alone without family or friends, one of three studies shows. "We can say with confidence that recovering independently at home does not put patients at increased risk for complications or hardship, and the vast majority of patients were satisfied," said that study's co-author, Dr. William Hozack. He is an orthopaedic surgery professor with the Rothman Institute at the Thomas Jefferson University Medical School in Philadelphia. Hozack noted that while in the past it was "not uncommon for patients to enter a rehabilitation facility in order to receive additional physical therapy," most patients today do not end up going to a secondary ... Read more

Related support groups: Knee Joint Replacement, Hip Replacement, Orthopedic Surgery, Wound Infection

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