A 48-year-old woman with a history of hypertension, rheumatoid arthritis treated with chronic prednisone, and a two-pack-per-week cigarette use, presented to clinic with 8 years of right knee pain. She had an intra-articular steroid injection with some relief 6 years ago. She denied any hip pain and uses a cane for ambulation.
Faculty from a recent ICJR symposium discuss planning and implementation of an outpatient joint replacement surgery program.
The International Congress for Joint Reconstruction (ICJR) recently sponsored a CME symposium, accredited by Marshall University, designed to help orthopaedic surgeons understand the steps involved in planning and implementing an outpatient joint replacement surgery program.
Few joint replacement surgeons were exposed to the direct anterior approach for total hip arthroplasty during their residency and fellowship – which means they’ll need additional training if they want to offer this approach to their patients.
Investigators who studied outcomes following ACL reconstruction said they believe patients’ pre-injury status has been overlooked in determining postoperative results.
Satisfactory and similar subjective and objective clinical outcomes were reported in a study of patients who underwent primary ACL reconstruction with either hybrid graft or autograft.
Although results of this retrospective cohort study revealed more comorbidities in patients 90 years and older who underwent total hip arthroplasty compared with younger patients, nonagenarians had comparable rates of deep vein thrombosis, infection and pulmonary embolism. However, investigators cited the higher readmission rates of the oldest patients as need for closer postoperative follow-up.
Lima Corporate announced the completion of the assets acquisition from Zimmer Holdings for the Zimmer Unicompartmental High Flex Knee and the Biomet Discovery Elbow System within the European Economic Area and Switzerland markets, as well as the Biomet Vanguard Complete Knee System for Denmark and Sweden.
Prevention of osteoporosis is essential to health, quality of life, and independence in the elderly. The accepted diagnostic method for evaluation of fracture risk after osteopenia and osteoporosis is the measurement of bone mineral density with dual-energy x-ray absorptiometry (DEXA). This method is limited because of its low accessibility, high capital costs, and low sensitivity. This study evaluated whether canal diameter is a reliable indicator as a major risk factor for hip fracture in the elderly.
Many patients who underwent total knee arthroplasty did not experience improvement in their gait relative to preoperative patients by 12 months postoperatively; however, use of routine gait analysis was helpful for guiding patients’ postoperative rehabilitation and may be useful for developing strategies for mobility improvement, according to researchers’ findings.
Among patients who underwent total joint arthroplasty required to follow the Medicare 72-hour-stay rule, 47.88% were safe for discharge to a skilled nursing facility by postoperative day 2, according to results presented at the American Orthopaedic Association Annual Meeting.