• Surgeons describe new knee ligament

    At the Belgian University Hospitals Leuven, two knee surgeons have for the first time given a full anatomical description of a new ligament that they term the anterolateral ligament (ALL).

    The new ligament is thought to play an important role in anterior cruciate ligament (ACL) tears.

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  • Study: Day-of-surgery discharge found effective for UKA patients using refined perioperative pathway

    Day-of-surgery discharges can be safe, efficient and increase patient satisfaction when using a refined perioperative pathway for appropriately selected patients who undergo unicompartmental knee arthroplasty, according to results of a recently published study.

    “[Unicompartmental knee arthroplasty] UKA patients can be discharged on the day of surgery with a high satisfaction rate,” Steven Barnett, MD, from the Hoag Orthopedic Institute in Irvine, Calif., told Orthopedics Today. “This provides orthopedic surgeons with the ability to effectively treat these patients while minimizing cost associated with this procedure.

    Barnett said surgeons at his institution recognized that UKA patients had less difficulty with pain management, decreased length of stay and achieved better results in physical therapy during hospitalization.

    “This led us to begin managing these patients with a 23-hour overnight stay and eventually discharging them on the day of surgery,” Barnett said.

    Barnett said within a 2-year to 3-year period, surgeons moved UKA patients from an inpatient setting to a day of surgery discharge after adopting techniques related to general and regional anesthesia, local soft-tissue infiltration and oral perioperative pain management.

    Under this perioperative pathway, he and colleagues successfully discharged 160 consecutive UKA patients who were a mean of 65 years old with a mean American Society of Anesthesiology class of 1.8. The mean recovery room time was 121 minutes and no patients had uncontrolled pain or nausea that required an overnight stay. Patients had high satisfaction scores and researchers noted significant improvements in Knee Society Clinical Rating System scores.

    “Our current algorithm is dependent upon patient education prior to surgery. Patients are instructed on crutch use, postoperative wound management, precautions, and [deep vein thrombosis] DVT prophylaxis at an extensive preoperative visit,” Barnett said. “Pain management on the day of surgery entails use of multimodal oral analgesics started prior to the procedure combined with both regional nerve blocks and peri-articular infiltration of a local anesthetic mixture. Activity limitations and weight bearing precautions are reinforced prior to discharge from the surgery center.”

    Barnett said other surgeons performing UKA have adopted the pathway described in this study with success.

    “The authors are confident that results will continue to be optimal and look forward to adapting these protocols to other arthroplasty procedures moving forward,” he said.

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  • Knee Braces for Osteoarthritis Treatment

    Osteoarthritis is the most common joint issue for middle-aged and older adults. The good news is that there may be a simple solution to help patients deal with the pain.

    A recent study examined the effectiveness of wearing a patellofemoral (the joint connecting the back of the knee cap and the thigh bone) knee brace for reducing knee pain and damaged bone marrow (tissue inside the bones).

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  • Sports Injuries Strike Again

    Sports are a great way for kids to get exercise and have fun. But sometimes young athletes get hurt.

    Many sports injuries are mild and heal on their own. Others — such as knee ligament tears — may be more serious and require surgery.

    Athletes who have had surgery to repair knee ligament tears are more likely to experience another knee ligament tear than uninjured athletes, according to a recent study.

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  • Knees Buckling Under Pressure

    Your body weight and your job may be putting considerable pressure on your knees. This pressure could lead to a medical condition called knee osteoarthritis.

    A recent study found that having a higher body mass index (a measure of height and weight) and living a more active lifestyle were both associated with a higher risk of knee osteoarthritis.

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  • Knee Replacement Often Beneficial for RA: Study

    The common belief that rheumatoid arthritis patients don't benefit from knee replacement surgery as much as those with the more common osteoarthritis has been challenged by the findings from a pair of studies by New York City scientists.

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  • Omega-3 fatty acids may help reduce risk of hip fracture in postmenopausal women

    The risk of hip fractures in postmenopausal women may be reduced through consuming more omega-3 polyunsaturated fatty acids, according to a study published in the Journal of Bone and Mineral Research.

    “We don’t yet know whether omega-3 supplementation would affect results for bone health or other outcomes,” Tonya Orchard, PhD, RD, LD, from Ohio State University, stated in a press release. “Though it is premature to make a nutrition recommendation based on this work, I do think this study adds a little more strength to current recommendations to include more omega-3s in the diet in the form of fish, and suggests that plant sources of omega-3 may be just as important for preventing hip fractures in women.”

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  • Women With Lupus Seem at Higher Risk for Hip Fractures

    Women with lupus the autoimmune disease that can damage skin, joints and organs also are at higher risk of a hip fracture known as a cervical fracture, new research from Taiwan suggests.

    Dr. Shu-Hung Wang, of the Taipei Veterans General Hospital, and his colleagues evaluated nearly 15,000 adults 90 percent of them women who had lupus. They followed them for an average of six years.During that time, 75 suffered a hip fracture. Of those, 57 were cervical fractures of the hip; the other 18 were trochanteric fractures of the hip.

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  • Arthritis & Your Knees Presented by Dr. Tom Smith, Orthopedic Surgeon and Steve Hanley, Physical Therapist

    Thursday, May 16 1:00-2:00 p.m.

    ATI Physical Therapy 
    1 N. La Grange Rd, Unit 2 C
    La Grange, IL
    (The former Border's Bldg)

    RSVP to Amanda 630.699.4094
    Refreshments will be served

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  • Knee osteoarthritis patients have improved knee loads when using specialized mobility shoe

    When patients with knee osteoarthritis are walking, their knees may jut out to the side. Shoes that imitate barefoot walking can help with that.

    A recently published study found that wearing a "mobility" shoe keeps the knee joint more aligned in knee osteoarthritis patients.

    Using flat, flexible footwear can significantly reduce knee loading in patients with the joint condition, according to researchers.

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