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  • Less pain post TKA with addition of peripheral nerve blocks

    Addition of an interspace between the popliteal artery and capsule of the posterior knee (IPACK) block and adductor canal block (ACB) to periarticular injection (PAI) is associated with less pain after total knee arthroplasty (TKA), according to a study presented at the 2018 World Congress on Regional Anesthesia and Pain Medicine, held from April 19 to 21 in New York City.

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  • Rate of hip replacement revision surgery declines in all age groups except middle age

    As more patients undergo total hip arthroplasty (THA) before age 65, the rate of repeat hip surgery due to complications has risen sharply in this younger age group, reports a study in the March 21, 2018, issue of The Journal of Bone & Joint Surgery.

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  • Risk of surgical complications up for overlapping hip surgery

    For patients undergoing surgery for hip fracture or total hip arthroplasty (THA), overlapping surgery is associated with increased risk of surgical complications, according to a study published online Dec. 4 in JAMA Internal Medicine.

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  • Quadriceps exercise relieves pain in knee osteoarthritis

    A quadriceps isometric contraction exercise method is effective for relieving pain in knee osteoarthritis (OA), according to a study published online May 25 in the International Journal of Rheumatic Diseases.

    Lanfeng Huang, from the Second Hospital of Jilin University in Changchun, China, and colleagues enrolled 250 patients with a confirmed diagnosis of knee OA and randomized them to an exercise treatment test group (128 patients) and a traditional treatment control group (122 patients). The test group used quadriceps isometric contraction exercise, while the control group used local physical therapy and oral nonsteroidal anti-inflammatory drugs.

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  • Vitamin B6 linked to increased risk of hip fracture

    Vitamin B6, but not vitamin B12, is associated with increased risk of hip fracture during extended follow-up, according to a study published online June 2 in the Journal of Bone and Mineral Research.


    Maria Garcia Lopez, M.D., from the University Hospital in Oslo, Norway, and colleagues conducted a secondary analysis of combined data from two large randomized controlled trials to examine the effect of an intervention with B-vitamins on the risk of hip fracture. The intervention consisted of a daily capsule of folic acid plus vitamin B12 and vitamin B6, folic acid plus vitamin B12, folic acid plus vitamin B6, or placebo.

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  • Preventing long-term complications of an ACL tear

    A torn ACL (also known as the anterior cruciate ligament) is one of the most common knee injuries, with as many as 200,000 cases per year in the U.S. Young people under the age of 20 are at particular risk, in part because of participa

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  • Anterior vs. posterior: Does surgical approach impact hip replacement outcomes?

    The surgical approach to total hip replacement (THR)—either from the front of the body or the side/back (anterior versus posterior)— has no impact on outcomes six months after surgery, according to research presented today at the 2016 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS).

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  • Reducing opioid use prior to joint replacement surgery linked to better outcomes

    The use of opioids (narcotic pain medication), often prescribed for chronic musculoskeletal pain, has skyrocketed in recent years with 98 percent of the world's opioid prescriptions filled in North America. Two research studies presented this week at the 2016 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS), link decreased opioid use prior to joint replacement surgery with improved patient satisfaction and outcomes, fewer complications, and a reduced need for post-surgical opioids.

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  • TXA safe and effective to reduce blood loss in joint replacement surgery, study finds

    Blood loss and the need for a blood transfusion are major concerns in joint replacement surgery, but a new use for an old drug is proving effective in reducing blood loss and transfusion rates, according to a study at Hospital for Special Surgery (HSS). The drug, tranexamic acid, or TXA, has been used for decades in heart surgery, to treat hemophilia and to stop excessive uterine bleeding.

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  • After hip-replacement surgery, medication use decreases

    A new study, published November 15, in the journal Pain provides information on the trajectories of prescription drug use before and after hip-replacement surgery—total hip arthroplasty (THA), one of the most common types of joint replacement surgery. Hip- replacement surgery is commonly followed by long-term reductions in the use of prescription drugs for pain and insomnia.

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