Managing Pain With Fewer Opioids After Joint Replacement
Using two or more pain control methods after hip and knee replacement surgery rather than opioid painkillers alone reduces risks to patients, a new study finds.
New Procedure May Replace Traditional Hip Replacement Surgery
Source: Healthline Media
Subchondroplasty involves an injection of bone substitute. Advocates say it’s easier, less invasive, and has a quicker recovery time.
Long-term inhaled corticosteroid use may raise fracture risk
Source: Medical xpress
Long-term, high-dose use of inhaled corticosteroids (ICSs) is associated with a modest increase in the risk of hip and upper extremity fractures in patients with chronic obstructive pulmonary disease (COPD), according to a study published in the February issue of CHEST.
Research finds decrease in opioid use among patients recovering from hip and knee replacement
Opioid use in patients recovering from hip and knee replacement decreased by one-third between 2006 and 2014, reflecting success in efforts to promote a multimodal approach to pain management (using a variety of methods to manage pain) rather than using opioids alone, reveals new research being presented at the ANESTHESIOLOGY® 2017 annual meeting.
In this study, we sought to raise the bar for success in hip arthroplasty, essentially defining success as a surgery that the patient forgets that they had. Using the new forgotten joint score, we were able to show that the patients in our series almost never think about their hip surgery, as their resurfaced or replaced hips feel like and function like a normal hip,” study co-author Benjamin G. Domb, MD, told Healio.com/Orthopedics. “At our institution, Birmingham hip resurfacing is considered an excellent surgical option for the middle-aged, active male with hip arthritis.
Greater trochanteric pain syndrome is often a manifestation of tears in the gluteus medius tendon. This condition is most prevalent in female patients who are between 40 and 70 years old.
The body’s process of creating new blood vessels and dilating existing ones in order to maximize the oxygen getting to the muscles is called neovascularization, Dr. Benjamin Domb, an orthopedic surgeon who specializes in sports medicine, said in an email on Wednesday.
Rule out infection, adverse local tissue reaction during investigation of THA instability
When a hip becomes unstable after total hip arthroplasty, the orthopedic surgeon should investigate it with a history and physical, appropriate imaging and laboratory tests prior to any surgery to remove the hip anteversion or revise the prosthesis, according to a presenter.
Electronic patient rehabilitation application led to improved THA PROs
An electronic patient rehabilitation application used alone or with home health services led to improved patient reported outcomes 12 weeks after total hip arthroplasty and may mitigate the need for home health services in these patients, according to results presented at the American Association of Hip and Knee Surgeons Annual Meeting.
PSH model of care benefits elderly hip fracture patients, research suggests
Elderly patients who had emergency repair of a fractured hip were much less likely to die or make a return visit to the emergency room (ER) after discharge if they received care under the Perioperative Surgical Home (PSH) model of care, suggests research presented at the ANESTHESIOLOGY® 2017 annual meeting.
Lifetime risk for total hip replacement increases in 5 countries
In five countries during a 10-year period, there have been statistically significant increases in the lifetime risk for total hip replacement surgery for osteoarthritis, as well as significant differences between sexes, according to results presented at the American College of Rheumatology Annual Meeting in San Diego.
Ultra-Short Versus Conventional Uncemented Stems for Hip Replacement in Octogenarians
The aim of this study was to determine how an ultra-short anatomic uncemented stem vs a diaphyseal filling five-eighths porous coated uncemented femoral stem (conventional stem) affects the survival of primary total hip arthroplasties in octogenarians.
Study: Racial and socioeconomic factors play role in hip replacement outcomes
A combination of race and socioeconomic factors play a role in hip replacement outcomes, according to a study at Hospital for Special Surgery (HSS). Researchers found that black patients who lived in areas of economic deprivation did worse in terms of physical function two years after surgery compared to white patients living in impoverished areas. In wealthier neighborhoods, there was no difference in hip replacement outcomes between blacks and whites.
Effective protection against hip fracture during cortisone treatment
Source: Science Daily
There is effective protection against hip fracture for the many elderly people whose skeleton is declining in strength, as a side effect of cortisone treatment. If patients receive the osteoporosis medication alendronate, it reduces the risk of hip fracture by 65 percent, as a study reveals.
Hip Arthroplasty Risk in Men Higher With Increased Dairy Product Consumption
Source: Rheumatology Advisor
Consuming more dairy products may raise the risk for total hip arthroplasty for osteoarthritis (OA) in men, according to a study published in the Journal of Rheumatology.
Understanding hip instability helps orthopedists perform revision THA
When it comes to recurrent dislocation of the hip after total hip arthroplasty, surgeons will find it helpful to identify the primary cause of the patient’s instability and correct the problem at the time of revision surgery.