Healthcare News
Opioid use before knee replacement surgery results in worse pain outcomes for patients
Source: Brigham and Women's Hospital
Patients who had higher pain catastrophizing, the degree of an exaggerated, negative response to pain, were more likely to take opioids for pain relief, a team of investigators found.
They found that patients who used opioids to manage their knee pain before their total knee replacement had less pain relief after the operation. According to a new study, patients who took opioids before knee surgery experienced about 9 percent less pain reduction at 6 months following surgery compared to patients who did not. Read more:
What You Must Know About Joint Replacement; Whether you really need it—and how to prep for it if you do
Source: Consumer Reports
More than half of all older adults in the U.S. have arthritis. Most often it’s osteoarthritis (OA)—where the cartilage between joints wears down, causing swelling, pain, and disability in some.
Since the 1960s, people with severe OA have had the option of surgery to replace certain painful joints with prosthetics made of metal, ceramic, and plastic. Knee and hip replacements are now the third and fourth most common surgeries, respectively, in U.S. hospitals, behind cesarean sections and circumcisions.
Prospective study showed TKA not detrimental to patient participation in sports
Source: Healio
Results of a study presented at European Society of Sports Traumatology, Knee Surgery and Arthroscopy Congress, here, showed patients who participated in sports before total knee arthroplasty were able to participate in sports postoperatively and in some cases, patients were more active in sports after surgery.
Multiple risk factors, BMD associated with hip fracture in older men
Source: Healio
Older men with an increasing number of specific risk factures combined with decreased bone mineral density at the femoral neck are at elevated risk for hip fracture, according to study findings.
Modularity in Total Hip Arthroplasty: Benefits, Risks, Mechanisms, Diagnosis, and Management
Source: PubMed
Modular implants are currently widely used in total hip arthroplasty because they give surgeons versatility during the operation, allow for easier revision surgery, and can be adjusted to better fit the anatomy of the specific patient. However, modular implants, specifically those that have metal-on-metal junctions, are susceptible to crevice and fretting corrosion.
Quadriceps exercise relieves pain in knee osteoarthritis
Source: Medical Xpress
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.
Understanding hip instability helps orthopedists perform revision THA
Source: Healio
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.
Outcomes of Hip Arthroscopy in Competitive Athletes
Source: Science Direct
To evaluate the minimum 2-year postoperative clinical outcomes and the rate of return to sports in athletes who underwent capsular plication for the treatment of ligamentous laxity and/or borderline dysplasia during hip arthroscopy for the treatment of femoroacetabular impingement and labral pathology.
Higher rates of complications after THA found among patients with inflammatory arthritis
Source: Healio
Patients with inflammatory arthritis who underwent total hip arthroplasty experienced higher rates of complications compared with patients who had osteoarthritis, according to results.
Preventing long-term complications of an ACL tear
Source: Medical Xpress
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 participation in sports.
Despite the frequency of torn ACLs, many people don’t know that the injury results in a significant risk of developing arthritis within 10 to . Around 70 to 80 percent of patients with a torn ACL will develop arthritis within that timeframe. Because most ACL injuries occur in young people, this means that arthritis could set in at a very early age. If a patient is 15 years old when she tears her ACL, for example, she could be struggling with arthritis by the age of 30.
