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New types of hip implants, using metal-on-metal or ceramic-on-ceramic bearings, appear to have no significant advantage over traditional implants, according to a systematic review of clinical trials, observational studies, and national registries published online November 29 in the British Medical Journal.
Medscape (Orthopaedics) - Tue, 6 December 2011
http://www.medscape.com
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Despite there is not drugs capable to reduce the risk of fractures of 50%-70% after 6-12 months of treatment, postmenopausal osteoporosis often remains not recognized and consequently not treated, with easily foreseeable consequences. The North American Menopause Society (NAMS), in its declarations in 2010, affirms that all women in post-menopause should be assessed for risk factors associated with osteoporosis, to recognize fracture risk factors, to eliminate possible causes for secondary osteoporosis, to modify risk factors and to choose candidates for pharmacological therapy.
MedNews (Orthopaedics) - Mon, 7 November 2011
http://mn.medsurfnews.com/
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In patients undergoing orthopedic surgery, a long-acting anti-thrombotic prophylaxis is usually performed, but is this practice really useful and necessary? Through a multinational trial, sponsored by pharmaceutical industry, the efficacy of a long-term prophylaxis in acute patients has been assessed: everybody has been treated with enoxaparin for 10 days, then all have been randomized to receive further injections of heparin or placebo for 28 further days. Controls have been made when 75% of enrolment was reached (3685 patients) and there have been no differences between enoxaparin and placebo as to thromboembolic events; there has been, instead, a greater tendency to bleeding episodes in the group treated with heparin (0.6% vs. 0.29%).
MedNews (Orthopaedics) - Mon, 31 October 2011
http://mn.medsurfnews.com/
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The study authors evaluated the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database for the years 2005 to 2008. This database documents preoperative information and postoperative complications and death among patients receiving surgery at participating medical facilities across the United States.
American Academy of Orthopaedic Surgeons (Orthopaedics) - Tue, 20 September 2011
http://www.aaos.org
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There is a lack of clearness on the association between plasmatic levels of vitamin D and fracture risk. A cohort study performed in Sweden has measured the levels of hydroxy-vitamin D (25[OH]D) in 1194 elderly (averagely 71 years of age) followed for averagely 11 years. During this period of time, there have been various fractures in 26% of participants. Fracture risk resulted similar at all levels of 25[OH]D being ≥ 16 ng/ml, while it resulted high among subjects with plasmatic levels < 16 ng/ml.
MedNews (Orthopaedics) - Mon, 25 July 2011
http://mn.medsurfnews.com/
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NHS healthcare for patients with broken hips should be improved to prevent long-term disability or complications, says the National Institute for Health and Clinical Excellence (NICE). In new guidance published today (Wednesday 22 June) NICE recommends that surgery should take place the same day or the day after hospital admission. Currently, some patients can wait several days before surgery. Hospitals should also deliver a co-ordinated Hip Fracture Programme to help patients recover faster and regain their mobility.
National Institute for Health and Clinical Excellence (Orthopaedics) - Wed, 22 June 2011
http://www.nice.org.uk
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The arthroscopic method offers a less invasive technique of Bankart repair for traumatic anterior shoulder instability. A report of a 2 year clinical outcomes of bio-absorbable suture anchors used in traumatic anterior dislocations of the shoulder indicates that arthroscopic Bankart repair with the use of suture anchors is a reliable treatment method, with good clinical outcomes, excellent post-operative shoulder motion and low recurrence rates.
Journal of Orthopaedic Surgery and Research (Orthopaedics) - Tue, 14 June 2011
http://www.josr-online.com
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Even if vitamin D administration is widely used to prevent fractures in old women, its usefulness has not got a clear evidence yet. Some Australian researchers, starting from the supposition that its daily assumption can create some problems for compliance and therapy adhesion, have randomized 2317 women (averagely 76 years of age) with a high fracture risk to receive only one annual dose of vitamin D (500,000 UI) or placebo, for averagely 3-5 years.
MedNews (Orthopaedics) - Mon, 6 June 2011
http://mn.medsurfnews.com/
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In some trials, atypical hip fractures (subtrochanteric ones or at metaphysis) have been remarked after long-term treatments with bisphosphonates, pleading, as a physiopathological explanation, an excess in the suppression of bone turnover. But in these trials, it was impossible to establish a cause-effect relation, so some researchers have now examined the frequency of these fractures in three trials previously published and concerning randomized trials on osteoporosis therapy with bisphosphonates.
MedNews (Orthopaedics) - Mon, 16 May 2011
http://mn.medsurfnews.com/
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In the treatment of pain caused by medullar compression for low back spine stenosis, the interventions of surgical decompression are often used, and in patients presenting listhesis or scoliosis, with consequent vertebral instability, the blocking of 2-3 vertebras is also present. Using the data from Medicare, some researchers have evaluated the frequency of complications of these surgical procedures from 2002 to 2007, a period during which the frequency of vertebral stenosis diagnosis has kept constant; there has been, instead, a clear increase in surgical decompression and vertebral stabilization interventions, even lacking the evidence of spondylolisthesis and scoliosis.
MedNews (Orthopaedics) - Tue, 26 April 2011
http://mn.medsurfnews.com/