Comparison of Revision Rates of Non-modular Constrained Versus Posterior Stabilized Total Knee Arthroplasty: a Propensity Score Matched Cohort Study
ConclusionsWhile revisions rates in both cohorts were low, there was a significantly higher revision rate with NMCCKs. Given that cases requiring the use of NMCCK implants are likely more complex than those in which PS implants are used, our findings support the judicious use of NMCCK prostheses. (Source: HSS Journal)
Source: HSS Journal - November 16, 2016 Category: Orthopaedics Source Type: research
Bearings in Hip Arthroplasty: Joint Registries vs Precision Medicine
ConclusionsBringing together data from joint registries, biomarker analysis, phenotyping of OA patients and knowledge of how different patients respond to implant debris will lead to a truly personalised approach to treating OA patients, ensuring that the correct implant is given to the correct patient at the correct time. (Source: HSS Journal)
Source: HSS Journal - November 13, 2016 Category: Orthopaedics Source Type: research
Early Revision Surgery for Tibial Plateau Non-union and Mal-union
ConclusionBy outlining our method, we hope to provide other surgeons with an algorithm to guide clinical and operative decision making. These difficult injuries can be daunting to treat, but if performed before the onset of severe degenerative arthritis, early revision surgery, as we describe, can be a viable alternative to total knee arthroplasty, particularly in younger, more active patients. (Source: HSS Journal)
Source: HSS Journal - November 7, 2016 Category: Orthopaedics Source Type: research
Locking Plate Arthrodesis Compares Favorably with LRTI for Thumb Trapeziometacarpal Arthrosis: Early Outcomes from a Longitudinal Cohort Study
ConclusionsAt early follow-up, patient-rated function was similar among patients undergoing TMA and LRTI. TMA produced 25% greater pinch strength compared with LRTI. Despite historical concerns regarding global loss of ROM with arthrodesis, motion was similar between groups. Our observed TMA nonunion rate of 7% is low relative to historically reported nonunion rates (7 –16%). Locking cage plate technology affords rigid fixation for TMA with promising early results noting reliable bony union while minimizing complications. (Source: HSS Journal)
Source: HSS Journal - October 12, 2016 Category: Orthopaedics Source Type: research
Equivalent Clinical Outcomes Following Favored Treatments of Chronic Scapholunate Ligament Tear
ConclusionsThis systematic review failed to demonstrate any significant difference in outcomes from capsulodesis or reconstruction for treatment of chronic scapholunate instability. However, the retrospective studies examined were notably heterogeneous in design with high estimates of variance. Further prospective trials are necessary to determine an ideal treatment strategy. (Source: HSS Journal)
Source: HSS Journal - October 10, 2016 Category: Orthopaedics Source Type: research
