Athletes who have torn an anterior cruciate knee ligament often rely on elaborate batteries of physical tests to tell them if and when they are ready to return to competitive sports. But a new review of studies of athletes and A.C.L. injuries raises serious concerns about the reliability of these return-to-play tests.
Platelet-rich plasma injection (PRP) is an emerging therapeutic procedure in medicine and rehabilitation for the treatment of both acute and chronic soft tissue injuries. It involves collecting blood from the patient's arm, separating the platelets via centrifuge and injecting it back into the patient's injured tissue area to augment (or facilitate) the body's natural healing response.
Total knee arthroplasty: analysis shows EXPAREL reduces length of hospital stay and improves discharge status compared to standard analgesic modality
Pacira Pharmaceuticals, Inc. has announced results of new data showing that EXPAREL® (bupivacaine liposome injectable suspension) infiltration compared to a standard analgesic regimen in patients undergoing total knee arthroplasty (TKA) significantly decreased the length of hospital stay and increased the likelihood that a patient would be discharged to their home rather than a care facility when released from the hospital.
Using the American College of Surgeons National Surgical Quality Improvement Program database, Garcia and his colleagues identified 4,655 patients who underwent total shoulder arthroplasty (TSA) from 2005 to 2013. Researchers collected preoperative albumin measurements from 36.1% of patients and patients with a concentration of less than 3.5 g/dL were considered malnourished. Rates of postoperative complications were compared between normal and malnourished patients.
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.
People with spinal deformity also requiring a total hip replacement are at greater risk for dislocation or follow-up revision surgery, suggesting that these higher-risk patients may benefit from a more personalized approach to their surgeries to reduce the risk of poorer outcomes.
Rates of Complications and Secondary Surgeries After In Situ Cubital Tunnel Release Compared With Ulnar Nerve Transposition: A Retrospective Review
The short-term complication rates of cubital tunnel surgery are low (3.2%), but higher for patients with chronic kidney disease. The secondary surgery rate after cubital tunnel surgery was 5.7% overall, but higher for patients with prior elbow trauma and for patients undergoing ulnar nerve transposition.
Locked posterior shoulder dislocation is an uncommon condition and is associated with a reverse Hill-Sachs lesion in 50% of cases. The condition is likely to occur in cases of violent trauma, seizures, or electric shock. Unrecognized dislocation with humeral head fracture affects joint function and humeral head vascularity and may lead to chronic instability, osteonecrosis, and osteoarthritis.
Patients who received a newer prosthesis similar to the Miller-Galante knee design showed significantly better Knee Society function scores than patients who had a long-used prosthesis to which it was compared. However, the two implants performed about the same at short-term follow-up, according to a presenter.