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Wednesday, May 16th, 2012

Platelet-rich plasma for managing calcaneus tendon tendinopathy and plantar fasciitis

Non-surgical treatment of Achilles tendinopathies ad plantar fasciitis has shown good results in up to 90% of cases. However, the remaining 10% of patients with these conditions represent a true challenge for the orthopedic surgeon. New technologies for the development of orthobiologic materials make it possible to use platelet-rich plasma (PRP) as an alternative to treat cases that have been refractory to prior treatment and that have a chronicity exceeding 12 months. Read More…

Thursday, April 5th, 2012

Study: More patients undergo knee arthroplasty for less severe OA.

According to a study published online in the journal Clinical Orthopaedics and Related Research, variation in the extent of tibiofemoral osteoarthritis (OA) in patients preparing for joint arthroplasty may be greater than previously described. The authors drew data on 97 patients taking part in the Osteoarthritis Initiative who underwent knee arthroplasty and who had relevant radiographs taken during the 12 months prior to surgery. They found that the proportion of patients with a modified Kellgren-Lawrence (KL) grade of 3 or higher was 0.81, which was less than the 0.95 estimated population proportion. Of patients who underwent knee arthroplasty, 85 percent (n = 82) had at least one tibiofemoral joint compartment that had no joint space narrowing, and one in six patients with OA who underwent knee arthroplasty had a KL grade of 2 or lower. Read More…

Thursday, April 5th, 2012

Friday, March 30th, 2012

Study: Functional outcomes similar for certain fibula fractures whether treated surgically or nonsurgically

According to a study published in the March issue of the Journal of Orthopaedic Trauma, patients treated for undisplaced, unstable, isolated fibula fractures had equivalent functional outcomes whether treated surgically or nonsurgically, but patients managed with surgery were at lower risk of displacement and problems with union. The authors conducted a randomized, multicenter clinical trial of 81 patients at six Level 1 trauma centers. Overall, 41 patients were treated surgically by open reduction and internal fixation of the fibula, while 40 patients underwent nonsurgical treatment, which included the use of a short leg cast or brace and protected weight bearing for 6 weeks. No statistically significant differences were found in functional outcome scores or pace of recovery between the groups at any time interval up to 12 months. However, at 12-month follow-up, 5 patients in the surgical group had had a surgical site infection and 5 patients required hardware removal, while in the nonsurgical group, 8 patients had a medial clear space greater than or equal to 5 mm, and 8 patients had delayed union or nonunion. Read more…

Tuesday, March 20th, 2012

Study: Percutaneous repair of Achilles tendon rupture offers similar outcomes to open repair

Abstract

Friday, March 16th, 2012

Weight loss is effective for symptomatic relief in obese subjects with knee osteoarthritis independently of joint damage severity assessed by high-field MRI and radiography.

Abstract

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Friday, March 16th, 2012

Study: Younger patients with ACL tears see improved outcomes with earlier surgery

According to a study published recently in the American Journal of Sports Medicine, younger patients who undergo surgical reconstruction to repair an anterior cruciate ligament (ACL) tear more than 12 weeks after injury may be at greater risk of irreparable medial meniscal tears and lateral compartment chondral injuries. The authors reviewed the records of 70 consecutive patients aged 14 years and younger who underwent ACL reconstruction between 1991 and 2005 at a single institution. They found that time to surgical reconstruction and history of a sense of knee instability were independently associated with medial meniscal tears. In addition, time to surgical reconstruction was also independently associated with medial and lateral compartment chondral injuries. Delay in treatment longer than 12 weeks (29 patients) was associated with an increase in the severity of medial meniscal tears and higher grade lateral and patellotrochlear chondral injuries. Read more…

Thursday, March 8th, 2012

A 40-month multicentre, randomised placebo-controlled study to assess the efficacy and carry-over effect of repeated intra-articular injections of hyaluronic acid in knee osteoarthritis: the AMELIA project

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OBJECTIVE:

AMELIA (OsteoArthritis Modifying Effects of Long-term Intra-articular Adant) was designed to compare against placebo the efficacy and safety of repeated injections of hyaluronic acid (HA) and its effect on disease progression over 40 months. Read More…

Thursday, March 8th, 2012

Vitamin D tied to fewer stress fractures in girls

Thursday, March 8th, 2012

Tenocytes From Human Rotator Cuff Tendons With Degenerative Tears