Although corticosteroid injections are commonly used to manage pain and inflammation in patients with osteoarthritis of the hip, a new study adds to concerns about the potential harmful effects of these injections.
In recent years, we have performed meniscal repairs using wrapped fibrin clots in PGA sheet. We considered the use of wrapped fibrin clots with a PGA sheet to treat meniscus tears. The purpose of this paper is to introduce a step-by-step guide to our new delivery technique using fibrin clots.
In this article, we describe the unique presentation of an 83-year-old, right-hand dominant male with severe right arm dysfunction secondary to a humeral shaft non-union in the setting of ipsilateral CTA. The case highlights the options for, and difficulty in, managing these concomitant pathologies in a medically frail individual who has lost meaningful upper extremity function and independence because of this injury.
A shoulder separation is an injury to the acromioclavicular joint on the top of the shoulder. The shoulder joint is formed at the junction of three bones: the collarbone (clavicle), the shoulder blade (scapula), and the arm bone (humerus). A shoulder separation occurs where the clavicle and the scapula come together.
Advances in orthopedic medicine provide many options for treating knee injuries. Some long-standing approaches include surgery to repair torn cartilage or knee joint replacement. In addition to these, there are now minimally invasive treatments using cartilage taken from elsewhere in the body or regenerated from a person’s own cells.
Collapsed femoral heads caused by osteonecrosis—otherwise known as avascular necrosis— unfortunately represent the root cause for approximately 10% of all hip replacements nationwide. Daniel Wiznia, MD, is utilizing a stem cell treatment at Yale School of Medicine and integrating new techniques along with 3D imaging technology as part of a joint-preservation procedure.
Unfortunately, falls are all too common, especially among adults over the age of 65. About one in four adults over the age of 65 experiences a fall, and approximately 95 percent of all hip fractures are related to falls.
A retrospective review of data from the Australian Orthopaedic Association National Joint Replacement Registry suggests that the answer is yes, at least for revision total hip arthroplasty due to dislocation.
Dr. Jeremy Gililland, Dr. Victor Carlson, and Dr. Lucas Anderson answer ICJR’s questions about their technique for building and then implanting an articulating antibiotic spacer in the first stage of revision total knee arthroplasty.
Including acetaminophen for pain management prior to and after arthroscopic rotator cuff repair can significantly reduce opioid consumption and improve patient satisfaction postoperatively. Not only that, but patients who take acetaminophen perioperative can also have better pain control, even while consuming fewer opioids.