Dr. Incavo and fellow researchers shared their latest findings on Technical Obstacles in Total Knee Arthroplasty Learning at the Orthopaedic Research Society (ORS) 2019 annual meeting early February in Austin, Texas.
Source: Healio
Patients with inflammatory arthritis who underwent total hip arthroplasty experienced higher rates of complications compared with patients who had osteoarthritis, according to results.
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Source: Healio
Results from this randomized controlled trial showed both low- and high-intensity plyometric exercise for rehabilitation following ACL reconstruction positively affected knee function, knee impairments and psychological status among patients after 8 weeks of intervention.Researchers randomly assigned 24 patients who underwent ACL reconstruction to 8 weeks of either low- or high-intensity plyometric exercise, and the groups were distinguished by the anticipated magnitude of vertical ground-reaction forces. Investigators assessed patient outcomes with the IDKC subjective knee form and a biomarker for articular cartilage degradation.
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Dr. Incavo,
I just got back from my Scotland trip and I wanted to give you a quick report. We played 10 courses in 7 days, basically 60 miles of walking. I had absolutely no pain or problems with either of my knees the whole time, and I even fell on the, a couple of times! On top of that, I shot an 85 on the Old Course our last day in Scotland.
Just wanted to tell you again thank you from the bottom of my heart for fixing me up – having those joint replacements has really let me go out and do things painlessly that I wouldn’t have dreamed of doing before surgeries. And I owe it all to you,
Dr. Incavo and his colleagues were invited to present their latest research project, The Continuum of Hip Range of Motion: From Soft Tissue to Bony Impingement, at the 2018 meeting of ISHA, the Hip Preservation Society recently held in Melbourne,…
Source: Verywell Health Metal implants are used in a variety of orthopedic surgical settings, including fracture repair and joint replacement surgery. Some people are concerned about developing an allergic reaction to metal implants. Is this possible, and could it be…
Source: Verywell Health The hip labrum is a ring of cartilage that surrounds the socket of the ball-and-socket hip joint. Often likened to a meniscus tear of the knee joint, a hip labrum tear may be a source of pain…
Source: Science Daily Low-risk patients undergoing a total hip replacement with a posterior approach can skip the standard hip precautions currently recommended for post-surgical recovery, according to a new study. Read more
Source: Medical News Today Irritable hip results from hip joint inflammation. It is a common cause of hip pain and limping in children aged 10 years or younger. Read more
Source: Medical Xpress Joints emit a variety of noises, including popping, snapping, catching, clicking, grinding, grating and clunking. The technical term for these noises is “crepitus”, from the Latin “to rattle”. Read more
Source: Medical News Today A tear to the medial collateral ligament in the knee can cause pain, swelling, and a lack of stability in the knee. Treatment is usually with ice, a knee brace, and physical therapy. Surgery may be…
Source: Health Day Walking the dog can be great exercise for seniors, but there could be one downside: bone fractures Read more
Source: Medical Xpress People with diabetes who undergo joint replacement surgery are at sharply higher risk of experiencing elevated blood sugar after the operation, increasing their chances of developing infections and other complications, according to a new study by researchers…
Dr. Incavo’s original research paper and published article, Tibial Resection and Coronal Alignment in Total Knee Arthroplasty, focuses on the effect of tibial resection performed at different rotational positions on coronal plane alignment in TKA. The article was published online…
Given the unique regenerative ability of stem cells, research in this area holds tremendous promise for the development of therapeutic treatments for chronic diseases such as, diabetes and heart disease.
There is also indication that certain cellular therapies could be beneficial in treating musculoskeletal disease, though more research and clinical trials must be done.
Unfortunately, some organizations are not waiting on the research and appealing to patients directly – often with misleading information, terminology and claims – in order to participate in what has quickly become a lucrative market.
Some reports speculate that the global stem cell market is expected to reach “US 270.5 Billion by 2025, while increasing at a compound annual growth rate of 13.8% over the period of 2017 to 2025. North America accounts for a leading share in the market and is projected to be worth USD 167.33 Billion by 2025.” 1
The lead analyst of the report explains, “The growing prevalence of chronic diseases and increasing investments of pharmaceutical and biopharmaceutical companies in stem cell research are the key driving factors for the stem cells therapeutics market.”1
While the use of cellular therapies and regenerative medicine to treat some musculoskeletal conditions like osteoarthritis of the hip or knee in lieu of surgical intervention is appealing to patients, physicians and researchers caution that such treatment is still very new. Researchers need to study its safety and the long-term outcomes.
Additionally, with relatively little regulation some treatments identified as “stem cell treatments” technically are not – and pose a safety concern.
A recent article published in The Bone & Joint Journal, Rogue Stem Cell Clinics, spotlights the need for continued research in this area and the safety concerns regarding clinics promising treatments without the scientific evidence to support them. The article authored by members of the Biologics Association warned of the inaccuracy of terminology and claims used in some direct to consumer marketing material. 2
The authors wrote, “despite a considerable legitimate research effort, there is increasing concern about the range of unregulated and poorly characterized cell therapies being offered by some providers, often marketed as ‘stem cells,’ with claims of efficacy and safety not founded on clinical evidence” – a practice becoming increasingly more common in the United States.
It is always best to first consult with your doctor before pursuing any new treatment or therapy.
References
Over the last several years, the term “minimally invasive surgery” has been popularized. Many patients now request minimally invasive surgery. Over the last 20 years orthopaedic surgeons have recognized that hip and knee replacement surgery can be performed using less invasive incisions. This has the advantage of a potentially quicker recovery. In the orthopaedic literature (professional publications) recovery can occur sooner in the first 6 weeks, but after that little or no difference can be demonstrated between conventional surgery and minimally invasive surgery.
It has become clear that minimally invasive procedures can lead to significant complications, some potentially devastating to the patient. Joint replacement components require precise placement with respect to the bones and soft tissues. Recent reports have demonstrated that less optimal results can occur after minimally invasive procedures which require further surgery and prolonged recovery. It may be “penny wise and pound foolish” to jeopardize a good long term result for a temporary better result 4 weeks after surgery.
At the present time most experienced surgeons use the least extensive operation which is required to perform a high quality joint replacement operation.
Dr Incavo is happy to discuss the different types of surgical approach for hip and knee surgery and explain which is best for your individual situation.
MIS reduces TKA recovery time, but with more wound healing problems.
According to a study published in the journal Clinical Orthopaedics and Related Research, minimally invasive surgery (MIS) offers reduced recovery time when compared to conventional total knee arthroplasty (TKA), but is more likely to result in delayed wound healing and infection. The authors conducted a systematic review and meta-analysis of 13 studies (randomized controlled trials) published from 2007 to 2009 that compared MIS and standard TKA approaches. They found that mean Knee Society scores were better for patients in the MIS group at 6 and 12 weeks postoperative, but not after 6 months. They identified no differences between MIS and standard approaches regarding short-term complications and alignment of femoral and tibial components, but patients in the MIS group had longer operating times and more wound healing problems and infections.
Read the abstract….
Total Hip Replacement: Which approach is best for you?
These are several different surgical approaches and techniques for total hip replacement (THR). Each one offers unique benefits and is chosen depending on the situation. In general, there are 3 popular approaches: Direct anterior, Anterolateral, and Posterior.
There is no comparative study that provides convincing proof that one approach is superior to another and the best approach to use when performing THR remains controversial. The interest in recent years is focused on minimally invasive techniques and smaller incisions. However, the long term success of the implanted hip replacement avoiding complications is by far the most important aspect of the surgery.
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Dr. Incavo and colleagues recently published their findings from the research study, Postoperative Alignment in Revision Total Knee Arthroplasty, a Comparison between Intra and Extramedullary Tibial Alignment, in The Knee. Read full article.
Dr. Incavo and his colleagues publish their latest research findings in The American Journal of Orthopedics – “Does Accelerated Physical Therapy Rehabilitation Following Elective Primary Hip and Knee Arthroplasty Facilitate Early Discharge?” The study compared two groups of patients, who…