Patient Specific Instrumentation does not offer significant benefit compared to standard TKA

  Patient-Specific Instrumentation Does Not Shorten Surgical Time: A Prospective, Randomized Trial William G. Hamilton, MD Nancy L. Parks, MS, CCRC Arjun Saxena, MD The Journal of Arthroplasty Volume 28, Issue 8, Supplement , Pages 96-100, September 2013 Level of Evidence: Level 2 Randomised control Trial Aim of the study: To determine whether total knee arthroplasty using patient […]

Nonoperative Treatment effective for the treatment of Degenerative Meniscal Tears

A comparative study of meniscectomy and nonoperative treatment for degenerative horizontal tears of the medial meniscus. Yim JH, Seon JK, Song EK, Choi JI, Kim MC, Lee KB, Seo HY. Source Department of Orthopedic Surgery, Gwangju Hyundae Hospital, Gwangju, Korea. Am J Sports Med July 2013 41 1565–1570 Level of Study: Level 2 Randomised Control […]

Subacromial Ketorolac is beneficial in patients with Rotator cuff Tendinitis

A double blind randomized controlled trial comparing the effects of subacromial injection with corticosteroid versus NSAID in patients with shoulder impingement syndrome. Min KS, St Pierre P, Ryan PM, Marchant BG, Wilson CJ, Arrington ED. Source Department of Surgery, Orthopaedic Service, Madigan Healthcare System, Tacoma, WA, USA J Shoulder Elbow Surg. 2013 May;22(5):595-601. doi: 10.1016/j.jse.2012.08.026. […]

Medial Retinaculum Plasty for the Treatment of Recurrent Patellar Instability

Medial Retinaculum Plasty Versus Medial Patellofemoral Ligament Reconstruction for Recurrent Patellar Instability in Adults: A Randomized Controlled Trial   Long-Fei Ma, M.D., Fei Wang, Ph.D., Bai-Cheng Chen, Ph.D., Cheng-Hai Wang, M.D., Jian-Wei Zhou, M.D., and Hao-Yu Wang, M.D. From the Department of Joint Surgery, Third Hospital of Hebei Medical University, Shijiazhuang, China. Arthroscopy. 2013 May;29(5):891-7. […]

Negative pressure wound therapy reduces infection and dehiscence in lower extremity trauma

Incisional negative pressure wound therapy after high-risk lower extremity fractures                  Stannard JP, Volgas DA, McGwin G 3rd, Stewart RL, Obremskey W, Moore T, Anglen JO J Orthop Trauma. 2012 Jan;26(1):37-42. doi: 10.1097/BOT.0b013e318216b1e5   Funding:              Industry funded Sponsor:              Kinetic Concepts, Inc. Conflicts:             None disclosed Therapy Level II – Randomized Trial Aims To investigate negative pressure […]

Adding Triamcinolone Improves Viscosupplementation

Adding triamcinolone improves viscosupplementation: a randomized clinical trial Clin Orthop Relat Res. 2013 Feb;471(2):613-20. doi: 10.1007/s11999-012-2659-y. Epub 2012 Oct 26   Population: 104 patients with knee osteoarthritis and randomized them to receive Intervention: single intraarticular injection (6 mL) of hylan GF-20 (Group viscosupplementation [Group VS]) Control: single intraarticular injection of hylan GF-20 (6 mL) and 1 mL (20 mg) […]

Low-intensity pulsed ultrasound(LIPUS) elicits faster bone healing after forearm osteotomy

Effect of low-intensity pulsed ultrasound on bone healing at osteotomy sites after forearm bone shortening    Atsushi Urita, MD, PhD, Norimasa Iwasaki, MD, PhD, Makoto Kondo, Yasuhiko Nishio, MD, PhD, Tamotsu Kamishima, MD, PhD, Akio Minami, MD, PhD Departments of Orthopaedic Surgery and Radiology, Hokkaido University School of Medicine; and the Hokkaido Orthopaedic Memorial Hospital, Sapporo, Japan J Hand Surg Am. […]

Oxinium Implants:Just a Hype?

Comparison of the Genesis II total knee replacement with oxidised zirconium and cobalt-chromium femoral components in the same patients: a prospective, double-blind, randomised controlled study Kim YH, Park JW, Kim JS. J Bone Joint Surg Br. 2012 Sep;94(9):1221-7. doi: 10.1302/0301-620X.94B9.28854. Source Ewha Womans University School of Medicine, The Joint Replacement Center, 911-1, Mokdong, YangChun-Gu, Seoul […]

What’s New in Sports Medicine 2012

WHAT’S NEW IN SPORTS MEDICINE Saseendar Sundaram, MS Knee Anterior Cruciate Ligament Double-bundle technique was associated with better visual analog scale pain scores and less instrumented anterior knee laxity based on a recent Level-I clinical study. There were no significant differences in terms of rotational control and subjective KOOS (Knee Injury and Osteoarthritis Outcome Score) […]

Oxinium bearings- Fact or Fiction

Oxinium or otherwise “oxidised zirconium” was suggested as a good bearing surface by  Bourne in his article in CORR 2005. These oxinium surfaces are derived from a zirconium base that is heated and then infused with oxygen, transforming the outermost layer into a ceramic shell This surface possibly combines the fracture resistance of metal, with […]

New test detects early osteolysis after arthroplasty

Investigators at the University of  Nebraska Medical Centre developed a system to detect early inflammation and osteolysis associated with arthroplasty The study was published in the Molecular pharmaceuticals Journal by Ren et al.. They developed a polymer-based system — a N-(2-hydroxypropyl)methacrylamide (HPMA) copolymer-based optical imaging contrast agent (P-IRDye) — for imaging the inflammation that is associated […]

Allografts for Osteochondral talar defects

Does Fresh Osteochondral Allograft Transplantation of Talar Osteochondral Defects Improve Function? Gregory C. Berlet MD, Christopher F. Hyer DPM, Terrence M. Philbin DO, Jodi F. Hartman MS, Michelle L. Wright MPH Clinical Research Online First – February , 2011 Clin Orthop Relat Res. 2011. doi: 10.1007/s11999-011-1813-2. In a study by Berlet et al., single bulk, fresh […]

AAOS guidelines on OCD Knee

Osteochondritis dissecans is a condition of the joints that appears to affect subchondral bone primarily, with  secondary effects on articular cartilage Osteochondritis Dissecans of the knee has been a disorder in which proper treatment guidelines have not been established Several aetiologies like, family history, repetitive micro-trauma, growth disorders, and ischemia—have been proposed One study identified the […]