Dexamethasone Reduces Length of Hospitalization and Improves Postoperative Pain and Nausea After Total Joint Arthroplasty: A Prospective, Randomized Controlled Trial Jeffrey R. Backes, MD, Jared C. Bentley, MD, Joel R. Politi, MD, Bryan T. Chambers, MD Journal of Arthroplasty, Volume 28, Issue 8, Supplement , Pages 11-17, September 2013 Level 1 Randomised Control Trial Summary: A level I randomized […]
Evidence Based Orthopaedics
Computer Navigation does not offer any advantage in Total Hip Replacement
Acetabular Component Positioning in Total Hip Arthroplasty With and Without a Computer-Assisted System: A Prospective, Randomized and Controlled Study Henrique M.C. Gurgel, PhD, Alberto T. Croci, PhD, Henrique A.B.A. Cabrita, PhD, José Ricardo N. Vicente, PhD, Marcos C. Leonhardt, João Carlos Rodrigues The Journal of Arthroplasty, Volume 29, Issue 1 , Pages 167-171, January 2014 Aim: To study the acetabular component positioning using imageless navigation compared with […]
Single Radius TKA implants better than multi radii knee implants
Lengthening the moment arm of the patella confers enhanced extensor mechanism power following total knee arthroplasty David F. Hamilton*, A. Hamish R.W. Simpson, Richard Burnett, James T. Patton, Matthew Moran, Nicholas D. Clement, Colin R. Howie, Paul Gaston Article first published online: 20 MAR 2013DOI: 10.1002/jor.22344 Journal of Orthopaedic Research Volume 31, Issue 8, pages 1201–1207, August 2013 Quality of Evidence: Therapy Level 2 Randomised […]
Highly cross linked polyethylene does not offer any advantage in TKA
Highly Crosslinked Polyethylene Does Not Reduce the Wear in Total Knee Arthroplasty: In Vivo Study of Particles in Synovial Fluid Pedro Hinarejos, MD, PhD, Ignasi Piñol, MD, Alberto Torres, MD, Eva Prats, MD, Gabriel Gil-Gómez, PhD, Lluis Puig-Verdie, MD, PhD The Journal of Arthroplasty Volume 28, Issue 8 , Pages 1333-1337, September 2013 Level of Evidence: Therapeutic level 2 Randomised Control Trial Aim of the study The […]
BMP-2 may lead to Cancer
Cancer Risk After Use of Recombinant Bone Morphogenetic Protein-2 for Spinal Arthrodesis Eugene J. Carragee, MD1; Gilbert Chu, ; Rajat Rohatgi, Eric L. Hurwitz, DC, Bradley K. Weiner, S. Tim Yoon, Garet Comer, Branko Kopjar, Department of Orthopaedic Surgery, Stanford University School of Medicine, 450 Broadway Street, Pavilion C, 4th Floor, Redwood City, CA […]
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 […]