Abstract: Total hip arthroplasty (THA) has been performed for nearly 50 years. Between 2006 and 2012, more than 600,000 metal-on-metal THA procedures were performed in the United States. This article reviews the production of metal wear debris in a metal-on-metal articulation and the interaction of cobalt and chromium ions that ultimately led to a dramatic decline in the use of metal-on-metal THA articulations. Additionally, the article reviews mechanisms of metal wear, … Read the Rest
March 2016 The purpose of this study was to analyze the hospital, clinical, and patient factors associated with inpatient readmission following total hip arthroplasty (THA) in the Medicare population and to understand the primary reasons for readmission…
…The top five most frequently reported primary reasons for 30-day readmission in THA were procedure related : dislocation (5.9%), deep infection (5.1%), wound infection (4.8%), periprosthetic fracture (4.4%), or hematoma (3.4%). The top five … Read the Rest
Published on March 4, 2016
Many surgeons and patients believe that formal outpatient physical therapy (OPT) is necessary in order to optimize the functional outcome of patients undergoing total hip arthroplasty (THA). Limited evidence currently exists to support this belief. The purpose of this prospective, randomized study was to determine the effect of formal OPT on the functional outcome of THA…
…These findings suggest that formal OPT is not superior … Read the Rest
Injections require less organization, planning and have less morbidity.
By Robert B. Bourne, MD, FRCS(C)
ORTHOPEDICS TODAY 2008; 28:94
Relieving postoperative pain is an extremely important part of what we do as orthopedic surgeons. We all want to minimize postoperative pain and most believe in regional anesthesia, multimodal analgesia and in acute pain services. I think there is overwhelming evidence for regional anesthesia for both hip and knee arthroplasty. There is … Read the Rest
Everyone has slightly different needs. There are some basic items almost everyone needs and then there are things that some people want and others just don’t need.
Crutches – Normally crutches are supplied by the hospital. I used elbow crutches and they are much easier to use than normal under the arm crutches. Overseas hospitals use elbow crutches while US hospital still normally use old fashioned under the arm crutches. If you have … Read the Rest
By Atanu Ghosh
Underwater treadmill is a treadmill which is submerged in water and provides exercise to people who have undergone total hip replacement. Underwater treadmill is a key component in rehabilitation centers to increase muscle strength and motion of hip. It is also used in Veterinaries to improve the motion of animals like dogs, horses, etc, increase their resistance and make their movements more swift and smooth.
Underwater treadmill consists of a treadmill submerged … Read the Rest
Original Link http://www.orthosupersite.com/view.aspx?rid=62584
The use of staples to close wounds following orthopedic surgery – especially hip surgery – is associated with a significantly greater risk of wound infection than traditional suturing, according to orthopedic researchers from Norwich, England…
…Toby O. Smith, MSc, BSc (Hons), MCSP, and colleagues analyzed the results of six trials that compared staples and sutures used for wound closure following orthopedic procedures in adult patients…
…The authors found that wounds closed with … Read the Rest
The new joint has a limited range of movement. You will need to take special precautions to avoid displacing the joint, including:
Avoid crossing your legs or ankles even when sitting, standing, or lying.
When sitting, keep you feet about 6 inches apart.
When sitting, keep your knees below the level of your hips. Avoid chairs that are too low. You may sit on a pillow to keep your hips higher than your knees.
How to Recover Faster After Joint Replacement Surgery for Arthritis By Nathan Wei
Findings from a recent study indicate that for osteoarthritis patients, an exercise program will allow a faster recovery following joint replacement surgery.
Researchers from Harvard Medical School (Boston’s New England Baptist Hospital, and Beth Israel Deaconess Medical Center) studied 108 men and women with severe osteoarthritis scheduled for total hip or knee replacement surgery at Boston’s New England Baptist Hospital. Patients were … Read the Rest