Orthopaedic and Rehabilitation Centers

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Physical therapy before hip or knee replacement surgery reduces need for postoperative care by nearly 30 percent
Source:
Medical News Today

Physical therapy after total hip (THR) or total knee replacement (TKR) surgery is standard care for all patients. A new study, appearing in the Journal of Bone & Joint Surgery (JBJS), also found that physical therapy before joint replacement surgery, or "prehabilitation," can diminish the need for postoperative care by nearly 30 percent, saving an average of $1,215 per patient in skilled nursing facility, home health agency or other postoperative care.

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The new knee replacements
SourceLifescript

Knee osteoarthritis. It can start out as an occasional twinge that eventually becomes a constant pain, making it difficult to walk, stay active or just get through the day.
And when joint degeneration starts affecting your life, you may start thinking about surgery.

You're not alone. Knee replacements have become increasingly common among younger women, according to a January 2012 Finnish study published in Arthritis & Rheumatism.

Read on to learn what you need to know about knee replacements.

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Warning Signs of Carpal Tunnel Syndrome
Usually more prominent on the thumb side of the hand

Source - USNews

Carpal tunnel syndrome occurs when inflammation affects tissue and a nerve that runs from the forearm to the fingers through a tunnel-like formation of bones in the wrist.

How do you know if you have carpal tunnel? The American Academy of Orthopedic Surgeons offers this list of classic symptoms.

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New company enters market to use vitamin E to extend life of hip, knee implants
SourceMarco News.com

Vitamin E isn't an antioxidant just for your skin and nails anymore — it's expanding to joint implants.

Zimmer, a company also based in Warsaw, is seeking FDA approval to offer its own version.

The concept is that the natural antioxidant in vitamin E can prevent wear of the polyethylene, or plastic, components of implants. Many cup liner components for hip implants are made of the plastic and the same goes for plastic knee bearings in knee replacements.

The vitamin is blended in during the manufacturing process and makes the material denser to better handle stress, said Tim Gardener, product director for hip products with Zimmer.

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Can surgery help you stay in the game?
SourceBoston.com

Demand for knee and hip replacement rises–

Arthritic knee crimping your tennis game? Toss it out and get a new one.

Demand for joint replacement surgery, once confined largely to patients well past retirement age, has been growing rapidly among a class of people doctors have dubbed the “young actives’’ - those in the 45 to 64 age group who are determined to stay fit.

Still, even with the rise of obesity and longer lives, public health researchers say the rate of joint replacement failures requiring revisions is about 1 percent a year, mostly in the relatively younger patients who “outlive’’ the 10-to-20-year working life spans of their replacement joints. And as technique and technology have improved, the rates of infection, dislocations, and other complications have declined.

But she added a note of caution. “What we could expect to see in the future is the people in the 45-to-64-year-old category coming back to get revisions’’ - new knee replacements in second surgeries. With any luck, the second implants could be better.

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Deltoid ligament injuries in ankle fractures
Source - MD Linx

It has been estimated that this variant accounts for 10% of all fractures involving the lateral malleolus. In this variant both the lateral buttress and the medial ligamentous tether are disrupted allowing the talus to either subluxate laterally or angulate within the mortise. Such misalignment results in altered joint mechanics. Studies have shown that even small deviations from anatomic alignment result in greatly reduced joint contact areas.

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Knee replacement may lower a patient's risk for mortality and heart failure
Source e! Science News

New research presented at the 2012 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS) highlights the benefits of total knee replacement (TKR) in elderly patients with osteoarthritis, including a lower probability of heart failure and mortality.

There were significant positives in the osteoarthritis TKR group: the risk of mortality was half that of the non-TKR group and the congestive heart failure rate also was lower, at three, five and seven years after surgery. There was no difference in diabetes rates among both groups. Depression rates were slightly higher in the TKR group during the first three years after surgery, though there was no difference at five and seven years.

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Lumbar disc degeneration more likely in obese adults
SourceOrthospinenews

An age related disability, known as degenerative disc disease, was recently found to be linked to obesity. As a person ages their spinal discs begin to break down and will result in loss of fluids or tears in the outer layers of the discs, all together eventually causing the degenerative disease. A recent study at the University of Hong Kong found that adults who are overweight or obese were significantly more likely to have disc degeneration than those with a normal body mass index (BMI).

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Advance toward treatment for painful flat feet
Source ScienceDaily

A team led by the University of East Anglia has made an advance in understanding the causes of adult-acquired flat feet – a painful condition particularly affecting middle-aged women.

Working with surgeons and scientists at Addenbrooke's Hospital, Cambridge and the University of Bristol, the team showed that the structure and composition of tendon specimens had changed and found evidence of increased activity of some proteolytic enzymes. These enzymes can break down the constituents of the tibialis posterior tendon and weaken it -- causing the foot arch to fall.

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Greater pain improvement for PRP than autologous blood in randomized lateral epicondylitis trial

A platelet rich plasma injection treatment for patients suffering from lateral epicondylitis for a minimum of 3 months was an effective pain reduction measure, according to Greek investigators who compared results of this therapy to autologous blood injection.

Athanassios Papanikolaou, MD, who presented the team's findings here at the SICOT XXV Triennial World Congress 2011, explained the purpose of the study was strictly to see whether platelet rich plasma (PRP) offered any distinct advantages for their patients over a "simple, less expensive autologous blood treatment."

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Articles by Dr. Levi: Cartilage Injuries

Dr. Gabriel S. Levi is a fellowship-trained orthopaedic surgeon at ORC. He completed his fellowship training in joint reconstruction at the world-renowned Insall Scott Kelly Institute in New York City. His specialties include joint reconstruction and sports medicine. Dr. Levi has a special interest in cartilage injuries and joint replacement of the knee and hip. He is also bilingual in Spanish and English.

  Articular Cartilage Injuries of the Knee

  Cartilage Injuries of the Knee (Part II): Meniscus Injuries

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