Direct anterior approach to THA yields good results, depends upon surgeon experience
The use of the direct anterior approach in total hip arthroplasty can yield good results backed by numerous studies but depends upon proper education, according to one surgeon’s experience.
J. Bohannon Mason, MD, shared his findings at the International Congress for Joint Reconstruction San Diego 2012 meeting, which was held in collaboration with Orthopedics Today.
“The best approach? They all have advantages and disadvantages,” he said. “When you look at [DA], it does require special instrumentation and I would say it does require special training – however, you have quick recovery, stability and proper cup positioning.”
Ceramic-on-ceramic an increasingly effective bearing option in THA, surgeon reports
“Ceramic-on-ceramic is a nice option to avoid [wear],” Hari P. Bezwada, MD, said at the International Congress for Joint Reconstruction San Diego 2012 meeting, which was held in collaboration with Orthopedics Today. “It is a hard-on-hard bearing and a low-wear construct. One of the nice things about ceramic is it is the hardest scratch-resistant surface we know. If it is scratch-resistant it is going to be less prone to other issues.”
“Ceramic-on-ceramic has the very lowest wear couple,” Bezwada said. “It is technique dependent, so make sure your components are properly positioned. The fracture risk going forward with the fourth generation is probably exceedingly low. You do not have to worry about metal hypersensitivity.”
“Overall, I think it is the better option for younger patients,” he said.
Tart cherries may help millions reduce inflammation to manage pain, according to new research
Source: Medical News Today
Tart cherries may help reduce chronic inflammation, especially for the millions of Americans suffering from debilitating joint pain and arthritis, according to new research from Oregon Health & Science University presented at the American College of Sports Medicine Conference (ACSM) in San Francisco, Calif.1 In fact, the researchers suggest tart cherries have the "highest anti-inflammatory content of any food" and can help people with osteoarthritis manage their disease.
Along with providing the fruit’s bright red color, the antioxidant compounds in tart cherries – called anthocyanins – have been specifically linked to high antioxidant capacity and reduced inflammation, at levels comparable to some well-known pain medications.
Long-term study reveals lower steady state wear with highly crosslinked polyethylene liners
After an initial period of rapid penetration in the first year, investigators of a level 1 study using radiostereometric analysis found a significantly lower steady state wear rate during 10-year follow-up among total hip arthroplasties performed with highly crosslinked polyethylene liners compared to conventional polyethylene.
Autograft hip reconstruction provides good outcomes for athletes
Source: Medical News Today
A common, painful hip condition in elite athletes may be able to be repaired with an improved surgical technique, according to researchers presenting their work at the American Orthopaedic Society for Sports Medicine’s Annual Meeting in Baltimore, Maryland.
"In our review of 21 male, elite athletes who had hip pain and instability issues (hypoplastic or labrum tear), 81 percent returned to play at a similar level as before they were hurt, after receiving an arthroscopic reconstruction technique using an ipsilateral iliotibial band autograft," said research author, Marc J. Philippon, MD, of the Steadman Philippon Research Institute in Vail, Colorado.