Orthopaedi Update

By: ozorthopaedics  24-Mar-2013
Keywords: Hip Arthroscopy, Anterior Hip Replacement, Enhanced Recovery Programme,

Orthopaedic Update: “Never believe the media at first hand!!-most times misinform the public creating confusion and unnecessary anxiety. Always do your own research and talk to your doctor or surgeon/s” Updates on current orthopaedic news around the world. (references – Journal of Bone and Joint Surgery (Br & Am), American Academy of Orthopaedic Surgeons, The Mayo Clinic, news from various leading orthopaedic meetings) Enhanced recovery after Joint replacement Surgery: This is a programme aimed to reduce physical and psychological trauma of surgery and enhancing the process of recovery. Read more…(link to enhanced recovery programme section) Whats new in Hip Arthroscopic Surgery? This is a rapidly growing area which requires specialized training. Currently this is available for many hip conditions either for diagnosing or treating hip joint conditions. FAI (femoro-acetabuar-impingement) either for CAM or Pincer lesions are common conditions where hip arthroscopy is used. So is open or arthroscopic technique better? – The Mayo clinic in USA are conducting randomized clinical trials to evaluate which is beneficial to patients. With experience and advanced instrumentation, areas around the hip can also be assessed like the hip abductors (gleuteus medius and minimis) Gluteus medius repairs can also be performed through hip arthroscopic techniques (providing the tendon is still in good condition and repairable to the site of insertion). In the past the hip capsule during the arthroscopy used to be left open. This may lead to instabilities (there is still debate about this). Newer techniques/instrumentation enables to repair the capsule and stabilize the hip. Internal Snapping Hip Syndrome: can be due to the iliopsoas tendon slippage over the femoral head or the iliopectineal eminence (on the pelvic bone). With advanced techniques the surgeon can pass through the central compartment of the hip during arthroscopy, create a small window and release this tendon. (this tendon is half muscle and half tendon at this level and its like lengthening a tendon as opposed to detachment) ACL Reconstruction: Graft Types and Selection: The aim of ACL reconstruction with the most suitable graft is to get the best functional outcome, minimize morbidity, and avoid or reduce the chance of revision surgery. One study claimed that the incidence of ACL rupture was 1 in 3500 people resulting in 95000 new ACL ruptures(in USA). Despite studies over the last 15 years there still controversy as to which graft is better with equivalent outcomes when comparing the commonly used grafts. But newer studies since 2012 suggest Allograft to be avoided in Athletes (

Keywords: Acl Graft, Anterior Hip Replacement, Enhanced Recovery Programme, Hamstring Injury, Hip Arthroscopy, Joint Registries, Metal on Metals, Metal on Metals Revisited, Orthopaedic Update, Patello Femoral Arthritis, Patello Femoral Replacement, Patient Matched Total Knee Replacement, Patient Specific Knee, Snapping Hip,

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