Home E-Weekly March 6, 2018

News & Notes

Published: March 6, 2018

  • Total hip arthroplasty may add years to lifePatients in Sweden that underwent a total hip arthroplasty between 1999 and 2012 had a better survival rate than the general population, a study in Clinical Orthopaedics and Related Research showed. The increased survival rate (3% at 5 years after surgery) was only significant for patients with primary osteoarthritis. Patients with other diagnoses such as osteonecrosis, inflammatory arthritis and secondary osteoarthritis actually had a lower survival rate than the general population.
  • Multimodal pain management improves total joint outcomes A study in the journal Anesthesiology shows that total hip and knee replacement patients who receive 2 or more different analgesics — including COX-2 inhibitors, NSAIDs and peripheral nerve blocks — require fewer opioids, have fewer respiratory and GI complications, and are ready for discharge sooner after surgery. The researchers based the findings on a review of more than 500,000 hip replacements and about 1,000,000 knee replacements performed between 2006 and 2016.
  • Knee surgery unnecessary in elderly patients Arthroscopic partial knee meniscectomy, which removes damaged cartilage from the joint, provides no clinical benefit to patients 65 years of age and older, according to a study in JAMA Surgery. However, the procedure still accounted for about two-thirds of all knee arthroscopy surgeries performed on older patients in 2016. Sparing patients from the unnecessary operation would reduce the healthcare burden for rehabilitation and for treating post-op complications, including opioid-related issues, says study author Martin Makary, MD, MPH, a professor of surgery at the Johns Hopkins University School of Medicine in Baltimore, Md.
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