As your colleagues in joint surgery gathered in New Orleans last week for their annual meeting, Rheumatology Network was watching for news of special interest to you and your patients. See what we found:
(AAOS 2014) A prospective registry study in the UK shows that for patients with all but the most severe knee OA, the most important gains from knee replacement surgery will be in pain rather than in physical function.
(AAOS 2014) Older women with comorbidities are at greatest risk for revision surgery after total knee arthroplasty, a nationwide study shows. Another large analysis shows an interesting quirk about the role of osteoporosis: Bisphosphonates help, but only in some circumstances.
(AAOS2014): To clinical, demographic, and mental-health factors that predict a good outcome from total knee arthroplasty, add one simple independent factor: The patient's determination to reach full function, and confidence in doing so.
(VIDEO) Another dictum from medical school gives way to medical research: Clicking, popping, and locking are not useful for diagnosis and prognosis of suspected meniscal tear in patients over 45. Harvard's Dr. Jeffrey Katz reveals signs that actually are informative in this age group.
(AUDIO) Intensive analysis of protein pathways inside joints is showing strong activity among messengers involved in wound healing. In this podcast, learn about the new research that backs the vision of arthritis as a chronic wound, and the implications for management.
(AUDIO) Guidelines recommend some integrative approaches for low back pain, particularly spinal manipulation and massage. Here Dr. Wolf Mehling of University of California-San Francisco describes the options and the outcomes.