Thursday, February 4, 2010

Orthopedics Today : Jan-Feb 2010 : Topics of Interest

Orthopedics Today :Feb 2010 : Topics of Interest
1. THA may be beneficial for young patients with Down syndrome and osteoarthritis
Between 8% and 28% of young people with Down syndrome are estimated to have osteoarthritis of the hip. Improved biomaterials and increased life expectancy for this group may make total hip arthroplasty an attractive option for these patients, according to an orthopedic researcher.  

2. Blood transfusions can increase the risk of infection in orthopedic patients
Despite an unknown etiology, transfusion with allogenic blood products predisposes patients to an increased risk of infection. Koval and colleagues reported an infection rate of 27% as opposed to 15% in transfused vs. nontransfused patients undergoing open reduction and internal fixation for hip fracture, out of a cohort of 687 patients. Interestingly, the incidence of urinary tract infection is also considerably higher in patients undergoing orthopedic procedures and receiving blood transfusion, pointing to the possible transfusion-induced immunomodulation (TRIM). 

3. Cytokine biomarkers in orthopedics offer enormous diagnosis and prognosis potentials
finger-width incision the four cytokine biomarkers denote a pathogenic process within a joint correlating to pain in a patient with meniscal pathology. They exist in local inflammatory sites in picomolar concentrations that can increase by thousand-folds in response to pathogenic processes, making them good biomarkers. we found fascinating in our study was the ability of inflammatory cytokines to predict operative pathology. Two patients who had a positive MRI for meniscal pathology were found during arthroscopy to have no significant pathology requiring operative intervention and no evidence of inflammatory cytokines was detected 
4. New minimally invasive technique may be useful to decompress lumbar nerve roots 
Using a new endoscopic technique to treat patients with spondylosis-induced lumbar nerve root compression shows promising results, according to researchers from Japan.“Although spinal fusion is the gold standard to treat spondylolysis and spondylolisthesis, decompression without fusion can be effective procedure for certain patients,”
For the procedure, about a one-finger width skin incision is needed to insert the endoscope.

5. Endoscopy successful in treating snapping iliopsoas tendon

Study in details all articles and more at.....
http://www.orthosupersite.com/
 

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