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Weekly News, Analysis, and Commentary

Finding the Replacement for HA Injections in the Knee

Source: Wikimedia Commons and Harry Gouvas
Source: Wikimedia Commons and Harry Gouvas

Guy Scuderi, M.D. may really be onto something. An independent piece of research out of three Universities has confirmed what Scuderi has been saying for nearly a decade. And it may mean a simple injection to treat knee OA. That’s right, to treat the pathology. Seriously.

Backstein v. Haidukewych Over the Mega Prosthesis

Image created by RRY Publications, LLC
Image created by RRY Publications, LLC

David Backstein has his favorite mega prosthesis system and he’s not giving it up any time soon. “You have shorter length of stay, and there is no chance of malunion or non-union.” George Haidukewych pulls the reins in, saying, “Mega prostheses have a limited role, namely, in situations where fixation is likely to fail. ORIF remains the gold standard for periprosthetic fractures.”

Zippers Instead of Sutures? This is Cool.

Surgical Skin Closure / Courtesy: Jack Farr, M.D. , David A. Fisher, M.D., and OrthoIndy
Surgical Skin Closure / Courtesy: Jack Farr, M.D. , David A. Fisher, M.D., and OrthoIndy

Two physicians from OrthoIndy, with no financial ties to the manufacturer, have been “zipping” instead of sewing for a while. Patients seem to like it better—including one patient who is both one of the physicians and co-author of this article. This is pretty cool stuff.

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Posterior Shoulder Instability Literature Too Random? // Most Extensive Study Ever of PCL Rotation // and More!

Source: Leonardo da Vinci and Wikimedia Commons
Source: Leonardo da Vinci and Wikimedia Commons

Jim Bradley’s review of 1,035 publications reveals that there is no standard as far as shoulder outcome measures to assess shoulder instability. Excellence in Research Award from AOSSM goes to medical student for work on PCL rotation. And the certification of the FORCE-Total Joint Registry as a CMS PQRS Qualified Registry makes it easier for doctors to avoid penalties.

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Abdel v. Mullaji Over the Cementless Knee

Image created by RRY Publications, LLC
Image created by RRY Publications, LLC

Matt Abdel is all over cementless TKA. “It involves shorter operative times, preserves bone stock, means easier revision surgery, eliminates third body wear, etc.” Slow down, says Arun Mullaji. “With cementless TKA you’re paying more for a procedure for which the jury is still out. We don’t have good long term data and we don’t know what the optimum design is.”

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