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Weekly News, Analysis, and Commentary

Large Joints Features & News

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

Backstein v. Haidukewych Over the Mega Prosthesis

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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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.”

First Time Ever! Clear Quantification of Gender Running Differences

Source: Wikimedia commons and Adamsandle
Source: Wikimedia commons and Adamsandle

Hard to believe, but no one had ever figured out a study to quantify the gender differences among runners. Sports medicine doctors have noticed 20% more injuries among women runners than men. But where’s the data to explain such huge differences? University of Freiburg to the rescue. In a clever, high-tech study the researchers came up with solid answers. Here you go.

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Parvizi, Sculco Debate Simultaneous Bilateral TKA

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

A bilateral TKA procedure triggers higher rates of post-operative complications, says Javad Parvizi, M.D., F.R.C.S. and specifically cites rates of cardiac complications and pulmonary embolus. Actually, these procedures are safe, says Thomas Sculco, M.D. particularly as “We move towards improved patient selection, better anesthetic techniques, better perioperative care, and faster surgery.” Who wins this debate? Read on.

Jones, MacDonald Debate Tourniquetless TKA

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

“OK, so you have a bloodless field using a tourniquet in TKA,” says Dickey Jones. “But there are many downsides, such as nerve damage and a delay in the recovery of muscle function.” Hold on says Steven MacDonald, There is no clinical evidence of nerve damage or delays in muscle function recovery when employing a tourniquet.”

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