Orthopaedic Crossfire® Features & News
Elizabeth Hofheinz, M.P.H., M.Ed. • Sun, May 19th, 2013
Image created by RRY Publications, LLC
“Is the anterior approach good for the everyday orthopedic surgeon who is doing 25-30 hip replacements a year,” says Tom Sculco. Bill Hozack counters, “With anterior you preserve the posterior capsule, eliminate the need for postop restrictions, and speed recovery.”
| Share
Elizabeth Hofheinz, M.P.H., M.Ed. • Thu, May 2nd, 2013
Image created by RRY Publications, LLC
“I believe high flexion designs have no appreciable difference. I used to be excited about these designs, mainly because we like new things,” says Mathias Bostrom. “Not only do I believe in high flexion designs, I have designed one,” counters Chitranjan Ranawat.
| Share
Advertisement
Elizabeth Hofheinz, M.P.H., M.Ed. • Fri, April 12th, 2013
Image created by RRY Publications, LLC
“Hip replacement involves inevitable wear and osteolysis,” says Edwin Su. “We need another option. “The data is on my side,” counters Adolph Lombardi. “I’m finding no added advantage of resurfacing.”
| Share
Elizabeth Hofheinz, M.P.H., M.Ed. • Thu, April 4th, 2013
Image created by RRY Publications, LLC
“Ceramic-ceramic is probably the best solution in terms of safety,” says Aldo Toni. “Too many problems with ceramic-ceramic,” counters Stuart Goodman. “Point loading, the shell-liner interface, the femoral head-trunion interface, etc.”
| Share
Advertisement
Elizabeth Hofheinz, M.P.H., M.Ed. • Thu, March 14th, 2013
Image created by RRY Publications, LLC
“Why the robot? It’s all about headache management,” says Doug Padgett. “Hold up,” says Mike Berend. “There are a number of unanswered questions here. Does it solve real problems in total hips? Can all surgeons use it?”
| Share
Elizabeth Hofheinz, M.P.H., M.Ed. • Sat, March 9th, 2013
Image created by RRY Publications, LLC
“There is no data to support the use of anything else but chemprophylaxis,” argues Jay Lieberman. “In balancing the risk between chemoprophylaxis and compression, clearly things are in favor of mechanical compression with or without aspirin,” counters Doug Padgett.
| Share
Advertisement
Elizabeth Hofheinz, M.P.H., M.Ed. • Thu, February 28th, 2013
Image created by RRY Publications, LLC
“I’m no fan of modularity, but dislocation is the number one cause of revisions. So that’s the only reason I’m using it,” states Wayne Paprosky. Mike Berend says, “One piece implants are appropriate for the vast majority of stem revisions. It’s quicker and easier, and is proven out into the second decade.”
| Share
Elizabeth Hofheinz, M.P.H., M.Ed. • Sun, February 24th, 2013
Image created by RRY Publications, LLC.
“Anterior THA is an efficient surgery, and it’s easy on the surgeon and patient,” states Sonny Bal. “But,” says Tom Sculco, “You need a special OR table, intraoperative fluoroscopy, there is a difficult femoral exposure, increased OR time, and the possibility of higher complications.”
| Share
Advertisement
Elizabeth Hofheinz, M.P.H., M.Ed. • Sun, February 10th, 2013
Image created by RRY Publications, LLC
“Like taking candy from a baby,” says Bill Maloney. “There is very little/zero indication for metal-metal articulations.” “But the benefits of metal-metal are well known: high stability because of the large diameter, low wear potential, and they are unbreakable,” states Tom Schmalzried.
| Share
Elizabeth Hofheinz, M.P.H., M.Ed. • Thu, January 31st, 2013
Image created by RRY Publications, LLC
“It’s 2011 and we have no proven benefit of computer assisted total knee surgery. And we’re well into the second decade of use,” states Robert Trousdale. “Wait,” says Arun Mullaji, “There are pros to this. It helps alignment; it also helps balance the knee.”
| Share
Advertisement
Elizabeth Hofheinz, M.P.H., M.Ed. • Fri, January 18th, 2013
Image created by RRY Publications, LLC
“It’s clearly not necessary to resurface the patella,” states Michael Dunbar. “Actually,” counters Steve MacDonald, “the data is pro-resurfacing. When the patella is resurfaced, patients have improved satisfaction, lower revision rates, less or equal anterior knee pain.”
| Share
Elizabeth Hofheinz, M.P.H., M.Ed. • Thu, January 3rd, 2013
Image created by RRY Publications, LLC
“Mechanical axis restoration represents the target for a successful and durable total knee,” states Adolph Lombardi. “Well,” says Mark Pagnano, “At the end of this we’ll all continue to shoot for the same target, but I want you to do that recognizing that our knowledge of ideal TKA alignment is surprisingly weak in 2011.”
| Share
Advertisement
Elizabeth Hofheinz, M.P.H., M.Ed. • Fri, December 14th, 2012
“Radiographically we couldn’t prove a benefit,” says Robert Barrack. “We were slightly better with standard instruments than with the patient specific instrumentation (PSI)”. David Stulberg says, “PSI deserves a careful look because there is a clinical advantage.”
| Share
Elizabeth Hofheinz, M.P.H., M.Ed. • Mon, December 10th, 2012
Image created by RRY Publications, LLC.
“This operation works well and I strongly recommend it,” says Leo Whiteside. “Besides, we have major new developments in the area of osteointegration.” “What about the tibia?” says Thomas Thornhill. “There’s a really variable substrate…and don’t forget the cost and issues of revision.”
| Share
Advertisement
Elizabeth Hofheinz, M.P.H., M.Ed. • Fri, November 30th, 2012
Image created by RRY Publications, LLC.
“MIS…Regardless of the incision or the surgical approach, it’s the same biologic response, same bone removal, etc.,” says Michael Berend. “MIS is a misnomer,” says brother Keith Berend, “It has to do with other factors like patient expectations and perioperative anesthetic.”
| Share
Elizabeth Hofheinz, M.P.H., M.Ed. • Wed, November 21st, 2012
Image created by RRY Publications, LLC.
“The benefits of modularity, both for surgeons and for manufacturers, are overwhelming,” says Chitranjan Ranawat. “Not so fast,” says Richard Jones, “All-poly tibias are for select patients…it’s just a matter of whether you want your patients to not have the very best every time.”
| Share
Advertisement
Elizabeth Hofheinz, M.P.H., M.Ed. • Mon, November 12th, 2012
Image created by RRY Publications, LLC.
“There are many disadvantages of a tourniquet,” says Richard Jones. “Let it bleed!” “Wait,” says Steve MacDonald, “There can be no argument that a tourniquet reduces intra-operative blood loss. You use a tourniquet if you’re good looking and highly intelligent.”
| Share
Elizabeth Hofheinz, M.P.H., M.Ed. • Sun, August 26th, 2012
Image creation by RRY Publications, LLC.
“We have little indication for metal-metal articulations in total hip arthroplasty,” says Bill Maloney. “You can’t consider all metal-metal as one,” counters Fares Haddad. “You must break it down into large head metal-metal, standard head sizes, and hip resurfacing.”
| Share
Advertisement
Elizabeth Hofheinz, M.P.H., M.Ed. • Thu, August 16th, 2012
Image creation by RRY Publications, LLC.
Computers in TKA remain cumbersome, time consuming and expensive,” says Robert Trousdale. “You want accuracy?” counters Arun Mullaji. “Navigation eliminates trial and error, provides perfect balance, total deformity correction, and more.”
| Share
Elizabeth Hofheinz, M.P.H., M.Ed. • Fri, August 10th, 2012
Image creation by RRY Publications, LLC.
“Patient specific guides aren’t ready for primetime,” says Robert Barrack, “And being within three degrees…that probably doesn’t make a difference. “Wait,” counters Mark Pagnano, “In a select subgroup of surgeons these guides are ready for primetime.”
| Share
Advertisement
Elizabeth Hofheinz, M.P.H., M.Ed. • Mon, August 6th, 2012
Image creation by RRY Publications, LLC.
“SBTKA has higher complications and mortality and should be reserved for a select group of patients,” says Javad Parvizi. “But,” counters Tom Sculco, “patients prefer it, there is less recovery time, only one operative procedure, symmetrical recovery, and it’s less costly.”
| Share
Elizabeth Hofheinz, M.P.H., M.Ed. • Mon, June 25th, 2012
Image creation by RRY Publications, LLC.
“Good studies show that LTO is the best method of treating subscapularis insufficiency at the time of total shoulder,” says Buz Burkhead. “Osteotomy is complex,” counters John Sperling, “and there is a lack of strong evidence of superiority.”
| Share
Advertisement
Elizabeth Hofheinz, M.P.H., M.Ed. • Fri, May 4th, 2012
Image creation by RRY Publications, LLC.
Robert Barrack: “Rarely do we see revision knees from the community that failed in 12-15 months…it’s the norm for MIS knees.” Adolph Lombardi: “If your community has many surgeons attempting MIS, you’ll see more failures.”
| Share
Elizabeth Hofheinz, M.P.H., M.Ed. • Mon, April 9th, 2012
Image creation by RRY Publications, LLC.
John Cuckler: “We are still experimenting with surface replacement.” Tom Schmalzried: “There is actually higher survivorship [with surface replacement] than total hip in the at-risk patients.” You decide.
| Share
Advertisement
Elizabeth Hofheinz, M.P.H., M.Ed. • Mon, February 27th, 2012
Image creation by RRY Publications, LLC.
“Go for it, says Dr. Louis Bigliani. “Wait,” says Dr. Leesa Galatz. “Reverse shoulder arthroplasty for a fracture has a high complication rate.” This week’s Orthopaedic Crossfire® debate: “Reverse Arthroplasty: Best Option for 4-Part Fx’s in the Geriatric Patient.”
| Share
Elizabeth Hofheinz, M.P.H., M.Ed. • Fri, January 6th, 2012
Image creation by RRY Publications, LLC.
What do patients know? “Patients think that arthroscopy is best, but they are getting their data from Oprah,” argues Dr. John J. Brems. “They don’t have all the facts.” Patients may not have all of the facts, but we do! “We do have the data on arthroscopy and it shows that this technique is better,” counters Dr. Reuben Gobezie. You hold the gavel in this Current Concepts in Joint Replacement™ debate.
| Share
Advertisement
Elizabeth Hofheinz, M.P.H., M.Ed. • Fri, December 16th, 2011
Image creation by RRY Publications, LLC.
“What’s all the noise about squeaking? Is it really that bad?” says Robert T. Trousdale, M.D. of the Mayo Clinic. “But what about malpositioning and other important issues?” asks Steven J. MacDonald, M.D., FRCS(C) from the University of Western Ontario. Who is right? You hold the gavel.
| Share
Elizabeth Hofheinz, M.P.H., M.Ed. • Mon, November 21st, 2011
Image creation by RRY Publications, LLC.
A Current Concepts in Joint Replacement™ debate between Louis U. Bigliani, M.D. and Evan L. Flatow, M.D. Hear what each party has to say about four part fractures.
| Share
Advertisement
