Surgery

Arthroscopic partial meniscectomy versus exercise therapy for degenerative meniscal tears

Arthroscopic partial meniscectomy versus exercise therapy for degenerative meniscal tears: 10-year follow-up of the OMEX randomised controlled trial Bjørnar Berg Abstract Objective To evaluate radiographic knee osteoarthritis (OA) progression, development of knee OA, patient-reported outcomes and knee muscle strength at 10-year follow-up after arthroscopic partial meniscectomy (APM) or exercise therapy for degenerative meniscal tears. Methods […]

Knee Osteoarthritis Symptoms Common After ACL Reconstruction

April 25, 2024 Young patients experienced persistent knee OA symptoms in the six to 12 months following surgery TUESDAY, April 23, 2024 (HealthDay News) — Nearly one-quarter of patients show persistent early knee osteoarthritis (OA) symptoms six to 12 months after anterior cruciate ligament reconstruction (ACLR), according to a study recently published in the Journal of […]

Obesity associated with increased risk of complications after surgery

Published May 2, 2023 | Originally published on MedicalXpress Breaking News-and-Events In the United States, almost 74% of adults age 20 and older have overweight or obesity, and of that number almost 42% have obesity. Not only are overweight and obesity complex and serious diseases, but clinicians and researchers are continuing to learn how they can impact health outcomes—from heart and musculoskeletal […]

Rotator Cuff Reoperation More Likely With Acromioplasty

— Study in Medicare patients adds fuel to ongoing debate by John Gever, Contributing Writer, MedPage Today March 8, 2023 LAS VEGAS — Medicare patients who underwent acromioplasty in conjunction with rotator cuff reconstruction were more likely, not less, to need reoperation within 5 years, researchers found. In what is likely the largest analysis conducted […]

Physical Therapy vs Arthroscopic Partial Meniscectomy for Patients With Degenerative Meniscal Tears

July 21, 2022 JAMA Network Open TAKE-HOME MESSAGE This 5-year follow-up of the ESCAPE trial examined the long-term (3–5 years) effects of arthroscopic partial meniscectomy versus exercise-based physical therapy (PT) in patients with degenerative meniscal tears. The authors assessed patient-reported knee function and the progression of knee osteoarthritis using radiographs for more than 5 years […]

Move It or Lose It? The Effect of Early Active Movement on Clinical Outcomes Following Rotator Cuff Repair: A Systematic Review With Meta-Analysis

Journal of Orthopaedic & Sports Physical Therapy Published Online:May 15, 2021Volume0Issue0Pages1-65 https://www.jospt.org/doi/10.2519/jospt.2021.9634 Abstract Objective To assess the effect of early active shoulder movement after rotator cuff repair compared to delayed active shoulder movement on clinical outcomes, rotator cuff integrity and return-to-work. Design Intervention systematic review. Literature Search We searched 9 databases in November 2017 and […]

Diabetes Mellitus Blunts the Symptoms, Physical Function, and Health-Related Quality of Life Benefits of Total Knee Arthroplasty

A Systematic Review With Meta-Analysis of Data From More Than 17,000 Patients Journal of Orthopaedic & Sports Physical Therapy Published Online:April 19, 2021Volume0Issue0Pages1-54 https://www.jospt.org/doi/10.2519/jospt.2021.9515 Abstract Objective To compare physical function, pain, impairments (stiffness, range of motion, and strength), and health-related quality of life (HRQOL) outcomes between patients with and without diabetes mellitus, before and after […]

Current Prehabilitation Programs Do Not Improve the Postoperative Outcomes of Patients Scheduled for Lumbar Spine Surgery: A Systematic Review With Meta-analysis

Journal of Orthopaedic & Sports Physical Therapy Published Online: February 28, 2021Volume 51 Issue 3 Pages103-114 https://www.jospt.org/doi/10.2519/jospt.2021.9748 Abstract Objective To assess the effectiveness of prehabilitation in patients with degenerative disorders of the lumbar spine who are scheduled for spine surgery. Design Intervention systematic review with meta-analysis. Literature Search Seven electronic databases were systematically searched for […]

The Relevance of Dual Tasking for Improving Trunk Muscle Endurance After Back Surgery

Archives of Physical Medicine and Rehabilitation VOLUME 102, ISSUE 3, P463-469, MARCH 01, 2021 Carlos Cruz-Montecinos, MSc. Highlights • The effect of dual tasking on muscle endurance performance after lumbar diskectomy remains uninvestigated. • Compared with single tasking, dual tasking has a positive effect on trunk muscle endurance in patients with lumbar diskectomy. • The […]

Manipulative and manual therapies in the management of patients with prior lumbar surgery: A systematic review

Complementary Therapies in Clinical Practice Volume 42, February 2021, 101261 Clinton J. Daniels Highlights •  Three adequately powered randomized clinical trials investigated manual and manipulative therapy (MMT) after lumbar surgery. •  There is moderate evidence that inpatient neural mobilization does not improve outcomes after lumbar surgery. •  Low-level literature is suggestive of MMT being beneficial […]

Surgery: The Ultimate Placebo

January 1, 2021 BY RONALD FEISE, DC A patient tells you his father has had low back pain for several years and has tried many treatments, but nothing has helped. Spinal fusion has been recommended. Complicating matters, his father lives on the other side of the country. How do you respond? What does the current […]

Bone Marrow Improves Healing With ACL Grafts

— MRI confirms better outcomes than with allograft alone in randomized study by Ed Susman, Contributing Writer, MedPage Today December 4, 2020 Patients undergoing anterior cruciate ligament (ACL) reconstruction with allografts appeared to heal more quickly when injections of bone marrow aspirate were included, according to a randomized trial. Magnetic resonance imaging (MRI) scans at […]

Is Lumbar Fusion Necessary for Chronic Low Back Pain Associated with Degenerative Disk Disease? A Meta-Analysis

World Neurosurg. 2020 Nov 27;146:298-306. doi: 10.1016/j.wneu.2020.11.121. Wenbo Xu Abstract Objective: We sought to evaluate the efficacy and safety of lumbar fusion versus nonoperative care for the treatment of chronic low back pain associated with degenerative disk disease. Methods: A comprehensive duplicate electronic database search including PubMed, Embase, Cochrane Library, and China National Knowledge Infrastructure was conducted […]

Arthroscopic Treatment of Labral Tears in Patients 65 Years and Older

David E. Hartigan, MD; Natalia Wojnowski, BS; Aaron J. Krych, MD; Bruce A. Levy, MD; Benjamin G. Domb, MD Orthopedics. https://doi.org/10.3928/01477447-20200827-09 Posted September 3, 2020 Abstract The purpose of this multicenter study was to investigate the clinical outcomes after hip arthroscopy in a series of patients 65 years and older with labral tears with a […]

Arthroscopic partial meniscectomy for meniscal tears of the knee: a systematic review and meta-analysis

Simon G F Abram British Journal of Sports Medicine 2020;54:652-663. Abstract Objective To assess the benefit of arthroscopic partial meniscectomy (APM) in adults with a meniscal tear and knee pain in three defined populations (taking account of the comparison intervention): (A) all patients (any type of meniscal tear with or without radiographic osteoarthritis); (B) patients with […]

Subacromial decompression surgery for adults with shoulder pain: a systematic review with meta-analysis

Citation:  Lähdeoja T, Karjalainen T, Jokihaara J, et alSubacromial decompression surgery for adults with shoulder pain: a systematic review with meta-analysis. British Journal of Sports Medicine 2020;54:665-673. Online issue publication:  May 15, 2020 Abstract Objective To determine the benefits and harms of subacromial decompression surgery in adult patients with subacromial pain syndrome lasting for more […]

Microdiskectomy Superior to Nonsurgical Care for Relieving Pain From Chronic Sciatica

From this article:  Patients in the surgical group underwent standard microdiskectomy approaches. Nonsurgical care consisted of patient education, activity/exercise, oral analgesics, use of active physiotherapy provided at the discretion of physiotherapists not associated with the trial, and an epidural glucocorticoid injection administered by a fellowship-trained anesthesiologist. ~ Dr. Broussard -Single-center study shows superior pain relief […]

Patients With Persistent Low Back Pain and Nerve Root Involvement: To Operate, or Not to Operate, That Is the Question

Petersen, Tom PhDa; Juhl, Carsten B. PhDb,c; Fournier, Gilles L. MDdAuthor Information SPINE: April 1, 2020 – Volume 45 – Issue 7 – p 483-490 doi: 10.1097/BRS.0000000000003304 Study Design. Prospective cohort study. Objective. The aims of this study were to evaluate the outcome of surgical and nonsurgical treatment for patients with lumbar herniated disc (LHD) […]

Surgery for Chronic Sciatica Bests Conservative Care

— But Canadian study may have important limitations by Judy George, Senior Staff Writer, MedPage Today March 18, 2020 Microdiscectomy produced better pain relief than standard nonsurgical care (see below) for patients with chronic sciatica caused by lumbar disk herniation, a single-center trial showed. Six months after surgery, leg-pain intensity scores were 2.8 in the surgical group […]

Like patching a flat tire: New fix heals herniated discs

MARCH 11, 2020 by Cornell University A new two-step technique to repair herniated discs uses hyaluronic acid gel to re-inflate the disc and collagen gel to seal the hole, essentially repairing ruptured discs like you’d repair a flat tire. After a rupture, a jelly-like material leaks out of a herniated disc, causing inflammation and pain. […]