Surgery

Incidence of Surgical Site Infection After Spine Surgery

A Systematic Review and Meta-analysis Zhou, Jiaming MD SPINE: February 1, 2020 – Volume 45 – Issue 3 – p 208-216 doi: 10.1097/BRS.0000000000003218 Study Design. A systematic review and meta-analysis. Objective. The objective of this study was to investigate the incidence of surgical site infection (SSI) in patients following spine surgery and the rate of […]

Intraoperative Ischemic Stroke in Elective Spine Surgery

A Retrospective Study of Incidence and Risk Ishak, Basem MD SPINE: January 15, 2020 – Volume 45 – Issue 2 – p 109-115 doi: 10.1097/BRS.0000000000003184 Study Design. Retrospective study. Objective. To determine incidence, risk factors, complications, and early postoperative outcome in patients with intraoperative ischemic stroke during elective spine surgery. Summary of Background Data. Overall, […]

The Long-term Reoperation Rate Following Surgery for Lumbar Herniated Intervertebral Disc Disease

A Nationwide Sample Cohort Study With a 10-year Follow-up Kim, Chi Heon MD, PhD∗,†; Chung, Chun Kee MD, PhD∗,†,‡; Choi, Yunhee PhD§; Kim, Min-Jung MS§; Yim, Dahae MS§; Yang, Seung Heon MD∗,†; Lee, Chang Hyun MD∗,†; Jung, Jong-Myung MD¶; Hwang, Sung Hwan MD∗,†; Kim, Dong Hwan MD∗,†; Yoon, Joon Ho MD∗,†; Park, Sung Bae MD, […]

Comparison of Anterior Cervical Foraminotomy and Posterior Cervical Foraminotomy for Treating Single Level Unilateral Cervical Radiculopathy

Kim, Shin-Jae MD; Seo, Jin-Suk MD; Lee, Sang-Ho MD, PhD; Bae, Junseok MD Spine: October 1, 2019 – Volume 44 – Issue 19 – p 1339-1347 doi: 10.1097/BRS.0000000000003081 Study Design. Retrospective study. Objective. To compare clinical and radiological outcomes after two surgical procedures. Summary of Background Data. Anterior cervical discectomy and fusion is the gold […]

Battlefield Acupuncture and Physical Therapy Versus Physical Therapy Alone After Shoulder Surgery

Medical Acupuncture Vol. 31, No. 4 Keith M. Collinsworth and Donald L. Goss Published Online:19 Aug 2019https://doi.org/10.1089/acu.2019.1372 Abstract Objective: Opioid pain medications are commonly prescribed postsurgically for pain. Few studies have investigated the effects of Battlefield Acupuncture (BFA) on postsurgical pain and pain-medication use. To date, no studies have investigated BFA’s effectiveness for reducing postoperative […]

Evidence-Based Rehabilitation for Hip Arthroscopy

Dillon E. Hyland, MS, LAT, ATC; Zachary K. Winkelmann, MS, LAT, ATC; Kenneth E. Games, PhD, LAT, ATC Athletic Training and Sports Health Care. 2019;11(3):103-104https://doi.org/10.3928/19425864-20181002-03 Abstract Voight ML, Robinson K, Gill L, Griffin K. Postoperative rehabilitation guidelines for hip arthroscopy in an active population. Sports Health. 2010;2:222–230. Clinical Question: How successful are general and specific rehabilitative protocols in […]

Surgery: the Ultimate Placebo [Video]

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Cross-over Effect of Balance Training After Knee Surgery: A Pilot Study

Layci J. Harrison, PhD, LAT, ATC; Lindsey K. Lepley, PhD, ATC; Dana K. Fuller, PhD; Jennifer L. Caputo, PhD, CSCS, MX Athletic Training and Sports Health Care. https://doi.org/10.3928/19425864-20181107-01 Abstract PURPOSE:To evaluate cross-over effect balance training after knee surgery. METHODS:Individuals with a history of knee surgery (N = 10) were randomized to balance training or control […]

Two Knees at Once: More Clarity on Pluses and Minuses

Surgeons say it’s feasible in even severely obese patients, but beware of complications by Randy Dotinga, Contributing Writer, MedPage Today March 19, 2019 LAS VEGAS — Simultaneous bilateral total knee arthroplasty (SBTKA) is a feasible option for many patients, including those who are severely obese, according to authors of a pair of new studies that […]

Increased the risk of osteoporosis with hysterectomy: A longitudinal follow-up study using a national sample cohort

American Journal of Obstetrics and Gynecology — Choi HG, et al. | February 15, 2019 Researchers investigated whether hysterectomy without/with bilateral oophorectomy (BO) is associated with the occurrence of osteoporosis using data from a national sample cohort from the Korean National Health Insurance Service. Data for patients who had undergone hysterectomy (n = 9,082) and […]

Majority of Knee, Hip Replacements Last 25 Years

Nicola M. Parry, DVM February 15, 2019 The majority of knee and hip replacements can be expected to last 25 years, according to two new studies. Jonathan T. Evans, MRCS, Bristol Medical School, Southmead Hospital, United Kingdom, and colleagues conducted both studies. Their findings were published online February 14 in the Lancet. Overall, approximately 82% of primary total […]

Cost-Effectiveness Evaluation of Manual Physical Therapy Versus Surgery for Carpal Tunnel Syndrome: Evidence From a Randomized Clinical Trial

Published: Journal of Orthopaedic & Sports Physical Therapy, 2018 Volume:49 Issue:2 Pages:55–63 DOI: 10.2519/jospt.2019.8483 Background Carpal tunnel syndrome (CTS) results in substantial societal costs and can be treated either by nonsurgical or surgical approaches. Objective To evaluate differences in cost-effectiveness of manual physical therapy versus surgery in women with CTS. Methods In this randomized clinical […]

Cross-over Effect of Balance Training After Knee Surgery: A Pilot Study

Layci J. Harrison, PhD, LAT, ATC Athletic Training and Sports Health Care.  https://doi.org/10.3928/19425864-20181107-01 Posted February 1, 2019 Abstract PURPOSE: To evaluate cross-over effect balance training after knee surgery. METHODS: Individuals with a history of knee surgery (N = 10) were randomized to balance training or control groups. The non-surgical leg was trained three times a […]

Two Outcome Trajectories Identified After Knee Replacement

Janis C. Kelly January 31, 2019 Two characteristics that can be assessed before knee arthroplasty (KA) — pain catastrophizing and a larger number of painful body regions — are significant predictors of poor pain and function outcomes and might be useful for identifying patients for intervention prior to surgery, a study has found. Low income […]

Questions Growing on Knee-Replacement Surgery Outcomes

By Elaine Goodman Knee replacement is an increasingly common surgery for treatment of osteoarthritis, but recent research is raising questions about the procedure’s effectiveness in relieving pain and improving function. “Most patients have a very good clinical outcome after knee replacement, but multiple studies have reported that 20% or more of patients do not,” Professor […]

Opioid use following cervical spine surgery: trends and factors associated with long-term use

The Spine Journal Volume 18, Issue 11, November 2018, Pages 1974-1981 The Spine Journal Clinical Study Andrew J.Pugely MD Abstract Background Context Limited or no data exist evaluating risk factors associated with prolonged opioid use following cervical arthrodesis. Purpose The objectives of this study were to assess trends in postoperative narcotic use among preoperative opioid […]

Play “D”fence before you Replace That Knee

written by Dr. Carl Freeman The Lower the “D” the Higher the Risks (Vitamin D and Knee Replacement) Knee patients who are vitamin D deficient ninety days before having a total knee replacement have a 69% higher rate of manipulations under anesthesia (MUA), a 76% higher rate of infection, and a three-fold higher risk of prosthesis […]

Risks and Complications of Total Knee Replacement Surgery

Medically reviewed by William Morrison, MD on October 23, 2017 — Written by Samuel Greengard Knee replacements have emerged as a mainstream surgery. According to the Agency of Research and Quality (AHRQ), over 600,000 procedures were performed in 2009. That number is expected to grow into the millions by the year 2030. According to the […]

Effect of Early Surgery vs Physical Therapy on Knee Function Among Patients With Nonobstructive Meniscal Tears – Full Text Article

October 2, 2018 The ESCAPE Randomized Clinical Trial Victor A. van de Graaf, MD Key Points Question  Is physical therapy noninferior to early surgery with arthroscopic partial meniscectomy for improving knee function among patients with nonobstructive meniscal tears? Findings  In this noninferiority randomized clinical trial that included 321 patients, knee function that was measured by a self-administered […]

Back pain improves significantly following discectomy for lumbar disc herniation

The Spine Journal Volume 18, Issue 9, September 2018, Pages 1632-1636 The Spine Journal R. Kirk OwensII MD Abstract Background Context Although lumbar disc herniation (LDH) classically presents with lower extremity radiculopathy, there are patients who have substantial associated back pain. Purpose The present study aims to determine if patients with LDH with substantial back […]