TXA seen as less expensive treatment option for anemic patients undergoing TJA
Investigators of this retrospective study found that for patients with preoperative anemia who underwent total joint arthroplasty, treatment with tranexamic acid and packed red blood cells was significantly less expensive than treatment with either IV iron supplementation or IV erythropoietin.
Use of off-label devices increased costs and length of stay in TJA
Greater length of stay, admission costs, long-term complications risks and inpatient facility discharge likelihood was found among patients who underwent total hip or knee arthroplasty with an off-label prosthesis, according to results.
Debridement cited as better initial option to treat infection after reverse shoulder arthroplasty
Results from a retrospective, multicenter study by French researchers that investigated treatment options for infection after reverse shoulder arthroplasty supported the use of debridement as a first-line treatment, but noted this option had a 54% healing rate.
After hip-replacement surgery, medication use decreases
Source: Medical Xpress
A new study, published November 15, in the journal Pain provides information on the trajectories of prescription drug use before and after hip-replacement surgery—total hip arthroplasty (THA), one of the most common types of joint replacement surgery. Hip-replacement surgery is commonly followed by long-term reductions in the use of prescription drugs for pain and insomnia.
Study: Simultaneous bilateral TKA yielded higher complication rates vs unilateral TKA
Compared with unilateral total knee arthroplasty, patients who underwent simultaneous bilateral total knee arthroplasty experienced an increased risk of overall complications, according to study results.
Joint Surgery Predicted By Number Of Children And Use Of HRT
Source: Medical News Today
According to a study published in the Annals of the Rheumatic Diseases, women who have many children, usedhormone replacement therapy, and had early puberty are more likely to have surgery performed on their joints - especially on their knees.
Satisfactory results seen in revision THA with acetabular reinforcement, HA granules, autograft
Using acetabular revision for loosening as an endpoint, investigators of this study found more than 90% acetabular component survival at 10 years among patients who underwent revision total hip arthroplasty for acetabular bone deficiency using a Kerboull-type acetabular reinforcement device to support hydroxyapatite granules and structural autograft.
Study shows value of knee replacement surgery, other options
Source: Medical Xpress
People with knees worn out by arthritis will get more pain relief from joint replacement surgery, but it has more risks and there's a good chance that less drastic approaches also would help. That's the bottom line from the first study to strictly test other treatments against knee replacement, an operation done hundreds of thousands of times a year in the U.S.
Activity could help keep knees lubricated
Source: Science Daily
Cartilage is filled with fluid -- about 80% of the volume of the cartilage tissue -- that plays the essential roles of supporting weight and lubricating joint surfaces. Loss of this fluid, called synovial fluid, results in a gradual decrease in cartilage thickness and increase in friction, which is related to the degradation and joint pain of osteoarthritis. Since cartilage is porous, fluid is readily squeezed out of the holes over time. Yet the symptoms associated with osteoarthritis usually take decades to develop. Researchers have now proposed a mechanism that explains how motion can cause cartilage to reabsorb liquid that leaks out.
Prevalence of Total Hip and Knee Replacement in the United States
Background: Descriptive epidemiology of total joint replacement procedures is limited to annual procedure volumes (incidence). The prevalence of the growing number of individuals living with a total hip or total knee replacement is currently unknown. Our objective was to estimate the prevalence of total hip and total knee replacement in the United States.