Prevention of osteoporosis is essential to health, quality of life, and independence in the elderly. The accepted diagnostic method for evaluation of fracture risk after osteopenia and osteoporosis is the measurement of bone mineral density with dual-energy x-ray absorptiometry (DEXA). This method is limited because of its low accessibility, high capital costs, and low sensitivity. This study evaluated whether canal diameter is a reliable indicator as a major risk factor for hip fracture in the elderly.
Many patients who underwent total knee arthroplasty did not experience improvement in their gait relative to preoperative patients by 12 months postoperatively; however, use of routine gait analysis was helpful for guiding patients' postoperative rehabilitation and may be useful for developing strategies for mobility improvement, according to researchers' findings.
Orthopaedic surgeons have become increasingly interested in the use of reverse total shoulder arthroplasty to manage massive rotator cuff tears. This has been due to the success we have had with the procedure as the rate of complications decreased, thanks to the significant knowledge we have gained over the course of the past 10 years of using the reverse prosthesis.
A control system that incorporated electrical signals generated during muscle contractions and gait information resulted in improved real-time control of a powered prosthetic leg for different modes of walking (such as on level ground or descending stairs), according to a study in the June 9 issue of JAMA, a theme issue on the Americans with Disabilities Act.
At Orthopedics Today Hawaii 2015, we convened a special Banyan Tree session to talk about injuries in youth athletes. This is a real problem that all orthopedic surgeons see on a regular basis — one that, I think, is still under-recognized. In this Orthopedics Today Round Table, we highlight the discussion, particularly as it relates to overhead sports, as well as how orthopedic surgeons can play a role in stemming the tide of injuries. We also talk about innovations to help with prevention and treatment, as well as the role of the STOP Sports Injuries and Pitch Smart programs.
Both hemiarthroplasty and total shoulder arthroplasty offered lasting pain relief, and range of motion was improved at the long-term follow-up; however, unsatisfactory Neer ratings were high, according to study results.