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GUIDELINES FOR DRIVING AFTER TOTAL HIP REPLACEMENT Based on the findings of this study, the following guidelines are proposed for driving after a hip replacement: Patients may resume driving an automatic car after one week when the. left hip has been replaced (provided they drive a vehicle with the steering wheel on the left). Patients who have the right hip replaced should wait four to
six
HORIZONTAL MENISCUS TEARS: SURGERY OR CONSERVATIVE CARE The medial meniscus is the portion of the cartilage along the inside of the knee joint (closest to the other knee). The posterior horn is located on the back half of the meniscus. Horizontal meniscal tears (from side to side dividing the posterior horn in two parts) are the topic of this study from the Center for Joint Disease in Korea. The RETURN TO SPORTS AFTER SHOULDER REPLACEMENT The authors concluded that active patients don’t have to put aside sports and recreational involvement after a shoulder replacement. Repetitive motion such as swimming isn’t a problem. Many of the older athletes even reported improved ability after the surgery. Patients were less likely to resume sports requiring full range ofmotion with
SPORTS ACTIVITY AFTER TOTAL ANKLE REPLACEMENT FOR Sports activity after joint replacement is at an all time high. In this study, rate, level, and type of sports activity after total ankle replacement (TAR) are reported for 147 patients (152 ankles). Three fourths of the patients had posttraumatic ankle arthritis. Allpatients
KNEE AMPUTATION AFTER TOTAL KNEE REPLACEMENT Knee Amputation after Total Knee Replacement. A total knee replacement (TKR) is a common way to stop the pain and loss of motion from arthritis or other conditions affecting the knee. Occasionally problems occur, and the leg has to be removed or amputated. The loss of limb isn’t always related to the TKR. Other problems such astumors or poor
RESULTS OF FIRST STUDY USING NEURONTIN FOR SPINAL STENOSIS Gabapentin (Neurontin) has been used quite successfully for patients with neuropathic (nerve) pain in the hands and feet. In this study, patients with neurologic intermittent claudication (NIC) from lumbar spinal stenosis were given gabapentin.. Spinal stenosis is a narrowing of the spinal or nerve canal where the spinal cord or nerve roots arelocated.
BONE LOSS: MAJOR OBSTACLE TO HIP REPLACEMENT REVISION Hip Joint replacements are becoming common place these days. Last year, there were 300,000 total hip arthroplasty (THA) procedures done in the United States. Younger, more active patients are SHOULD YOU GET A STEROID INJECTION FOR A FROZEN SHOULDER Should You Get a Steroid Injection for a Frozen Shoulder? Adhesive capsulitis, sometimes called a “frozen shoulder” still baffles physicians and scientists alike. No one knows what really causes it — or how to treat it. Women, age over 40, and shoulder injuries (trauma) head the list of possible risk factors. But adults of bothsexes
LONG-TERM EFFECTS OF COMPLICATIONS AFTER ANKLE SURGERY Common complications with ankle joint replacement include loosening of the implant, impingement (pinching), and malalignment. There can also be subsidence (implant sinks down into the bone), the wrong implant size used, and/or excessive wear on any part of the implant. Though rare, the implant can also fracture or break as well. BACK IN THE EARLY 1980S, I HAD CHYMOPAPAIN TREATMENTS FOR Chymopapain was a treatment used to dissolve the herniated disc with an injection of enzymes. This type of treatment is called chemonucleolysis.It was used in the early 1970s but was taken off the market because of safety issues. GUIDELINES FOR DRIVING AFTER TOTAL HIP REPLACEMENT Based on the findings of this study, the following guidelines are proposed for driving after a hip replacement: Patients may resume driving an automatic car after one week when the. left hip has been replaced (provided they drive a vehicle with the steering wheel on the left). Patients who have the right hip replaced should wait four tosix
HORIZONTAL MENISCUS TEARS: SURGERY OR CONSERVATIVE CARE The medial meniscus is the portion of the cartilage along the inside of the knee joint (closest to the other knee). The posterior horn is located on the back half of the meniscus. Horizontal meniscal tears (from side to side dividing the posterior horn in two parts) are the topic of this study from the Center for Joint Disease in Korea. The RETURN TO SPORTS AFTER SHOULDER REPLACEMENT The authors concluded that active patients don’t have to put aside sports and recreational involvement after a shoulder replacement. Repetitive motion such as swimming isn’t a problem. Many of the older athletes even reported improved ability after the surgery. Patients were less likely to resume sports requiring full range ofmotion with
SPORTS ACTIVITY AFTER TOTAL ANKLE REPLACEMENT FOR Sports activity after joint replacement is at an all time high. In this study, rate, level, and type of sports activity after total ankle replacement (TAR) are reported for 147 patients (152 ankles). Three fourths of the patients had posttraumatic ankle arthritis. Allpatients
KNEE AMPUTATION AFTER TOTAL KNEE REPLACEMENT Knee Amputation after Total Knee Replacement. A total knee replacement (TKR) is a common way to stop the pain and loss of motion from arthritis or other conditions affecting the knee. Occasionally problems occur, and the leg has to be removed or amputated. The loss of limb isn’t always related to the TKR. Other problems such astumors or poor
RESULTS OF FIRST STUDY USING NEURONTIN FOR SPINAL STENOSIS Gabapentin (Neurontin) has been used quite successfully for patients with neuropathic (nerve) pain in the hands and feet. In this study, patients with neurologic intermittent claudication (NIC) from lumbar spinal stenosis were given gabapentin.. Spinal stenosis is a narrowing of the spinal or nerve canal where the spinal cord or nerve roots arelocated.
BONE LOSS: MAJOR OBSTACLE TO HIP REPLACEMENT REVISION Hip Joint replacements are becoming common place these days. Last year, there were 300,000 total hip arthroplasty (THA) procedures done in the United States. Younger, more active patients are SHOULD YOU GET A STEROID INJECTION FOR A FROZEN SHOULDER Should You Get a Steroid Injection for a Frozen Shoulder? Adhesive capsulitis, sometimes called a “frozen shoulder” still baffles physicians and scientists alike. No one knows what really causes it — or how to treat it. Women, age over 40, and shoulder injuries (trauma) head the list of possible risk factors. But adults of bothsexes
LONG-TERM EFFECTS OF COMPLICATIONS AFTER ANKLE SURGERY Common complications with ankle joint replacement include loosening of the implant, impingement (pinching), and malalignment. There can also be subsidence (implant sinks down into the bone), the wrong implant size used, and/or excessive wear on any part of the implant. Though rare, the implant can also fracture or break as well. BACK IN THE EARLY 1980S, I HAD CHYMOPAPAIN TREATMENTS FOR Chymopapain was a treatment used to dissolve the herniated disc with an injection of enzymes. This type of treatment is called chemonucleolysis.It was used in the early 1970s but was taken off the market because of safety issues. TREATMENT FOR CALCANEONAVICULAR COALITION: BETTER BUT NOT Calcaneonavicular coalition refers to the fusing of two bones in the foot: the calcaneus (heel bone) and the navicular bone. The navicular is an important bone because it joins with many other bones in the foot and ankle. It is located on the medial side of the foot (side closest to the other foot). It articulates (moves against) the fourand
ROUTINE IMAGING OF HIP RECOMMENDED AFTER JOINT REPLACEMENT The authors of this instructional course for orthopedic surgeons recommend routine monitoring starting five years after total hip arthroplasty (THA or replacement). Follow-up X-rays are advised every two to three years after that for as long as the patient has the implant. The authors discuss the role of X-rays, CT scans, and MRIs indiagnosing
LONG-TERM EFFECTS OF COMPLICATIONS AFTER ANKLE SURGERY Common complications with ankle joint replacement include loosening of the implant, impingement (pinching), and malalignment. There can also be subsidence (implant sinks down into the bone), the wrong implant size used, and/or excessive wear on any part of the implant. Though rare, the implant can also fracture or break as well. KNEE AMPUTATION AFTER TOTAL KNEE REPLACEMENT Knee Amputation after Total Knee Replacement. A total knee replacement (TKR) is a common way to stop the pain and loss of motion from arthritis or other conditions affecting the knee. Occasionally problems occur, and the leg has to be removed or amputated. The loss of limb isn’t always related to the TKR. Other problems such astumors or poor
SHOULD SPINAL FUSION BE DONE IN ONE OR TWO STAGES It’s not clear yet what all the advantages may be of a staged procedure for spinal fusion. The length of time under anesthesia for two operations may be more than if the entire procedure was done at one time. But the time for each individual operation will be less than six hours. There may be other advantages of performing spinal fusionin
EFFECTS OF DIFFERENT SHOES ON BALANCE AND STABILITY Effects of Different Shoes on Balance and Stability. Shoe wear can be an extremely important item of clothing in the older adult. Studies show that almost half of all falls are linked with the type of shoes worn at the time of the fall. Slippers and heels double the risk of falling in older people. Even younger adults are at risk of fractures UNUSUAL PATELLAR PROBLEMS AFTER TOTAL KNEE REPLACEMENT Unusual Patellar Problems after Total Knee Replacement Surgery. A 76-year old woman in England isn’t getting the most out of her total knee joint replacements. She had both knees replaced six years ago. Her left kneecap (patella) was getting way off track, but not quite dislocating. This is called subluxation. WHEN LUMBAR DISC HERNIATION OCCURS A SECOND TIME Recurrent lumbar disc herniation occurs in anywhere from five to 15 per cent of patients. So patients with back and leg pain that goes away after disc removal (a procedure called discectomy) but comes back six months (or more) later are faced with the decision about what to BACK IN THE EARLY 1980S, I HAD CHYMOPAPAIN TREATMENTS FOR Chymopapain was a treatment used to dissolve the herniated disc with an injection of enzymes. This type of treatment is called chemonucleolysis.It was used in the early 1970s but was taken off the market because of safety issues. HAVE YOU EVER HEARD OF THE TOME TECHNIQUE FOR CARPAL In the last 10 years, a new method has been developed for the surgical treatment of carpal tunnel syndrome. The Indiana Tome Technique combines the benefits of open incision with endoscopic (minimally invasive) approaches. It allows a partial direct view inside the HORIZONTAL MENISCUS TEARS: SURGERY OR CONSERVATIVE CARE The medial meniscus is the portion of the cartilage along the inside of the knee joint (closest to the other knee). The posterior horn is located on the back half of the meniscus. Horizontal meniscal tears (from side to side dividing the posterior horn in two parts) are the topic of this study from the Center for Joint Disease in Korea. The GUIDELINES FOR DRIVING AFTER TOTAL HIP REPLACEMENT Based on the findings of this study, the following guidelines are proposed for driving after a hip replacement: Patients may resume driving an automatic car after one week when the. left hip has been replaced (provided they drive a vehicle with the steering wheel on the left). Patients who have the right hip replaced should wait four tosix
SHOULD SPINAL FUSION BE DONE IN ONE OR TWO STAGES It’s not clear yet what all the advantages may be of a staged procedure for spinal fusion. The length of time under anesthesia for two operations may be more than if the entire procedure was done at one time. But the time for each individual operation will be less than six hours. There may be other advantages of performing spinal fusionin
RESULTS OF FIRST STUDY USING NEURONTIN FOR SPINAL STENOSIS Gabapentin (Neurontin) has been used quite successfully for patients with neuropathic (nerve) pain in the hands and feet. In this study, patients with neurologic intermittent claudication (NIC) from lumbar spinal stenosis were given gabapentin.. Spinal stenosis is a narrowing of the spinal or nerve canal where the spinal cord or nerve roots arelocated.
KNEE AMPUTATION AFTER TOTAL KNEE REPLACEMENT Knee Amputation after Total Knee Replacement. A total knee replacement (TKR) is a common way to stop the pain and loss of motion from arthritis or other conditions affecting the knee. Occasionally problems occur, and the leg has to be removed or amputated. The loss of limb isn’t always related to the TKR. Other problems such astumors or poor
SPORTS ACTIVITY AFTER TOTAL ANKLE REPLACEMENT FOR Sports activity after joint replacement is at an all time high. In this study, rate, level, and type of sports activity after total ankle replacement (TAR) are reported for 147 patients (152 ankles). Three fourths of the patients had posttraumatic ankle arthritis. Allpatients
LONG-TERM RESULTS OF SURGERY FOR CALCANEAL (HEEL Less pain, better function, fewer cases of disability, greater patient satisfaction, and an earlier return to work. Now, in this study from Duke University Medical Center in North Carolina the long-term results of 157 patients with calcaneal fractures are reported. About half (73) of those patients had surgery. SHOULD YOU GET A STEROID INJECTION FOR A FROZEN SHOULDER Should You Get a Steroid Injection for a Frozen Shoulder? Adhesive capsulitis, sometimes called a “frozen shoulder” still baffles physicians and scientists alike. No one knows what really causes it — or how to treat it. Women, age over 40, and shoulder injuries (trauma) head the list of possible risk factors. But adults of bothsexes
LONG-TERM EFFECTS OF COMPLICATIONS AFTER ANKLE SURGERY Common complications with ankle joint replacement include loosening of the implant, impingement (pinching), and malalignment. There can also be subsidence (implant sinks down into the bone), the wrong implant size used, and/or excessive wear on any part of the implant. Though rare, the implant can also fracture or break as well. HAVE YOU EVER HEARD OF THE TOME TECHNIQUE FOR CARPAL In the last 10 years, a new method has been developed for the surgical treatment of carpal tunnel syndrome. The Indiana Tome Technique combines the benefits of open incision with endoscopic (minimally invasive) approaches. It allows a partial direct view inside the HORIZONTAL MENISCUS TEARS: SURGERY OR CONSERVATIVE CARE The medial meniscus is the portion of the cartilage along the inside of the knee joint (closest to the other knee). The posterior horn is located on the back half of the meniscus. Horizontal meniscal tears (from side to side dividing the posterior horn in two parts) are the topic of this study from the Center for Joint Disease in Korea. The GUIDELINES FOR DRIVING AFTER TOTAL HIP REPLACEMENT Based on the findings of this study, the following guidelines are proposed for driving after a hip replacement: Patients may resume driving an automatic car after one week when the. left hip has been replaced (provided they drive a vehicle with the steering wheel on the left). Patients who have the right hip replaced should wait four tosix
SHOULD SPINAL FUSION BE DONE IN ONE OR TWO STAGES It’s not clear yet what all the advantages may be of a staged procedure for spinal fusion. The length of time under anesthesia for two operations may be more than if the entire procedure was done at one time. But the time for each individual operation will be less than six hours. There may be other advantages of performing spinal fusionin
RESULTS OF FIRST STUDY USING NEURONTIN FOR SPINAL STENOSIS Gabapentin (Neurontin) has been used quite successfully for patients with neuropathic (nerve) pain in the hands and feet. In this study, patients with neurologic intermittent claudication (NIC) from lumbar spinal stenosis were given gabapentin.. Spinal stenosis is a narrowing of the spinal or nerve canal where the spinal cord or nerve roots arelocated.
KNEE AMPUTATION AFTER TOTAL KNEE REPLACEMENT Knee Amputation after Total Knee Replacement. A total knee replacement (TKR) is a common way to stop the pain and loss of motion from arthritis or other conditions affecting the knee. Occasionally problems occur, and the leg has to be removed or amputated. The loss of limb isn’t always related to the TKR. Other problems such astumors or poor
SPORTS ACTIVITY AFTER TOTAL ANKLE REPLACEMENT FOR Sports activity after joint replacement is at an all time high. In this study, rate, level, and type of sports activity after total ankle replacement (TAR) are reported for 147 patients (152 ankles). Three fourths of the patients had posttraumatic ankle arthritis. Allpatients
LONG-TERM RESULTS OF SURGERY FOR CALCANEAL (HEEL Less pain, better function, fewer cases of disability, greater patient satisfaction, and an earlier return to work. Now, in this study from Duke University Medical Center in North Carolina the long-term results of 157 patients with calcaneal fractures are reported. About half (73) of those patients had surgery. SHOULD YOU GET A STEROID INJECTION FOR A FROZEN SHOULDER Should You Get a Steroid Injection for a Frozen Shoulder? Adhesive capsulitis, sometimes called a “frozen shoulder” still baffles physicians and scientists alike. No one knows what really causes it — or how to treat it. Women, age over 40, and shoulder injuries (trauma) head the list of possible risk factors. But adults of bothsexes
LONG-TERM EFFECTS OF COMPLICATIONS AFTER ANKLE SURGERY Common complications with ankle joint replacement include loosening of the implant, impingement (pinching), and malalignment. There can also be subsidence (implant sinks down into the bone), the wrong implant size used, and/or excessive wear on any part of the implant. Though rare, the implant can also fracture or break as well. HAVE YOU EVER HEARD OF THE TOME TECHNIQUE FOR CARPAL In the last 10 years, a new method has been developed for the surgical treatment of carpal tunnel syndrome. The Indiana Tome Technique combines the benefits of open incision with endoscopic (minimally invasive) approaches. It allows a partial direct view inside the LONG-TERM RESULTS OF SURGERY FOR CALCANEAL (HEEL Less pain, better function, fewer cases of disability, greater patient satisfaction, and an earlier return to work. Now, in this study from Duke University Medical Center in North Carolina the long-term results of 157 patients with calcaneal fractures are reported. About half (73) of those patients had surgery. SHOULD SPINAL FUSION BE DONE IN ONE OR TWO STAGES It’s not clear yet what all the advantages may be of a staged procedure for spinal fusion. The length of time under anesthesia for two operations may be more than if the entire procedure was done at one time. But the time for each individual operation will be less than six hours. There may be other advantages of performing spinal fusionin
WEIGHTLIFTER'S SHOULDER Weightlifter’s shoulder is a painful deterioration of the distal end of the clavicle (collar bone). It is an overuse phenomenon that causes tiny fractures along the end of the clavicle. A breakdown of the bone ( osteolysis) occurs. Weightlifters aren’t the only ones affected. Female bodybuilders, air-hammer operators, soldiers, handball BONE LOSS: MAJOR OBSTACLE TO HIP REPLACEMENT REVISION Hip Joint replacements are becoming common place these days. Last year, there were 300,000 total hip arthroplasty (THA) procedures done in the United States. Younger, more active patients are LONG-TERM EFFECTS OF COMPLICATIONS AFTER ANKLE SURGERY Common complications with ankle joint replacement include loosening of the implant, impingement (pinching), and malalignment. There can also be subsidence (implant sinks down into the bone), the wrong implant size used, and/or excessive wear on any part of the implant. Though rare, the implant can also fracture or break as well. EFFECTS OF DIFFERENT SHOES ON BALANCE AND STABILITY Effects of Different Shoes on Balance and Stability. Shoe wear can be an extremely important item of clothing in the older adult. Studies show that almost half of all falls are linked with the type of shoes worn at the time of the fall. Slippers and heels double the risk of falling in older people. Even younger adults are at risk of fractures NECK POSTURES MAY POSE RISK OF BRAIN ATTACK AT THE HAIR The problem could have to do with a shortage of blood to the brain from having your neck tilted back while getting a hair shampoo, a position commonly used in hairdressing salons. The vertebral basilar arteries carry blood to the back part of the brain, the cerebellum. In some people, one or both of these arteries can start to get squeezedwhen
UNUSUAL PATELLAR PROBLEMS AFTER TOTAL KNEE REPLACEMENT Unusual Patellar Problems after Total Knee Replacement Surgery. A 76-year old woman in England isn’t getting the most out of her total knee joint replacements. She had both knees replaced six years ago. Her left kneecap (patella) was getting way off track, but not quite dislocating. This is called subluxation. HAVE YOU EVER HEARD OF THE TOME TECHNIQUE FOR CARPAL In the last 10 years, a new method has been developed for the surgical treatment of carpal tunnel syndrome. The Indiana Tome Technique combines the benefits of open incision with endoscopic (minimally invasive) approaches. It allows a partial direct view inside the BACK IN THE EARLY 1980S, I HAD CHYMOPAPAIN TREATMENTS FOR Chymopapain was a treatment used to dissolve the herniated disc with an injection of enzymes. This type of treatment is called chemonucleolysis.It was used in the early 1970s but was taken off the market because of safety issues. HORIZONTAL MENISCUS TEARS: SURGERY OR CONSERVATIVE CARE The medial meniscus is the portion of the cartilage along the inside of the knee joint (closest to the other knee). The posterior horn is located on the back half of the meniscus. Horizontal meniscal tears (from side to side dividing the posterior horn in two parts) are the topic of this study from the Center for Joint Disease in Korea. The GUIDELINES FOR DRIVING AFTER TOTAL HIP REPLACEMENT Based on the findings of this study, the following guidelines are proposed for driving after a hip replacement: Patients may resume driving an automatic car after one week when the. left hip has been replaced (provided they drive a vehicle with the steering wheel on the left). Patients who have the right hip replaced should wait four tosix
WEIGHTLIFTER'S SHOULDER WHAT'S THE DIFFERENCE BETWEEN SPONDYLOLISTHESIS AND SPINAL As you already know, both of these conditions affect the spine. Spondylolisthesis is where one vertebral (spine) bone slips in front of another vertebra. In such cases, there’s a forward slip of the the vertebra. But there is also lateral listhesis where one vertebra starts to slide off to the side.. In either case (forward or sideways slide of the bone), the force of gravity shifts over. RETURN TO SPORTS AFTER SHOULDER REPLACEMENT The authors concluded that active patients don’t have to put aside sports and recreational involvement after a shoulder replacement. Repetitive motion such as swimming isn’t a problem. Many of the older athletes even reported improved ability after the surgery. Patients were less likely to resume sports requiring full range ofmotion with
SHOULD SPINAL FUSION BE DONE IN ONE OR TWO STAGESSPINAL FUSION COMPLICATIONSSPINAL FUSION PROTOCOLSPINAL FUSION PROTOCOLSPINAL FUSION RECOVERY TIME FOR SENIORSSPINAL FUSION SURGERY L4 5SPINAL FUSION SURGERY SUCCESS RATE It’s not clear yet what all the advantages may be of a staged procedure for spinal fusion. The length of time under anesthesia for two operations may be more than if the entire procedure was done at one time. But the time for each individual operation will be less than six hours. There may be other advantages of performing spinal fusionin
WHEN SPINAL FUSION FAILS: WHAT'S NEXT? Pseudarthrosis means false joint and refers to movement that occurs at the fused site. It can occur without symptoms so the patient doesn’t even know he or she has it. Or it can cause back and leg (or arm) pain, depending on whether the fusion is at the cervical (neck) or lumbar (low back) level. There can be other causes of failed spinal LONG-TERM EFFECTS OF COMPLICATIONS AFTER ANKLE SURGERY Common complications with ankle joint replacement include loosening of the implant, impingement (pinching), and malalignment. There can also be subsidence (implant sinks down into the bone), the wrong implant size used, and/or excessive wear on any part of the implant. Though rare, the implant can also fracture or break as well. TROCHANTERIC BURSITIS OF THE HIP WHEN LUMBAR DISC HERNIATION OCCURS A SECOND TIME Recurrent lumbar disc herniation occurs in anywhere from five to 15 per cent of patients. So patients with back and leg pain that goes away after disc removal (a procedure called discectomy) but comes back six months (or more) later are faced with the decision about what to HORIZONTAL MENISCUS TEARS: SURGERY OR CONSERVATIVE CARE The medial meniscus is the portion of the cartilage along the inside of the knee joint (closest to the other knee). The posterior horn is located on the back half of the meniscus. Horizontal meniscal tears (from side to side dividing the posterior horn in two parts) are the topic of this study from the Center for Joint Disease in Korea. The GUIDELINES FOR DRIVING AFTER TOTAL HIP REPLACEMENT Based on the findings of this study, the following guidelines are proposed for driving after a hip replacement: Patients may resume driving an automatic car after one week when the. left hip has been replaced (provided they drive a vehicle with the steering wheel on the left). Patients who have the right hip replaced should wait four tosix
WEIGHTLIFTER'S SHOULDER WHAT'S THE DIFFERENCE BETWEEN SPONDYLOLISTHESIS AND SPINAL As you already know, both of these conditions affect the spine. Spondylolisthesis is where one vertebral (spine) bone slips in front of another vertebra. In such cases, there’s a forward slip of the the vertebra. But there is also lateral listhesis where one vertebra starts to slide off to the side.. In either case (forward or sideways slide of the bone), the force of gravity shifts over. RETURN TO SPORTS AFTER SHOULDER REPLACEMENT The authors concluded that active patients don’t have to put aside sports and recreational involvement after a shoulder replacement. Repetitive motion such as swimming isn’t a problem. Many of the older athletes even reported improved ability after the surgery. Patients were less likely to resume sports requiring full range ofmotion with
SHOULD SPINAL FUSION BE DONE IN ONE OR TWO STAGESSPINAL FUSION COMPLICATIONSSPINAL FUSION PROTOCOLSPINAL FUSION PROTOCOLSPINAL FUSION RECOVERY TIME FOR SENIORSSPINAL FUSION SURGERY L4 5SPINAL FUSION SURGERY SUCCESS RATE It’s not clear yet what all the advantages may be of a staged procedure for spinal fusion. The length of time under anesthesia for two operations may be more than if the entire procedure was done at one time. But the time for each individual operation will be less than six hours. There may be other advantages of performing spinal fusionin
WHEN SPINAL FUSION FAILS: WHAT'S NEXT? Pseudarthrosis means false joint and refers to movement that occurs at the fused site. It can occur without symptoms so the patient doesn’t even know he or she has it. Or it can cause back and leg (or arm) pain, depending on whether the fusion is at the cervical (neck) or lumbar (low back) level. There can be other causes of failed spinal LONG-TERM EFFECTS OF COMPLICATIONS AFTER ANKLE SURGERY Common complications with ankle joint replacement include loosening of the implant, impingement (pinching), and malalignment. There can also be subsidence (implant sinks down into the bone), the wrong implant size used, and/or excessive wear on any part of the implant. Though rare, the implant can also fracture or break as well. TROCHANTERIC BURSITIS OF THE HIP WHEN LUMBAR DISC HERNIATION OCCURS A SECOND TIME Recurrent lumbar disc herniation occurs in anywhere from five to 15 per cent of patients. So patients with back and leg pain that goes away after disc removal (a procedure called discectomy) but comes back six months (or more) later are faced with the decision about what to ORTHOPEDIC INFORMATION View our content in action at our demonstration website: Visit Demo.eOrthopod.com. Or check out our easy-to-install WordPress Plugin: eOrthopod WordPress Plugin PROBLEMS ASSOCIATED WITH ANKLE FRACTURES AFTER SURGERY With any surgical procedure, there’s always a risk of infection, delayed wound healing, or blood clots. With severe ankle fractures, there’s the added risk of malunion (fracture heals in poor alignment), nonunion (fracture doesn’t heal at all), or the need for revision surgery. Revision surgery refers to ROUTINE IMAGING OF HIP RECOMMENDED AFTER JOINT REPLACEMENT The authors of this instructional course for orthopedic surgeons recommend routine monitoring starting five years after total hip arthroplasty (THA or replacement). Follow-up X-rays are advised every two to three years after that for as long as the patient has the implant. The authors discuss the role of X-rays, CT scans, and MRIs indiagnosing
RECOVERY AFTER CERVICAL LAMINOPLASTY FOR CERVICAL When someone develops cervical compression myelopathy, this means some vertebrae (bones) in the neck are pressing together, causing pain and other problems. The standard treatment for this problem is a surgery called cervical laminoplasty.The surgery has a fairly good success rate and long-term outcome. WHEN SPINAL FUSION FAILS: WHAT'S NEXT? Pseudarthrosis means false joint and refers to movement that occurs at the fused site. It can occur without symptoms so the patient doesn’t even know he or she has it. Or it can cause back and leg (or arm) pain, depending on whether the fusion is at the cervical (neck) or lumbar (low back) level. There can be other causes of failed spinal SHOULD SPINAL FUSION BE DONE IN ONE OR TWO STAGES It’s not clear yet what all the advantages may be of a staged procedure for spinal fusion. The length of time under anesthesia for two operations may be more than if the entire procedure was done at one time. But the time for each individual operation will be less than six hours. There may be other advantages of performing spinal fusionin
MAJOR AND MINOR PROBLEMS AFTER SURGERY FOR DISTAL BICEPS Major and Minor Problems After Surgery for Distal Biceps Rupture. A distal biceps rupture occurs when the tendon attaching the biceps muscle to the elbow is torn from the bone. This injury occurs mainly in middle-aged men during heavy work or lifting. A distal biceps rupture is rare compared to ruptures where the top of the bicepsconnects at
SIMPLE TECHNIQUE TO ADAPT SHOES FOR UNEVEN LEGS One: Wrap the shoe on the toe end with a towel or protective sheet to protect it. Use this part, the toe that is now protected, to mount the shoe into a vice. This is needed to keep the shoe from moving when you cut it. Two: Mark the shoe for the desired thickness. Rather than measuring what it to come off, you want to measure what is staying. SHOULD YOU GET A STEROID INJECTION FOR A FROZEN SHOULDER Should You Get a Steroid Injection for a Frozen Shoulder? Adhesive capsulitis, sometimes called a “frozen shoulder” still baffles physicians and scientists alike. No one knows what really causes it — or how to treat it. Women, age over 40, and shoulder injuries (trauma) head the list of possible risk factors. But adults of bothsexes
TROCHANTERIC BURSITIS OF THE HIP Trochanteric bursitis can occur after artificial replacement of the hip joint or other types of hip surgery. The cause may be a combination of changes in the way the hip works, the way it is aligned, or the way scar tissue has formed from the healing incision. A fall on the hip can cause bleeding into the bursa, forming ahematoma.
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