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Arthroscopy News
Open vs arthroscopic femoroacetabular impingement surgery yielded similar improvement in pain, function
DALLAS — Although treatment of femoroacetabular impingement has historically been performed through an open surgical hip dislocation procedure, arthroscopic treatment has now emerged as the dominant surgical approach.
Focus on purpose and setting key priorities
Orthopedic surgery is a highly demanding profession. More than one-third of orthopedic surgeons work 60 hours per week, not including call responsibilities or after-hours academic or leadership work. Fortunately, for many, we have found a rewarding profession. However, the ego gratification can be addictive and lead to excessive hours away from family and friends.
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Tourniquet time linked with repaired Achilles tendon infection
Achilles tendon ruptures treated surgically had a low risk of infection and re-rupture, but these risks were greater in the presence of certain patient and surgical factors, according to study results.
International education goes beyond learning new techniques
Education continues to evolve. New ideas on how adults comprehend information combined with innovative technology has led to a greater understanding of the complexity and individuality of learning, which has had a significant effect on the education of orthopedic surgeons. Changes in training curriculum and CME have improved the ability of surgeons and surgeons-in-training to understand musculoskeletal diseases and provide care resulting in the best possible outcomes.
A 56-year-old woman with shoulder instability
A 56-year-old right-hand-dominant woman sustained two dislocations to her right shoulder, the first of which occurred about 18 days prior to presentation when she slipped and fell onto her bent arm. The fall resulted in an anterior shoulder dislocation that was reduced at the local ED (Figure 1). Post-reduction radiography was normal, and the patient was discharged in a simple sling (Figure 2). Fourteen days later, when lying in bed, she reached across her body and caused a subsequent dislocation. This dislocation also required a reduction performed at the ED and placement into an abduction sling. Again, post-reduction radiographs were negative for fracture. The patient was initially referred to a nonoperative sports medicine specialist for rehabilitation.
EFORT Open Reviews: A round-up of recently published articles
EFORT Open Reviews (EOR) is the open access journal from EFORT and Bone & Joint Publishing. All articles are free to read online with no subscription required. Have you read these articles yet?
Arthroscopic surgery skills may improve for residents who train on a virtual simulator
Significant improvements in arthroscopic knee and shoulder surgery skills were seen in orthopedic residents who trained on a virtual arthroscopic simulator, according to published study.
Comparable results seen with arthroscopic vs open shoulder stabilization
Patients with shoulder instability who underwent arthroscopic stabilization experienced clinical outcomes that were comparable to open stabilization surgery. Furthermore, there were no differences in the procedures’ subjective outcome scores at 15 years’ follow-up, according to study results.
Better improvements after hip arthroscopy found for patients without pain in other joints and spine
Patients who had no pain in other joints, compared with patients with spine pain, had better hip outcome score activities of daily living values after hip arthroscopy at 2 years postoperatively, according to recently published results.
Anterior anchor placement may lead to improved outcomes for type II SLAP lesions
Results showed no association between inferior outcomes and anchor placement anterior to the biceps tendon in patients with type II superior labrum anterior posterior lesions.