Orthopaedic Specialists of Conneticut
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Dr. Gupta discusses the recent controversy on minimally invasive knee replacement
Minimally invasive knee replacement surgery has come under criticism recently. A recent report showed that knee replacement done through this approach had a higher rate of failure in the first 2 years due to in-correct placement of the various parts of the knee*. This is usually due to poor visualization of the knee through the small incision.
*Barrack et al, Journal of Arthroplasty 2009.
Dr.Nipper talks about the advances in wrist surgery
During the last two years, there has been a dramatic change in the way fractures of the wrist are treated. In the past, wrist fractures were placed in casts or had pins placed in the hand and forearm (external fixation). This form of treatment would result in permanent stiffness and weakness of the hand.
We now are able to do an open reduction and internal fixation using a Volar locking plate. Many patients use a small brace after surgery and start using their hand in a few days — it significantly speeds up their recovery.
Dr. Diaz discusses recent advances in arthroscopic rotator cuff repair
Traditionally, surgical repair of a torn rotator cuff was performed through a 2-3 inch incision. This "open" approach leaves a larger scar, requires cutting through the deltoid muscle, and consequently leads to considerable post-operative pain and a slower recovery. Over the last decade surgeons have been perfecting techniques for full arthroscopic repair of the rotator cuff, using only 3 or 4 small incisions. Smaller incisions mean less pain and lead to a faster recovery and better healing. The deltoid muscle remains intact. Advances in instrumentation and fixation have permitted minimally invasive, arthroscopic repair of almost all cuff tears, including large and complex tears.
Dr. Fish discusses latest research on ACL injuries.
At the recent American Orthopaedic Society for sports medicine meeting, researchers urged timely repair of anterior cruciate ligament (ACL) knee injuries in the adolescent population. The report documented a four fold increase in irreparable meniscal damage in patients under age 15 who delayed surgery for over three months after their injury. This observation poses a clinical decision-making dilemma as surgical reconstruction in adolescents risks growth disturbance, but delaying surgery poses a higher risk of knee injury due to uncorrected joint instability.
Theodore Ganley University of Pennsylvania, at AOSSM meeting July 2009.
In The News
- Dr. Gupta discusses the recent controversy on minimally invasive knee replacement
Minimally invasive knee replacement surgery has come under criticism recently... - Dr.Nipper talks about the advances in wrist surgery
During the last two years, there has been a dramatic change in the way fractures of the wrist are treated... - Dr. Diaz discusses recent advances in arthroscopic rotator cuff repair
Traditionally, surgical repair of a torn rotator cuff was performed through a 2-3 inch incision... - Dr. Fish discusses latest research on ACL injuries.
At the recent American Orthopaedic Society for sports medicine meeting, researchers...