Total Hip and Knee Arthroplasty When to Proceed to Surgery Scott T. Ball, MD
|
|
- Charleen Neal
- 6 years ago
- Views:
Transcription
1 Total Hip and Knee Arthroplasty When to Proceed to Surgery Scott T. Ball, MD Chief, Adult Joint Reconstruction Associate Professor, Department of Orthopaeic Surgery University of California, San Diego
2 Disclosures DePuy Orthopaedics Biocomposites, Inc. Conformis
3 Epidemiology of Arthritis Of the 250 million adults living in the United States, 50 million adults have a known diagnosis of arthritis. 21 million adults have arthritis-attributable activity limitation. Data from the National Health Interview Survey (NHIS) One in Five Adults Suffers with Arthritis
4 Epidemiology of Arthritis Arthritis is the MOST COMMON cause of disability in the US Annual cost = $128 billion in medical care and lost wages Data from the National Health Interview Survey (NHIS)
5 Epidemiology of Arthritis OA is a disease with NO cure No disease modifying drugs Treatment for early OA Prevent disease progression Late disease is NOT just a cartilage problem Deformity Ligaments Bone loss Stiffness
6 Radiographic Workup - Knee Weight bearing Xrays STANDING AP Lateral Merchant/Sunrise Consider Rosenberg view Valgus knee
7 Radiographic Workup Non-WB vs WB XRAY
8 Radiographic Workup Consider Rosenberg View
9 Radiographic Workup - Hip Plain xrays AP pelvis AP/Lateral hip Typically not weight bearing
10 X-Ray Classification Kellgren-Lawrence Score
11 X-Ray Classification Kellgren-Lawrence Score
12 Radiographic Workup - MRI MRI is NOT indicated in the routine work-up for moderate/severe OA MRI is indicated when the x-ray does not reveal pathology to explain the symptoms Knee - soft tissue cause for pain Meniscal tear Ligament injury Avascular Necrosis Hip soft tissue cause for pain Labral tear Avascular Necrosis Tendinopathy around the hip
13 Management of OA
14 Management of OA
15 Management of OA OARSI Non-pharmacologic Patient education self help, patient driven P.T. HEP, strength training Aerobic exercise JUST LIKE LBP!! Aqua exercise Weight loss Bracing/Sleeves/Shoe inserts Cane Tens Acupuncture Appropriate Appropriate Appropriate Appropriate Appropriate Appropriate Appropriate U certai U certai
16 Management of OA OARSI Pharmacologic Acetaminophen NSAIDS Topical NSAIDS IA steroid injections IA hyaluronate injections Glucosamine/CS Weak opioids Only if non-opioids failed Appropriate Appropriate Appropriate Appropriate U certai U certai U certai Stronger opioids only in exceptional circumstances
17 Management of OA
18 Management of OA AAOS Guidelines SOR 1. Self-management educational program Strong 2. Weight loss Moderate 3. Against use of acupuncture/tens/manual Strong 4. Bracing Inconcl. 5. NO lateral heel wedge Moderate 6. No glucosamine/cs Strong 7a. NSAIDS or Tramadol Strong 7b. Tylenol, opioids, pain patches Inconcl. 8. Intra-articular steroids Inconcl.
19 Management of OA AAOS Guidelines SOR 9. No HA injections Strong 10. PRP or growth factor injections Inconcl. 11. No needle lavage Moderate 12. No arthroscopy for debridement Strong 13. Arthroscopic meniscectomy Inconcl. 14. Osteotomy Limited 15. No uni-spacer Consensus
20 Who is a GOOD Candidate for Hip or Knee Replacement? The patient is interested in surgical treatment Significant OA (Significant joint space loss) Has to be bone-on-bone (KL grade 3 or 4) BMI < (depends) Failed reasonable non-operative treatments Non smoker Minimal or no narcotic use Reasonable physical condition and motivated Medically acceptable surgical candidate
21 Who is a not a Good Candidate for Joint Replacement Mild Arthritis Patients with mild arthritis report worse outcomes Patients with severe arthritis (bone-on-bone) prior to surgery report better outcomes Better functional improvement Better pain improvement True for Hip and Knee Replacement Keurentjes JC, et al. PLoS One. 2013;8(4):e Tilbury C, et al. Acta Orthop Feb;87(1)
22 KL Grade 2 Not Bone on Bone KL Grade 4 Severe w/ Deformity 5 years post-op. Never has done well. Now seeking revision. Never took narcotics. Back to work < one month. Life changing surgery.
23 Age Criteria Age is not a criteria for joint replacement Extremes of age should be approached with more caution Patient age > 90 years Higher one year morbidity / mortality than other TJA age groups No difference compared to rest of the population > 90 years of age Miric A, et al. J Arthroplasty Aug;30(8): Patient age < 30 years Mixed group of patients (not arthritis ) Mixed implant usage reported 10 year survivorship 70% - 90% higher revision rate Tsukanaka M, et al. Acta Orthop Oct;87(5): Lie S A, et al. J Bone Joint Surg (Br) 2004; 86(4):
24 95 year old male Escaped Nazi Germany in 1939 Left THA at age 85 doing well Right hip totally debilitating
25
26 13 year old female Slipped capitofemoral epiphysis (SCFE) Left hip with AVN and screw penetration into joint
27
28 Summary When to proceed with Joint Replacement Surgery The joint is BAD ENOUGH Bone-on-Bone The patient needs to be HEALTHY ENOUGH Failed reasonable non-surgical treatments Weight loss Appropriate low impact activity Acetamenophin / NSAIDs not narcotics IA steroid injection Cane Age should be respected by but not used as strict criteria for surgery
29 Thank You
The Aging Athletes Knee
The Aging Athletes Knee Douglas P Tewes Orthopedic Sports Medicine Lincoln Orthopedic Center 1 Common Sports Knee Injuries Cartilage defects/chondromalacia Meniscal tears ACL tear Articular Cartilage injury/chondromalacia
More informationEvaluation and Treatment of Knee Arthritis Classification of Knee Arthritis Osteoarthritis Osteoarthritis Osteoarthritis of Knee
1 2 Evaluation and Treatment of Knee Arthritis John Zebrack, MD Reno Orthopaedic Clinic Classification of Knee Arthritis Non-inflammatory Osteoarthritis Primary Secondary Post-traumatic, dysplasia, neuropathic,
More informationo Total knee arthroplasty is projected to grow 85% o Other studies predict up to 3.48 million TKA o 17% adults over age 45 have symptomatic OA
NONOPERATIVE TREATMENT OF KNEE ARTHRITIS DAVID M SCHALL MD Knee Arthritis o Total knee arthroplasty is projected to grow 85% to 1.26 million procedures per year by 2030 o Other studies predict up to 3.48
More informationWHAT DO YOU THINK? 1. How many people in the United States undergo hip replacement surgery each year? a) 80,000. b) 330,000.
1 WHAT DO YOU THINK? 1. How many people in the United States undergo hip replacement surgery each year? a) 80,000 b) 330,000 c) 650,000 2. What disease is the leading cause of disability in the U.S.? a)
More informationRelieving Hip Pain. Austin W. Chen M.D.
Relieving Hip Pain Austin W. Chen M.D. A little bit about me From Pittsburgh, PA Undergrad at U. of Notre Dame Medical School and Orthopaedic Surgery Residency at U. of Illinois Chicago Sports Medicine
More informationOsteoarthritis. Dr Anthony Feher. With special thanks to Dr. Tim Williams and Dr. Bhatia for allowing me to use some of their slides
Osteoarthritis Dr Anthony Feher With special thanks to Dr. Tim Williams and Dr. Bhatia for allowing me to use some of their slides No Financial Disclosures Number one chronic disability in the United States
More informationAnkle Arthritis and Ankle Replacement
Ankle Arthritis and Ankle Replacement Ryan DeBlis, MD Disclosures I have no disclosures. 1 Diagnosis Ankle arthritis Majority (70%) of patients are post-traumatic (ie, after ankle fracture) Primary arthritis
More informationPriorities Forum Statement GUIDANCE
Priorities Forum Statement Number 21 Subject Knee Arthroscopy including arthroscopic knee washouts Date of decision November 2016 Date refreshed March 2017 Date of review November 2018 Osteoarthritis of
More informationTotal Joints and Arthritis. Marc A. Roux, M.D. Chief of Surgery, Baylor Medical Center at Waxahachie August 25, 2012
Total Joints and Arthritis Marc A. Roux, M.D. Chief of Surgery, Baylor Medical Center at Waxahachie August 25, 2012 Joint Replacement Will focus on Knee and Hip OA amd joint replacement Over 500,000
More informationAnesthetic Techniques for Rapid Recovery in Total Knee Arthroplasty
Anesthetic Techniques for Rapid Recovery in Total Knee Arthroplasty Scott T. Ball, MD Chief, Adult Joint Reconstruction Department of Orthopaedic Surgery University of California, San Diego Disclosures
More informationMinimally Invasive Hip and Knee Replacement in the Active Patient
Minimally Invasive Hip and Knee Replacement in the Active Patient Updates and Emerging Technologies in Diagnosis, Treatment, and Outcomes Ravi K. Bashyal, MD NorthShore University HealthSystem Department
More informationExpert Consensus Implication of Unloader braces in guideline recommended knee OA management Who, when and how?
Expert Consensus Implication of Unloader braces in guideline recommended knee OA management Who, when and how? Christian Inngul MD, PhD Consultant orthopeadic surgeon, Stockholm South General Hospital
More informationHip Preservation Timothy J Sauber MD Orthopaedic Update March 22, 2015 Nemacolin Woodlands Resort
Hip Preservation Timothy J Sauber MD Orthopaedic Update March 22, 2015 Nemacolin Woodlands Resort Disclosures No disclosures relevant to this topic Objectives Evaluate and recognize common hip pathology
More informationCurrent Concepts in Management of OA Knee
Current Concepts in Management of OA Knee The Arthritis Society 60 Years of Arthritis Research and Programs From unproven remedies to evidence based practice Rose McKenna BSc PT Arthritis Rehabilitation
More informationNon-Arthroplasty Hip Surgery. Javad Parvizi MD FRCS Professor of Orthopaedic Surgery
Non-Arthroplasty Hip Surgery Javad Parvizi MD FRCS Professor of Orthopaedic Surgery Subcapital reduction osteotomy Relative lengthening of femoral neck (Perthes) AVN surgery Femoral osteotomy Trap door
More informationEvaluation and Management of Knee Pain. Michael Cassat, MD University of Arkansas for Medical Sciences
Evaluation and Management of Knee Pain Michael Cassat, MD University of Arkansas for Medical Sciences Disclosure I have no actual or potential conflict of interest in relation to this program/presentation.
More informationSC FE. Slipped Capital Femoral Epiphysis SPR
SC FE Slipped Capital Femoral Epiphysis SPR Disclosures Lecture specific-nothing to disclose. Dr. Taragin is a member of the medical advisory board of Carestream Health. SAM Goal SCFE = SCIFI PRESENTATION
More informationSMF PCP Treatment & Referral Guideline Orthopedics Developed February 1, 2003 Revised: October, 2011
SUTTER MEDICAL FOUNDATION (SMF) 2800 L Street, 7 th Floor Sacramento, CA 95816 SMF PCP Treatment & Referral Guideline Orthopedics Developed February 1, 2003 Revised: October, 2011 I. Shoulder Pain...Page
More informationMeniscal Tears/Deficiency in Athletes
Meniscal Tears/Deficiency in Athletes A. Amendola MD Professor of Orthopaedic Surgery Director of Sports Medicine Duke University 1 2 Meniscal tears Introduction Meniscal tears are one of the most frequent
More information1. Understand the basic epidemiology of OA 2. Understand challenges facing OA therapy development
Evidence-based Review of Non-surgical Management of Osteoarthritis Matthew Husa, MD Assistant Professor of Medicine Division of Rheumatlogy and Immunology The Ohio State University Wexner Medical Center
More informationMatthew Husa, MD Assistant Professor of Medicine
Evidence-based Review of Non-surgical Management of Osteoarthritis Matthew Husa, MD Assistant Professor of Medicine Division i i of Rheumatlogy and Immunology The Ohio State University Wexner Medical Center
More informationDiagnosis & Nonoperative Treatment of the Osteoarthritic Knee. Randall R Wroble MD Orthopedic One Columbus OH
Diagnosis & Nonoperative Treatment of the Osteoarthritic Knee Randall R Wroble MD Orthopedic One Columbus OH There are 2 things a good doctor does First Step: Finds out what's wrong Second step Makes the
More informationMedical Policy Original Effective Date: Revised Date: 07/26/17 Page 1 of 9
Page 1 of 9 Disclaimer Description Coverage Determination/ Clinical Indications Refer to the member s specific benefit plan and Schedule of Benefits to determine coverage. This may not be a benefit on
More informationGoals and Objectives for the Orthopaedic Surgery Resident McGill Orthopaedic Sports Medicine (SMH) Knee & Shoulder Surgery
Goals and Objectives for the Orthopaedic Surgery Resident McGill Orthopaedic Sports Medicine (SMH) Knee & Shoulder Surgery PGY 1 & 2 1. Medical Expert A. Basic Science a) General Knowledge of functional
More informationEvaluation of the Hip and Knee
Evaluation of the Hip and Knee Causes of hip pain RA Osteoarthritis Psoriatic arthritis Septic arthritis Bursitis Hip fx Labral tear Tendinitis Referred back pain Cancer AVN Legg-Calve-Perthes Paget's
More informationDEPUY SYNTHES JOINT RECONSTRUCTION PATIENT EDUCATION SEMINAR
DEPUY SYNTHES JOINT RECONSTRUCTION PATIENT EDUCATION SEMINAR Welcome! Thank you for joining us! We hope today s information will help you on a path to reducing your pain and gaining mobility. This informational
More informationLife. Uncompromised. The KineSpring Knee Implant System Surgeon Handout
Life Uncompromised The KineSpring Knee Implant System Surgeon Handout 2 Patient Selection Criteria Patient Selection Criteria Medial compartment degeneration must be confirmed radiographically or arthroscopically
More informationHip Biomechanics and Osteotomies
Hip Biomechanics and Osteotomies Organization Introduction Hip Biomechanics Principles of Osteotomy Femoral Osteotomies Pelvic Osteotomies Summary Inroduction Osteoarthritis is very prevalent Primary OA
More informationArthritis. What is arthritis? Who is affected? What treatment options are available?
Arthritis What is arthritis? Who is affected? What treatment options are available? What is Arthritis? arth - joint itis inflammation Arthritis inflammation of the joint(s). What is Inflammation? Inflammation
More informationOutcome of Treatment of Osteoarthritis with Arthroscopic Debridement and Autologous Conditioned Plasma
Doi: http://dx.doi.org/10.5704/moj.1703.008 Outcome of Treatment of Osteoarthritis with Arthroscopic Debridement and Autologous Conditioned Plasma King CKK, FRCS, Yung A, FRCS Department of Orthopaedics,
More informationActivity and Sports After Total Knee and Hip Arthroplasty Scott T. Ball, MD
Activity and Sports After Total Knee and Hip Arthroplasty Scott T. Ball, MD Chief, Adult Joint Reconstruction Department of Orthopaedic Surgery University of California, San Diego Disclosures DePuy Orthopaedics
More informationManagement of the Early Degenerate Knee. Kieran Barnard Hip and Knee Pathway Lead
Management of the Early Degenerate Knee Kieran Barnard Hip and Knee Pathway Lead This history Moseley et al (2002) Randomised placebo controlled trial. A total of 180 patients with osteoarthritis of the
More informationViscosupplementation VISCOSUPPLEMENTATION AND CANALOSTOMY HS-270. Policy Number: HS-270. Original Effective Date: 1/8/2015. Revised Date(s): 1/7/2016
Easy Choice Health Plan, Inc. Exactus Pharmacy Solutions, Inc. Harmony Health Plan of Illinois, Inc. Missouri Care, Incorporated WellCare Health Insurance of Arizona, Inc., operating in Hawai i as Ohana
More informationArthritis of the Shoulder
Page 1 of 7 Arthritis of the Shoulder This article is also available in Spanish: Artritis del hombro (Arthritis of the Shoulder) (topic.cfm?topic=a00723). In 2011, more than 50 million people in the United
More informationFemoral Acetabular Impingement 10/22/2016
Femoral Acetabular Impingement 10/22/2016 Disclosures No Disclosures to report Questions Does FAI lead to early development of osteoarthritis? Is surgical correction an effective treatment for FAI? Who
More informationArthritis of the Foot and Ankle
Arthritis of the Foot and Ankle Arthritis is inflammation of one or more of your joints. It can cause pain and stiffness in any joint in the body, and is common in the small joints of the foot and ankle.
More informationKnee Arthoscopy with or without Debridement Policy CRITERIA BASED ACCESS
Knee Arthoscopy with or without Debridement Policy CRITERIA BASED ACCESS Version: 1718.v2 Ratified by: Somerset CCG Clinical Commissioning Policy Forum (CCPF) Somerset CCG Clinical Operations Group (COG)
More informationOh My Aching Knee. Oh My Aching Knee WHO AM I? 10/15/2012. Jan Pieter Hommen, MD Orthopedic Surgeon Sports Medicine Arthroscopy Joint Replacements
Oh My Aching Knee Jan Pieter Hommen, MD Orthopedic Surgeon Sports Medicine Arthroscopy Joint Replacements Oh My Aching Knee Jan Pieter Hommen, MD Orthopedic Surgeon Sports Medicine Arthroscopy Joint Replacements
More informationImaging assessment of Unicomp candidates!
7th Advanced Course on Knee Surgery - 2018: Imaging assessment of Unicomp candidates! Presenter: Anders Troelsen, MD, ph.d., dr.med., Professor Distribution of the basic primary OA patterns Medial FT:
More informationHip and Knee Pain What are my options?
Hip and Knee Pain What are my options? Jonathan Surdam, MD Dr. Surdam has performed nearly 1,000 joint replacements in southern Indiana Creighton University School of Medicine Residency in orthopedic surgery
More informationOSTEOARTHRITIS AND HYALURONIC ACID. Leonardo Punzi, Rhumatology Unit, Dpt Medicine, University of Padova, Italy
OSTEOARTHRITIS AND HYALURONIC ACID Leonardo Punzi, Rhumatology Unit, Dpt Medicine, University of Padova, Italy Abbvie Fidia SpA Grunenthal Menarini Pfizer MSD DISCLOSURES EPIDEMIOLOGY OF OSTEOARTHRITIS
More information5/31/2018. Ipsilateral Femoral Neck And Shaft Fractures. Ipsilateral Neck-Shaft Fractures Introduction. Ipsilateral Neck-Shaft Fractures Introduction
Ipsilateral Femoral Neck And Shaft Fractures Exchange Nailing For Non- Union Donald Wiss MD Cedars-Sinai Medical Center Los Angeles, California Introduction Uncommon Injury Invariably High Energy Trauma
More informationNot relevant to this presentation.
Nolan R. May, MD Kearney, NE Heartland Surgery Center, Kearney NE Not relevant to this presentation. 1 What are the indications for total shoulder arthroplasty? What are the differences between total shoulder
More informationMr Aslam Mohammed FRCS, FRCS (Orth) Consultant Orthopaedic Surgeon Specialising in Lower Limb Arthroplasty and Sports Injury
Mr Aslam Mohammed FRCS, FRCS (Orth) Consultant Orthopaedic Surgeon Specialising in Lower Limb Arthroplasty and Sports Injury I qualified from the Welsh National School of Medicine in Cardiff in 1984. I
More informationArthritis of the Shoulder
Arthritis of the Shoulder Simply defined, arthritis is inflammation of one or more of your joints. In a diseased shoulder, inflammation causes pain and stiffness. Although there is no cure for arthritis
More informationMedial Meniscal Root Tears: When to rehab? When to repair? When to debride. Christopher Betz, DO Orthopedics Sports Medicine Bristol, CT
Medial Meniscal Root Tears: When to rehab? When to repair? When to debride Christopher Betz, DO Orthopedics Sports Medicine Bristol, CT Disclosure Consultant Mitek Smith and Nephew-biologic patch Good
More informationFor more information about how to cite these materials visit
Author(s): Seetha Monrad, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Noncommercial Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/
More informationThousand Oaks High School AP Research STEM
Investigating open surgical and arthroscopic surgical treatments and non-surgical alternatives for femoral acetabular impingement and torn acetabular labrum Thousand Oaks High School AP Research STEM 2
More informationNon-inflammatory joint pain
Non-inflammatory joint pain Lawrence Owino Okong o, Mmed (UoN); Mphil. (UCT). Lecturer, Department of Paediatrics and Child Health, University of Nairobi. Paediatrician/ Rheumatologist. INTRODUCTION Musculoskeletal
More informationAmpion TM. Management Presentation January 2018
Ampion TM Management Presentation January 2018 2 Forward-Looking Statement These slides and materials, including any accompanying oral presentation, contain forward-looking statements about our business.
More informationBest Practices in the Diagnosis and Management of OA
Best Practices in the Diagnosis and Management of OA 1 Disclosure None 2 Objective To provide an approach to identify and treat people with OA in primary care clinical practice American College of Physicians
More informationArthritis of the Shoulder
Arthritis of the Shoulder This article is also available in Spanish: Artritis del hombro (Arthritis of the Shoulder) (topic.cfm?topic=a00723). In 2011, more than 50 million people in the United States
More informationMeniscus Tears. Three bones meet to form your knee joint: your thighbone (femur), shinbone (tibia), and kneecap (patella).
Meniscus Tears Information on meniscus tears is also available in Spanish: Desgarros de los meniscus (topic.cfm?topic=a00470) and Portuguese: Rupturas do menisco (topic.cfm?topic=a00754). Meniscus tears
More informationSome illustrations are from the internet and intended for educational purpose only
Some illustrations are from the internet and intended for educational purpose only นพ. ส หธ ช งามอ โฆษ ภาคว ชา ออร โธป ด กส คณะแพทย ศาสตร จ ฬาลงกรณ มหาว ทยาล ย Knee anatomy Femur Pathophysiology Symptoms
More informationW. Dilworth Cannon, M.D. Professor of Clinical Orthopaedic Surgery University of California San Francisco
Knee Pain And Injuries In Adults W. Dilworth Cannon, M.D. Professor of Clinical Orthopaedic Surgery University of California San Francisco Pain Control Overview Narcotics rarely necessary after 1 st 1-2
More informationDISEASES AND DISORDERS
DISEASES AND DISORDERS 9. 53 10. Rheumatoid arthritis 59 11. Spondyloarthropathies 69 12. Connective tissue diseases 77 13. Osteoporosis and metabolic bone disease 95 14. Crystal arthropathies 103 15.
More informationClinical studies with Viscoseal following arthroscopic surgery
Clinical studies with Viscoseal following arthroscopic surgery Clinical studies with Viscoseal in arthroscopic surgery (442 patients) Shoulder Funk L. et al. 9 th OARSI Congress. 2004 (poster) (58 patients)
More informationThe Painful Hip. Jennifer R Marks, MD
The Painful Hip Jennifer R Marks, MD The Painful Hip A 64 yo F presents to clinic complaining of a sore hip What further questions do you have for this patient? What is on your differential diagnosis?
More informationResults of arthroscopic surgery, with or without high Tibial osteotomy, in osteoarthritis of knee
2018; 2(3): 100-105 ISSN (P): 2521-3466 ISSN (E): 2521-3474 Clinical Orthopaedics www.orthoresearchjournal.com 2018; 2(3): 100-105 Received: 17-05-2018 Accepted: 18-06-2018 Dr. Tarkik Amin Assistant Professor,
More informationTotal Joint Replacement. Hip and Knee Pain Lawrence P. Johnson, MD Merrimack Valley Orthopedic Associates Lowell General Hospital
Hip and Knee Pain Lawrence P. Johnson, MD Merrimack Valley Orthopedic Associates Lowell General Hospital This talk will touch upon the following topics: Understanding the Causes of Hip and Knee pain Treatment
More informationISSUES FROM AN ORTHOPEDIC PERSPECTIVE
ISSUES FROM AN ORTHOPEDIC PERSPECTIVE John Brown, MD The Core Institute Objectives: Understand the common orthopedic problems of the geriatric population. Describe the standard treatment algorithms for
More informationArthritis of the Shoulder
Arthritis of the Shoulder In 2011, more than 50 million people in the United States reported that they had been diagnosed with some form of arthritis, according to the National Health Interview Survey.
More information5 COMMON CONDITIONS IN THE FOOT & ANKLE
5 COMMON CONDITIONS IN THE FOOT & ANKLE MICHAEL P. CLARE, MD FLORIDA ORTHOPAEDIC INSTITUTE TAMPA, FL USA IN A NUTSHELL ~ ALL ANATOMY & BIOMECHANICS >90% OF CONDITIONS IN FOOT & ANKLE DIAGNISED FROM GOOD
More informationAmpion TM. Management Presentation 2018
TM Management Presentation 2018 2 Forward-Looking Statement These slides and materials, including any accompanying oral presentation, contain forward-looking statements about our business. You should not
More informationInsurance Guideline Summary
Insurance Guideline Summary Foot/Ankle: Soft Goods- Ankle lace-up, Velocity, PTTD $83.00 Had an injury, surgery, or chronic instability (will not be covered for osteoarthritis unless you document instability
More informationArthritis of the Knee
Copyright 2007 American Academy of Orthopaedic Surgeons Arthritis of the Knee There are three basic types of arthritis that may affect the knee joint. Osteoarthritis Osteoarthritis (OA) is the most common
More informationOsteoarthritis of the Hip
Osteoarthritis of the Hip Information on hip osteoarthritis is also available in Spanish: Osteoartritis de cadera (topic.cfm?topic=a00608). Sometimes called "wear and tear" arthritis, osteoarthritis is
More informationShoulder Joint Replacement
Shoulder Joint Replacement Although shoulder joint replacement is less common than knee or hip replacement, it is just as successful in relieving joint pain. Shoulder replacement surgery was first performed
More informationHip Impingement and Arthritis: Preservation vs. Total Hip Arthroplasty. Faculty Disclosures. Objectives 11/17/2017
Hip Impingement and Arthritis: Preservation vs. Total Hip Arthroplasty Jonathan R. Schiller, MD Assistant Professor of Orthopedics Warren Alpert Medical School of Brown University Director, Adolescent
More informationKNEE OSTEOARTHRITIS (OA) A physiotherapist s perspective. When to refer?
KNEE OSTEOARTHRITIS (OA) A physiotherapist s perspective When to refer? Beyond Wear & Tear Traditional & still common viewpoint Wear & tear Degenerative joint disease Progressive destruction of articular
More informationNORTH BAY SYMPOSIUM SATURDAY JANUARY 20 TH 2018
NORTH BAY SYMPOSIUM SATURDAY JANUARY 20 TH 2018 ROBERT HAIMSON, M.D. ORTHOPEDIC SURGEON SMGR FELLOW IN AAOS DIPLOMATE IN ABOS COMMON MUSCULOSKELETAL CONDITIONS COMMON MUSCULOSKELETAL CONDITIONS: WHAT
More informationEnd-Stage Hemophilic Arthropathy: The Journey to Joint Replacement
Slide no 1 End-Stage Hemophilic Arthropathy: The Journey to Joint Replacement Husam Darwish, MD, FRCSC Asst. Professor and Consultant Department of Orthopaedic Surgery King Abdulaziz University Jeddah,
More informationCartilage Care in the Mature Female Athlete
Cartilage Care in the Mature Female Athlete K. Linnea Welton, MD Hip Preservation Fellow Department of Orthopedic Surgery University of Colorado Women in Sports Medicine Conference February 24, 2018 Disclosures
More informationCredentials: Advances in Hip Arthritis Treatment. About My Former Practice: What is Arthritis?
Advances in Hip Arthritis Treatment C. Brian Blackwood, MD www.boulderhipandknee.com (303) 974-4705 Credentials: University Of Washington- SOM University of New Mexico- Residency Coon Joint Replacement
More informationHip Arthroscopy in Patients with Mild to Moderate Dysplasia: When do they Fail?
Hip Arthroscopy in Patients with Mild to Moderate Dysplasia: When do they Fail? Andrew J. Bryan 1, MD K. Poehling-Monaghan 1, MD Rohith Mohan 1, BA Nick R Johnson 1, BS Aaron J. Krych 1, MD Bruce A. Levy
More informationDupuytrens contracture
OA Wrist Ganglion/Cysts Dupuytrens contracture Carpal Tunnel Syndrome Carpal Tunnel pathway For advice on management of CTS please follow link to Map of Medicine Trigger Finger Trigger finger pathway For
More informationOvercoming joint pain and arthritis
Overcoming joint pain and arthritis The 9 things you need to know to get moving again This guide provides an overview about managing joint pain, stiffness and swelling without sacrificing your quality
More informationKnee Case Studies. You might KNEED to know some of this stuff
Knee Case Studies You might KNEED to know some of this stuff Mark Mildren, MD Specializing in Adult Reconstruction Slocum Center for Orthopedics & Sports Medicine 25 th Annual Orthopedic & Sports Medicine
More informationQualitative aspects of treatment with prolotherapy for knee osteoarthritis in a multi-method study
Qualitative aspects of treatment with prolotherapy for knee osteoarthritis in a multi-method study Lane Benes, BS, Luke Fortney, MD, Andrew Slattengren, DO, Jessica Grettie, BS, Jeffrey Patterson, DO,
More informationMi-Eye device for in-office arthroscopy Results of a feasibility Study
Mi-Eye device for in-office arthroscopy Results of a feasibility Study Sam Akhavan, MD Director, Orthopaedic Sports Medicine Fellowship Director of Orthopaedic Research Allegheny Sports Medicine Assistant
More informationCase Presentation 2018 ISMF Fellows Course. David Schub, MD Department of Orthopaedic Surgery, Sports Medicine Kaiser Permanente, San Diego
Case Presentation 2018 ISMF Fellows Course David Schub, MD Department of Orthopaedic Surgery, Sports Medicine Kaiser Permanente, San Diego Patient SH 35 year old male Works in sales. Recreational athlete.
More informationAnkle Replacement Surgery
Ankle Replacement Surgery Ankle replacement surgery is performed to replace the damaged articular surfaces of the three bones of the ankle joint with artificial implants. This procedure is now being preferred
More informationPost test for O&P 2 Hrs CE. The Exam
Post test for O&P 2 Hrs CE The Exam This examination is taken in "open book" format. That means you are free to answer the questions after research or discussion with your fellow workers. We feel this
More informationArthritis of the Knee
Arthritis of the Knee There are three basic types of arthritis that may affect the knee joint. Osteoarthritis Osteoarthritis (OA) is the most common form of knee arthritis. OA is usually a slowly progressive
More informationCOMMON KNEE AND SHOULDER INJURIES IN THE YOUNG ATHLETE. Outline 5/11/2017
COMMON KNEE AND SHOULDER INJURIES IN THE YOUNG ATHLETE IRVING RAPHAEL MD Syracuse Orthopedic Specialists Former S.U. Head Team Physician May 19, 2017 Meniscal Injuries anatomy Exam Treatment ACL Injuries
More informationHumber. Arthroscopy Knee
Humber Arthroscopy Knee Intervention Diagnostic & Therapeutic Arthroscopy Knee OPCS Codes W85 Therapeutic endoscopic operations on cavity of knee joint W851 Endoscopic removal of loose body from knee joint
More informationThe Effect of Hindfoot Stiffness on Osteolysis in Total Ankle Arthroplasty
The Effect of Hindfoot Stiffness on Osteolysis in Total Ankle Arthroplasty Robert Flavin, MD, Scott Coleman, James Brodsky, MD Baylor University Medical Center The Effect of Hindfoot Stiffness on Osteolysis
More informationJoint Health: Arthritis Prevention Non-operative Treatments and Replacement Surgery
Joint Health: Arthritis Prevention Non-operative Treatments and Replacement Surgery John A. Abraham, MD Orthopedic Oncology Service and Arthroplasty Service, Rothman Institute Director, Jefferson Sarcoma
More informationOsteoarthritis. RA Hughes
Osteoarthritis RA Hughes Osteoarthritis (OA) OA is the most common form of arthritis and the most common joint disease Most of the people who have OA are older than age 45, and women are more commonly
More informationKnee Arthroscopy. Anatomy
Knee Arthroscopy Knee arthroscopy is a surgical procedure that allows doctors to view the knee joint without making a large incision (cut) through the skin and other soft tissues. Arthroscopy is used to
More informationPatellofemoral Osteoarthritis
Patellofemoral Osteoarthritis Arthritis of the patellofemoral joint refers to degeneration (wearing out) of the cartilage on the underside of the patella (kneecap) and the trochlea (groove) of the femur.
More informationAdult Hip Dysplasia David S. Feldman, MD
Adult Hip Dysplasia David S. Feldman, MD Chief of Pediatric Orthopedic Surgery Professor of Orthopedic Surgery & Pediatrics NYU Langone Medical Center & NYU Hospital for Joint Diseases Overview Adult hip
More informationCalcaneus (Heel Bone) Fractures
Page 1 of 8 Calcaneus (Heel Bone) Fractures A fracture of the calcaneus, or heel bone, can be a painful and disabling injury. This type of fracture commonly occurs during a high-energy event such as a
More informationA Patient s Guide to Osteoarthritis of the Knee. William T. Grant, MD
A Patient s Guide to Osteoarthritis of the Knee Dr. Grant is a talented orthopedic surgeon with more than 30 years of experience helping people return to their quality of life. He and GM Pugh, PA-C pride
More informationYoung Adult Hip problems. Aresh Hashemi-Nejad FRCS(Orth)
Young Adult Hip problems Aresh Hashemi-Nejad FRCS(Orth) RNOH founded 1837 by William Little 14 year old presenting with limp Knee pain on and off 4 months Limps Aresh Hashemi-Nejad FRCS(Orth) The Royal
More informationLabral Tears / Femoro- Acetabular Impingement / Hip Arthroscopy/THA. Dr Allen Turnbull Hip and Knee Surgery
Labral Tears / Femoro- Acetabular Impingement / Hip Arthroscopy/THA Hip Anatomy Labrum Fovea Femoral Head Articular Cartilage Ligamentum Teres Labral Tears Function of Labrum Deepens acetabulum by 20%
More informationDay of Surgery Discharge after Unicompartmental Knee Arthroplasty (UKA): An Effective Perioperative Pathway. Jay Patel, MD Hoag Orthopedic Institute
Day of Surgery Discharge after Unicompartmental Knee Arthroplasty (UKA): An Effective Perioperative Pathway Jay Patel, MD Hoag Orthopedic Institute UKA Rapid Recovery Protocol Purpose of Study Describe
More informationSave the meniscus Mais pourquoi?
Save the meniscus Mais pourquoi? #$%&' ()"*+!," Philippe Neyret E Servien S Lustig P Verdonk One or more of the authors of the next presentation have identified no potential conflicts of interest 2 Consequences
More informationAnkle Arthritis PATIENT INFORMATION. The ankle joint. What is ankle arthritis?
PATIENT INFORMATION Ankle Arthritis The ankle joint The ankle is a very complex joint. It is actually made up of two joints: the true ankle joint and the subtalar ankle joint. The ankle joint consists
More informationAmerican College of Physicians 2013 Ohio Chapter Scientific Meeting Columbus, OH October 11, 2013
American College of Physicians 2013 Ohio Chapter Scientific Meeting Columbus, OH October 11, 2013 Paul J. Gubanich, MD, MPH Assistant Professor of Internal Medicine/Sports Medicine Team Physician, Ohio
More information