NEWS on skeletal system implants (ORTHOPAEDICS)

AI robot may help heal bones

Every lower leg fracture is different. Depending on the forces that acted on the bone, the damage pattern is different: from large fragments to small-particle bone debris. A common treatment is to screw a standard-sized implant to the bone fragments; however, current implants are purely passive. Only at intervals do...

Intraosseous Morphine Decreases Postoperative Pain and Pain Medication Use in Total Knee Arthroplasty

Intraosseous (IO) infusion of medication is a novel technique for total knee arthroplasty (TKA) antibiotic prophylaxis. To decrease postoperative pain in TKA patients, we investigated addition of morphine to a standard IO antibiotic injection. IO morphine combined with a standard antibiotic solution demonstrates superior postoperative pain relief immediately and up to 2 weeks. IO morphine...

Textile replacement for tympanic membrane and hip endoprosthesis

tympanic membrane: Textile researchers at TU Dresden have developed a novel drumhead implant made of fibers. In tests conducted by the developers, the bioinspired innovation performed significantly better than conventional implants. The textile membrane enables a complete, permanent and lifelike reconstruction of the eardrum (D Aibibu). Tests have shown that...

Artificial intelligence supports the production of facial implants

A research group at the University Medical Center Hamburg-Eppendorf (UKE) is using artificial intelligence (AI) to create individual facial implants. Instead of designing a model from scratch for each patient, as has been the case in the past, in the future we will be able to use AI to access...

Necessity of routine x-rays after osteosynthesis

Routine x-rays after the osteosynthesis of distal radius and ankle fractures - a prospective randomized controlled trial on the necessity of routine imaging CONCLUSION: In this study, routine postoperative radiographs after osteosynthesis of distal radius and ankle fractures did not improve patient care when standardized intraoperative radiographs were obtained. Author(s)...

Knee prostheses: Relationship between service quantity and quality

Extensive surgical experience in the area of unicondylar sled prosthesis of the knee reduces the risk of further interventions. This is the result of an analysis conducted by the Institute for Quality and Efficiency in Health Care (IQWiG, Germany). However, the only robust study provided data only on revision risk....

2 million joint replacement surgeries recorded in the german endoprosthesis register

Ten years after its launch, the Endoprosthesis Register Germany (EPRD) has now surpassed the two-million mark in the recording of surgical documentation. This can be a reliable database for assessing hip and knee endoprosthetic care in Germany. The voluntary data supplied by more than 780 hospitals cover more than 70...

Axial alignment is a critical regulator of knee osteoarthritis

Although osteoarthritis (OA), a leading cause of disability, has been associated with joint malalignment, scientific translational evidence for this link is lacking. In a clinical case study, we provide evidence of osteochondral recovery upon unloading symptomatic isolated medial tibiofemoral knee OA associated with varus malalignment. Therapeutic unloading shifted the articular...

Cemented or Uncemented Hemiarthroplasty for Intracapsular Hip Fracture

Controversy exists over the use of bone cement in hip fractures treated with hemiarthroplasty. Only limited data on quality of life after cemented as compared with modern uncemented hemiarthroplasties are available. CONCLUSIONS: Among patients 60 years of age or older with an intracapsular hip fracture, cemented hemiarthroplasty resulted in a...