NEWS on skeletal system implants (ORTHOPAEDICS)
Endoprosthesis register shows differences in supply (Germany)
In 2021 306,272 hip and knee replacements were recorded in the Endoprostheses Register Germany (EPRD). According to the report, the number of all documented knee interventions is eight percent below the comparable figures before the pandemic, while the number of hip interventions fell by just under one percent. Short stem...
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...
Does SARS-CoV-2 cause implant losses?
Limited information on the skeletal complications of COVID-19 is known, even though inflammatory diseases of the respiratory tract have been known to perturb bone metabolism and cause pathological bone loss. In this study, we characterize the effects of severe SARS-CoV-2 infection on bone metabolism in an established golden Syrian hamster...
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...
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