ORTHO NEWS

AAOS releases new trends and outcomes reports from the American Joint Replacement Registry and the Shoulder & Elbow Registry

ROSEMONT, Ill., Aug. 31, 2021 /PRNewswire/ — The American Academy of Orthopaedic Surgeons (AAOS) Registry Program is pleased to announce the availability of two new clinical data reports – the American Joint Replacement Registry Program (AJRR) 2020 Annual Report Supplement and the Shoulder & Elbow Registry (SER) 2020 Annual Report. The reports, which were released during the AAOS 2021 Annual Meeting in San Diego, offer actionable information to guide physicians and patient decision making to improve care.

“There’s great momentum across the AAOS family of registries,” said William J. Maloney, MD, FAAOS, chair of the AAOS Registry Oversight Committee. “The number of anatomical areas and procedures covered continues to grow and the data being submitted by participating sites is paving the way for improved orthopaedic outcomes in the United States. We are pleased to publish these clinical insights from the AJRR and the SER and look forward to seeing continued growth and increasingly impactful analyses in the years ahead.”

AJRR 2020 Annual Report Supplement
Data presented in the 2020 AJRR Annual Report Supplement were submitted to the AJRR by 1,110 institutions through June 2020, covering procedures from 2012 to 2019. For the second consecutive year, the supplement includes reporting of device-specific cumulative percent revision estimates, drawn from the registry’s unique linkage with Centers for Medicare and Medicaid Services (CMS) claims data. In addition, analyses in the 2020 supplement were expanded to include many more devices than the 2019. This year’s analysis also examines cumulative, all-cause revision at target timepoints with further stratification of devices based on fixation and bearing descriptions.

This report found all hip device constructs included in analysis had a cumulative percent revision of less than 2.7% at one year and less than 4.6% at final follow-up for each respective device. Knee device constructs included in analysis were found to have less than 2.5% cumulative percent revision at three years and less than 3.7% at final follow-up for each respective device

To read and download the 2020 AJRR Annual Report Supplement, visit the AAOS’ website.

Shoulder & Elbow Registry Second Annual Report
The SER includes representatives from the American Shoulder and Elbow Surgeons (ASES), the American Orthopaedic Society for Sports Medicine (AOSSM), the Arthroscopy Association of North America (AANA), and the American Society for Surgery of the Hand (ASSH). The SER collects shoulder and elbow procedural data in the United States to establish survivor curves, track revisions, and support orthopaedic care and best practices. The program’s latest annual report represents submitted shoulder and elbow procedures dating from 2015 through 2020.

“The AAOS Shoulder and Elbow Registry is one of the most important endeavors being undertaken in shoulder and elbow surgery,” said SER Steering Committee member Stephen F. Brockmeier, MD, FAAOS. “This data will drive future clinical care, answer critical questions and contribute to research in the field, and dramatically enhance our ability to provide optimal outcomes for our patients. As can be seen in the 2020 SER Annual Report, the Registry data continues to accumulate at a rapid pace, and new procedures are added for study each year.”

To date, there are more than 112 SER participating facilities including hospitals, private practices, and ambulatory surgical centers spanning 35 states across the United States. To read and download the complete 2020 SER Annual Report, visit the AAOS’ website.

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AAOS Registry Program
The AAOS Registry Program’s mission is to improve orthopaedic care through the collection, analysis, and reporting of actionable data. The American Joint Replacement Registry (AJRR), the Academy’s hip and knee replacement registry, is the cornerstone of the AAOS’s Registry Program, and the world’s largest national registry of hip and knee joint replacement data by annual procedural count, with more than 2.4 million procedures contained within its database. Additional registries include the Fracture & Trauma Registry, the Musculoskeletal Tumor Registry (MsTR), the Shoulder & Elbow Registry (SER), and the American Spine Registry (ASR), a collaborative effort between the American Association of Neurological Surgeons (AANS) and the AAOS.

About the AAOS
With more than 39,000 members, the American Academy of Orthopaedic Surgeons is the world’s largest medical association of musculoskeletal specialists. The AAOS is the trusted leader in advancing musculoskeletal health. It provides the highest quality, most comprehensive education to help orthopaedic surgeons and allied health professionals at every career level best treat patients in their daily practices. The AAOS is the source for information on bone and joint conditions, treatments, and related musculoskeletal health care issues, and it leads the health care discussion on advancing quality.

https://www.aaos.org/

Originally Appeared Here

Biologics Reduce Total Joint Replacements in Rheumatoid Arthritis Patients

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VANCOUVER, BC, Aug. 10, 2021 /CNW/ – New research has revealed a significant reduction in the need for total hip and knee replacement surgery among rheumatoid arthritis patients after the introduction of biologics.

“These findings reflect a marked improvement in overall rheumatoid arthritis treatment since the introduction of biologics in the early 2000s,” said Hui Xie, a scientist at Arthritis Research Canada.

Researchers identified 60,227 rheumatoid arthritis and 288,260 osteoarthritis cases. For individuals diagnosed before the introduction of biologics, the 8-year incidence rates of total joint replacement surgery increased over time for both types of arthritis. For people diagnosed after biologics became available, these rates decreased over time in rheumatoid arthritis but continued to increase for osteoarthritis.

“We found a 26.9 per cent and 12.6 per cent reduction in total hip and knee replacements for patients with rheumatoid arthritis diagnosed five years after the introduction of biologics, in stark contrast with 11.7 per cent and 16.6 per cent increases for those procedures in osteoarthritis over the same time period,” said Vivienne Zhou, the first author of the paper and an MSc student trainee at Arthritis Research Canada.

Osteoarthritis is another condition for which total joint replacements are often required, and for which biologics are not used. This made osteoarthritis an ideal comparator group that had not been used in previous studies.

Rheumatoid arthritis, the most common type of inflammatory arthritis, affects approximately 1.2 per cent of Canadians aged 16 years and older. Uncontrolled inflammation causes irreversible joint damage which sometimes requires total joint replacement surgery.

Total joint replacements are effective at reducing pain and improving function, but they are expensive and complications can occur. Sometimes revision surgeries are also needed.

From 2019 to 2020, 63,496 hip replacements and 75,073 knee replacements were performed in Canada, costing more than $1.4 billion, according to the Canadian Institute for Health Information.

Biologics, such as tumor necrosis factor alpha inhibitors (TNF-α), are very effective at suppressing inflammation and can halt the progression of rheumatoid arthritis and prevent joint damage.

Prior to this study, there was conflicting evidence as to whether or not biologics reduced the need for total joint replacement surgery in rheumatoid arthritis patients. This study uses large population-based cohorts of incident rheumatoid arthritis and osteoarthritis patients to document and compare the patterns of total joint replacement surgery over a 20-year period.

ABOUT ARTHRITIS RESEARCH CANADA:

Arthritis Research Canada is the largest clinical arthritis research institution in North America. Our mission is to transform the lives of people living with arthritis through research and engagement. Arthritis Research Canada’s scientific director, Dr. Diane Lacaille is leading a team of over 100 researchers, trainees and staff whose world recognized research is creating a future where people living with arthritis are empowered to triumph over pain and disability. Arthritis Research Canada is conducting research across Canada in British Columbia, Alberta and Quebec and is affiliated with five major universities: University of British Columbia, Simon Fraser University, University of Calgary, Université Laval, and McGill University. Arthritis Research Canada is leading research aimed at arthritis prevention, early diagnosis, new and better treatment, and improved quality of life.

SOURCE Arthritis Research Canada

For further information: or to arrange an interview, please contact: Heather Caulder, Marketing and Communications Officer, 604-207-4010 or [email protected], www.arthritisresearch.ca

http://www.arthritisresearch.ca/

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Originally Appeared Here

Exercising after Joint Replacement Surgery

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Hip and knee replacements can get you back to an active life in a jiffy. Keep this in mind: You are an important factor in determining the end result of surgery. A new hip or knee joint does not work on its own.

To get the most out of your new parts you need to commit to an exercise program. This work begins immediately after surgery with a personalized rehabilitation plan created by a physiotherapist.

But a critical part of the recovery process begins after finishing the last physiotherapy appointment. “You’re already involved in an exercise program,” says physiotherapist Michele Hribar, PT. “Now you have to continue the rest of your life.”

The Importance of Exercising After Joint Replacement Surgery

It is essential to build muscles around the new hip or knee to keep the joint in tip shape. Hribar recommends continuing the specific exercise routine that you have already established with your physiotherapist.

“You really have to optimize the exercises to strengthen the supporting muscles,” Hribar says.

Fitness in general is also important, especially because knee or hip pain before surgery may have prevented you from doing enough activity. This may have caused weakness or limitations in areas other than the affected joint.

“Now that the joint is in better shape, you have a chance to improve and maintain overall fitness,” Hribar says.

You also need to exercise for balance, which can be affected after surgery.

The best exercises after joint replacement

Your workout routine should be a combination of aerobic activity and strength, flexibility and balance exercises. With a walking or cycling program it is not enough for any of the muscles needed for mobility and balance.

Some good news too: when this new hip or knee is put into operation, the activities may seem easier to do. “After surgery, these exercises should be better tolerated because of the relief of joint pain,” Hribar says.

Below are recommendations for sweating in two categories:

Aerobic activities

Aerobic activities make the heart beat faster. To get the ticker to pump, try walking, cycling, or using an elliptical machine. By variety, alternate the different activities. Consider using trekking poles to walk outdoors if you have difficulty maintaining balance and stability.

Once you have fully recovered from joint replacement, you should be able to do virtually any activity you have done before surgery. However, most surgeons do not recommend running.

Before giving up any activity you enjoy, Hribar suggests that you talk to your doctor or physiotherapist. You may be able to return to some higher impact activities or find ways to modify them.

“We’re able to get people back to playing pickle or doubles tennis, even though individual tennis is harder,” Hribar says.

Aim to try to achieve at least 30 minutes of aerobic activity most days of the week.

Exercises of strength, flexibility and balance

Muscle mass and bone density naturally decrease with age. To slow down this process, it is important to have a complete exercise routine.

Strengthening exercises after a hip or knee replacement should include exercises aimed at the quadriceps (four muscles in the front of the thigh), gluteals (three muscles that form the buttocks), and hip abductors (responsible muscles). to move the thigh to the side)).

Try to do focused strength and balance exercises two or three times a week. To build and maintain flexibility, exercises such as hamstring stretches and heel cord stretches should be part of your daily routine.

Find joy in exercise

Hribar points out that there are activities that combine aerobics, balance, strengthening and flexibility. Examples are dance, yoga, tai chi and pool exercises, which can also be social, with face-to-face classes opening once again after the pandemic and online options also available.

“You can make it fun,” Hribar says.

Click here for more info on how to recover after joint replacement surgery.

Less Pain After Orthopedic Surgery with Nerve Stimulation

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April 15 (UPI) – Nerve stimulation treatments are effective in reducing pain in patients recovering from orthopedic surgery and limiting the need for potentially addictive opioid drugs, according to a study published Thursday in the journal Anesthesiology.

The data show that a treatment called percutaneous peripheral nerve stimulation reduced patients ’postoperative pain scores after routine procedures.

The treatment provides small amounts of electricity to the surgically affected nerves and interrupts the transmission of pain signals to the brain, the researchers said.

In addition, the use of opioid-based pain medications in patients decreased by 80% during the first week after treatments, according to the researchers, who described the findings as “impressive.”

The benefits of postoperative nerve stimulation were “much greater than we had anticipated,” researchers at the University of California-San Diego wrote.

The results “stand alone and indicate that percutaneous peripheral nerve stimulation is highly effective for acute pain,” they said.

The reduction in the need for opioid-based pain medications after surgical procedures has become a point of emphasis in recent years because of the risk that patients may become addicted to drugs.

Prescription opiate-based pain medications have helped fuel an “epidemic” of abuse and misuse of these drugs, which have intoxicating effects similar to illegal drugs such as “heroin,” according to the National Institute on Drug Abuse.

For this study, researchers enrolled 65 adults who underwent joint outpatient surgery, such as removing the bunion from the foot and repairing the fist of the shoulder rotator.

All study participants had electrical wires located near the nerve or nerves that serve the surgical joints, and half of them received active electrical stimulation adjusted to achieve the desired sensory change that is sometimes described as a ” nice massage, ”the researchers said.

The rest of the participants received inactive treatment, with a pulse generator that appeared to work normally but did not provide electricity, according to the researchers.

After one week, participants who received active percutaneous peripheral nerve stimulation showed significantly lower pain scores, with mean scores on a scale of zero to 10 of approximately 1, compared with just over 3 in the simulated treatment group, showed the data.

Participants in the active treatment group used, on average, approximately 5 milligrams of opioid analgesics during the first week after surgery, or about one-tenth of the amount used by those in the simulated treatment group. say the researchers.

“Percutaneous stimulation of the peripheral nerve is likely to demonstrate optimal treatment after painful surgical procedures,” they wrote.

Figuring Out If – and When – You Need a Knee or Hip Replacement

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If you have experienced joint pain due to arthritis, you may be wondering if you need a knee or hip replacement. When considering a joint replacement surgery, there are some ways to determine if you are ready to talk to your orthopedic provider.

Chad E. Smith, MD, orthopedic surgeon at the Norton Orthopedic Institute, suggests thinking about the following three factors:

Pain

Does hip or knee pain come and go? Does it occur only during intense activity? Or is it constant and interferes with everyday life?

If the pain comes and goes, you may not be ready for surgery. The good news: There are some non-surgical ways to get relief. These may include taking nonsteroidal anti-inflammatory drugs (NSAIDs), steroid injections, or physical therapy.

Age and activity

Then think about your age and activity level. If you are active and would like to stay active for many years, a hip or knee replacement may be possible. Surgeons perform joint replacements on younger patients than in the past, however, surgery will not normally be considered until age 50. In addition, unless X-rays show moderate to advanced arthritis in the knee or hip, non-surgical treatment will be recommended.

Weight and health in general

Finally, how is the rest of your health, including your weight? Carrying extra weight is an important factor in knee or hip pain. Surgeons typically do not perform knee replacements in patients with a body mass index greater than 40, as they increase complications during and after surgery.

However, there are physiotherapy programs designed to help you lose weight, while also supporting and aiming to improve painful joint. Your healthcare provider can help you find a physical therapy or weight loss program that fits your needs.

Do you have heart disease or diabetes? Is your diabetes controlled with an adequate level of hemoglobin A1C? Chronic medical conditions need to be optimized before surgery.

You will also want to make sure you are mentally prepared for a couple of difficult weeks after surgery.

Can pain be overcome during physiotherapy while working to strengthen and move the new joint.

NJ Woman First in Country – Robotic Total Knee Replacement

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Eugenia Dziopa has always been an avid walker, enjoying daily walks through her northern New Jersey neighborhood. But two years ago he began to experience left knee pain from degenerative arthritis.

“I realized I couldn’t walk far anymore,” says Eugenia, who was 64 at the time. “If I were even half a block away, or even from the parking lot to work, I would be in pain. That was my breaking point and I knew I needed to see an orthopedic specialist. ”

Eugenia made an appointment with Yair D. Kissin, MD, vice president of orthopedic surgery at Hackensack University Medical Center, the same hospital where Eugenia works as a biorepositive technologist.

“The rule is when a person begins to see a decrease in their function and ability to do things that make them happy on a day-to-day basis, they should seek help,” Dr. Kissin says. “There are non-operational means that we almost always try first. Initially, we did conservative treatments for Eugenia, including physiotherapy followed by injections. In the case of Eugenia, those did not work.

Eugenia adds: “I thought I would get physiotherapy and improvement, but it only helped a little. Steroid injections only gave me temporary relief that lasted one day at a time. ”

In early 2020, Hackensack became the first hospital in the country to offer patients new robotic technology for total knee replacement procedures for patients with degenerative bone or bone arthritis. Thus, in January of that year, Dr. Kissin discussed this new surgical option with Eugenia.

“The moment was impeccable,” Dr. Kissin recalls. “About a week after Hackensack acquired the technology, he was looking for a good candidate. Since Eugenia had been my patient for a while, I had a good relationship with her. I thought he was the right person to talk about this technological advancement. ”

Robot Technology to the Rescue

With the new robotic technology, preoperative planning allows the surgeon to design and prepare, in a virtual environment, the patient’s personalized joint replacement surgical plan. The active robot helps the surgeon execute the preoperative surgical plan with automated cutting and hands-free and removal of diseased bone and cartilage. The technology helps surgeons with optimal joint implant placement based on each patient’s unique anatomy.

In February 2020, Eugenia became the first patient in the country to have a total knee replacement with the new robotic technology after it became commercially available.

“Everything went really well,” Dr. Kissin says. “Eugenia spent two nights in the hospital. Two weeks later, he returned for a postoperative visit, underwent physical therapy, and was already in 90-degree motion. When he saw me at three months, I had 120 degrees of movement, which is normal, without taking pain medication or using a cane.

Dr. Kissin has performed more than 60 joint replacement procedures with the new robotic technology, which is the only active robot system commercially available for total knee replacement that supports an open implant library, giving surgeons the choice of implantation options according to the individual needs of each patient. .

“This is the future of orthopedic surgery and knee replacement,” says Dr. Kissin. “Hackensack is ahead in doing it now.”

Life after knee replacement

In August 2020, just six months after her total knee replacement, Eugenia felt like her old person before she had knee pain.

“I am very happy to have decided to do a total knee replacement and I am grateful to have the option to perform robotic surgery,” she says. “Otherwise, I would just be sitting. I was in so much pain. There really was no alternative. The addition of the robot gave me confidence that the procedure would be precise and precise ”.

In February 2021, Eugenia celebrated the milestone of a year after surgery.

“I can walk more than a mile through my neighborhood with no problems,” he says. “I also take the stairs to work now instead of the elevator to get extra exercise. I can do everything I do before I have knee problems. ”

Eugenia is grateful that she made the decision to have the surgery because it has allowed her to enjoy family time again.

“I have my normal life back. I have grandchildren and I can walk with them. My life is so much better now than it was before a knee replacement surgery, ”he says.

Dr. Kissin could not be more pleased with Eugenia’s result. “Ten years from now, when everyone gets a robotic knee replacement, Eugenia will probably think she was one of the first,” she says.

Next steps and resources:

Material provided through HealthU is intended for use as general information only and should not replace the advice of your physician. Always consult your doctor for individualized care.

For Severe Arthritis Pain, Are Multiple Joint Replacements a Good Idea?

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After several joint replacement surgeries, Lorry Graham jokingly calls herself a “bionic woman.” Friendly and optimistic, the 75-year-old Delaware resident always enjoyed an active lifestyle. And she always felt younger than her chronological age. Therefore, when arthritis caused by wear and tear began to cause an unpleasant weight on the knees and hips, she refused to take it sitting. Over the past six years, she has had four joint replacements at New York City’s Special Surgery Hospital (HSS), both her knees and her two hips, so she can enjoy life without pain.

“The pain was very, very limiting. It was affecting my quality of life and I didn’t want to live like that, ” she says. She decided to do something about it and researched a lot. “There were three main factors I considered before surgery,” she explains. “The first was the best hospital I could find, which was HSS. The second was the best surgeon I could find. And the third component was my mental attitude and my willingness to do the work after surgery to get the best result. ”

For each joint replacement surgery, Ms. Graham, a former high school teacher and advisor, made the trip from her home in Delaware to HSS in New York City. “I always knew I had to do it. I love walking, I love shopping, I love playing with my grandchildren, ” she explains. “And arthritis made me limp, it hurt, it affected my sleep. This type of pain is shown on the face. You are not a happy person. I didn’t want to delay the surgery any longer than I had to. ”

Her doctor, Geoffrey Westrich, MD, who specializes in knee and hip replacements in HSS, says it’s not uncommon for patients to have advanced arthritis in two joints. Having four joint substitutions is less common, but it does happen. He recommends that patients considering various joint replacement surgeries do their research to find a high-volume joint replacement center and an experienced orthopedic surgeon who takes the time to answer all their questions and who they are comfortable with. .

“When someone has more than one joint replacement, timing and recovery are important and no two patients are alike,” says Dr. Westrich. “If someone has painful arthritis in both knees, for example, and conservative treatments like physiotherapy and over-the-counter medications offer no relief, we usually wait about three months between surgeries. It’s the time it takes the body to heal. and the time it takes to do physical therapy and make the muscles strong again. Patients will support their weight with the side that underwent the first surgery. ”

Dr. Westrich adds that a critical factor is the surgeon’s experience in knowing when it is safe to proceed with the next joint replacement. That’s why, after the first postoperative visits, Dr. Westrich sees the patients again after six weeks to make sure they are doing well, and sometimes after three months, before proceeding with a second joint replacement.

These days, on the same day, double replacements of the joints are performed less frequently, as Dr. Westrich and other HSS researchers have found that it is best for most patients to have “in-phase” procedures, that is, to have the surgeries performed at least months apart. “In studies, we have found that bilateral knee replacement surgery on the same day can present more challenges for the patient from a medical point of view, more pain medications are needed after surgery and physiotherapy is much more difficult because they don’t have a good standing leg, so to speak, ”he says.

Dr. Westrich points out that sometimes there is a good reason to perform a bilateral joint replacement on the same day. For example, both arthritic knees may have a severe flexion contracture, meaning they are in a bent position and the patient cannot straighten them. “In these cases, it may be appropriate to do a double joint replacement, as physiotherapy can be much more difficult if the unoperated knee is bent.” He adds that if the contracture is not too severe, a shoe lift can equalize the length of the legs and allow the patient to do physical therapy after two different procedures.

Mrs. Graham had four different surgeries and, less than two months after her final hip replacement in May, said she was feeling very well. “I am shaking this, I am totally shaking it. I went to play mahjong with my friends and when I came in, they couldn’t believe how good I looked and how good I was doing.”

She believes her mental attitude and willingness to work hard in rehabilitation after surgery played an important role in optimizing the outcome of each joint replacement. Dr. Westrich agrees that going in with a positive attitude and dedicating yourself to work can improve outcomes.

“Clearly, Lorry Graham was very interested in his recovery and worked very hard after the surgery to get a good result,” he notes. “There is no doubt that patients who work hard and spend a lot of time on physiotherapy tend to progress faster and have a better overall recovery.”

Just two months after her last hip replacement, Mrs. Graham visited a new New York City park with her friend and walked for more than an hour without pain. “I walk everywhere,” she says. “I am doing better than in the last six years. It feels great. ”

No Knee Replacement Necessary? Perhaps, with High-Tech Knee Brace

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A California robotics company is about to launch a high-tech knee brace that can alleviate the suffering of millions of Americans facing knee osteoarthritis. It can be especially appealing to patients who want to avoid knee replacement surgery.

San Francisco-based Roam Robotics said its $ 7,000 Ascend orthosis should begin shipping this winter. Certified by the FDA as a Class 1 medical device, Roam provides for reimbursement for both Medicare and private insurance. Medicare could cover 50% or more, and private insurance could cover the entire cost in some cases, Roam says.

Roam Robotics CEO Tim Swift

Roam is located in San Francisco’s Mission district, across the street from Oltrelab, an engineering company that has awarded tens of millions of dollars in government research contracts, primarily for robotics and energy projects. Roam is one of several emerging companies emerging from Altrelab. Its founder and CEO Tim Swift is a veteran of Ekso Bionics, a pioneer in the field of the exoskeleton. After working on heavy, super-expensive exoskeletons, Swift concluded that a radical move away from conventional designs was needed if exoskeleton technology became accessible and affordable.

“Our goal is not to build cyborgs. It’s to make people more human than they ever were.”

“I think we have the ability to change the relationship that people have with robots on a scale that has never been considered before,” Swift says. “I don’t want people to see robots as something beyond human beings. Our goal is not to build cyborgs. It’s about making people more humane than they ever were. ”

Ascend is made of lightweight carbon fiber and high-strength fabric. The pneumatically powered device is connected to a rechargeable battery that is carried in the backpack. Custom knee arm sensors provide real-time data to Ascend microprocessors, where proprietary algorithms detect the user’s intent and then extend and flex the knee. Ideally, this relieves pain and increases patients ’ability to navigate stairs and master simple daily activities.

Rowan Paul, a sports medicine doctor who has consulted with Ascend, says he may like those who are reluctant to use a cane because of the stigma of disability it entails. Knee strengthening makes them look like an athlete with an injury, he says. Ascend can also reduce or eliminate the need for opioid pain medications or cortisone injections, which offer temporary relief from osteoarthritis, but are at risk for side effects.

“I’ve seen several patients, where if we can just give them a little help in a very specific and precise way, they don’t need to do a knee replacement,” Paul says.

Roam market research places the number of patients living with severe pain and limited mobility due to knee osteoarthritis at 10 million or more.

The company has opened a storefront in San Francisco where patients can try Ascend driving. Reid Weaver came down from Tacoma, Washington, in June to try one and it was sold with the product. “It’s so comfortable and so light, that you don’t even feel like it’s there,” says Weaver, who spent 19 years as a SWAT police officer in Washington state and now works as a court officer protecting the judges of Tacoma.

The weaver had surgery on his legs after a hiking accident, but surgery exacerbated his osteoarthritis. Weaver, 60, is an avid outdoor enthusiast who played football in college and manages to ride a motorcycle to work. With the Ascend knee put on, Weaver finds that he can go up and down the stairs with ease and was surprised that it was no longer a struggle to get up from a chair, a challenge for many with osteoarthritis in the knees.

“That was a lot more powerful than I thought it would be,” Weaver says. “It basically got me out of the sitting position without using my hands, without moving forward. I think it will change the game.

Angelique Newman-Malone, 52, of San Jose, California, says she felt trapped in her own body from osteoarthritis. After coming across an Ascend ad on Facebook, Newman-Malone wore his knee on several occasions and declared it a gift from God.

“I felt like someone was supporting me, like a partner walking beside me,” he says. “That feeling is amazing.”

But the best advantage for Newman-Malone is that the knee strap allows him to kneel and then stand up. A devoutly religious Christian, she said the ability to kneel when praying is key.

98-year-old Woman Walking Smoothly One Day After Knee Replacement

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A 98-year-old woman with severe osteoarthritis of the knee has recently undergone total knee replacement surgery. She was discharged 24 hours after the surgery which was performed using the minimally invasive surgery (MIS) technique at Manipal Hospital.

Dr. Rohan Desai, a hip and knee replacement surgeon, said the patient had seen them a couple of years ago with left knee problems. The need for surgery was not felt then. “About a couple of weeks ago he visited us and, after the examination, it was found that his knee was very deformed. He could not stop or walk and was confined to a wheelchair,” Desai said.

After doing the necessary tests and medical advice, it was decided to do the knee replacement surgery. He suffered from comorbidities such as hypertension, heart problems: pacemakers for 15 years, nephropathy and anemia. Diseases were controlled long before and after surgery. “Medical management of comorbidities is very important for successful surgery. We did it with the MIS technique and, in a few hours, he was able to stop and walk to everyone’s surprise. This is the first time that a 98-year-old boy with comorbidities has undergone such surgery in Goa,” he said.

Manish Trivedi, director of the hospital, said people do not usually undergo these procedures once they reach a certain age, for example, after 60 or 70 years. “It is never too late to undergo any type of medical procedure, after consulting a doctor. The patient in question was able to stand up and walk smoothly only one day after the surgery, ”said Trivedi.

“Rapid mobilization was possible in a few hours, thanks to multimodal analgesia and advances in anesthesia techniques, which we use,” he said.

Robotic Arm Installs 3D-Printed Joint Replacements

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Monogram Orthopedics takes a unique approach to joint replacement. The company’s robotic arm installs joint implants that have been 3D-printed to fit each patient’s specific bone structure with gloved hand precision. The company claims that its system will allow surgeons to replace joints with perfectly fitted implants and through less invasive procedures, reducing the rates of infection, dislocation and failure of the implant and dramatically improving patient outcomes.

With $ 16.7 million in capital and its growing list of pre-orders, Monogram expects to make a profit by the end of 2021. Here we will delve into Monogram technology to see how this company is poised to transform the world’s joint replacement market. . .

Generic implants have a high cost for patients

Traditional hip and knee replacements can be inefficient, error-prone, and prone to failure. Even today’s most advanced implants are mass-produced. These implants are installed after surgeons measure the proportions of a joint and then cut the affected bone with saws and insoles. Once they have given way to the implant, surgeons stick it in place with bone cement, which can crack after surgery. In fact, the implants themselves may also be prone to mechanical failure, forcing thousands of patients to return to hospitals for new operations.

These problems are well known to the medical community. Although many implant failures occur due to mechanical problems, many remain related to the underlying problems of instability, misalignment, and cement rupture.

All of these problems can be mitigated with technologies such as mapping and 3D printing, which have helped solve similar problems in other medical fields, and today physicians and patients are increasingly looking for more customized and accurate implant solutions. This is where Monogram technology comes in.

Custom implants provide better results for the patient

Unlike the generic products of their competitors, Monogram custom printed implants use each patient’s individual bone structure as a plan. The company’s custom manufacturing process begins with a computed tomography of the board to be replaced. The data from this scan feeds an AI-based preoperative interface, which uses predictive algorithms to help the surgeon plan the procedure from all angles. An automated manufacturing system prints the implant in 3D, giving it a way to slide perfectly into the patient’s joint.

A robotic surgical arm serves as the second component of the Monogram system. Guided from a real-time virtual navigation dashboard, the robot follows the surgeon’s instructions, but does not require any direct manual guidance, effectively eliminating human error from the surgery itself. The arm begins by making a small incision and then uses a milling drill to clean a precisely sculpted cavity in the bone. The implant adapts perfectly to the cavity with minimal or no cement, which has Monogram up to 270% more stable than a generic equivalent.

Taken together, Monogram’s hardware and software represent innovations expected by the orthopedic industry. Given the failure rate of traditional implants, it’s not hard to see why. The adoption of Monogram technology could significantly reduce cases of loosening and dislocation, which would result in far fewer repeated surgeries and significantly improve patient outcomes.

Robots and 3D printing are on their way to rapid expansion

Because low-wear plastics make knee implants more practical for under-65s, young and active patients are expected to account for more than half of all knee replacement procedures by 2030, creating a total market of at least $ 12.5 billion.

Companies that reach the market first in this sector gain a considerable advantage over their competitors. For example, today’s leading orthopedic robot outperforms its second rival 12 to one, with a market share of 87%. Kamran Shamaei, Monogram’s vice president of engineering, helped develop this robot, and right now Monogram is the only company that sells an active milling robot arm that installs custom printed implants.

In short, Monogram has a leading market advantage in a sector that is about to become even more competitive. It is entering this market through a multi-purpose approach designed to mitigate risks and at the same time bring about the maximum possible traction of its existing capital.

Over the next few months, Monogram plans to generate immediate term revenue by licensing its global knee implant system to networks of medical distributors. He will then leverage these networks to sell patient-specific 3D printed implants, initially for use in traditional manual surgeries. Finally, it will present its surgical robot, completing the launch of its entire integrated solution.

Monogram has already raised $ 16.7 million from more than 6,700 investors and raised them through three successful rounds of financing. Now, with two signed dealer contracts and more under construction, Monogram offers individual investors the option to buy shares normally restricted to venture capital firms and banking institutions. It has already sold $ 7.3 million of these shares, surpassing yet another funding target.

It is clear that the future of medicine is personalized. Tailor-made implants and robotic surgeries will be the norm by the end of this decade. By then, Monogram could be the leader in this rapidly changing space, allowing surgeons to deliver the consistent results their patients deserve.

_{The content of this article should not be construed as a substitute for professional medical advice, diagnosis, or treatment. Always consult a doctor before trying any treatment or buying products to help you control your condition.}

_{The content of this article also does not constitute any financial or investment advice. It is important to conduct your own research and consider seeking advice from an independent financial professional before making banking or investment decisions.}