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Plus: the latest on the bone cement shortage.
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The Pulse

Presented by OrthoEvidence

Good Morning.


Another major orthopaedic injury in the Olympics: Kevin Fiala, Swiss forward for the Los Angeles Kings, just underwent surgery to treat left leg fractures after getting injured in the game against Team Canada last week.


Get better soon Kevin!

In today's edition:

🏥 All about arthroscopic rotator cuff repair

📰 NHS operations disrupted by bone cement shortage

🎙️ Blending orthopaedics and stand-up comedy


ARTHROPLASTY

The impact of interval release in rotator cuff repair


There has been some suggestion that rotator interval release can reduce shoulder stiffness and pain in patients recovering from arthroscopic rotator cuff repair. However, much of the evidence is anecdotal and of low quality, and a randomized trial was required to fully elucidate its benefits, or lack thereof.


In this randomized trial, 83 patients scheduled for an arthroscopic rotator cuff repair were randomized to receive an arthroscopic rotator cuff repair with or without a rotator interval release. The primary outcome of interest was pain, with secondary outcomes including a range of functional outcomes and narcotic consumption measures.

  • At no point during post-operative follow-up (from 1 hour to 24 months post-operation) did pain scores differ between the two groups.

  • Similarly no significant differences in function, complications or narcotic consumption were observed between the two groups.

Bottom line. The results of this randomized trial suggest that conducting a rotator interval release in arthroscopic rotator cuff repair provides no clinical advantages over not performing it.


Read the full ACE Report on this study here.



ORTHOPAEDIC NEWS

Bone cement supplies at critically low levels


NHS operations are facing disruption due to a global shortage of bone cement. Bosses said Heraeus Medical, its supplier, had suffered a packaging fault involving its bone cement products.


The health service, which is seeking alternative suppliers, said the issue had halted production at Heraeus' main site for at least two months.


It estimates it has two weeks' worth of supplies left, therefore leaving a supply gap of six to eight weeks, and urged trusts to review and prioritise waiting lists to maximise use of available stock.


Read the full article here.


Sourced from Sky News


OE PODCASTS

Orthopaedic, stand-up comedy, and rap?


A cold Canadian morning sets the stage for a fascinating discussion with Dr. Kamran Hamid. You might have heard of him from social media -- in addition to being ankle injury specialist from Chicago, Dr Hamid is a stand-up comedian with a large following on platforms like Instagram!


In this episode of OrthoJoe, Dr Hamid talks about the pivots he's made in his life, including his entry into the world of comedy, the parallels between that world and orthopaedics, and how he's continuing to think big about his professional goals and the healthcare system at large.


Watch the full podcast here.


LATEST ORTHOPAEDIC RESEARCH


The SCIENCE Study: Surgical vs Non-surgical Care for Pediatric Displaced Medial Epicondyle Fractures In pediatric patients with medial epicondyle fractures, how do surgical and non-surgical treatment compare with respect to upper limb function, 12 months post-treatment? (Read)

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High‐Pressure Pulsatile Lavage Versus Manual Rinsing on Bone Cement Penetration in TKA In adults undergoing primary cemented TKA for knee osteoarthritis, does high-pressure pulsatile lavage compared with manual rinsing prior to cementation increase cumulative bone cement penetration? (Read)




Resveratrol Supplementation Improves Functional Performance in Knee Osteoarthritis with Sirtuin 1 In adults with knee osteoarthritis, does 500 mg/day oral resveratrol supplementation compared to a placebo improve knee pain, functional outcomes, and plasma SIRT1 levels? (Read)




Thanks for reading!



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