New research has identified hip implant materials with the lowest risk of needing revision, helping hospitals, surgeons and patients to choose what hip implant to use for replacement surgery.
Neutral or natural? Researchers from Kyushu University collected convincing evidence on joint alignment that could settle an ongoing dedate regarding best practices in knee replacement surgery.
A sensor that measures forces passing through the hip joint could help surgeons assess and balance the soft tissues before performing hip implant surgery, leading to more accurate implant positioning.
A crucial component in joints, cartilage is notoriously difficult to repair. Now, US researchers have developed a promising bioactive material to regenerate cartilage in knee joints.
US researchers applied an injectable new therapy, which harnesses fast-moving “dancing molecules,” to repair damaged human cartilage cells within just 4 hours.
Using advanced technology from the automotive and manufacturing industries, researchers are driving medical advancement to create ‘personalised’ hip replacements.
An ageing population and modern lifestyle conditions have greatly increased the case numbers for hip arthroplasty. To prevent complications, it is important for orthopaedic surgeons to identify high-risk patients and take proper precautions. At the Heraeus symposium at DKOU, two experts explored the special measures that should be taken to ensure better outcomes for elderly and frail patients.
Researchers present new 3D-printable materials that can be easily monitored using X-ray or CT imaging. This has great potential to expand the possibilities of reconstructive and plastic surgery.
Researchers have identified how cells work to resolve "frozen shoulder", a painful and disabling condition affecting the ligaments that form the shoulder joint capsule.
Surgical robots are becoming widespread in operating theatres, delivering accuracy and safety. An overview of the main systems, principal operators, the market and European initiatives in this field.
Arthroplasty for femoral neck fractures has seen enormous progress in recent years, but complications due to infections are still a major problem. With good preparation and the right technique, however, orthopaedic surgeons can take away much of the horror of this scenario.
Researchers from the University of Jyväskylä and the Central Finland Health Care District have developed an AI based neural network to detect an early knee osteoarthritis from x-ray images.
Periprosthetic infections and revisions are on the rise in Germany and worldwide, with significant consequences for affected patients as well as for the healthcare systems. Precisely because the number of patients at higher risk of infection in arthroplasty continues to rise, attention is increasingly focused on how this dreaded complication can be avoided.
Arthroplasty treatment of fragile patients is a major challenge faced by orthopaedic surgeons. The patients, often geriatric, come with a variety of risk factors and comorbidities that can negatively impact the success of an arthroplasty procedure.
A research team has created the first gel-based cartilage substitute that is even stronger and more durable than the real thing, offering a promising solution for patient suffering from knee pain.
A new kind of bone implant reduces the chance of infection, and therefore significantly decreases implant failure rates.
Professor Dr Henning Windhagen is a great fan of semi-automatic systems that help with implants but leave the surgeon in the driver’s seat.
Periprosthetic joint infection (PJI) can be an enormous challenge for orthopaedists and trauma surgeons. Antibiotic-loaded bone cement is an important element in a prevention strategy.
X-ray vision, context-sensitive guidance, coordinator, training assistant and more: augmented reality (AR) has hit the OR. While still in its infancy AR does grow rapidly and has already shown enormous potential. University Professor Dr Rüdiger von Eisenhart-Rothe, Chair of Orthopaedics and Sports Orthopaedics at the Technical University Munich, explains the advantages of different AR…
Wearable technology has become an important part of medicine, from tracking vital signs to disease diagnosis. In surgery, wearable technologies can now assist, augment, and provide a means of patient assessment before, during and after surgical procedures. Wearable technologies are applied before the patient even reaches the operating room, for example in prehabilitation, i.e. pre-treatment…
Researchers at the University of Southampton have invented a new way to generate human cartilage tissue from stem cells. The technique could pave the way for the development of a much-needed new treatment for people with cartilage damage. Cartilage acts as a shock absorber in joints, but it is susceptible to damage through daily wear-and-tear, or trauma from sports injuries and falls.
For decades, hip arthroplasty has been a routine procedure. In Europe, both total and partial hip replacements are the most frequent surgical interventions for patients with hip fracture or osteoarthritis. The treatment relieves pain and has good long-term outcomes. In cemented hip replacement, the artificial acetabulum and/or the femoral stem are fixed with bone cement and implant and bone bond…
Customizable to individual patients and requiring less than 10 minutes to prepare and use, new surgical implant coating prevented 100% of infections in mice.
Cartilage cells from the nasal septum can not only help repair cartilage injuries in the knee, they can also withstand the chronic inflammatory tissue environment in osteoarthritis and even counteract the inflammation – according to researchers from the University of Basel and the University Hospital Basel.
3D metal printing technology is producing personalised medical-grade titanium-alloy plates that perfectly fit individuals suffering arthritis of the knee. Engineers at the University of Bath’s Centre for Therapeutic Innovation (CTI) working with 3D Metal Printing Ltd, are using the TOKA (Tailored Osteotomy for Knee Alignment) treatment to improve the surgical procedure and fit of high-tibial…
A £4 million research project will develop a new generation of artificial joints that last longer, produce fewer side effects and are better suited for younger people. The international collaboration, led by the University of Leeds and funded by the EU’s Horizon 2020 programme, will focus on improved design and testing to reduce the chance that the implants develop faults and fail, or cause…
Scientists have used a technique to grow bile duct organoids – often referred to as ‘mini-organs’ – in the lab and shown that these can be used to repair damaged human livers. This is the first time that the technique has been used on human organs. The research paves the way for cell therapies to treat liver disease – in other words, growing ‘mini-bile ducts’ in the lab as…
Joint cartilage usually regenerates very poorly. The matrix of cartilage (scaffolding) contains very few cells in deep layers. Moreover, joint cartilage is highly isolated: there are neither regenerative cells in the immediate vicinity that could migrate into the site of the defect and trigger repair, nor vessels that could transport regenerative cells to the cartilage. Unsurprisingly,…
Osteoarthritis affects more than 30 million adults and is the fifth-leading cause of disability in the United States. In a new study, scientists have discovered the cellular pathway that leads to the joint disease and have identified a commonly used anti-depressant — paroxetine — that inhibits this pathway.
A novel outpatient procedure offers lasting pain relief for patients suffering from moderate to severe arthritis in their hip and shoulder joints, according to a study presented at the annual meeting of the RSNA.
Increasingly, hospitals use 3D printing in surgery because the technology can enable fast, unique production of patient-tailored tools at relatively low costs. ‘As the technology itself is developing and accelerating at a fast pace, hospitals may be left behind if they choose not to adopt these advances,’ said Limor Haviv, surgical 3D printing designer at 3D4OP. Today, 3D printing is used in…
Patients who have hip or knee replacements are set to get more support with their recovery following the launch of a new research study that uses wearable technology to monitor walking patterns. The Norfolk and Norwich University Hospital (NNUH) has joined forces with Dynamic Metrics Ltd (DML) to develop and test a system to study mobility and improve a patient’s gait after a joint replacement.
An algorithm that analyses MRI images and automatically detects small changes in knee joints over time could be used in the development of new treatments for arthritis. A team of engineers, radiologists and physicians, led by the University of Cambridge, developed the algorithm, which builds a three-dimensional model of an individual’s knee joint in order to map where arthritis is affecting the…
More than 200,000 patients undergo hip replacement surgery in Germany each year. To avoid complications and extend the lifespan of the artificial joint, the implants must be fitted precisely in the acetabulum (hip socket). The procedure, particularly milling the acetabulum, is not only difficult but also the technique is difficult to teach and train.
Periprosthetic joint infection (PJI) is on the increase internationally. In Germany, for example, around 14,500 cases of PJI in hip and knee replacements occur annually. 5,100 of those are caused by multidrug resistant pathogens. ‘Eighty-seven percent of those affected die within five years,’ orthopaedic surgeon Professor Rudolf Ascherl MD pointed out during the Heraeus Symposium held at the…
The first use of a robot-supported surgical intervention was reported in 1985, when the robot arm PUMA 560 placed a needle for a cerebral biopsy using CT guidance. Since then, strong growth in the market for robotic surgery has occurred, due to an increasing automation demand in the healthcare as a whole and greater concentration on minimally invasive surgery (MIS) for faster recovery.…
Patients with the rare Loeys-Dietz syndrome suffer from aortic enlargement which may result in sudden over-expansion and a fatal aortic tear. In order to prevent this from happening, an aortic prosthesis must be implanted. A team of vascular surgeons at the University Hospital of Zurich was one of the first in the world to risk undertaking this life-saving operation on a child as an emergency…
Digitalization offers great potential for hospitals: diseases can be detected earlier, internal processes more efficiently organized, health expenditure reduced and patients better cared for. Artificial intelligence, robotics, sensor technology, big data, additive manufacturing or augmented reality - the technologies for this have long been available.
Physicians in Germany remove around 200,000 gall bladders annually, mostly by minimally invasive surgery, the so-called keyhole surgery. While gall bladders and appendices can be removed through a tiny aperture in the body, large tumours cannot. Patients also profit from the keyhole technique with joint and bone problems in the knee, shoulder or elbow. Advantages: small cuts, less blood loss,…
According to the Swedish Knee Arthroplasty Register, knee arthroplasty – with a revision rate of five percent after ten years – is one of the most successful surgical interventions of the post-World War II decades. The most frequent reasons for revision are loosening or infections, whereas patient dissatisfaction is often caused by mobility impairment and pain. Since many adverse events are…
Smart knee implants may soon be a reality thanks to research conducted by a team including faculty at Binghamton University, State University of New York. Knee replacement surgery is the most common joint replacement procedure, with the number of surgeries increasing every year. Many of those surgeries are done to replace an older implant or one that has worn out. Increasingly, this surgery is…
Jhy-Wey Shieh sees the link between Taiwan and Germany as obvious: ‘The word “trade” – of central importance for Medica – starts with “t” for Taiwan and contains “de” for Germany – there is no better way to put it.’ Even though the Taiwanese ambassador’s linguistic journey was not to be taken too seriously, this year’s presentation from the Taiwan External Trade…
Hip and knee joint surgeries are among the most common procedures in orthopaedics and trauma surgery and complications can occur. Rare, but serious, among these is periprosthetic joint infection (PJI), which causes high costs in healthcare and stress for patients. PJI is caused by microorganisms that form a biofilm on the surface of the implant and, in this sessile state, they are difficult to…
Hip and dental implant operations are routine. But not entirely risk-free. They may result in infection that is difficult to control with oral or intravenous antibiotics. In such cases, the implant will probably need to be replaced. Fraunhofer researchers can now apply a precisely matched drug directly to the replacement implant while significantly increasing the effectiveness of the antibiotic…
Could weight loss surgery before knee replacement improve outcomes or even eliminate the need for joint replacement in severely overweight patients? A study by researchers at Hospital for Special Surgery (HSS) aims to answer that question. Orthopedic surgeons often encourage obese patients considering knee replacement to try to lose weight before the procedure. The study, known as SWIFT (Surgical…
Weak, easily broken bones are an epidemic in the United States. They’re often tied to osteoporosis, a disease that causes bones to degenerate over time. This makes them less flexible, more brittle, and easier to break. According to the International Osteoporosis Foundation, more than 44 million Americans aged 50 and older either have or face the threat of developing osteoporosis due to low bone…
Recognising malignant tissue remains a tricky task. While today, most patients undergo a biopsy, an invasive procedure where tissue is sampled, stained and assessed, researchers are exploring the potential of optical biopsy, the visual assessment of suspect tissue. The interest in optical biopsy ‘is indeed enormous,’ confirms Dr Thomas Bocklitz, physicist at Friedrich-Schiller University in…
Will there come a time when a patient with arthritis can forgo joint replacement surgery in favor of a shot? Keck School of Medicine of USC scientist Denis Evseenko, MD, PhD, has reason to be optimistic. In a new publication in the Annals of Rheumatic Diseases, Evseenko’s team describes the promise of a new molecule aptly named “Regulator of Cartilage Growth and Differentiation,” or RCGD…
Joint replacement surgery carries the risk of developing an infection in the replaced joint, which can lead to a so-called revision or re-do of the joint replacement. However, current diagnostic practices can fail to detect bacteria in 30-50 percent of clinical cases, complicating or delaying appropriate treatment. Thomas Jefferson University researchers have found that genomic analysis using…
Infections associated with osteosynthesis and prostheses are not to be underestimated: the infection rate is reported to be one to three percent after joint prosthetic surgery and five to 10 percent after osteosyntheses. ‘When you include later infections, the rate is twice as high,’ says Professor Andrej Trampuz, infectologist and Head of the Centre for Septic Surgery at the Centre of…
Researchers using CT scans and 3-D printing have created accurate, custom-designed prosthetic replacements for damaged parts of the middle ear, according to a study being presented at the annual meeting of the Radiological Society of North America (RSNA). The technique has the potential to improve a surgical procedure that often fails because of incorrectly sized prosthetic implants, researchers…
A controversy regarding the benefit of early screening programmes for breast cancer continues. Germany, Austria and Switzerland have developed individual strategies. European Hospital asked three experts from these countries to outline each chosen system. Markus Hahn MD, senior consultant at the University Breast Centre in Tübingen, Martin Daniaux, MD, Head of Breast Diagnostics at the Breast…
The association of biofilms with multi-drug resistance has highlighted the need for further understanding of biofilms and for anti-biofilm strategies.
With MEDICA 2017 drawing ever nearer, Joachim Schäfer, Managing Director of Messe Düsseldorf GmbH, sets the stage with the following statement:
Clinicians and researchers in Southampton are leading a pioneering study into the use of computer-generated hand models to help improve the success of joint surgery for patients with arthritis.
Bill Kochevar is the first recipient of implanted brain-recording and muscle-stimulating systems reanimates limb that had been stilled for eight years.
At the 2nd International Conference on 3D Printing in Medicine from May 19-20, 2017 in Mainz, Germany, the focus is on innovative deployment options for the 3D print process in medicine. Today already, 3D printing is being applied in virtually all medical disciplines.
Good news for World Antibiotics Day on November 18th. As local substances carriers, antibiotic-loaded bone cements from Heraeus help in the battle against implant-associated infections in orthopaedics and trauma surgery to prevent infection. This is demonstrated by a new randomised study from Great Britain in which the use of double-loaded antibiotic bone cement following femoral head fracture…
3D imaging is continuously improving, with devices simultaneously becoming more manageable and mobile. The new C-arm system Ziehm Vision RFD 3D is opening up a new dimension. The device was tested by Dr Jan-Sven Jarvers, orthopaedic and trauma surgery specialist at the University Hospital Leipzig, and was introduced last September during the Eurospine Congress in Copenhagen. ‘In the future,…
With a goal of treating worn, arthritic hips without extensive surgery to replace them, scientists have programmed stem cells to grow new cartilage on a 3-D template shaped like the ball of a hip joint. What’s more, using gene therapy, they have activated the new cartilage to release anti-inflammatory molecules to fend off a return of arthritis. The technique was demonstrated in a collaborative…
In an effort to develop a method for cartilage tissue engineering, researchers at Umeå University in Sweden successfully used cartilage cells from cow knee joints. By creating a successful method with conditions conducive to growing healthy cartilage tissue, the findings could help lead to a new treatment cure for osteoarthritis using stem cell-based tissue engineering. This is according to a…
Locally applied antibiotics are a component of effective infection management in orthopaedics and trauma surgery. Successful concepts are based on patient-specific surgical and antimicrobial treatment. At the symposium “Infections and high-risk patients: solutions for joint replacements and traumatology” at this year’s Congress on Orthopaedics and Trauma Surgery (DKOU) in Berlin last…
Studies are underway to determine if a new modular partial wrist replacement will allow for better movement and last longer than traditional implants for people seeking relief from painful wrist arthritis. Although current options such as total wrist replacement and wrist fusion can alleviate pain, patients are often limited in performing certain activities after surgery.
For all the advances being made in this discipline, postoperative infections remain a great challenge for orthopaedists and trauma surgeons. More than 7,000 experts from around the globe are gathering in Prague for the 16th EFORT Congress to consult on ways to optimise prevention and therapy for these dreaded complications.
Blocked blood vessels can quickly become dangerous. It is often necessary to replace a blood vessel – either by another vessel taken from the body or even by artificial vascular prostheses. Together, Vienna University of Technology and Vienna Medical University have developed artificial blood vessels made from a special elastomer material, which has excellent mechanical properties. Over time,…
Knee injuries are the bane of athletes everywhere, from professionals and college stars to weekend warriors. Current surgical options for repairing damaged cartilage caused by knee injuries are costly, can have complications, and often are not very effective in the long run. Even after surgery, cartilage degeneration can progress leading to painful arthritis. But a University of Iowa orthopedics…
Picture Archiving and Communications systems (PACS) are well established for managing radiology images. Could this robust and mature technology now become the backbone for creating the digital operating theatre? Report: John Brosky
Anyone who becomes seriously ill or has an accident while on holiday would like to be treated as well as they are at home. It is vitally important for the patient that the doctor has been well trained, in particular in intensive care medicine
Early diagnosis and effective therapy of periprosthetic joint infections (PJI) remain a challenge for many physicians due to the complexity and heterogeneity of clinical symptoms. As individual solutions are needed, opportunities to discuss and exchange ideas are welcome, as clearly shown during the satellite symposium on the diagnosis and treatment of periprosthetic knee infections held at this…
Medical technology still is among the fastest growing industries worldwide. However, the growth of the demand volume even in emerging markets is less based on volume expansion but more driven by targeted investments in modern systems and procedures.
Postoperative infections after knee or hip joint replacements are among the most feared complications in orthopaedic surgery. At the EFORT Congress in London current research was presented that provides new insights in this field: Fracture patients are especially vulnerable to infection. New biomarkers should improve early diagnosis of risky infections.
A hybrid operating theatre is considered ideal for TAVI because cardiologists and cardiac surgeons can work hand in hand. Here, in the hybrid theatre at Kerckhoff Heart Centre, Bad Nauheim, a transcatheter aortic valve implant with transfemoral access is being performed. The clean air room features cardiac cath lab equipment and an X-ray system.
The number of patients treated with implants – from cardiac pacemakers, heart valves and vascular implants to artificial hips and knees – is rising worldwide.
Professor Axel Haverich and team at the Clinic for Cardiothoracic, Transplant and Vascular Surgery in Hanover Medical School (MHH) have been carrying out research into decellularised heart valves for over 15 years. They trialled a procedure – initially in the laboratory and in animal experiments – which does not cause tissue rejection, is hoped to last a lifetime and, in the case of children,…
Countries vary considerably in the number of cases in which artificial knee joints are employed, according to researchers from the Medical University of Graz (Austria) reporting at the EFORT Congress in Istanbul.
Simultaneous surgical successes open new perspectives for multiple transplants
Surgical Innovations Clinical Advisory Board member and Harrogate hip surgeon Mr Jon Conroy has today commented on how Lady Gaga’s imminent surgery will help raise the worldwide profile of pioneering minimally invasive hip surgery.
The demand-side markets for medical technology and medicinal products are undergoing changes worldwide and the supply side is providing the right answers with its solutions for high-quality but also economic medical care.
Curetis AG and Heraeus Medical GmbH have signed a collaboration agreement to jointly develop a novel Unyvero™ cartridge for the detection of pathogens and antibiotic resistances in implant & tissue infections (ITI).
Although scientists and medics have sought ways to grow artificial skin in laboratories since the 1970s, only now has it become possible to reproduce the top layer of skin, thanks to work at the Trauma Surgery and Orthopaedics Clinic in Berlin (ukb).
One heart – One Team, the motto for this year’s German Society for Thoracic and Cardiovascular Surgery Congress emphasises that cardiac surgeons and cardiologists must now work more in tandem for their mutual patients. This is not just a short-lived three-day slogan, but a daily reality at the University Heart Centre Hamburg, as EH correspondent Holger Zorn reports
A €35,000 DRG reimbursement for TAVI has put Germany in the lead for this procedure – and prompted sharp competition and disputes between cardiologists and cardio-surgeons, Holger Zorn reports.
Much has changed for medical device manufacturers. Take scanner development; whereas the aim has long been to increase multi-slices, produce higher field strengths and sharper images, optimise the ergonomics and then launch the new product at a specific group of customers, in recent years this approach became insufficient.
Improved cooperation, a database for artificial joints, antibiotics against pathogens – orthopaedic specialists and surgeons are banking on different ways of increasing patient safety. Report: Susanne Werner
More than 30 clinicians, researchers and industry partners (including Siemens, Aesculap and SurgiTAIX, an RWTH spin-off) are working on OrthoMIT, Germany’s largest collaborative orthopaedic research project that aims to develop future strategies for knees, hip and spinal surgery. Anja Behringer reports
Participants at European Health Forum Gastein 2011 (EHFG) agreed: the tendency in Germany and Austria is to operate far too soon (particularly for hip, knee and disc surgery), and many surgical interventions are unnecessary, posing a particular and increasingly urgent problem especially in industrialised countries. Hans-Christian Pruszinsky reports
Although the 17 lectures delivered at this year‘s Medical Technology Congress in Berlin, Germany, focused on topics ranging from experimental and clinical research to routine daily diagnostic methods, the pervading interest was in the improvement, development and distribution of non-invasive imaging devices and corresponding software.
A major public hospital has become the first in Paris to be equipped with a Gamma Knife, the device that enables the surgeon to operate on the brain with no blade or blood involved.
United Kingdom – A call has been made for tighter regulatory controls to ensure the safety regulation of medical devices, following joint investigations carried out by the British Medical Journal and the Channel 4 TV programme Dispatches, which were televised and published online at BMJ.com this May.
Bacteria are highly flexible when it comes to choosing a vehicle to enter a human body. During orthopaedic surgery, they may well settle on a prosthetic joint and cause immediate or delayed infections.
Bypass surgery figures declined again in 2010. Reason: Most coronary heart disease (CHD) patients are being treated by removal of the obstruction followed by stent implantation -- a situation criticised by Professor Jochen Cremer, first Vice President of the DGTHG (German Society for Thoracic and Cardiovascular Surgery).
The 12th EFORT Congress, celebrating the 20th year of the European Federation of National Associations of Orthopaedics and Traumatology, aims to update knowledge of any specialty or subspecialty involving the diagnosis and management of bone and joint problems. The event will draw experts from over 30 European countries, and also benefit from specific contributions from Nordic countries.
Stroke, breast cancer detection, sports medicine – the clinical programme is an impressive illustration of this year’s congress theme: Radiology is diversity. Florian Schneider asked the joint congress Presidents, Professor Bernd Hamm (Berlin) and Professor Walter Hruby (Vienna) to highlight the major topics at this, the largest medical imaging event (attendance around 7,000) in the…
Every year thousands of patients with less than one year to live are denied a heart valve replacement because they are too frail to undergo surgery. These patients tend to be over 75 years of age and suffering from multiple health problems, such as respiratory conditions that preclude general anaesthesia, end-stage failure of liver or kidneys, or a history of coronary surgery. Two years ago they…
No white lab coats anywhere; instead men in hard hats, equipped with hammers and drills. The Düsseldorf University Hospital’s Cardiology Pneumology and Angiology Clinic is a construction site, but once the workmen have packed up their tools and removed the scaffolding the view to the human heart will be unobstructed and clearer than ever before. Here, innovative patient care and a highly…
Until now, orthopaedic surgeons have had limited options for the treatment of progressive degradation of the knee joints (osteoarthritis) in active patients who require care, but are not yet ready for a total knee replacement. DePuy Orthopaedics EMEA now launches the first complete surgical system Sigma® High Performance Partial Knee, specifically designed to treat progressive osteoarthritis…
This year's European Congress for Orthopaedics, Orthopaedic Surgery and Traumatology, organised by the European Federation of National Associations of Orthopaedics and Traumatology (EFORT) and which will in tandem with the Spanish Orthopaedic and Traumatology Society (SECOT) Congress, is expected to draw 7,500 international participants.
A young singer leans against the mixing desk in a recording studio in a laid-back manner. She listens to songs just recorded for her new album, moving her lips to the sound. Suddenly she stops, reaches for her head and seconds later collapses, unconscious. On hospital admittance physicians discover that a previously undetected aneurysm in her brain has ruptured.
ECCO 15 – ESMO 34, the joint congress of the European CanCer Organisation (ECCO) and the European Society for Medical Oncology (ESMO), is Europe’s largest oncology meeting; the event drew to Berlin 15,000 participants from 120 countries this September, when more than 2,000 presentations were made. Among the presentations on prevention, treatment and survivorship, proteomics, biomarkers,…
The Leapfrog Group is a U.S. organisation of member companies that pay for healthcare services, e.g. corporations, health insurers and local, state and federal government agencies. Established in 2000, its philosophy is that big 'leaps' in healthcare safety, quality and value to patients will be recognised and rewarded. The organisation mobilises purchasing power of its members, representing over…
One of the key topics at the EFORT Congress, held recently in Vienna, was on opportunities offered by computer-aided surgery (CAS) to achieve better results for many orthopaedic interventions. Within the next decade CAS will lead to the routine use of minimally invasive surgery (MIS) for knee prosthetics, hip replacement and osteotomy.
According to the WHO, some 3 million people across the world require artificial hips as primary joint replacement surgery. Increasingly, surgeons are using minimally-invasive procedures to implant artificial hips, with direct anterior access. It is an ideal extension to the conventional method as the deployment of these procedures for suitable patients, usually results in a significant shortening…
Open MRI not only provides good clinical images for musculoskeletal diagnoses, but also makes it easier to accommodate big-bodied sportsmen.
Osteoarthritis of the knee is a degenerative disease that causes joint pain, stiffness and decreased function. Its frequency increases dramatically with ageing populations. Treatment is multidisciplinary; combinations of pharmacology, physiotherapy and/or surgery are used for most patients.
Progress in cardiac imaging diagnostics has made cardiac catheterisation less common. What may sound like 'fishing in foreign territory' is in reality the chance for interventional cardiologists to concentrate on, and specialise in, more innovative invasive procedures.
Pressure ulcers are a risk for patients undergoing long surgical procedures. Gel pads, widely used to reduce this risk, are considered to have two major disadvantages: they compromise the patient's thermo regulation by "sucking" warmth from the body and they do not provide sufficient pressure reduction for prominent body parts.
Joint replacemtents are daily hospital routine. A first national study in England gives information about the outcome of the often performed hip resurfacing and unicondylar knee replacement techniques. Both surgical operations try to preserve bone - but are they medically sensible?
Women who survive breast cancer for at least five years have a 89% chance that it will not recure. But those, who are still suffering and on endocrine treatment are likely to get arthralgia and arthritis.
In the EU blood clots are responsible for killing 544.000 people each year. Rivaroxaban, a new oral given anticoagulant drug from Bayer Healthcare, is significantly more effective than the current standard of care, according to three recent studies. The number of blood cluts in Europe is about 1.5 million per year, more than thirty percent of the patients affected die.
In a pre-congress discussion with European Hospital, Joint Congress President Professor Richard Fotter explained why paediatric radiology will be a subject of special interest at the event.
Along with paediatric radiology, interventional radiology will have a high profile at the 89th German Radiology Congress and 5th Joint Congress with the Austrian Radiology Society. Congress presidents Professor Dierk Vorwerk and Professor Richard Fotter outlined what's on the agenda for the expected 6,900 visitors. Training, they pointed out, will aim at those preparing to specialise in…
Faced with meniscus injuries surgeons usually decide to remove the torn meniscal cartilage, which typically leaves the deficient knee vulnerable to future arthritis, because the padding that provides shock absorption and joint stability has been removed, causing bone to rub on bone.
Czech hospitals maintain a very high standard of medical care, and their charges are more than affordable for foreign patients. However, local hospitals still lag behind in attracting them; foreign patients are just 0.5% of all clients - a dismal situation.
According to an as yet undefined ruling of the European Court of Justice, EU patients whose names have been on long waiting lists for surgery in their homeland now have a right to be treated in another EU country, and this is to be reimbursed by their national health insurers.
If something doesn't fit we make it fit, and if it doesn't exist we invent it: Pragmatism combined with imagination and idealism are the foundation stones of groundbreaking inventions that improve daily life in medicine.
The new European Transplantation Regulation makes it very difficult, or even impossible, to run a bone bank from 2007 onwards.
About 1,600,000 artificial hips are implanted every year, in Germany alone.
Experts call for screening of surgical and medical patients, and thromboprophylaxis for those at risk.
Early in the history of endoprosthetic hip and knee joint replacements almost exclusively had cement fixations. Now the objective is to replace only the areas of joints actually affected by arthritis and which cause a patient pain.
During the past decade total hip replacements have increased, even for younger patients with degenerative joint disease. Due to new bearing surfaces, such as the ceramics-ceramics combination, the range of postoperative free movements is gaining importance, particularly for younger patients.
Total knee replacement (TKR) is a common procedure for treatment of severe gonarthrosis, but the outcome may be unsatisfactory due to primary malalignment of the prosthetic components. To improve precision and accuracy of this surgical procedure, CASPAR, a commercial robotic surgical system, has been adapted to assist the surgeon in preoperative planning and intraoperative execution of TKR