Noticias Dec 29, 2018 New option for massive irreparable rotator cuff tears Orthopedic surgeons use an acellular human dermal allograft to perform superior capsule reconstruction (SCR) and employ the leftover allograft to resurface the undersurface of the acromion, providing more-durable outcom[...] Dec 29, 2018 Novel stem cell therapy for repair of knee cartilage A unique approach to repairing knee cartilage mixes donor mesenchymal stem cells from the Mayo Clinic Center for Regenerative Medicine stem cell bank with recycled autologous cells to quickly obtain enough cells to fill[...] Dec 22, 2018 Hip arthroscopy: Focus on underlying abnormalities Mayo Clinic's comprehensive, evidence-based approach to hip arthroscopy focuses on correcting the underlying bony abnormalities that drive the process of labral tears. Dec 22, 2018 Improved technique for extensor mechanism reconstruction A new technique for extensor mechanism reconstruction after total knee arthroplasty relies on a stepwise approach that helps ensure that the mesh is properly incorporated into the host soft tissues. Dec 22, 2018 Cervical spine surgery: Intraoperative monitoring to avoid complications Routine use of somatosensory- and motor-evoked potentials and electromyography allows a multidisciplinary team of orthopedic surgeons, neurologists, physiatrists and electrophysiologists to monitor nerve pathways and pr[...] Dec 22, 2018 DRUJ: Novel approaches to diagnosis and treatment Mayo Clinic developed the Four-Leaf Clover diagnostic algorithm to address the major components and enhance the management of distal radioulnar joint (DRUJ) conditions. The algorithm focuses on four key factors of DRUJ [...] Sep 18, 2018 Pediatric limb salvage: Team approach to orthopedic oncology Mayo Clinic specialists work together to maximize outcomes for children with long bone sarcomas. Sep 18, 2018 Upper extremity reconstruction in tetraplegia Mayo Clinic uses standard hand surgical techniques to increase patients' independence after spinal cord injuries. Sep 18, 2018 UCL injuries: Defining risk and improving treatment Mayo Clinic is working to prevent ulnar collateral ligament injuries, and to tailor treatment to an individual athlete's needs. Sep 18, 2018 Less invasive approach to lumbar fusion The new technique allows surgeons to avoid the extensive soft tissue and muscle dissection associated with open surgery. Sep 18, 2018 Customized implants for knee replacements The customized implants work more precisely with the patient's ligaments and tendons, avoiding off-the-shelf compromises. Apr 20, 2018 Complex foot deformities: A case study Complex foot and ankle deformities are challenging for both physicians and patients. Surgeons must take into account not only the type, location and severity of the deformity, but also patient goals and level of social [...] Mar 20, 2018 Combining expertise to treat traumatic injuries Mayo surgeons go beyond typical Level I trauma care, providing efficient treatment for patients of all ages with complex injuries. Mar 20, 2018 Specialized care for infected joints Mayo manufactures antibiotic spacers at the time of surgery. This individualized approach enhances mobility while medication clears the infection. Mar 20, 2018 Robotic full knee replacement in Florida Accurate balance of ligaments and soft tissue is key to successful full knee replacement. Robot-assisted technology provides intraoperative information to help achieve that balance, increasing patients' satisfaction wit[...] Mar 20, 2018 In-office arthroscopy for diagnosing knee pathology An enhanced method of in-office imaging can provide more-accurate views than MRI, especially for people who have had previous knee surgery. Mar 20, 2018 Total elbow replacement: Matching the success of hips and knees A prosthetic elbow developed at Mayo Clinic has minimal rates of revision, offering a stable and durable joint replacement for people with debilitating elbow injuries. Oct 6, 2017 Fractured: Repairing the acetabulum Acetabular fractures are complicated to repair. Best outcomes for patients are likely to be associated with consultation with a Level I trauma center, where specialists can review films and advise regarding next steps i[...] Sep 23, 2017 Advances in pediatric spine deformity care Orthopedic pediatric surgical teams in Mayo's pediatric spine deformity treatment program ensure maximum safety for patients, improve their comfort postoperatively and markedly reduce their length of hospital stay. Sep 23, 2017 Shifting the paradigms for complex shoulder surgery New surgical techniques — muscle transfers that can restore some deltoid function as well as tendon transfers for massive rotator cuff tears, brachial plexus injury, trapezius paralysis and subscapularis tears &md[...] Sep 22, 2017 Wrist replacement: An option for advanced arthritis Wrist replacement, rather than fusion, can provide relief from pain and instability while preserving the range of motion needed for daily activities. Sep 22, 2017 Direct anterior hip arthroplasty Researchers found that patients who underwent direct anterior approach (DAA) total hip arthroplasty had objectively faster recovery than patients who had mini-posterior approach. Functional milestones occurred about fiv[...] Sep 22, 2017 Young Hip Clinic: Combining arthroscopy and open surgery Mayo orthopedic surgeons collaborate to treat young, active people with painful hip deformities. Specialists often perform hip arthroscopy and osteotomy in a single procedure. Sep 22, 2017 Wide-awake hand surgery Wide-awake local anesthesia, no tourniquet (WALANT) allows specialists to perform hand surgery procedures such as carpal tunnel release, tendon repair and removal of masses while patients are under local anesthesia. Feb 28, 2017 Preoperative planning and patient-specific instrumentation improve accuracy of shoulder arthroplasty Three developments — 3-D preoperative planning, patient-specific instrumentation and 3-D printing — have greatly increased the accuracy of glenoid component placement and improved the likelihood of optimal o[...] Feb 25, 2017 Distal radius fractures in older versus younger patients The goal of treatment is to restore the previous level of function with minimal risk, but the appropriate treatment may vary, depending on the patient's age and activity level, existing medical conditions, bone quality,[...] Feb 25, 2017 Innovative approaches improve limb salvage in pediatric patients with cancer Advances including adjuvant chemotherapy regimens, improved imaging and custom implants have improved the five-year survival rate for local pediatric bone cancers to 60 to 80 percent. Feb 25, 2017 Trauma surgeons uniquely qualified to treat SIJ dysfunction Current studies suggest sacroiliac joint (SIJ) involvement in 15 to 30 percent of patients with low back pain and a much higher prevalence in patients who have undergone lumbar fusion procedures, whether or not the fusi[...] Sep 24, 2016 Reducing the risk of recurrent patellar instability in skeletally immature patients Most first-time patellar dislocations in skeletally immature patients are managed conservatively, despite the frequency of recurrent dislocations. A new trial aims to determine whether medial patellofemoral ligament rec[...] Sep 23, 2016 Limb Lengthening and Regeneration Clinic addresses complex discrepancies and deficiencies Recent advances in limb-lengthening devices and techniques, including FDA approval of the PRECICE implantable intramedullary rod, means that most patients can now be successfully treated for complex limb deficiencies an[...] Sep 23, 2016 Minimally invasive spine surgery: Hit or miss? The goal of minimally invasive spine surgery (MISS) is to achieve outcomes equivalent to open surgery while minimizing soft tissue damage. Although pain and recovery times are often reduced in MISS, long-term outcomes a[...] Sep 23, 2016 Dexamethasone may prevent post-traumatic osteoarthritis A new trial is investigating whether one-time, low-dose dexamethasone can prevent post-traumatic arthritis after osteochondral fractures and ligament or meniscus tears. Jan 22, 2016 Scapholunate injuries: A paradigm shift? Four-dimensional CT technology allows earlier and better assessment of dynamic joint instabilities while also helping locate the exact site of ligament injury. Jan 21, 2016 Ponseti treatment for clubfoot: Past and future The Ponseti method for treating clubfoot involves serial casting and percutaneous Achilles tenotomy of the affected foot followed by bracing to maintain the correction. Although time-consuming and arduous, it remains th[...] Jan 19, 2016 Animal models aid study of arthrofibrosis after TKA Despite improved surgical techniques and implant design, rates of arthrofibrosis after total knee arthroplasty (TKA) have remained relatively unchanged for two decades. Now, translational studies are increasing understa[...] Jan 20, 2015 Improving complex spine surgery outcomes with intraoperative CT navigation Improving complex spine surgery outcomes with minimally invasive surgical techniques and intraoperative CT navigation is a rapidly evolving practice at advanced spine centers. Mayo Clinic's novel low-dose protocol optim[...] Dec 2, 2014 Stem cells studied as minimally invasive treatment for avascular necrosis of the femoral head Link between epigenetics and steroid use may predispose patients to develop steroid-sensitive AVN subtype - Study data may also point the way to developing a new therapeutic risk-stratification screening prior to steroi[...] Jun 10, 2014 First nationwide prevalence study of hip and knee arthroplasty shows 7.2 million Americans living with implants Mayo Clinic researchers recently presented the first prevalence study of joint replacement, showing an estimated 4.7 million Americans have undergone total knee arthroplasty and 2.5 million have undergone total hip arth[...] Anterior cruciate ligament reconstruction graft selection Considerations for selecting a graft for ACL reconstruction - Data show roughly equivalent clinical outcomes for various graft types used in anterior cruciate ligament reconstruction, yet graft selection remains controv[...] Innovative bone-preserving approaches to managing shoulder arthritis in young adults using shoulder replacement Managing shoulder arthritis in young adults - Managing shoulder arthritis in adults under age 65 can be challenging because of their reluctance to consider total shoulder arthroplasty. However, when performed by an expe[...] Advances in articular cartilage defect management Innovations in managing articular cartilage defects of the knee - An aging and active population puts articular cartilage of the knee increasingly at risk of injury. To manage cartilage defects, Mayo Clinic orthopedic s[...] Shoulder Pain: Raising the level of diagnostic certainty about SLAP lesions Improving diagnostic certainty of SLAP lesions - There is a risk of surgical overtreatment of patients with shoulder pain symptoms suggestive of a superior labrum anterior and posterior lesion. This risk can be reduced [...] Medical Professionals news