Comparative Effectiveness and Safety of Epidural Anesthesia, Intra-articular Injection, and Local Infiltration Analgesia in Hip Arthroscopy for Femoroacetabular Impingement Syndrome
Hip arthroscopic surgery for femoroacetabular impingement syndrome (FAIS) often results in substantial postoperative pain, necessitating effective analgesic strategies. While epidural anesthesia (Epi), intra-articular injection (IA), and local infiltration analgesia (LIA) are commonly used, direct comparisons of their efficacy and safety in this population remain limited. This study aimed to retrospectively compare these three modalities with respect to postoperative pain, opioid consumption, and adverse events of Epi, IA, and LIA in patients undergoing hip arthroscopic surgery for FAIS.
Source: ScienceDirect
Robotic-arm-assisted versus conventional total knee replacement (RACER-Knee): a pragmatic, multicentre, participant-masked and assessor-masked, superiority, randomised controlled trial
Robotic systems are being increasingly used to assist with total knee replacement (TKR). Whether robotic systems improve outcomes after TKR is uncertain. We aimed to ascertain the clinical efficacy and cost-effectiveness of the Mako robotic-arm system compared with conventional instruments for TKR.
Source: The Lancet
Biologic Therapies for Knee Osteoarthritis: A Structured Narrative Review of Joint Preservation Strategies and Clinical Outcomes
As interest in joint preservation strategies has grown, biologic therapies have emerged as promising approaches capable of modulating the intra-articular environment and potentially delaying invasive interventions.
Source: Arthroplasty Today
Do Hip Precautions Matter After Posterior Approach Total Hip Arthroplasty With Capsular Repair? A Randomized Control Trial
The clinical efficacy of posterior hip precautions in preventing dislocation after primary posterior approach total hip arthroplasty (THA) remains uncertain. Such mobility restrictions may delay patients’ return to daily activities and functional recovery. The aim of this study was to determine whether THA hip precautions impact hip dislocation rates.
Source: The Journal of Arthroplasty
Labral reconstruction for irreparable labral tears in adolescents and young adults: positive functional improvement and high survivorship at 5-year follow-up
The acetabular labrum is a crucial component for the hip joint stability. Studies have demonstrated its role in maintaining intra-articular synovial fluid pressurization-creating negative intra-articular pressure. Additionally, the labrum enhances joint stability by increasing acetabular volume by 33%, deepening the socket, and improving resistance to lateral and vertical motion of the femoral head within the acetabulum
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