Facing the prevailing headwinds of the pandemic, the MedTech industry presses on with product innovation and plans for the future. SmartTRAK reports daily on the challenges still ahead, covering all aspects of the Orthopedic market: Extremities, OrthoBio, Spine, Computer Assisted Surgery, Total Joints, Trauma, Soft Tissue Fixation and EU Extremities and Trauma.
This study evaluated the clinical effect of total arthroscopic repair of the anterior talofibular ligament in the treatment of chronic instability of the lateral ankle. clinicaltrials.gov
Treatment of varus posteromedial rotatory instability of the elbow w/ an internal joint stabilizer is as effective as a static lateral ex fix allowing for elbow ROM & eliminating many of the complications associated w/ ex fix concluded a cadaveric study. J Shoulder Elbow Surg
Casting of displaced distal radius fxs in pts > 65 yrs resulted in similar QuickDASH scores compared to treatment w/ volar locking plates after 1 yr although plate fixation led to a faster recovery & greater pt satisfaction w/ function reported a study of 100 pts. Bone Joint J
Early weight-bearing appears safe for pts w/ well reduced oblique & spiral distal tibia fxs treated w/ an IMN, however, it is not recommended in cases of multifragmented patterns that have poor bone contact according to a biomechanical study.Bone Joint J
Warsaw Orthopedics’ US Patent Application “SURGICAL INSTRUMENT AND METHOD” was published describing a surgical instrument for use in treating spinal deformities which includes a second surface engageable w/ an implant & includes a pivot point for applying leverage.
This article reviews the role of the joint mechanical environment in OA pathogenesis, joint biomechanics as an outcome to arthroplasty OA tx and methodological trends for advancing knowledge of the role of biomechanics in OA. Osteoarthritis and Cartilage
A 16-pt (18 hips) hip OA study reported a single BMC injection significantly improved outcome scores; NRS pain w/ activity (from 8 to 4.5) and w/o activity (from 5 to 1), WOMAC (from 31 to 16), mHHS (from 63 to 80) and HOS-ADL (from 71 to 85) at 6 mos post therapy. OJSM
This article highlights a selection of OA imaging articles published between Jan 2019 and Apr 2020, focusing on approaches to imaging and applications on structural modification of articular tissues in pts undergoing various tx plans. Osteoarthritis and Cartilage
Study used a 15 question survey to help define the ACLR graft preference of surgeons and to explore factors associated with their predilection. Surgeons reported the 5 most impt factors in pt graft choice: pt age, graft failure, pivot sport and pt preference. Arthroscopy
This paper reviews sixteen studies including 335 rotator cuff tears and studies the effect of rotator cuff tearing on scapular motion or activation. Journal of Shoulder and Elbow Surgery
INBONE II total ankles exhibited 93.7% survivorship at a mean 85 mos showing high survivorship, maintenance of correction and low incidence of major complications in a study of 15 ankles. The most common complication was lateral gutter impingement. Foot Ankle Int
Encouraging early results are seen in pelvic hip reconstruction using a 2-stage approach of double plating followed by insertion of a retrograde magnetic nail which avoids common complications experienced w/ ex fix devices reported a study of 8 pts. Strategies Trauma Lim Reconstr
An amended technique including additional blocking screws may be necessary to help control the deforming forces from the lower limb muscle compartments adding to the success of the PRECICE Tibial Nail according to a case series of 17 pts. Strategies Trauma Limb Reconstr
Pre-Tied Surgical Knots for Use With Suture Passers
US Patent “Pre-tied surgical knots for use with suture passers” was issued, describing sutures with pre-tied knots for use in percutaneous surgical procedures and devices for easily and quickly tying complex suture knots.
Magnetic Joints LLC (Burien, WA) was issued US Patent “Magnetic locking mechanism (MLM) for joint arthroplasty” describing a coupling mechanism for arthroplasty implant components.
Orthopaedic Innovation Centre (Canada) was granted US Patent “Antimicrobial articles produced by additive manufacturing” describing the process for adding an antibiotic-eluting surface to implants which could include those for joint replacement.
A US Patent “Spinal alignment and securement” was issued to Spinal Developments of North Sydney, AU describing a stabilization device for use in spinal correction &/or fusion procedures consisting of compression & traction arms.
Loubert S. Suddaby’s US Patent Application “METHOD OF CREATING A CUSTOMIZED SEGMENTED ALIGNMENT ROD FOR ALIGNMENT OF A SPINE” was published describing a computer-generated tailored rod design to treat scoliosis & other deformities and avoid spinal fusion.
MAKO* - Stryker*
In a prospective study, authors compared accuracy of THA implant position with direct anterior approach vs robot-assisted (MAKO) (n=25 propensity-matched pairs). Errors w/ manual vs robot were 2.3x w/ for anteversion & 6.3x w/inclination. Surg Technol Int
Glenmark Pharmaceutical’s US Patent “Triazolone compounds as mPGES-1 inhibitors” was granted relating to inhibitors of the microsomal prostaglandin E synthase-1 enzyme for tx of pain and/or inflammation from a variety of diseases or conditions, including OA.