Poorly-performing hand implants unacceptable says leading medical journal
Poorly-performing medical implants have hit the headlines recently, and the trend looks set to continue: the September issue of the Journal of Hand Surgery (JHS) homes in on the unacceptable performance of hand implants for osteoarthritis patients. Citing several recent studies, the editorial asks why these implants which perform worse that certain hip replacement implants now deemed unacceptable are still widely used. JHS is an online and print, orthopedic surgery journal published by SAGE.
The issue reports on a number of thumb arthroplasties joint replacement operations at the base of the thumb which are often used to treat arthritis. Orthopedic surgeons and the medical profession in general will be interested in research following up on outcomes for a range of implant brands used in this type of surgery. JHS names those that failed to make the grade, and recommends that they should be withdrawn.
Patients who have received a de la Caffiniere implant can expect good long term outcomes following their surgeries. However, those whose joints were replaced with the Moje, Elektra and Pi2 thumb CMC joint implants have less to celebrate, according to the latest follow-up research.
Editor-in-Chief, Grey Giddins, calls for people to readdress their opinions on using what is known and what is not necessarily the best, over what may be less known, but is ultimately performing better:
"We should make a stand as a profession and stop using implants with known poor outcomes unless other data is published to change our minds. Moreover, we should continue to be careful about being encouraged into using other new implants until adequate long term follow-up is available."
Supported by notable research studies, the editorial suggests that failing Moje and Electra implants should be withdrawn, and while just one study on the Pi2 implant is insufficient to recommend withdrawal, the journal asks surgeons to use it with caution in future.
More information: "Editorial" by Grey Giddins, editor-in-chief published on 09 August 2012 in The Journal of Hand Surgery. The article will be free to access for a limited time here: http:/jhs.sagepub.com/
Provided by SAGE Publications
- New hip implants no better than traditional implants Nov 30, 2011 | not rated yet | 0
- Hip, thigh implants can raise bone fracture risk in children Feb 16, 2011 | not rated yet | 0
- Customized knee replacement depends on surgeon's skill, not implant design Feb 16, 2011 | not rated yet | 0
- Italy seeking women with French breast implants Dec 22, 2011 | not rated yet | 0
- Dutch call for examination of PIP implants done before 2001 Mar 15, 2012 | not rated yet | 0
- Motion perception revisited: High Phi effect challenges established motion perception assumptions Apr 23, 2013 | 3 / 5 (2) | 2
- Anything you can do I can do better: Neuromolecular foundations of the superiority illusion (Update) Apr 02, 2013 | 4.5 / 5 (11) | 5
- The visual system as economist: Neural resource allocation in visual adaptation Mar 30, 2013 | 5 / 5 (2) | 9
- Separate lives: Neuronal and organismal lifespans decoupled Mar 27, 2013 | 4.9 / 5 (8) | 0
- Sizing things up: The evolutionary neurobiology of scale invariance Feb 28, 2013 | 4.8 / 5 (10) | 14
Assumptions of Griffith's fracture theory
4 hours ago Any experts on Griffith's fracture theory? I am studying the subject and I am having hard time finding out if the theory is valid for all possible...
Current leading voltage or vice versa concept
6 hours ago Hello, I was wondering if there is a conceptual explanation for when current leads voltage or vice versa for capacitors or inductors with AC...
Angular Frequency of AC voltage
9 hours ago Hello, I am wondering, what is the physical interpretation of the angular frequency of AC voltage? I don't see the physicality of what the angle...
Modeling Rigid Body - Unsure about Euler angles and angular velocity
9 hours ago I'm modeling a single 3D rigid body in preparation for some more complicated modeling in order to gain a better understanding of Euler angles, the...
Function for a bullet's path
10 hours ago I've been mulling this over all weekend, and I've decided to get some help on this. The problem is writing a function to describe a bullet's path....
Elementary questions relating to Newton's laws of motion
12 hours ago i) If a wall breaks when it gets hit by a cannonball, did the wall exert an equal and opposite force on the cannonball? ii) Would the force...
- More from Physics Forums - Classical Physics
More news stories
Posterior fossa subdural hematoma (PFSDH) is a serious and rare condition in newborns, generally occurring after difficult deliveries. But with appropriate treatment, there's an excellent chance of good long-term outcomes ...
Surgery 18 hours ago | not rated yet | 0
Many women in Texas who are found to have an abnormality on routine mammogram or discover a lump in one of their breasts end up having an old-fashioned surgical biopsy to find out whether the breast abnormality is malignant. ...
Surgery May 17, 2013 | not rated yet | 0
(HealthDay)—About 65 percent of surgical residents report that they disapprove of the 2011 Accreditation Council for Graduate Medical Education (ACGME) Common Program requirements, which place restrictions ...
Surgery May 16, 2013 | not rated yet | 0
Metal-on-metal hip implants can cause inflammation of the joint lining (synovitis) long before symptoms appear, and magnetic resonance imaging (MRI) can be used to identify this inflammation, according to ...
Surgery May 15, 2013 | not rated yet | 0
Obese patients who received robotic kidney transplants had fewer wound complications than patients who received traditional "open" transplant surgery, according to surgeons at the University of Illinois Hospital ...
Surgery May 15, 2013 | not rated yet | 0
(Medical Xpress)—Cardiologists have identified a trio of biomarkers that may predict which patients with heart disease have a high risk of heart attack or death in the next two years.
24 minutes ago | not rated yet | 0 |
Each day, an average of nine people are killed in the United States and more than 1,000 injured by drivers doing something other than driving.
39 minutes ago | not rated yet | 0
(Medical Xpress)—We spend about a third of our life asleep, but why we need to do so remains a mystery. In a recent publication, researchers at University of Surrey and University College London suggest a new hypothesis, ...
34 minutes ago | not rated yet | 0
(Medical Xpress)—International researchers are studying the salt intake of Indian adults to provide vital new data to aid the development of a national salt reduction strategy.
24 minutes ago | not rated yet | 0
(Medical Xpress)—Exposure to sunshine as a small child is crucial to the development of a healthy eye according to results of long-term myopia study conducted by University of Sydney researchers.
14 minutes ago | not rated yet | 0
Johns Hopkins researchers say they have discovered specific chemical alterations in two genes that, when present during pregnancy, reliably predict whether a woman will develop postpartum depression.
2 hours ago | not rated yet | 0 |