The Exchange

Commentary and Observations from
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Latest Orthopedics Articles on PCE's The Exchange

Periprosthetic Fractures: The New Osteoporotic Fragility Epidemic

Periprosthetic Fractures: The New Osteoporotic Fragility Epidemic

Periprosthetic fracture, defined as a post-operative fracture around or near a prosthesis, has become increasingly common. This was shown in a study published in BMJ in 2020. The study period took place over 3.5 years, from April 2015 to December 2018, and used the International Classification of Diseases 10th (ICD-10) Revision code M96.6 (fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate) to identify these fractures in England's national dat... Continue Reading

Filed under: Orthopedics, Rheumatology

Prime Time for Osteoanabolic Therapy

Prime Time for Osteoanabolic Therapy

We now have fracture risk reduction evidence from 2 separate trials comparing oral bisphosphonates with osteoanabolic medications. These well controlled phas... Continue Reading

Filed under: Orthopedics, Rheumatology

Two Low-tech, High-value Methods for Reducing Knee Pain in Your Patients With Arthritis

Two Low-tech, High-value Methods for Reducing Knee Pain in Your Patients With Arthritis

Osteoarthritis (OA) of the knee is one of the most common musculoskeletal conditions treated in this country. According to NIH statistics, in 2005 there were... Continue Reading

Filed under: Orthopedics, Rheumatology

Gastric Bypass or Joint Replacement: Which Is the Better Option for Osteoarthritis of the Knee?

Gastric Bypass or Joint Replacement: Which Is the Better Option for Osteoarthritis of the Knee?

In November 2020, the American College of Rheumatology (ACR) hosted a virtual poster presentation. Abstract 1651, "Knee OA outcomes in patients with severe o... Continue Reading

Filed under: Orthopedics, Rheumatology

Do Traumatic Fractures Relate to Osteoporosis?
Is a Paradigm Shift Coming?

Do Traumatic Fractures Relate to Osteoporosis? Is a Paradigm Shift Coming?

A new study by Leslie and colleagues evaluating high and low trauma fractures may change our thought process regarding how traumatic fractures pertain to ris... Continue Reading

Filed under: Orthopedics, Rheumatology

Can High-dose Vitamin D Prevent Functional Decline in Our Older Population?

Can High-dose Vitamin D Prevent Functional Decline in Our Older Population?

Lower extremity functional decline in our elderly population is a major risk factor for falls, hip fracture, frailty, and loss of autonomy. As the baby boome... Continue Reading

Filed under: Miscellaneous, Orthopedics, Preventive Medicine

An Updated Cochrane Review: Can Exercise Reduce Falls in Our Elderly Population? Which Exercises Show Proof?

An Updated Cochrane Review: Can Exercise Reduce Falls in Our Elderly Population? Which Exercises Show Proof?

We all know how devastating falls can be in our older patients. I send many to physical therapy specifically for fall prevention. Most have osteoporosis, an... Continue Reading

Filed under: Miscellaneous, Orthopedics

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