Key Take-Away:

The Transapical approach (TA) is an established access substitute for the transfemoral method in patients undergoing transcatheter aortic valve replacement (TAVR) for the symptomatic aortic valve stenosis treatment. This retrospective study pointed out that the patients who received intravenous acetaminophen used significantly fewer morphine equivalents on and had a shorter median length of stay.

Introduction:

Complications with opioid-based postoperative pain management have led to guideline recommendations for a multimodal analgesia strategy incorporating nonopioid agents. The opioid-sparing effect of intravenous acetaminophen in patients undergoing transapical transcatheter aortic valve replacement was evaluated.

7min read    
Key Take-Away:

As per the American College of Rheumatology, in patients with OA and meniscal tear, the presence or persistence of effusion-synovitis can be connected with the progression of cartilage damage. This study portrayed that persistently extensive effusion-synovitis had a statistically significant increased risk of cartilage damage depth progression than those with persistently minimal effusion-synovitis.

Introduction:

Synovitis is a characteristic of knee osteoarthritis (OA) and meniscal tear. It has been concerned with articular cartilage damage. This study investigated the associations between baseline and changes in effusion-synovitis and cartilage damage in a cohort with OA and meniscal tear.

7min read    
Key Take-Away:

Gastrocnemius recession surgery lengthens the calf muscle and takes the pressure off of this area. The results from this randomised clinical trial showed that the proximal medial gastrocnemius recession with a stretching program significantly improved ankle dorsiflexion, average forefoot plantar pressure and chronic plantar pain.

Introduction:

Plantar heel pain is a common condition causing substantial pain and disability. Gastrocnemius recession has been reported as a useful treatment option, but there is a lack of prospective clinical and biomechanical outcome data. This study aimed to examine the clinical and biomechanical outcomes of gastrocnemius recession and stretching as compared to a stretching exercise protocol for the patients with plantar heel pain which lasted for more than 12 months.

8min read    
Key Take-Away:

The knee is one of the crucial affected weight-bearing joints by osteoarthritis along with ankle instability. As per this study, the Modified Broström procedure combined with arthroscopic debridement found to be an effective operative option for medial gutter osteoarthritis secondary to chronic ankle instability. Moreover, it was also confirmed to reduce pain and eliminate instability.

Introduction

Due to the availability of limited data regarding the results of operative therapy used to treat ankle instability with coincident arthritic changes in the medial gutter, this investigation was carried out to assess the intermediate-term radiological and clinical results after a modified Broström operation and arthroscopic debridement among middle-aged patients suffering from chronic ankle instability and medial gutter osteoarthritis.

7min read    
Key Take-Away:

For the long-term operative treatment outcomes of talus fractures, restoration of articular congruence is an essential step. The study also recommended that the talus fractures should be treated after the soft-tissues get recovered.

Introduction

Many discussions persist concerning the preferred treatment approach for the management of talus fractures. The primary purpose of this study was to assess the long-term consequences after surgical management of talus fractures. Secondarily, identification of factors that influenced the results and associated approaches to improve such outcomes.

8min read