Tag Archives: Medical Procedures

Procedures: CT Scans & Radiation Exposure

Study: Middle-Aged Knees With Meniscal Tears – No Benefits To Surgery Over Exercise Therapy (BMJ)

Exercise or Surgery - Meniscal Tear in Middle-Aged Knees BMJ

Conclusion: The study was inconclusive with respect to potential differences in progression of individual radiographic features after surgical and non-surgical treatment for degenerative meniscal tear. Further, we found no strong evidence in support of differences in development of incident radiographic knee osteoarthritis or patient-reported outcomes between exercise therapy and arthroscopic partial meniscectomy.

Objective: To evaluate progression of individual radiographic features 5 years following exercise therapy or arthroscopic partial meniscectomy as treatment for degenerative meniscal tear.

Design: Randomized controlled trial including 140 adults, aged 35-60 years, with a magnetic resonance image verified degenerative meniscal tear, and 96% without definite radiographic knee osteoarthritis. Participants were randomized to either 12-weeks of supervised exercise therapy or arthroscopic partial meniscectomy. The primary outcome was between-group difference in progression of tibiofemoral joint space narrowing and marginal osteophytes at 5 years, assessed semi-quantitatively by the OARSI atlas. Secondary outcomes included incidence of radiographic knee osteoarthritis and symptomatic knee osteoarthritis, medial tibiofemoral fixed joint space width (quantitatively assessed), and patient-reported outcome measures. Statistical analyses were performed using a full analysis set. Per protocol and as treated analysis were also performed.

Results: The risk ratios (95% CI) for progression of semi-quantitatively assessed joint space narrowing and medial and lateral osteophytes for the surgery group were 0.89 (0.55-1.44), 1.15 (0.79-1.68) and 0.77 (0.42-1.42), respectively, compared to the exercise therapy group. In secondary outcomes (full-set analysis) no statistically significant between-group differences were found.

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Healthcare: “Open Heart Surgery – Inside The OR” (Northwestern Medicine)

Tough to beat! Head #InsideTheOR with S. Christopher Malaisrie, MD, and witness open heart surgery by one of the best cardiology and heart surgery programs in the nation as ranked by US News and World Report.

Health: “What Are Hernias & How Are They Repaired?”

Think of a hernia like a bulge in a damaged tire. The inner tube or soft tissue is normally contained by the abdominal wall, and if there is a leak or weak spot the soft tissue like fat or intestines can protrude through. Having a hernia will eventually require surgery to repair, and there are several different ways surgeons go about it.

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Medical Procedures: Inside Look At “Total Hip Replacement” Surgery

Head “Inside the OR” with Michael D. Stover, MD, and see what it takes to tackle a total hip replacement. Sound on for this one!

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Medical: “Mohs Micrographic Surgery” For Skin Cancer Explained

Named after the late Frederic Mohs, M.D., Mohs micrographic surgery is a highly precise excision technique in which the cancer is removed in stages, one tissue layer at a time. After each removal step, the layer is examined under a microscope to determine whether cancer remains in the patient’s skin and, if present, where exactly it is located so that the surgeon can pinpoint where to remove the remaining skin cancer. This allows for the smallest scar and best cosmetic result.

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Medical Care Videos: “Radiofrequency Ablation For Benign Thyroid Nodules” (NYU)

NYU Langone surgeon Dr. Kepal Patel explains radiofrequency ablation, which is a minimally invasive treatment for large, benign thyroid nodules.

Learn more about treatment for benign thyroid nodules: https://nyulangone.org/conditions/thy…