Thursday, July 31, 2008

An Orthopedic Nightmare

In Tuesday's NYTimes, there was an alarming article about lack of evidence in knee and hip replacements. Apparently a number of surgeries, more than anyone would hope, are not effective, or worse, have bad side effects. Some patients ended up with more pain than before and many have to have a second surgery. No one knows how many, because there is no good tracking system for this data.

A number of very concerned and responsible orthopedic surgeons are working on how to correct this issue. But the manufacturers have been slow to respond, often blaming doctors for not knowing the correct technique for the surgery. Altogether a scary situation for the patient and greater motivation to avoid surgery such as acupuncture and tai chi.

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