Orthopedics This Week - 2018 | July 17, 2018 | Page 22

ORTHOPEDICS THIS WEEK
VOLUME 14, ISSUE 23 | JULY 17, 2018
22
Medicine Centre in Australia, told
OTW, “We were interested in investi-
gating how modern commercially avail-
able fitness trackers, which are widely
used in the younger populations, could
be applied to improving outcomes in
the arthroplasty population.” According to the Mumbai and Banga-
lore newspapers (both called the Mir-
ror) this is seen as a step towards alle-
viation of joint pain among the people
in Maharashtra, India’s second-most
populous state and third-largest state
by area. Clinical Depression
and the Rate of Joint
Arthroplasty Revision
“Arthroplasty patients who could see
their step count on the activity trackers
in the first two weeks after surgery had
higher activity levels than those who
could not see their steps, and the posi-
tive effect was sustained for six months
after surgery. Commercial fitness track-
ers can be effectively used to improve
activity levels in subjects after hip or
knee arthroplasty.” — EH The program is believed to have been
initiated by the Chief Minister himself.
According to the newspapers, the state
has set a 10-lakh cost target cost for
knee and hip replacement surgeries as
part of the program. A lakh is an Indian
term meaning 100,000. New research from Mayo Clinic has
found that treating depression with
selective serotonin reuptake inhibitors
resulted in a reduced risk of revisions
in total joint arthroplasty (TJA).
Indian State to
Provide Free Joint
Replacements
A
fter performing free cataract sur-
geries, the government of a state
in India has turned its attention to the
problem of joint pain.
The Chief Minister of the Indian state
of Maharashtra, Devendra Fadnavis,
has announced that free hip and knee
replacement surgeries will be undertak-
en for the elderly across the state.
C
linical depression can exacerbate
just about everything.
The public health department reports
that there are almost 40 lakh people in
the state suffering from joint pain. Of
these patients about 10 lakh patients
are believed to need to undergo imme-
diate joint replacement surgeries.
The expenses incurred for the knee and
hip replacement surgeries are between
Rs 3 lakh and Rs 5 lakh in private hos-
pitals, a cost that few of the affected
people are able to bear. Under this new
program, they will now be able to get
their surgeries done free of cost.
The responsibility for execution has
been given to Ajay Danwale, M.D.,
dean of BJ Government Medical Col-
lege. — BY
Wikimedia Commons and rebcenter
The study, “Perioperative inpatient
Use of Selective Serotonin Reup-
take Inhibitors Is Associated With a
Reduced Risk of THA and TKA Revi-
sion,” was published in the June 2018
edition of Clinical Orthopaedics and
Related Research.
The authors wrote, “This was a retro-
spective study of adult patients who
underwent 20,112 primary and revi-
sion THAs [total hip arthroplasties] and
TKAs [total knee arthroplasties] from
January 1, 2002, through December
31, 2009, at a large U.S. tertiary care
hospital…”
Wikimedia Commons and toomuchtimeinmylife
Co-author Hilal Kremers, M.D. told
OTW, “Arthritis patients with chronic
joint pain commonly present with
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