• Arthrosurface receives FDA Clearance of Patellofemoral WaveKahuna Arthroplasty System

      FRANKLIN, Mass.June 29, 2018 — Today, Arthrosurface, Inc., a leading provider of minimally invasive, motion preserving joint restoration systems, announces their recent FDA 510(k) Clearance to market the Patellofemoral (PF) WaveKahuna Arthroplasty System. The PF WaveKahuna Arthroplasty System is a line extension to The Company’s previously cleared and commercially marketed family of HemiCAP® Patellofemoral & PF Wave Systems.

      Shane Shankle, VP of US Sales expressed, “As a market leader in Patellofemoral Arthroplasty, we are very excited to round out our line with the PF WaveKahuna System. The larger implants will allow a surgeon to choose from a wide range of size offerings to better serve the patient’s needs and allow them to maintain their quality of life.”

      The PF WaveKahuna restores the unique articular surface geometry of the Patella and Femoral Trochlea while maintaining the patient’s native anatomy. It’s innovative, extended lateral aspect and trochlear geometry is designed to address challenging Patellofemoral tracking and stability conditions as well as providing increased coverage of the trochlear groove. Furthermore, the novel patella design combines the clinical benefits of both the anatomic and dome patella implants from the PF Wave System. Additionally, the PF WaveKahuna femoral component is designed to mate with the currently marketed Arthrosurface PF Wave Fixation Component. The existing surgical technique is unchanged, with the addition of a superior ream step.

      “The FDA clearance comes shortly after data recently presented at ESSKA confirmed significantly improved postoperative outcomes with high patient satisfaction and no progression of knee arthritis at 5 years follow-up. The timing could not be better,” said Dawn Wilson, VP of Quality & Regulatory.

      About Arthrosurface: Arthrosurface, Inc. is a global orthopedic medical technology business providing a broad portfolio of essential products and instrumentation used to treat upper and lower extremity orthopedic conditions caused by trauma, injury and arthritic disease. Arthrosurface is the inventor and market leader in joint preservation with inlay arthroplasty. Our product offerings include joint preservation implants, instruments and orthobiologics. Founded in 2002, Arthrosurface markets and distributes its products in the US and around the world and has succeeded in helping patients return to activity for over 14 years. For more information, please visit our website at www.arthrosurface.com

      SOURCE Arthrosurface, Inc.

      Related Links

      http://arthrosurface.com

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    • Tips to Help You Safely Have Fun in the Sun This Summer

      Happy First Day of Summer! Summer is a great time to

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    • Positive Knee Preservation Outcomes Using the Innovative Arthrosurface Inlay PF Wave™

      Franklin, Massachusetts based Arthrosurface, Inc. announced today that midterm clinical results reconfirmed joint preservation in patellofemoral (PF) surgery with the PF Wave™ Implant System. 5-year results presented by Dr. Jonas Pogorzelski at the recent ESSKA Congress in Glasgow, Scotland found significant improvement in symptoms and no progression of knee arthritis.

      PF Wave™

      Isolated patellofemoral arthritis occurs when there is loss of cartilage limited to the central portion of the knee joint. For advanced stages, partial joint replacement has become the leading treatment. The Arthrosurface PF Wave Inlay Arthroplasty Design adapts and restores the patient’s unique joint surface providing a novel, anatomic approach to treating isolated patellofemoral arthritis. Derek Jones, MD, Section head of Sports Medicine and Cartilage Restoration at the Ochsner Sports Medicine Institute in New Orleans said, “Over the course of the past 8 years, I have been very encouraged seeing my patients return to high levels of work and sports following this procedure. Our joint preservation experience is similar to those presented at ESSKA.” In contrast, traditional Onlay implants require more extensive bone cuts and tend to sit high on the new joint surface, thereby increasing the risk of overstuffing the joint.

      PF Wave™

      Based on their findings presented at ESSKA, lead author Prof. Andreas Imhoff, Professor of Orthopaedic Surgery and Traumatology, Director/Chairman Department of Orthopaedic Sports Medicine at the University of Munich concluded, “We observed significantly improved postoperative outcomes with high patient satisfaction at the two-year follow up. This trend held true for the 5-year results, too.”

      According to Matthias Schurhoff, VP of Clinical Affairs, “seeing these study results continue to show no arthritic changes at the 5-year mark while holding significant pain relief and functional improvement is very validating for us. These results support our belief that our unique inlay concept provides a contemporary arthroplasty track in patellofemoral surgery.”

      Arthrosurface continues to innovate Patellofemoral Arthroplasty by providing active alternatives to total knee replacement and allowing more patients access to knee preservation options.

      About Arthrosurface: Arthrosurface, Inc. is a global orthopedic medical technology business providing a broad portfolio of essential products and instrumentation used to treat upper and lower extremity orthopedic conditions caused by trauma, injury and arthritic disease. Arthrosurface is the inventor and market leader in joint preservation with inlay arthroplasty. Our product offerings include joint preservation implants, instruments and orthobiologics. Founded in 2002, Arthrosurface markets and distributes its products in the US and around the world and has succeeded in helping patients return to activity for over 14 years. For more information, please visit our website at www.arthrosurface.com.

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    • PF Patient Pamphlet (Spanish)

      Spanish PF Patient Pamphlet_Rev B

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    • It’s Not Too Late to Plan the Perfect Father’s Day!

      It is not too late to plan the perfect Father’s Day to show your dad just how much you love him! We planned a

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    • WristMotion Patient Pamphlet

      Wristmotion Patient Pamphlet_Rev A

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    • New to the Arthrosurface Website?

      If you are a new patient to our website, below is a list of tools that you may have not discovered yet.

      Find a Doctor New Patient

      • Find a Doctor in your area who is experienced with our products.

        • How it works: If you click the find a doctor link on the top of our page it will bring you to a form. This form helps us learn a little about you, so we can help you find what you are looking for. After filling out this form you are brought to a page with a map of your area and a list. This map shows all of the doctors in your area that have done at least 3 Arthrosurface surgeries in the last 5 years. You can see what their practice names is, go to their website, or call their office. This is a great resource for those who are looking to connect with doctors who have experience with our products.
        • Didn’t find what you’re looking for, or want more information? We are happy to help answer any questions you have: contact@arthrosurface.com
      • Patient Testimonial Stories

        • Under the Patients drop down in the top navigation, click on “Patient Stories”. These are actual Arthrosurface patients that have shared their experiences with our products. You can filter the stories by joint, so you can see what people are saying about the procedure you are inquiring about.
        • These testimonials are 100% true and unscripted.
      • Patient Referral Network

        • Something you may not know is that we have a very extensive patient referral network here at Arthrosurface. If you feel unsure about a specific procedure one of the best ways to learn more is to talk to someone who has had it done!
        • If you contact us we can connect you with a real person who had the same Arthrosurface procedure you are looking into!
        • We connected Terri, who suffered from knee pain, with Letia, a HemiCAP® patient. The two met up in person and afterwards, Terri decided to go ahead with Knee HemiCAP® surgery!Arthrosurface Blog New Patient
      • Our Blog!

        • If you go to the blog/news tab, then you can read all of our blog posts! There is some great content in there for those who are suffering from joint pain. Here are some of the things you can find in that section:
          • Patient testimonials
          • Product releases
          • Tips to help avoid or relieve joint pain
          • Arthrosurface News
          • A whole lot more!
        • Subscribe to our blog, so that you never miss a blog post!
      • Patient Guide for the Treatment of Toe Arthritis – A Surgeon Survey

        • This is a great piece of literature for patients who are researching our Toe Implant Systems. The results are based on the experience of 35 foot and ankle surgeons who collectively performed 2261 procedures with these systems. The surgeons were surveyed about the clinical benefits and patient outcomes of the Toe HemiCAP® and ToeMotion® Systems. It discusses the following:
          • Treatment options for the different stages of arthritis, from mild to severe.
          • Procedure and Hospital Stay Timelines
          • Pain Relief Comparison
          • Typical Patient Function and Activity Milestones
          • Overall Satisfaction
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    • #StayActive this Spring with Joint Pain

      Why would you exercise and move around with arthritis joint pain, if it only makes you feel worse? We know it may sound counterintuitive, but staying active is one of the most important things that you can do to combat joint pain and arthritis. Limiting your movements can weaken your muscles and decondition your body. Fun, low-impact exercises help strengthen the muscles and ligaments near the joints that are causing you pain, and could also increase your range of motion and flexibility. Regular exercise is good for your joints, your heart and your mind, which will all help you stay independent in your later years.

      4 Ways to Exercise this Spring

      1. Walking. You don’t need to run marathons to stay in shape and get your muscles working. If you suffer from joint pain, walking by yourself or with a friend is a great way to exercise. Walk somewhere that you can enjoy the scenery and the beautiful spring weather; try walking around a park, a zoo, through a garden, or even on the beach. You’ll think less about it being an exercise and more about how nice it feels to be outside!
      2. Gardening. While most of you would not consider gardening an exercise, it is a great way to burn calories and improve your mental health. According to AARP gardening is an aerobic exercise that helps you work new muscles in your body and improve strength, stamina and flexibility. It is extremely rewarding to see beautiful flowers that you grew or eat delicious produce that you worked to create. So, if you don’t already, try gardening this spring as a recreational exercise.
      3. Bike Riding. While you do use your knees to ride a bike, it is not nearly as harsh on your joints as running on the hard pavement is. Bicycling strengthens your muscles at the front of your thighs, which are key protectors of the knee. Stronger muscles help to stabilize the knees and help them to better absorb shock, which helps to reduce damage and pain. Find a local bike path and go at your own pace. Don’t have a bike? Look into renting one while you figure out if bike riding is the right type of exercise for you!yoga
      4. Yoga. Yoga is a low-impact exercise perfect for those who suffer from joint pain because its exercises can be modified to fit your individual needs and abilities. It has many benefits including increased flexibility and range of motion, improved balance and decreased joint stiffness. It also helps with psychological issues like stress and anxiety. If you suffer from arthritis, make sure you are using yoga blocks, cushions and support while practicing yoga. You can practice yoga anywhere, so take it outside this Spring!

      So, how are you going to #StayActive this spring?

       

       

      Sources

      http://www.synflexamerica.com/blog/spring-arthritis-joint-pain-relief-exercises.php

      http://www.health.com/health/gallery/0,,20706071,00.html#three-way-hip-exercises

      www.brownmed.com/blog/arthritis-relief/springtime-exercises-to-relieve-joint-pain/

      https://www.health.harvard.edu/healthbeat/the-secret-to-joint-pain-relief-exercise

      https://www.artofliving.org/us-en/yoga/health-and-wellness/yoga-joint-pain

      http://www.cnn.com/2011/HEALTH/07/08/why.gardening.good/index.html

      https://www.livestrong.com/article/380447-bicycling-to-help-with-knee-pain/

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    • Glenojet Clinical Monograph: EFR™ Bone Screws

      Bone Screws One Pager

       

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    • Brian Be Nimble, Brian Be Quick… Thanks to the Shoulder HemiCAP Implant!

      Everyone, meet Brian! Our newest Shoulder HemiCAP patient testimonial!

      Shoulder HemiCAP

      Brian is currently a personal trainer and competitively sprints at the master’s level. However, when he was in his late 20’s, Brian seriously injured his shoulder while powerlifting. The injury caused a large bone spur and arthritis in his shoulder, but despite the pain, he tried to remain as active as possible, pushing through the pain daily. His sprinting began to suffer, as arms help to make running more efficient.

      Eventually, Brian’s pain and range of motion was so unbearable that he had to find a solution. After researching his options and discussing them with his orthopaedic surgeon, they decided the Shoulder HemiCAP Implant, with its benefits to active patients, was his best option.

      With no activity restrictions following Shoulder HemiCAP Surgery and recovery, Brian couldn’t wait to get back to the gym. Not only is he now able to fully raise and extend his arm and perform daily movements without pain, Brian is also back to sprinting and coaching his clients pain-free!

      Brian says that the Arthrosurface Shoulder HemiCAP has given him his “quality of life back” and that “other people should be looking at it, too!”

      Watch his full story in the video below:

       

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    • 7 Ways to Advocate for Your Own Health Care

      It’s time to be your own healthcare advocate! It used to be that a doctor’s word was final. Whatever they suggested, you did, without question.

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    • PF Patient Pamphlet

      PF Patient Pamphlet_Rev B

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    • The OVO Shoulder Implant is a Home Run for Larry!

      Meet Larry Whitcomb, our latest shoulder OVO patient testimonial!

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    • Arthrosurface Gains FDA Clearance of OVOMotion™ Shoulder Arthroplasty System

      FRANKLIN, Mass.April 18, 2018 – Arthrosurface® announced today that The Company received FDA 510(k) Clearance to market the OVOMotion™ Shoulder Arthroplasty System. This stemless total shoulder system provides the surgeon with an approach that results in increased exposure to the glenoid, minimizes bone removal, and is designed for patients with painful and/or severely disabled shoulder joints resulting from arthritis, traumatic events or AVN.

      “This truly is a revolutionary stemless total shoulder, which combines the concept of anatomic restoration with an aspherical head design that more closely replicates patient anatomy but also allows improved joint access for ease of preparation of the glenoid,” said Dr. Anthony Miniaci, MD.

      The OVOMotion™ Shoulder Arthroplasty System is cleared for use in conjunction with the novel Arthrosurface Inlay Glenoid System and according to a comparative study published in the Journal of Shoulder and Elbow Surgery, the inlay glenoid (socket) design was far superior to the onlay alternative with respect to the biomechanical stability.

      Steve Ek, CEO said, “The OVOMotion™ Shoulder Arthroplasty System is intended to be the first of a three-element modular stemless system that will ultimately allow surgeons to intra-operatively choose between stemless, traditional and reverse options.”

      About Arthrosurface

      Arthrosurface, Inc. is a global orthopedic medical technology business providing a broad portfolio of essential products and instrumentation used to treat upper and lower extremity orthopedic conditions caused by trauma, injury and arthritic disease. The product offerings include joint preservation implants, instruments and orthobiologics. Founded in 2002, Arthrosurface markets and distributes its products in the US and around the world and has succeeded in helping patients return to activity for over 14 years. For more information, please visit our website at www.arthrosurface.com

       

      SOURCE Arthrosurface, Inc.

      Related Links

      http://arthrosurface.com

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    • Seasonal Allergies and Joint Pain

      Allergy Season and Joint Pain

      Spring is here! With warmer days ahead, trees and flowers will begin

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    • AlignMate Lapidus Plate Tech Guide

      AlignMate Tech Guide

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    • BaseCAP IFU

      PN 4001-2008_IFU_PHX_ENG

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    • AlignMate Lapidus Plate IFU

      4001-2102_rev-A_AlignMATE-IFU

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    • EDOF FAQ

      FAQ eDOF 21Dec2017

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    • Happy Holidays!!

      Happy Holidays From Arthrosurface

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    • 7 Tips to Avoid Joint Pain While Wrapping Presents

       

      It’s that time of the year again! The holidays are here and people are frantically trying to cross things off their to-do

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    • Talus Instrument IFU

      0020-0010_rev-I-Instruments-12 Lang

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    • AlignMate Lapidus Plate One Pager

      AlignMate One Pager_Rev A

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    • WristMotion Patient Swings Away Severe Wrist Pain!

      Wrist pain gone with the Wristmotion implantEveryone, meet Steve! 

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    • PF Kahuna Tech Guide (Int’l Only)

      Kahuna Tech Guide

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    • Arthrosurface acquires an acellular dermal technology from WASAS, LLC

      FRANKLIN, Mass., Oct. 30, 2017 /PRNewswire/ — Arthrosurface, Inc. announced today that it has completed the acquisition of an acellular dermal stabilization technology, including the intellectual property rights to and associated with this technology, from WASAS, LLC based in Fort Lauderdale, Florida. Arthrosurface plans to use this technology to develop and market a platform of novel methods to be used to correct orthopedic challenges in multiple therapeutic areas.

      Acellular dermis is derived from a human source, a process is used to remove cells and retain portions of the extracellular matrix (ECM). Dermal allografts have a history of human use in a wide range of clinical indications.

      “The availability of this allograft to Arthrosurface will allow us to execute on a pipeline of clinical applications that we have identified with our surgeon partners over the past several years,” said Steve Ek, CEO of Arthrosurface.

      About Arthrosurface

      Arthrosurface, Inc. is a global orthopedic medical technology business providing a broad portfolio of essential products and instrumentation used to treat upper and lower extremity orthopedic conditions caused by trauma, injury and arthritic disease. The product offerings include devices, instruments and orthobiologics designed to preserve and restore the joints so patients can regain and maintain an active lifestyle. The Company offers a variety of unique systems that provide less invasive technologies for surgeons that can be used to treat a wide range of joint conditions. Founded in 2002, Arthrosurface markets and distributes its products in the US and around the world and has succeeded in helping patients return to activity for over 13 years. For more information, please go to our website at www.arthrosurface.com

       

      SOURCE Arthrosurface, Inc.

      Related Links

      http://arthrosurface.com

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    • Hallux Rigidus Product Comparison

      hallux rigidus review_Rev B

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    • Toe Products Portfolio

      Toe Portfolio_Rev B2_2

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    • WristMotion Patient Returns to Competitive Softball

      Alternative to four-corner fusionWe’d like to introduce you to Jerry! 

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    • Science Reconfirms Benefits of Shoulder Inlay Glenoid Arthroplasty For Active Patients

      OVO with Inlay Glenoid Arthroplasty ImplantFranklin, MA., May 10, 2017 – Arthrosurface, Inc., the Global Leader in

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    • Patient Has Success with Partial Shoulder Replacement (HemiCAP)

      We’d like to introduce you to our newest Shoulder HemiCAP Patient Testimonial, David Kull. He shares his journey below:
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    • OsteoMate Foot Tech Guide

      OsteoMATE FOOT Tech Guide_Rev C

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    • OsteoMate Foot One Pager

      OsteoMATE One Pager_FOOT_final

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    • OsteoMate Wrist Tech Guide

      OsteoMATE Tech Guide Draft_WRIST

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    • OsteoMate Wrist One Pager

      OsteoMate Wrist One Pager

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    • Arthrosurface Launches OsteoMATE for the Treatment of Osteoarthritis in the Hand

      Franklin, MA., April 26, 2017 – Arthrosurface, Inc. today announced the first surgery using the new OsteoMATE arthrodesisfour corner fusion

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    • BaseCAP One Pager

      BaseCAP One Pager

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    • NanoFx Flyer

      NanoFx Ad_One Pager_rev B

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    • OVO Stemless Total Shoulder Technique Guide

      OVO:Glenoid Tech Guide_Rev B

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    • Arthrosurface at the Orthopedic Summit

      Arthrosurface will be exhibiting

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    • Comparative Data Shows Nanofracture Superiority

      joint replacement Recent publications from The Hospital for Special Surgery (HSS) in New York (1) and the University of Sassari in Italy (2) compared NanoFx® to microfracture and k-wires for marrow stimulation and its effect on the subchondral bone architecture. The HSS study demonstrated that larger instruments caused more disruption to the bone and the Italian results showed that the deeper NanoFx® (Nanofracture) perforations led to a better restoration of the subchondral bone architecture at 6 months. An additional concern highlighted in the Zedde et al. publication was that 75% of the microfracture subjects had subchondral cysts, whereas no cysts were found in the Nanofracture group.

      Within the past 10 years, the Sports Medicine community has shifted its focus away from the tissue that eventually fills the defect area and towards the osteochondral unit. As the HSS article commented, “any technique that can change the structure of the subchondral bone has the potential to affect the biomechanics of the osteochondral unit, the repair process, and the overall cartilage resurfacing outcome.” Similar to the construction of a house, the foundation has become just as important, if not more, than the roof.

      Marrow stimulation remains one of the most common first-line treatment options for cartilage defects. However, the decline in clinical outcomes seen with microfracture at 18-36 months after the procedure22-28 continues to drive surgeons to search for a new alternative to the standard of care. The research highlights three key elements that affect outcomes when performing marrow stimulation techniques:

      • Channel depth
      • Channel diameter and
      • Subchondral bone disruption

      Chen et al demonstrated that to access the marrow-rich subarticular spongiosa, a depth greater than 6mm was best. Hoemann and colleagues assessed the bone disruption of awls and found that the larger and deeper the awls went, the more compaction damage there was to the lesion surface. In 2014, Eldracher et al. compared marrow stimulation using 1.0 or 1.8mm drills at a standardized depth of 10 mm in an ovine model.20 The smaller 1.0mm subchondral drill holes that reflected the physiological trabecular distance significantly improved osteochondral repair in a translational model more effectively than larger drill holes.

      The goal of marrow stimulation is to perforate the bone to allow access to the marrow compartment which contains the stem cells, growth factors and healing proteins necessary to form a superclot that includes the essential biological elements needed to initiate a repair of the defect site. Increasing type II collagen and reducing type I is also seen as vital to the development of a more robust cartilage-like tissue. When the data from these various sources is combined with the Nanofracture® comparative data from HSS and the University of Sassari, a clear picture for a more successful marrow stimulation repair emerges. The ideal instrument must be able to perforate deeply into the bone, have a diameter of 1mm to match the trabecular distance, do so without disrupting the subchondral bone unit, self-seal to avoid cyst formation all while stimulating type II collagen synthesis in the defect area to improve biological healing.

      Nanofracture:

      Smaller, Deeper, Better is not simply a marketing slogan but rather the criteria for a new standard of care in marrow stimulation.

      joint replacement alternative

      References

      • Gianakos AL, Yasui Y, Fraser EJ, Ross KA, Prado MP, Fortier LA, Kennedy JG. The Effect of Different Bone Marrow Stimulation Techniques on Human Talar Subchondral Bone: A Micro-Computed Tomography Evaluation. Arthroscopy. 2016 Oct;32(10):2110-2117. doi: 10.1016/j.arthro.2016.03.028. PubMed PMID: 27234650.

      Publisher: http://www.arthroscopyjournal.org/article/S0749-8063(16)00269-3/abstract

      • Zedde P, Cudoni S, Giachetti G, Manunta ML, Masala G, Brunetti A, Manunta AF. Subchondral bone remodeling: comparing nanofracture with microfracture. An ovine in vivo study. Joints. 2016 Aug 18;4(2):87-93.

      Publisher: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4993551/

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    • Microfracture Surgery and Your Return to Sports

      knee implantsMicrofracture surgery is very common for athletes, especially at the college and professional levels, due to the physically demanding nature of their careers (Damaged cartilage in athletes is no 

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    • New Extremity Products are Driving Growth for Arthrosurface

      FRANKLIN, Mass.Oct. 6, 2016 /PRNewswire/ — Arthrosurface® announced today that at the September 27, 2016 American Society for Podiatric Surgery (ASPS) meeting in Baltimore, Maryland, the new CheckMATE® 3.0 Toe Fusion Plate was launched for end stage toe arthritis. One study showed that 35%-60% of the population over 65 years old has osteoarthritis of the big toe, making this a common problem. The CheckMATE® toe fusion plate was designed to offer advantages over existing systems by including features to make the plate low-profile, yet strong, rigid, and faster to implant, reducing surgical time and improving patient comfort. These features may also provide cost savings to the healthcare system and other clinical benefits to the patient. Arthrosurface is advancing patient care in the extremities market with a special focus in foot and ankle applications. Using evidence based designs that reference scientific literature, combined with clinical input from expert surgeon design teams, the Arthrosurface® extremities portfolio has expanded significantly over the past several years to provide innovative options for both surgeons and patients.

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    • New Motion Preserving Wrist Implant hits 1 year Milestone [Press Release]

      FRANKLIN, Mass., Sept. 12, 2016 /PRNewswire/ — In May of 2015 the new motion preserving WristMotion™ hemiarthroplasty implant from Arthrosurface, Inc. (www.arthrosurface.com) was launched. The following month, the first patients were treated by the three co-developing surgeons,

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    • When Can You Return to Activity After Toe HemiCAP Surgery?

      Have you ever wondered how much time it took other Toe HemiCAP Patients to return to their favorite activities after surgery? The chart below was compiled to help answer your questions.

      Typical Patient Function & Activity Milestones after Hemiarthroplasty or Total Toe Replacement

      Based on their experience, surgeons rated the time it took for patients to achieve certain milestones after surgery such as driving a car, walking in shoes and returning to work, activity or sport. Typically, patients are able to perform the activities of daily life, including returning to work, 2-6 weeks after surgery.

      Following Toe HemiCAP® hemiarthroplasty, or ToeMotion® Total Toe replacement, no restrictions on job, sports or activity were recommended. Following these procedures, most patients are expected to return to work within 2 weeks after surgery (66.7%) or within a 15-30 day range (33.3%). The time to return to work was classified as equal or faster than cheilectomy, faster than other implants and faster than fusion. Sports participation was started at a mean of 49.3 days and the satisfaction regarding the return to sport and an active lifestyle was rated as Excellent (66.7%), Very good (33.3%) or Good (16.7%).

      toe pain

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    • Glenojet Instrument IFU

      3001-2011 REV B-Glenojet_eng

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    • Glenojet Implant IFU

      3001-2012 Rev D_Glenojet IFU

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    • Glenojet Tech Guide

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    • Shoulder Pain Relieved with HemiCAP Implant

      Let us introduce you to Dave, our newest Shoulder HemiCAP Patient Testimonial.shoulder pain

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    • Expert Opinions: Toe Hemiarthroplasty vs. Fusion

      The standard toe fusionof care for advanced toe arthritis has always been

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    • Toe Clinical Survey Outcomes

      ClinicalSurvey_Toe_Rev B

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    • Shoulder HemiCAP Inlay Arthroplasty Showed Lowest Comparative Revision Rate at the 5 Years Mark

      shoulder joint pain

      Stemmed shoulder replacement has been the standard of care in modern shoulder arthroplasty. Ample reports indicate that

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    • Shoulder HemiCAP Has the Lowest Revision Rates at 5 Years

      shoulder replacement Stemmed total shoulder replacement has been the standard of care in modern shoulder replacement for the last decade or so. A traditional shoulder replacement consists of putting a metal rod (stem) and a metal head in the humerus (upper bone in your arm), and a cup shaped plastic surface on your glenoid (the socket in your shoulder).

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    • Study Shows New Method of Microfracture for Cartilage Repair is Better

      knee injuriesMicrofracture is one of the most frequently used cartilage repair techniques especially for athletes looking to get back to sport quickly.

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    • Comparison of BMS Techniques: Microfracture, NanoFx & K-Wire

      knee joint Microfracture is one of the most frequently used cartilage repair techniques. According to a comparative study performed at the Hospital for Special Surgery

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    • Patient Guide to Toe Arthritis

      toe joint painA small group of expert surgeons who together have performed more than 1000 surgical procedures since 2005 using the Toe HemiCAP® System were recently asked to share their experience in form of a survey.

      The group included male and female orthopaedic (MD) and podiatric surgeons (DPM) who were in practice performing foot and ankle surgery for more than 17 years on average. Together, their expertise is based on over 100 years diagnosing and treating patients with foot and ankle problem

      Surgeons were asked about their experience with the Toe HemiCAP and ToeMotion implants, as well as different toe fusion systems. Their response provided insight into the

      • Return to work and activity
      • Pain relief and functional improvements
      • Length of the procedure and hospital stay
      • Typical recovery with physiotherapy and rehabilitation

      If you are considering surgery as an option for the treatment of painful toe arthritis, this survey may provide additional information to help you make an informed decision. It may also be helpful in guiding you towards a series of questions you may want to ask your doctor before deciding on the course of your treatment.

      toe joint surgery

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    • Expert Opinion: Toe Hemiarthroplasty vs. Fusion

      20160625 EIJP Shields Labib Sys Rev Fusion vs HemiCAP RevB

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    • The Obesity & Arthritis Connection

      find a doctorThere are many things that can accelerate or make arthritis worse. One of the most problematic accelerators is Obesity. By definition, obesity means that a person’s body weight is 20% higher than it should be and they have a body mass index (BMI) over 30. If a person’s BMI is between 25 & 29.9, they are considered overweight. Obesity is a major risk factor for the development of osteoarthritis, which affects nearly 1 out of every 5 adults in the US. Reports show that by 2030, it’s estimated that over 67 million adults will suffer from osteoarthritis, a whopping 20% of the US population. Obesity can not only accelerate the progression of the disease but osteoarthritis can be much more severe for the obese and overweight and is just one more reason why weight loss is so important.

      It’s a well-known fact that each pound you lose reduces the pressure on your knee joints by 4 pounds. Once cartilage is lost the damage cannot be undone. However, weight loss can and controlling your weight be very beneficial by slowing the progression of the disease. The larger the weight loss, the more intense an effect it has on your joints, reducing knee degeneration and slowing osteoarthritis. For example, every 11lbs a woman loses (2 BMI Points)orthopaedic surgeons, the risk of developing OA dropped greater than 50%.

      The Arthritis Foundation says that, “obesity is the number one preventable risk
      factor for osteoarthritis.” Exercising on its own may not be the solution to weight loss though, especially if working out or being active is too painful. Diet plays a very large role in shedding the pounds and is particularly important in reducing the stress on your joints so that activity becomes less problematic. By combining healthy eating habits (i.e. vegetables and fruit) and drinking lots of water with exercise will aid in weight loss.

       

      Sources

      http://www.cdc.gov/chronicdisease/resources/publications/aag/arthritis.htm

      http://www.arthritis.org/living-with-arthritis/comorbidities/obesity-arthritis/osteoarthritis-and-obesity.php

      Role of Body Weight in Osteoarthritis

      http://www.eurekalert.org/pub_releases/2015-11/rson-mrw112315.php

      http://www.techtimes.com/articles/112136/20151201/weight-loss-may-protect-against-knee-cartilage-degeneration.htm

       

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    • Passionate Runner Overcomes Knee Pain with HemiCAP

      knee replacement alternatives

      Terri & Letia meeting in Boston!

      Terri, who lives in Colorado, used to run almost every day.

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    • Competitive Softball Player Overcomes Shoulder Pain with HemiCAP!

      Let us introduce you to Mark, our latest Shoulder HemiCAP Story:  shoulder joint pain

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    • Has the Shoulder Joint Evolved to Throw?

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    • Motion Preserving Wrist Arthroplasty: Expert Opinions in Joint Preservation

      Today, the most common treatment choices for advanced stages of SLAC and SNAC wrist include

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    • Don’t Wait to take off the Weight!

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    • Microfracture: Expert Opinions in Joint Preservation

      In the US, approximately 80,000 microfracture procedures are performed each year with the estimated number being much larger. However, in 2015, the Journal of Arthroscopy (JARS) published editorials calling into question whether there was evidence to support the continued use of microfracture as a joint preservation method because new evidence on subchondral bone disruption and marrow channel access have highlighted the mechanical and design shortfalls in traditional microfracture procedures. This recent Expert Opinion Review summarizes the contemporary literature.

      New Microfracture Study:

      Considering that microfracture surgery is one of the most frequently used procedures for cartilage repair, the Hospital for Special Surgery in conjunction with Cornell University recently performed a comparative study where researchers found that smaller diameter instruments (Nanofracture®) showed the best prospects of accessing repair cells and were substantially less damaging when compared to traditional microfracture/k-wire instruments.

      Based on their findings showing considerable differences, the authors concluded that the choice of cartilage repair technique should be carefully considered.

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    • Alcohol & Arthritis: Can Your Joints get a hangover too?

      joint replacement Everyone knows that alcohol can damage the liver, but did you know that excessive amounts of alcohol can have lasting effects for those suffering with painful joints & arthritis? While you may have recovered from all of the adult beverages you consumed over the holidays, your joints could still be suffering.

      Alcohol is a diuretic (a drug or substance that increases the passing of urine) that forces your body to lose water, which in turn, dehydrates your ligaments & tissues. Your joints rely heavily on having sufficient fluids to move smoothly & function properly so your ligaments, which contain a lot of water, are usually the first structures in the body to be affected when dehydration begins. Because of this, your joints will have insufficient fluids to provide the smooth, soft cushion needed for movement and in turn can result in agonizing joint pain, especially for those with underlying arthritis symptoms.

      Not only can mixing different types of alcohol get you in trouble (Beer before liquor), but mixing alcohol with certain arthritis medications can cause real problems for your body too. Certain long-term rheumatoid arthritis medicines, such as DMARDs, can cause liver damage on their own but when mixed with alcohol, your odds for liver damage increase exponentially.

      joint replacement alternativeThough it has not yet been conclusively proven, many doctors believe there is a real connection between drinking alcohol & joint pain and suggest drinking in moderation. It may not be necessary to forego alcohol all together but drinking in moderation can minimize joint dehydration, allowing your joints to function normally.

      According to WebMD wine drinkers may be the exception. According to the article, wine didn’t result in an increased risk of gout or arthritis, which is good news for the wine crowd! Keep in mind that excess alcohol may leave you with a joint hangover long after your head has cleared and don’t forget to Hydrate!

       

      Sources

      http://www.webmd.com/arthritis/news/20040415/beer-spirits-increase-gout-risk

      http://www.newsmax.com/FastFeatures/alcohol-effects-arthritis-joint/2015/08/18/id/670682/

      http://www.lookatyourdrinking.com/you-and-alcohol/physical-effects.aspx#Alcoholenreuma

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    • Arthrosurface receives FDA Clearance of Patellofemoral WaveKahuna Arthroplasty System

      FRANKLIN, Mass.June 29, 2018 — Today, Arthrosurface, Inc., a leading provider of minimally invasive, motion preserving joint restoration systems, announces their recent FDA 510(k) Clearance to market the Patellofemoral (PF) WaveKahuna Arthroplasty System. The PF WaveKahuna Arthroplasty System is a line extension to The Company’s previously cleared and commercially marketed family of HemiCAP® Patellofemoral & PF Wave Systems.

      Shane Shankle, VP of US Sales expressed, “As a market leader in Patellofemoral Arthroplasty, we are very excited to round out our line with the PF WaveKahuna System. The larger implants will allow a surgeon to choose from a wide range of size offerings to better serve the patient’s needs and allow them to maintain their quality of life.”

      The PF WaveKahuna restores the unique articular surface geometry of the Patella and Femoral Trochlea while maintaining the patient’s native anatomy. It’s innovative, extended lateral aspect and trochlear geometry is designed to address challenging Patellofemoral tracking and stability conditions as well as providing increased coverage of the trochlear groove. Furthermore, the novel patella design combines the clinical benefits of both the anatomic and dome patella implants from the PF Wave System. Additionally, the PF WaveKahuna femoral component is designed to mate with the currently marketed Arthrosurface PF Wave Fixation Component. The existing surgical technique is unchanged, with the addition of a superior ream step.

      “The FDA clearance comes shortly after data recently presented at ESSKA confirmed significantly improved postoperative outcomes with high patient satisfaction and no progression of knee arthritis at 5 years follow-up. The timing could not be better,” said Dawn Wilson, VP of Quality & Regulatory.

      About Arthrosurface: Arthrosurface, Inc. is a global orthopedic medical technology business providing a broad portfolio of essential products and instrumentation used to treat upper and lower extremity orthopedic conditions caused by trauma, injury and arthritic disease. Arthrosurface is the inventor and market leader in joint preservation with inlay arthroplasty. Our product offerings include joint preservation implants, instruments and orthobiologics. Founded in 2002, Arthrosurface markets and distributes its products in the US and around the world and has succeeded in helping patients return to activity for over 14 years. For more information, please visit our website at www.arthrosurface.com

      SOURCE Arthrosurface, Inc.

      Related Links

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    • Tips to Help You Safely Have Fun in the Sun This Summer

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    • Positive Knee Preservation Outcomes Using the Innovative Arthrosurface Inlay PF Wave™

      Franklin, Massachusetts based Arthrosurface, Inc. announced today that midterm clinical results reconfirmed joint preservation in patellofemoral (PF) surgery with the PF Wave™ Implant System. 5-year results presented by Dr. Jonas Pogorzelski at the recent ESSKA Congress in Glasgow, Scotland found significant improvement in symptoms and no progression of knee arthritis.

      PF Wave™

      Isolated patellofemoral arthritis occurs when there is loss of cartilage limited to the central portion of the knee joint. For advanced stages, partial joint replacement has become the leading treatment. The Arthrosurface PF Wave Inlay Arthroplasty Design adapts and restores the patient’s unique joint surface providing a novel, anatomic approach to treating isolated patellofemoral arthritis. Derek Jones, MD, Section head of Sports Medicine and Cartilage Restoration at the Ochsner Sports Medicine Institute in New Orleans said, “Over the course of the past 8 years, I have been very encouraged seeing my patients return to high levels of work and sports following this procedure. Our joint preservation experience is similar to those presented at ESSKA.” In contrast, traditional Onlay implants require more extensive bone cuts and tend to sit high on the new joint surface, thereby increasing the risk of overstuffing the joint.

      PF Wave™

      Based on their findings presented at ESSKA, lead author Prof. Andreas Imhoff, Professor of Orthopaedic Surgery and Traumatology, Director/Chairman Department of Orthopaedic Sports Medicine at the University of Munich concluded, “We observed significantly improved postoperative outcomes with high patient satisfaction at the two-year follow up. This trend held true for the 5-year results, too.”

      According to Matthias Schurhoff, VP of Clinical Affairs, “seeing these study results continue to show no arthritic changes at the 5-year mark while holding significant pain relief and functional improvement is very validating for us. These results support our belief that our unique inlay concept provides a contemporary arthroplasty track in patellofemoral surgery.”

      Arthrosurface continues to innovate Patellofemoral Arthroplasty by providing active alternatives to total knee replacement and allowing more patients access to knee preservation options.

      About Arthrosurface: Arthrosurface, Inc. is a global orthopedic medical technology business providing a broad portfolio of essential products and instrumentation used to treat upper and lower extremity orthopedic conditions caused by trauma, injury and arthritic disease. Arthrosurface is the inventor and market leader in joint preservation with inlay arthroplasty. Our product offerings include joint preservation implants, instruments and orthobiologics. Founded in 2002, Arthrosurface markets and distributes its products in the US and around the world and has succeeded in helping patients return to activity for over 14 years. For more information, please visit our website at www.arthrosurface.com.

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    • PF Patient Pamphlet (Spanish)

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    • New to the Arthrosurface Website?

      If you are a new patient to our website, below is a list of tools that you may have not discovered yet.

      Find a Doctor New Patient

      • Find a Doctor in your area who is experienced with our products.

        • How it works: If you click the find a doctor link on the top of our page it will bring you to a form. This form helps us learn a little about you, so we can help you find what you are looking for. After filling out this form you are brought to a page with a map of your area and a list. This map shows all of the doctors in your area that have done at least 3 Arthrosurface surgeries in the last 5 years. You can see what their practice names is, go to their website, or call their office. This is a great resource for those who are looking to connect with doctors who have experience with our products.
        • Didn’t find what you’re looking for, or want more information? We are happy to help answer any questions you have: contact@arthrosurface.com
      • Patient Testimonial Stories

        • Under the Patients drop down in the top navigation, click on “Patient Stories”. These are actual Arthrosurface patients that have shared their experiences with our products. You can filter the stories by joint, so you can see what people are saying about the procedure you are inquiring about.
        • These testimonials are 100% true and unscripted.
      • Patient Referral Network

        • Something you may not know is that we have a very extensive patient referral network here at Arthrosurface. If you feel unsure about a specific procedure one of the best ways to learn more is to talk to someone who has had it done!
        • If you contact us we can connect you with a real person who had the same Arthrosurface procedure you are looking into!
        • We connected Terri, who suffered from knee pain, with Letia, a HemiCAP® patient. The two met up in person and afterwards, Terri decided to go ahead with Knee HemiCAP® surgery!Arthrosurface Blog New Patient
      • Our Blog!

        • If you go to the blog/news tab, then you can read all of our blog posts! There is some great content in there for those who are suffering from joint pain. Here are some of the things you can find in that section:
          • Patient testimonials
          • Product releases
          • Tips to help avoid or relieve joint pain
          • Arthrosurface News
          • A whole lot more!
        • Subscribe to our blog, so that you never miss a blog post!
      • Patient Guide for the Treatment of Toe Arthritis – A Surgeon Survey

        • This is a great piece of literature for patients who are researching our Toe Implant Systems. The results are based on the experience of 35 foot and ankle surgeons who collectively performed 2261 procedures with these systems. The surgeons were surveyed about the clinical benefits and patient outcomes of the Toe HemiCAP® and ToeMotion® Systems. It discusses the following:
          • Treatment options for the different stages of arthritis, from mild to severe.
          • Procedure and Hospital Stay Timelines
          • Pain Relief Comparison
          • Typical Patient Function and Activity Milestones
          • Overall Satisfaction
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    • #StayActive this Spring with Joint Pain

      Why would you exercise and move around with arthritis joint pain, if it only makes you feel worse? We know it may sound counterintuitive, but staying active is one of the most important things that you can do to combat joint pain and arthritis. Limiting your movements can weaken your muscles and decondition your body. Fun, low-impact exercises help strengthen the muscles and ligaments near the joints that are causing you pain, and could also increase your range of motion and flexibility. Regular exercise is good for your joints, your heart and your mind, which will all help you stay independent in your later years.

      4 Ways to Exercise this Spring

      1. Walking. You don’t need to run marathons to stay in shape and get your muscles working. If you suffer from joint pain, walking by yourself or with a friend is a great way to exercise. Walk somewhere that you can enjoy the scenery and the beautiful spring weather; try walking around a park, a zoo, through a garden, or even on the beach. You’ll think less about it being an exercise and more about how nice it feels to be outside!
      2. Gardening. While most of you would not consider gardening an exercise, it is a great way to burn calories and improve your mental health. According to AARP gardening is an aerobic exercise that helps you work new muscles in your body and improve strength, stamina and flexibility. It is extremely rewarding to see beautiful flowers that you grew or eat delicious produce that you worked to create. So, if you don’t already, try gardening this spring as a recreational exercise.
      3. Bike Riding. While you do use your knees to ride a bike, it is not nearly as harsh on your joints as running on the hard pavement is. Bicycling strengthens your muscles at the front of your thighs, which are key protectors of the knee. Stronger muscles help to stabilize the knees and help them to better absorb shock, which helps to reduce damage and pain. Find a local bike path and go at your own pace. Don’t have a bike? Look into renting one while you figure out if bike riding is the right type of exercise for you!yoga
      4. Yoga. Yoga is a low-impact exercise perfect for those who suffer from joint pain because its exercises can be modified to fit your individual needs and abilities. It has many benefits including increased flexibility and range of motion, improved balance and decreased joint stiffness. It also helps with psychological issues like stress and anxiety. If you suffer from arthritis, make sure you are using yoga blocks, cushions and support while practicing yoga. You can practice yoga anywhere, so take it outside this Spring!

      So, how are you going to #StayActive this spring?

       

       

      Sources

      http://www.synflexamerica.com/blog/spring-arthritis-joint-pain-relief-exercises.php

      http://www.health.com/health/gallery/0,,20706071,00.html#three-way-hip-exercises

      www.brownmed.com/blog/arthritis-relief/springtime-exercises-to-relieve-joint-pain/

      https://www.health.harvard.edu/healthbeat/the-secret-to-joint-pain-relief-exercise

      https://www.artofliving.org/us-en/yoga/health-and-wellness/yoga-joint-pain

      http://www.cnn.com/2011/HEALTH/07/08/why.gardening.good/index.html

      https://www.livestrong.com/article/380447-bicycling-to-help-with-knee-pain/

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    • Glenojet Clinical Monograph: EFR™ Bone Screws

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    • Brian Be Nimble, Brian Be Quick… Thanks to the Shoulder HemiCAP Implant!

      Everyone, meet Brian! Our newest Shoulder HemiCAP patient testimonial!

      Shoulder HemiCAP

      Brian is currently a personal trainer and competitively sprints at the master’s level. However, when he was in his late 20’s, Brian seriously injured his shoulder while powerlifting. The injury caused a large bone spur and arthritis in his shoulder, but despite the pain, he tried to remain as active as possible, pushing through the pain daily. His sprinting began to suffer, as arms help to make running more efficient.

      Eventually, Brian’s pain and range of motion was so unbearable that he had to find a solution. After researching his options and discussing them with his orthopaedic surgeon, they decided the Shoulder HemiCAP Implant, with its benefits to active patients, was his best option.

      With no activity restrictions following Shoulder HemiCAP Surgery and recovery, Brian couldn’t wait to get back to the gym. Not only is he now able to fully raise and extend his arm and perform daily movements without pain, Brian is also back to sprinting and coaching his clients pain-free!

      Brian says that the Arthrosurface Shoulder HemiCAP has given him his “quality of life back” and that “other people should be looking at it, too!”

      Watch his full story in the video below:

       

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    • 7 Ways to Advocate for Your Own Health Care

      It’s time to be your own healthcare advocate! It used to be that a doctor’s word was final. Whatever they suggested, you did, without question.

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    • The OVO Shoulder Implant is a Home Run for Larry!

      Meet Larry Whitcomb, our latest shoulder OVO patient testimonial!

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    • Arthrosurface Gains FDA Clearance of OVOMotion™ Shoulder Arthroplasty System

      FRANKLIN, Mass.April 18, 2018 – Arthrosurface® announced today that The Company received FDA 510(k) Clearance to market the OVOMotion™ Shoulder Arthroplasty System. This stemless total shoulder system provides the surgeon with an approach that results in increased exposure to the glenoid, minimizes bone removal, and is designed for patients with painful and/or severely disabled shoulder joints resulting from arthritis, traumatic events or AVN.

      “This truly is a revolutionary stemless total shoulder, which combines the concept of anatomic restoration with an aspherical head design that more closely replicates patient anatomy but also allows improved joint access for ease of preparation of the glenoid,” said Dr. Anthony Miniaci, MD.

      The OVOMotion™ Shoulder Arthroplasty System is cleared for use in conjunction with the novel Arthrosurface Inlay Glenoid System and according to a comparative study published in the Journal of Shoulder and Elbow Surgery, the inlay glenoid (socket) design was far superior to the onlay alternative with respect to the biomechanical stability.

      Steve Ek, CEO said, “The OVOMotion™ Shoulder Arthroplasty System is intended to be the first of a three-element modular stemless system that will ultimately allow surgeons to intra-operatively choose between stemless, traditional and reverse options.”

      About Arthrosurface

      Arthrosurface, Inc. is a global orthopedic medical technology business providing a broad portfolio of essential products and instrumentation used to treat upper and lower extremity orthopedic conditions caused by trauma, injury and arthritic disease. The product offerings include joint preservation implants, instruments and orthobiologics. Founded in 2002, Arthrosurface markets and distributes its products in the US and around the world and has succeeded in helping patients return to activity for over 14 years. For more information, please visit our website at www.arthrosurface.com

       

      SOURCE Arthrosurface, Inc.

      Related Links

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    • Seasonal Allergies and Joint Pain

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    • Happy Holidays!!

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    • 7 Tips to Avoid Joint Pain While Wrapping Presents

       

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    • PF Kahuna Tech Guide (Int’l Only)

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    • Arthrosurface acquires an acellular dermal technology from WASAS, LLC

      FRANKLIN, Mass., Oct. 30, 2017 /PRNewswire/ — Arthrosurface, Inc. announced today that it has completed the acquisition of an acellular dermal stabilization technology, including the intellectual property rights to and associated with this technology, from WASAS, LLC based in Fort Lauderdale, Florida. Arthrosurface plans to use this technology to develop and market a platform of novel methods to be used to correct orthopedic challenges in multiple therapeutic areas.

      Acellular dermis is derived from a human source, a process is used to remove cells and retain portions of the extracellular matrix (ECM). Dermal allografts have a history of human use in a wide range of clinical indications.

      “The availability of this allograft to Arthrosurface will allow us to execute on a pipeline of clinical applications that we have identified with our surgeon partners over the past several years,” said Steve Ek, CEO of Arthrosurface.

      About Arthrosurface

      Arthrosurface, Inc. is a global orthopedic medical technology business providing a broad portfolio of essential products and instrumentation used to treat upper and lower extremity orthopedic conditions caused by trauma, injury and arthritic disease. The product offerings include devices, instruments and orthobiologics designed to preserve and restore the joints so patients can regain and maintain an active lifestyle. The Company offers a variety of unique systems that provide less invasive technologies for surgeons that can be used to treat a wide range of joint conditions. Founded in 2002, Arthrosurface markets and distributes its products in the US and around the world and has succeeded in helping patients return to activity for over 13 years. For more information, please go to our website at www.arthrosurface.com

       

      SOURCE Arthrosurface, Inc.

      Related Links

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    • Hallux Rigidus Product Comparison

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    • WristMotion Patient Returns to Competitive Softball

      Alternative to four-corner fusionWe’d like to introduce you to Jerry! 

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    • Science Reconfirms Benefits of Shoulder Inlay Glenoid Arthroplasty For Active Patients

      OVO with Inlay Glenoid Arthroplasty ImplantFranklin, MA., May 10, 2017 – Arthrosurface, Inc., the Global Leader in

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    • Patient Has Success with Partial Shoulder Replacement (HemiCAP)

      We’d like to introduce you to our newest Shoulder HemiCAP Patient Testimonial, David Kull. He shares his journey below:
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    • OsteoMate Foot Tech Guide

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    • Arthrosurface Launches OsteoMATE for the Treatment of Osteoarthritis in the Hand

      Franklin, MA., April 26, 2017 – Arthrosurface, Inc. today announced the first surgery using the new OsteoMATE arthrodesisfour corner fusion

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    • BaseCAP One Pager

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    • NanoFx Flyer

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    • Arthrosurface at the Orthopedic Summit

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    • Comparative Data Shows Nanofracture Superiority

      joint replacement Recent publications from The Hospital for Special Surgery (HSS) in New York (1) and the University of Sassari in Italy (2) compared NanoFx® to microfracture and k-wires for marrow stimulation and its effect on the subchondral bone architecture. The HSS study demonstrated that larger instruments caused more disruption to the bone and the Italian results showed that the deeper NanoFx® (Nanofracture) perforations led to a better restoration of the subchondral bone architecture at 6 months. An additional concern highlighted in the Zedde et al. publication was that 75% of the microfracture subjects had subchondral cysts, whereas no cysts were found in the Nanofracture group.

      Within the past 10 years, the Sports Medicine community has shifted its focus away from the tissue that eventually fills the defect area and towards the osteochondral unit. As the HSS article commented, “any technique that can change the structure of the subchondral bone has the potential to affect the biomechanics of the osteochondral unit, the repair process, and the overall cartilage resurfacing outcome.” Similar to the construction of a house, the foundation has become just as important, if not more, than the roof.

      Marrow stimulation remains one of the most common first-line treatment options for cartilage defects. However, the decline in clinical outcomes seen with microfracture at 18-36 months after the procedure22-28 continues to drive surgeons to search for a new alternative to the standard of care. The research highlights three key elements that affect outcomes when performing marrow stimulation techniques:

      • Channel depth
      • Channel diameter and
      • Subchondral bone disruption

      Chen et al demonstrated that to access the marrow-rich subarticular spongiosa, a depth greater than 6mm was best. Hoemann and colleagues assessed the bone disruption of awls and found that the larger and deeper the awls went, the more compaction damage there was to the lesion surface. In 2014, Eldracher et al. compared marrow stimulation using 1.0 or 1.8mm drills at a standardized depth of 10 mm in an ovine model.20 The smaller 1.0mm subchondral drill holes that reflected the physiological trabecular distance significantly improved osteochondral repair in a translational model more effectively than larger drill holes.

      The goal of marrow stimulation is to perforate the bone to allow access to the marrow compartment which contains the stem cells, growth factors and healing proteins necessary to form a superclot that includes the essential biological elements needed to initiate a repair of the defect site. Increasing type II collagen and reducing type I is also seen as vital to the development of a more robust cartilage-like tissue. When the data from these various sources is combined with the Nanofracture® comparative data from HSS and the University of Sassari, a clear picture for a more successful marrow stimulation repair emerges. The ideal instrument must be able to perforate deeply into the bone, have a diameter of 1mm to match the trabecular distance, do so without disrupting the subchondral bone unit, self-seal to avoid cyst formation all while stimulating type II collagen synthesis in the defect area to improve biological healing.

      Nanofracture:

      Smaller, Deeper, Better is not simply a marketing slogan but rather the criteria for a new standard of care in marrow stimulation.

      joint replacement alternative

      References

      • Gianakos AL, Yasui Y, Fraser EJ, Ross KA, Prado MP, Fortier LA, Kennedy JG. The Effect of Different Bone Marrow Stimulation Techniques on Human Talar Subchondral Bone: A Micro-Computed Tomography Evaluation. Arthroscopy. 2016 Oct;32(10):2110-2117. doi: 10.1016/j.arthro.2016.03.028. PubMed PMID: 27234650.

      Publisher: http://www.arthroscopyjournal.org/article/S0749-8063(16)00269-3/abstract

      • Zedde P, Cudoni S, Giachetti G, Manunta ML, Masala G, Brunetti A, Manunta AF. Subchondral bone remodeling: comparing nanofracture with microfracture. An ovine in vivo study. Joints. 2016 Aug 18;4(2):87-93.

      Publisher: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4993551/

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    • Microfracture Surgery and Your Return to Sports

      knee implantsMicrofracture surgery is very common for athletes, especially at the college and professional levels, due to the physically demanding nature of their careers (Damaged cartilage in athletes is no 

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    • New Extremity Products are Driving Growth for Arthrosurface

      FRANKLIN, Mass.Oct. 6, 2016 /PRNewswire/ — Arthrosurface® announced today that at the September 27, 2016 American Society for Podiatric Surgery (ASPS) meeting in Baltimore, Maryland, the new CheckMATE® 3.0 Toe Fusion Plate was launched for end stage toe arthritis. One study showed that 35%-60% of the population over 65 years old has osteoarthritis of the big toe, making this a common problem. The CheckMATE® toe fusion plate was designed to offer advantages over existing systems by including features to make the plate low-profile, yet strong, rigid, and faster to implant, reducing surgical time and improving patient comfort. These features may also provide cost savings to the healthcare system and other clinical benefits to the patient. Arthrosurface is advancing patient care in the extremities market with a special focus in foot and ankle applications. Using evidence based designs that reference scientific literature, combined with clinical input from expert surgeon design teams, the Arthrosurface® extremities portfolio has expanded significantly over the past several years to provide innovative options for both surgeons and patients.

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    • New Motion Preserving Wrist Implant hits 1 year Milestone [Press Release]

      FRANKLIN, Mass., Sept. 12, 2016 /PRNewswire/ — In May of 2015 the new motion preserving WristMotion™ hemiarthroplasty implant from Arthrosurface, Inc. (www.arthrosurface.com) was launched. The following month, the first patients were treated by the three co-developing surgeons,

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    • When Can You Return to Activity After Toe HemiCAP Surgery?

      Have you ever wondered how much time it took other Toe HemiCAP Patients to return to their favorite activities after surgery? The chart below was compiled to help answer your questions.

      Typical Patient Function & Activity Milestones after Hemiarthroplasty or Total Toe Replacement

      Based on their experience, surgeons rated the time it took for patients to achieve certain milestones after surgery such as driving a car, walking in shoes and returning to work, activity or sport. Typically, patients are able to perform the activities of daily life, including returning to work, 2-6 weeks after surgery.

      Following Toe HemiCAP® hemiarthroplasty, or ToeMotion® Total Toe replacement, no restrictions on job, sports or activity were recommended. Following these procedures, most patients are expected to return to work within 2 weeks after surgery (66.7%) or within a 15-30 day range (33.3%). The time to return to work was classified as equal or faster than cheilectomy, faster than other implants and faster than fusion. Sports participation was started at a mean of 49.3 days and the satisfaction regarding the return to sport and an active lifestyle was rated as Excellent (66.7%), Very good (33.3%) or Good (16.7%).

      toe pain

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    • Glenojet Instrument IFU

      3001-2011 REV B-Glenojet_eng

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    • Glenojet Implant IFU

      3001-2012 Rev D_Glenojet IFU

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    • Glenojet Tech Guide

      Glenojet Tech Guide_Rev B

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    • Shoulder Pain Relieved with HemiCAP Implant

      Let us introduce you to Dave, our newest Shoulder HemiCAP Patient Testimonial.shoulder pain

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    • Expert Opinions: Toe Hemiarthroplasty vs. Fusion

      The standard toe fusionof care for advanced toe arthritis has always been

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    • Toe Clinical Survey Outcomes

      ClinicalSurvey_Toe_Rev B

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    • Shoulder HemiCAP Inlay Arthroplasty Showed Lowest Comparative Revision Rate at the 5 Years Mark

      shoulder joint pain

      Stemmed shoulder replacement has been the standard of care in modern shoulder arthroplasty. Ample reports indicate that

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    • Shoulder HemiCAP Has the Lowest Revision Rates at 5 Years

      shoulder replacement Stemmed total shoulder replacement has been the standard of care in modern shoulder replacement for the last decade or so. A traditional shoulder replacement consists of putting a metal rod (stem) and a metal head in the humerus (upper bone in your arm), and a cup shaped plastic surface on your glenoid (the socket in your shoulder).

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    • Study Shows New Method of Microfracture for Cartilage Repair is Better

      knee injuriesMicrofracture is one of the most frequently used cartilage repair techniques especially for athletes looking to get back to sport quickly.

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    • Comparison of BMS Techniques: Microfracture, NanoFx & K-Wire

      knee joint Microfracture is one of the most frequently used cartilage repair techniques. According to a comparative study performed at the Hospital for Special Surgery

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    • Patient Guide to Toe Arthritis

      toe joint painA small group of expert surgeons who together have performed more than 1000 surgical procedures since 2005 using the Toe HemiCAP® System were recently asked to share their experience in form of a survey.

      The group included male and female orthopaedic (MD) and podiatric surgeons (DPM) who were in practice performing foot and ankle surgery for more than 17 years on average. Together, their expertise is based on over 100 years diagnosing and treating patients with foot and ankle problem

      Surgeons were asked about their experience with the Toe HemiCAP and ToeMotion implants, as well as different toe fusion systems. Their response provided insight into the

      • Return to work and activity
      • Pain relief and functional improvements
      • Length of the procedure and hospital stay
      • Typical recovery with physiotherapy and rehabilitation

      If you are considering surgery as an option for the treatment of painful toe arthritis, this survey may provide additional information to help you make an informed decision. It may also be helpful in guiding you towards a series of questions you may want to ask your doctor before deciding on the course of your treatment.

      toe joint surgery

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    • Expert Opinion: Toe Hemiarthroplasty vs. Fusion

      20160625 EIJP Shields Labib Sys Rev Fusion vs HemiCAP RevB

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    • The Obesity & Arthritis Connection

      find a doctorThere are many things that can accelerate or make arthritis worse. One of the most problematic accelerators is Obesity. By definition, obesity means that a person’s body weight is 20% higher than it should be and they have a body mass index (BMI) over 30. If a person’s BMI is between 25 & 29.9, they are considered overweight. Obesity is a major risk factor for the development of osteoarthritis, which affects nearly 1 out of every 5 adults in the US. Reports show that by 2030, it’s estimated that over 67 million adults will suffer from osteoarthritis, a whopping 20% of the US population. Obesity can not only accelerate the progression of the disease but osteoarthritis can be much more severe for the obese and overweight and is just one more reason why weight loss is so important.

      It’s a well-known fact that each pound you lose reduces the pressure on your knee joints by 4 pounds. Once cartilage is lost the damage cannot be undone. However, weight loss can and controlling your weight be very beneficial by slowing the progression of the disease. The larger the weight loss, the more intense an effect it has on your joints, reducing knee degeneration and slowing osteoarthritis. For example, every 11lbs a woman loses (2 BMI Points)orthopaedic surgeons, the risk of developing OA dropped greater than 50%.

      The Arthritis Foundation says that, “obesity is the number one preventable risk
      factor for osteoarthritis.” Exercising on its own may not be the solution to weight loss though, especially if working out or being active is too painful. Diet plays a very large role in shedding the pounds and is particularly important in reducing the stress on your joints so that activity becomes less problematic. By combining healthy eating habits (i.e. vegetables and fruit) and drinking lots of water with exercise will aid in weight loss.

       

      Sources

      http://www.cdc.gov/chronicdisease/resources/publications/aag/arthritis.htm

      http://www.arthritis.org/living-with-arthritis/comorbidities/obesity-arthritis/osteoarthritis-and-obesity.php

      Role of Body Weight in Osteoarthritis

      http://www.eurekalert.org/pub_releases/2015-11/rson-mrw112315.php

      http://www.techtimes.com/articles/112136/20151201/weight-loss-may-protect-against-knee-cartilage-degeneration.htm

       

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    • Glenojet One Pager

      Glenojet One Pager_Rev C

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    • Marrow Stimulation Expert Opinion: What have we learned after 60 years of drilling for answers?

      NanoFx Paper

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    • WristMotion Expert Opinion: Alternative to Four Corner Fusion

      PRC+ Expert Opinion Final PDF Feb 2016

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    • Passionate Runner Overcomes Knee Pain with HemiCAP

      knee replacement alternatives

      Terri & Letia meeting in Boston!

      Terri, who lives in Colorado, used to run almost every day.

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    • Competitive Softball Player Overcomes Shoulder Pain with HemiCAP!

      Let us introduce you to Mark, our latest Shoulder HemiCAP Story:  shoulder joint pain

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    • Has the Shoulder Joint Evolved to Throw?

      shoulder pain remedAccording to a recent article in the American Journal of Orthopaedics, it’s being argued that

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    • Motion Preserving Wrist Arthroplasty: Expert Opinions in Joint Preservation

      Today, the most common treatment choices for advanced stages of SLAC and SNAC wrist include

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    • Don’t Wait to take off the Weight!

      Just like added weight can put more pressure on your joints, losing weight has a 

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    • Microfracture: Expert Opinions in Joint Preservation

      In the US, approximately 80,000 microfracture procedures are performed each year with the estimated number being much larger. However, in 2015, the Journal of Arthroscopy (JARS) published editorials calling into question whether there was evidence to support the continued use of microfracture as a joint preservation method because new evidence on subchondral bone disruption and marrow channel access have highlighted the mechanical and design shortfalls in traditional microfracture procedures. This recent Expert Opinion Review summarizes the contemporary literature.

      New Microfracture Study:

      Considering that microfracture surgery is one of the most frequently used procedures for cartilage repair, the Hospital for Special Surgery in conjunction with Cornell University recently performed a comparative study where researchers found that smaller diameter instruments (Nanofracture®) showed the best prospects of accessing repair cells and were substantially less damaging when compared to traditional microfracture/k-wire instruments.

      Based on their findings showing considerable differences, the authors concluded that the choice of cartilage repair technique should be carefully considered.

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    • Alcohol & Arthritis: Can Your Joints get a hangover too?

      joint replacement Everyone knows that alcohol can damage the liver, but did you know that excessive amounts of alcohol can have lasting effects for those suffering with painful joints & arthritis? While you may have recovered from all of the adult beverages you consumed over the holidays, your joints could still be suffering.

      Alcohol is a diuretic (a drug or substance that increases the passing of urine) that forces your body to lose water, which in turn, dehydrates your ligaments & tissues. Your joints rely heavily on having sufficient fluids to move smoothly & function properly so your ligaments, which contain a lot of water, are usually the first structures in the body to be affected when dehydration begins. Because of this, your joints will have insufficient fluids to provide the smooth, soft cushion needed for movement and in turn can result in agonizing joint pain, especially for those with underlying arthritis symptoms.

      Not only can mixing different types of alcohol get you in trouble (Beer before liquor), but mixing alcohol with certain arthritis medications can cause real problems for your body too. Certain long-term rheumatoid arthritis medicines, such as DMARDs, can cause liver damage on their own but when mixed with alcohol, your odds for liver damage increase exponentially.

      joint replacement alternativeThough it has not yet been conclusively proven, many doctors believe there is a real connection between drinking alcohol & joint pain and suggest drinking in moderation. It may not be necessary to forego alcohol all together but drinking in moderation can minimize joint dehydration, allowing your joints to function normally.

      According to WebMD wine drinkers may be the exception. According to the article, wine didn’t result in an increased risk of gout or arthritis, which is good news for the wine crowd! Keep in mind that excess alcohol may leave you with a joint hangover long after your head has cleared and don’t forget to Hydrate!

       

      Sources

      http://www.webmd.com/arthritis/news/20040415/beer-spirits-increase-gout-risk

      http://www.newsmax.com/FastFeatures/alcohol-effects-arthritis-joint/2015/08/18/id/670682/

      http://www.lookatyourdrinking.com/you-and-alcohol/physical-effects.aspx#Alcoholenreuma

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    • ToeMATE IFU

      4001-2007_REV D_eng

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    • Wrist IFU – Instruments

      PN 0020-0013 Rev B-Reusable Instrument Sets-11 Lang

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    • Wrist IFU – Implants

      3W01-1000 Rev A WristMotion Hemiarthroplasty System

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    • Glenoid IFU

      3001-2010 REV D-Glenoid-9 Lang

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    • Shoulder IFU – Implants (OVO)

      3001-2020-Rev-E-OVO

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    • Shoulder IFU – Implants (25-40)

      3001-2000_rev-H-Shoulder

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    • Shoulder IFU – Instruments (All)

      0020-0010_rev-I-Instruments-12 Lang

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    • UniCAP Small IFU – Implants

      K001-2002_Rev-C-UniSmall IFU

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    • UniCAP IFU – Implants

      K001-2001_rev-I -UniCAP Knee

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    • UniCAP IFU – Instruments

      0020-0010_rev-I-Instruments-12 Lang

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    • Toe HemiCAP IFU – Instruments

      0020-0010_rev-I-Instruments-12 Lang

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    • Toe HemiCAP IFU – 15mm/DF Screw

      4001-2004_Rev-C_GreatToe

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