Will "interventional orthopedics" replace the need for most surgeries?

[DrCommonSense]

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https://www.regenexx.com/orthopedic-stem-cell-therapy-regenerative-medicine-articles/

According to Dr Centeno, his technology will soon replace most conventional orthopedic and back surgeries in the future. He also can save alot of money for insurers if they stepped away from conventional surgical methods and started using his regenerative medicine techniques.

Whats the opinions on this?

 

[lobelsteve]

https://www.regenexx.com/orthopedic-stem-cell-therapy-regenerative-medicine-articles/

According to Dr Centeno, his technology will soon replace most conventional orthopedic and back surgeries in the future. He also can save alot of money for insurers if they stepped away from conventional surgical methods and started using his regenerative medicine techniques.

Whats the opinions on this?

I got beans to sell you, kid.

 

[Doctodd]

Shhhhhhh don't tell anyone

 

[drusso]

https://www.regenexx.com/orthopedic-stem-cell-therapy-regenerative-medicine-articles/

According to Dr Centeno, his technology will soon replace most conventional orthopedic and back surgeries in the future. He also can save alot of money for insurers if they stepped away from conventional surgical methods and started using his regenerative medicine techniques.

Whats the opinions on this?

Read this book:

Book Review: ‘Ending Medical Reversal’ Laments Flip-Flopping

Surgical orthopedics is a sitting duck for medical reversal. Look at what happened to vert/kypho/IDET/fusion/pumps, etc. Most of surgical orthopedics is based upon "biological/biomechanical plausibility" not real world end-points from Level I RCT's.

The list of surgical orthopedic reversals is already mounting: knee menisectomy, arthroscopic subacromial decompression, steroids for tendinopathy, etc. Every week patients learn about the lack of evidence for these procedures. Fracture care and joint replacement in end-stage joints will remain viable, but most of the other MSK-related stuff will be pushed into the non-surgical realm.

 

[DrCommonSense]

Read this book:

Book Review: ‘Ending Medical Reversal’ Laments Flip-Flopping

Surgical orthopedics is a sitting duck for medical reversal. Look at what happened to vert/kypho/IDET/fusion/pumps, etc. Most of surgical orthopedics is based upon "biological/biomechanical plausibility" not real world end-points from Level I RCT's.

The list of surgical orthopedic reversals is already mounting: knee menisectomy, arthroscopic subacromial decompression, steroids for tendinopathy, etc. Every week patients learn about the lack of evidence for these procedures. Fracture care and joint replacement in end-stage joints will remain viable, but most of the other MSK-related stuff will be pushed into the non-surgical realm.

Even for joint replacement in older morbidly obese patients, diabetic patients, etc. what are the outcomes in terms of function and pain?

 

[Alakazam123]

Read this book:

Book Review: ‘Ending Medical Reversal’ Laments Flip-Flopping

Surgical orthopedics is a sitting duck for medical reversal. Look at what happened to vert/kypho/IDET/fusion/pumps, etc. Most of surgical orthopedics is based upon "biological/biomechanical plausibility" not real world end-points from Level I RCT's.

The list of surgical orthopedic reversals is already mounting: knee menisectomy, arthroscopic subacromial decompression, steroids for tendinopathy, etc. Every week patients learn about the lack of evidence for these procedures. Fracture care and joint replacement in end-stage joints will remain viable, but most of the other MSK-related stuff will be pushed into the non-surgical realm.

So will it ultimately suffer a similar fate to CT surgery?

 

[Pacman27]

I do believe minimally invasive surgery is on the rise and with good outcomes. I think the "need" for fusion is being reduced. I personally don't know much about regenerative medicine, but would be interesting in learning more if time permitted.

 

[Alakazam123]

I do believe minimally invasive surgery is on the rise and with good outcomes. I think the "need" for fusion is being reduced. I personally don't know much about regenerative medicine, but would be interesting in learning more if time permitted.

Is this in the realm of orthopedics or will PM&R take it over?

 

[Pacman27]

Is this in the realm of orthopedics or will PM&R take it over?

Realm of comfort and staying safe. More and more procedures are being done with imaging in every specialty. No one does more spine procedures under imaging then us.