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Facing the Evidence IM Nails vs Sliding Hip Screws and the Microbiome of Arthritic Joints

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September 13, 2023

Facing the Evidence IM Nails vs Sliding Hip Screws and the Microbiome of Arthritic Joints

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T. Derek V. Cooke 2023-09-14

Orthopaedic Surgeon - Canada

Excellent video chat and exciting information on the background and pathogenesis for potential role for microbes in chronic arthritis. Wonder about the role of contamination of cartilaginous structures (vs synovial) which we identified uniquely to be the site of major concentrations of immune complexes in RA. It was a key observation in our understanding for the lack of success for synovectomy vs the huge contribution for joint (cartilaginous tissues) replacement by TJA in effective long term treatment results of surgery.