All GLG News Analyses Filed Under: Orthopaedics

Medtronic's acquisition of Breakaway Imaging is a significant step forward

August 1, 2007

Analysis by: GLG Expert Contributor

Analysis of:Medtronic to Acquire Breakaway Imaging, LLC | wwwp.medtronic.com

Medtronic will see increased sales of their navigation platform, and probably a secondary increase in thier spinal implants as a result of the acquisition of Breakway Imaging. Sales of the O-Arm have been increasing rapidly, adding to Medtronic's sucess in the field of spinal surgery

Cigna covers lumbar disc replacement

July 31, 2007

Analysis by: GLG Expert Contributor

Analysis of:CIGNA Covers CHARITE® Artificial Disc, USA | www.medicalnewstoday.com

As insurers continue to cover the Charite and other disc replacement products, the hope for coverage for other disc replacement technology will encourage further refinement and investment in motion preservation technology

Surgery for spondylolisthesis is better than non-operative treatment

July 30, 2007

Analysis by: GLG Expert Contributor

Analysis of:Surgeons discuss validity of SPORT data after release of spondylolisthesis arm | www.orthosupersite.com

This study confirms the clinical impressions of the majority of spine surgeons.  Patients with degenerative spondylolisthesis fare better with surgery compared to non-operative management. If this study results in an increase in the utilization of fusion surgery to treat spondylolisthesis, the device manufacturing companies, such as Medtronic, DePuy, Nuvasive, and others, may see increases in their sales. CMS may see a significant increase in the number of fusion surgeries performed as a result of this study. CMS may see less variability in the rates of fusion surgery around the country as a result of this study. 

To reconstruct or not reconstruct

July 30, 2007

Analysis by: GLG Expert Contributor

Analysis of:Isolated Anterior Cruciate Ligament Reconstruction in the Chronic ACL-Deficient Knee With Degenerative Medial Arthrosis | www.orthosupersite.com

It appears that an ACL deficient knee with medial compartment arthrosis will ultimately perform better with a ligament graft in place vs non surgical treatment.  There is benefit to reconstruction even in the face of arthritis

In the long run, cervical disc replacement will likely gain the acceptance of most insurers

July 30, 2007

Analysis by: GLG Expert Contributor

Analysis of:Medtronic Neck Disc as Good as Fusion: FDA Staff | www.medscape.com

Medtronic is likely to be able to get major commercial insurance carriers to cover reimbursement for cervical artificial discs The current failure of lumbar disc replacement should not be extrapolated to draw parallels and make conclusions regarding cervical disc replacement.  It is naive to think that cervical disc replacement will replace cervical diskectomy and fusion operations altogether, but there are clinical scenarios where cervical disc replacement might be a better option for the patient.

Kyphon products are complimentary to Medtronic offerings

July 30, 2007

Analysis by: GLG Expert Contributor

Analysis of:Medtronic to acquire Kyphon | investorrelations.medtronic.com

The new acquisition will expand the market share of Medtronic Kyphon products will fit very well in the lineup from Medtronic and will fill the gaps that allowed Kyphon to grow so rapidly and consistently

Cervical Artificial Discs - What will it add to the bottom line?

July 27, 2007

Analysis by: GLG Expert Contributor

Analysis of:Medtronic Neck Disc as Good as Fusion: FDA Staff | www.medscape.com

While there are intuitive advantages to disc replacement therapy, the reality is that Medtronics trial design only showed equivalency rather than superiority to traditional fusion and considering the fact that most insurance companies do not pay for disc replacements and the huge body of experience with fusion may make adoption of this technology slower than anticipated. Once more data is collected to convince insurers and patients of the superiority of this technology, disc replacement may become the treatment of choice for degenerative disc disease.

Good experience with pcm

July 25, 2007

Analysis by: GLG Expert Contributor

Analysis of:Medtronic Neck Disc as Good as Fusion: FDA Staff | www.medscape.com

disc prothesis, neck

A welcome improvement of the dynamic hip screw

July 25, 2007

Analysis by: GLG Expert Contributor

Analysis of:DePuy Launches The Only Technology To Treat Intertrochanteric Hip Fractures Using Traditional Or Minimally Invasive Procedures | www.medicalnewstoday.com

Fractures of the upper end of the femur are daily challenge in orthopaedic and trauma surgery in the States, and in Europe. As much as 200000 patients suffer from intretrochanteric fractures, describing a specific site of the upper femur, alone. Thus it is a very relevant challenge in trauma surgery.

Cartilage repair/restoration has viable results in well choosen patients

July 25, 2007

Analysis by: GLG Expert Contributor

Analysis of:Genzyme Announces Positive Results from Carticel® Study at Major Sports Medicine Meeting | www.genzyme.com

Most cartilage repair techniques must take into account the age and biology of the area being treated.  We all know that the aging process significantly decreases the healing potential of most collagen based procedures, whether that be skin, tendon, ligament, cartilage or bone. The myriad of techniques including microfracture Autologous OATS, allograft OATS, ACI, syntheic fillers and resurfacing all have their ideal pattients and in most articles, the confounding variables are poorly controlled for.  Resultrs will always be better in the healthy, isolated lesion in the non-smokers, younger patient without alignmenet issues. In order to get a cohort of ideal patients, the numbers to independently assess all these technologies would be staggering. The best ideas at this point seem to be the initiaion of the most conservative treatment with progression to more invasive techniques upon determining failure of results with previous procedures.

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