How Does Orthopedic Surgery Stack Up to Interventional Orthobiologics?
The Old Gaurd versus the New Kid One of the things that orthopedic surgery suffers from is that the basic technology is decades old and came into being at a time when there were very low research standards for surgical care. Take for example a knee replacement. If this procedure didn’t exist and I were to propose to the FDA and insurance companies today that I wanted to amputate a major part of someone’s body and insert a metal and plastic replacement, both would require large randomized controlled trials and a decade of research before allowing this to be approved and covered. Despite that, it took decades before someone tested a knee replacement against conservative care. Why is that a big deal? Because we didn’t know until that study that whacking out someone’s knee joint and replacing it with a prosthesis was better than going to physical therapy. In addition, we still don’t have a single study that compares a knee replacement to a placebo procedure (the medical term is sham). Why