A new study from the American Academy of Orthopaedic Surgeons analyzes current security measures on patients who have had a total hip replacement. The authors conclude that full body scanners can be a viable option for some travelers, but may cause delays and inconveniences.
A structured exercise regimen reduced physical therapy visits by 40% in workers' compensation patients after arthroscopic meniscectomy. The study supports the implementation of independent exercise protocols to reduce therapy costs without compromising patient outcomes.
Researchers found that thromboembolic events following ankle fracture surgery are uncommon, with most patients experiencing no complications. The study suggests that surgical treatment for ankle fractures does not significantly increase the risk of blood clots or pulmonary embolism.
The Spine Patient Outcomes Research Trial (SPORT) found surgical treatment significantly favored outcomes for IDH, DS, and LSS, while vitamin D deficiency is critical to musculoskeletal health. A new study urges orthopaedic surgeons to proactively diagnose and treat vitamin D deficiency, which can improve treatment results for various ...
More than 4.5 million Americans are living with a total knee replacement, with osteoarthritis being the leading cause. The prevalence of TKR is higher in women, with 5.3% compared to 4.1% in men.
Researchers analyzed metal-on-metal hip replacement studies for negative outcomes, finding no bias in results from authors with disclosed conflicts. Despite a trend towards increasingly negative study results over time, the findings support the AAOS's disclosure requirements and peer review process.
The American Academy of Orthopaedic Surgeons has established a new credentialing process for doctors who plan to travel internationally to disaster sites. The Disaster Responders Certification Program provides training and certification for orthopaedic surgeons, with three levels of certification available. A study reports long-term po...
Hip fracture patients with undiagnosed neurological disorders, such as cervical myelopathy, are at increased risk of falls and additional fractures. Screening for cervical myelopathy should be standard care for all hip fracture patients to reduce this risk.
New research finds that shorter hospital stays for total knee replacement (TKR) patients are associated with increased risk of revision and mortality. Outpatient groups had lower costs at 2 years, but higher mortality and dislocation rates.
A recent study has estimated the annual cost of defensive orthopaedic care in the US at $2 billion. The study found that 96% of orthopaedic surgeons ordered tests and referrals primarily to avoid malpractice liability, resulting in a significant increase in healthcare costs.
Researchers found ultrasound images to have 100% diagnostic correlation with X-rays for detecting developmental dislocation of the hip. The study showed ultrasound to be a reliable alternative imaging method for DDH screening in young children.
A study published by the American Academy of Orthopaedic Surgeons found that excessive sporting activities can lead to a higher risk of surgical revision in patients with hip resurfacing. Patients with lower Impact Scores had better survival rates and lower revision risks, highlighting the importance of limiting physical activity.
A study of 107 individuals with diagnosed osteoarthritis in the knee found that a DVD-based exercise program significantly improved pain and physical function, but did not affect osteoarthritis progression. Video-based home exercise programs can enhance adherence and improve life quality for patients living with knee osteoarthritis.
Research found that discontinuing bisphosphonates after an atypical femur fracture significantly lowers the risk of a subsequent fracture. Bisphosphonates may suppress natural bone remodeling, leading to brittle bones and increased fracture risk.
A new study presented at the American Academy of Orthopaedic Surgeons meeting found that obese children are 74 percent more likely to sustain a fracture of the growth plate. The study looked at 224 children and found that those with a higher BMI were more likely to experience low-energy impact injuries.
Men with anxiety traits experience higher post-operative pain ratings and longer hospital stays. Women report higher pain levels and are less satisfied with pain control following total knee replacement surgery.
A new study by the American Academy of Orthopaedic Surgeons found that online support after joint replacement surgery can save patients time and money. Patients who used web-based follow-up care reported fewer routine visits, lower travel costs, and reduced time spent on appointments.
A new study presented at the American Academy of Orthopaedic Surgeons meeting found that patients taking antidepressants before hip replacement surgery reported greater pain and lower satisfaction with their procedure. Assessing a patient's mental health status prior to surgery is crucial for predicting outcomes.
Research by American Academy of Orthopaedic Surgeons reveals that elite girls' soccer athletes are at higher risk for delayed or irregular menstruation and stress fractures. A consistent warm-up exercise program can significantly decrease ACL injury risk.
The risk of pulmonary embolism following total joint replacement is highest in the first week, with most cases occurring between two to seven days post-surgery. Anticoagulation treatment beyond seven days may not be necessary, according to a recent study presented at the American Academy of Orthopaedic Surgeons Annual Meeting.
A new study found that modern low-energy handgun ammunition can inflict significant soft tissue damage, potentially causing infection and compartment syndrome. Orthopaedic surgeons should be aware of this powerful new ammunition to treat high-risk gunshot injuries properly.
A study of 1,500 patients found that aspirin reduced the incidence of Deep Vein Thrombosis (DVT) by 19.2%, with no complications from aspirin use. Aspirin, combined with stockings and a foot pump, is a safe and effective therapy for preventing DVT and PE in most joint replacement patients.
A new study found that post-surgical phone support significantly improved physical activity and function in high-risk knee replacement patients. Telephone emotional support was well-received by all patients, particularly those with poor emotional health or morbid obesity.
A new study finds that total knee replacement (TKR) in elderly osteoarthritis patients can reduce mortality rates by half and lower the risk of heart failure. Additionally, TKR may result in reduced healthcare costs due to lower Medicare payments over a seven-year period.
A new study reveals that 77% of trauma patients have deficient or insufficient levels of vitamin D. Researchers found a strong link between vitamin D deficiency and increased risk of muscle weakness, bone fractures, and poor bone healing.
A 10-year study at a regional trauma center found significant negative association between orthopaedic trauma volume and county unemployment rates of the previous year. The study, presented at the AAOS Annual Meeting, suggests economic trends impact orthopedic trauma volume.
Research found 26% of patients with distal radius fractures and 11% of control patients were vitamin D insufficient, while 18% and 2% respectively were deficient. Vitamin D supplementation may help prevent future fractures.
A recent study published in the Journal of Bone and Joint Surgery found that women and some men with non-contact ACL injuries share a common geometry on their knee joints, which may explain why women are at greater risk for ACL injuries. The study suggests that this geometry, characterized by a shorter and more rounded tibial plateau, ...
A new review article suggests that medications targeting T-cells can significantly benefit patients with psoriatic arthritis, reducing symptoms and improving joint function. Surgery may also be considered for patients with joint deformities, offering insights into outcomes and risks for those who progress to joint destruction.
A study published in the Journal of Bone and Joint Surgery found that comorbidities such as high blood pressure, fluid and electrolyte disorders, and congestive heart failure significantly raise hospitalization costs and length of stay for hip fracture patients. Recent weight loss or malnutrition also had a major impact on hospitalizat...
The American Academy of Orthopaedic Surgeons has released a new clinical practice guideline for treating supracondylar humerus fractures in children. The guideline recommends stabilizing the fracture with pins and treating circulation problems, while emphasizing the importance of evaluating each child's individual circumstances. The fu...
Chronic opioid users have longer hospital stays, more post-surgical pain and complications, and are less likely to recover fully after knee replacement surgery. Researchers recommend strategies such as weaning patients off strong opioids prior to surgery to improve patient outcomes.
Patients with herniated lumbar disc symptoms who waited over six months to undergo treatment had poorer outcomes compared to those who treated their symptoms within six months. Surgical treatment, in particular, was found to be significantly more effective than nonoperative treatment, regardless of symptom duration.
Popular herbal supplements like feverfew, ginger, and St. John's Wort can interact with prescription medicines, posing serious side effects when combined during and after surgery. Discontinuing use at least one to two weeks prior to surgery can help avoid adverse events.
The American Academy of Orthopaedic Surgeons recommends preventive treatments for patients undergoing hip or knee replacement surgery to reduce the risk of venous thromboembolic disease. The guideline suggests using mechanical compression devices and anticoagulants, such as blood thinners, to prevent clots.
A recent study found that older patient age, congestive heart failure, and preoperative neurological problems are independent risk factors for death and complications after spine surgery. The study analyzed data from the American College of Surgeons National Surgical Quality Improvement Program database.
Adhesive capsulitis, also known as frozen shoulder, is a condition causing chronic inflammation and scarring around the shoulder joint. Gentle stretching exercises and physical therapy can help restore movement and reduce discomfort. Surgery may be necessary for those not showing progress with non-surgical treatments.
A new study published in the Journal of Bone and Joint Surgery found that carpal tunnel syndrome patients prefer to share decision-making with their physicians. Patients who had undergone previous surgical procedures, had caregivers, or additional private insurance were more likely to assume an active role in the decision-making process.
Lesser toe deformities, such as hammer toes and claw toes, can cause significant pain and limit activities. Improper footwear is a common cause, while genetic and neuromuscular conditions also play a role. Nonsurgical treatments like pads and gel sleeves can be effective, but surgery may be necessary for severe cases.
A new study published in the Journal of Bone and Joint Surgery found that knee replacement patients are at a higher risk of developing clots, particularly those with cardiovascular disease, smoking history, or advanced age. The study suggests extending blood thinner therapy into weeks following surgery to minimize this risk.
A literature review published by the American Academy of Orthopaedic Surgeons found that many fall prevention initiatives used in healthcare facilities are ineffective in preventing hospital falls. The study suggests that hospitals may not be able to prevent most falls due to various risk factors beyond their control.
Bursitis is a common cause of musculoskeletal pain affecting the hips, knees, heels, and elbows. The condition can be managed with simple nonsurgical techniques such as ice packs, compressive dressings, activity modification, and corticosteroid injections. Surgery may be required in cases where symptoms persist or infection is involved.
Post-traumatic stress disorder (PTSD) occurs in 20-51% of patients with an orthopaedic injury, hindering recovery and daily activities. Effective treatment includes therapy, medications, and prevention strategies to mitigate symptoms and improve outcomes.
A recent study by American Academy of Orthopaedic Surgeons highlights the lack of knowledge about osteoporosis among certain patient groups, increasing their risk of fractures. Patients with fragility fractures, male individuals, and those who are unemployed or have limited English proficiency tend to know less about osteoporosis.
ATV-related injuries disproportionately affect children, with lower extremity fractures, partial foot amputations, and head injuries being common. The number of ATV-related deaths among children has increased dramatically over the past decade, highlighting the need for proper adult supervision, helmets, and age-appropriate vehicles.
A new study from the Journal of Bone and Joint Surgery found that depression can exacerbate knee arthritis symptoms beyond what is evident on X-rays. Patients with mild to moderate knee arthritis are especially affected by depression.
A literature review finds lab tests and imaging have limited value in diagnosing JIA due to false positives; a full physical exam and patient history are crucial for accurate diagnosis
A new study reveals the risk of pulmonary embolism after outpatient knee arthroscopy is .028 percent, with identified risk factors including age, female gender, and cancer history. The study examined data from 374,033 patients undergoing 418,323 procedures between 1997 and 2006.
Studies analyzed Medicare beneficiaries who had elective primary THR for osteoarthritis and found the risk of revision was approximately two percent per year for the first 18 months post-surgery. High-performance hips with improved functional capacity are also being developed for active patients, offering more durable implants.
The American Academy of Orthopaedic Surgeons emphasizes the risks of delayed hip fracture surgery, which can lead to increased medical complications and longer hospital stays. Additionally, researchers highlight high rates of adverse events in patients undergoing partial hip replacement, particularly among Medicare beneficiaries. The s...