Researchers found that TXA reduced the need for a blood transfusion by more than 50% in hip and knee replacement surgery. Topical versus intravenous administration of TXA showed similar effectiveness in reducing blood loss and transfusion rates.
A study at Hospital for Special Surgery found that patients who received one-on-one education with a physical therapist before knee or hip replacement surgery were more satisfied and better prepared for recovery. They also needed fewer physical therapy sessions in the hospital.
A study finds that bariatric surgery prior to total knee replacement improves quality of life in morbidly obese patients with end-stage knee osteoarthritis. The research suggests a cost-effective option to reduce complications and costs associated with joint replacement, with a predicted cost per QALY of $13,910.
A new study at Hospital for Special Surgery finds that low-dose EOS imaging system performs as well as conventional CT scans in assessing limb length. The system provides less radiation exposure and allows for better assessment of limb alignment compared to CT scans.
Researchers at Hospital for Special Surgery found that tocilizumab, a drug approved to treat rheumatoid arthritis, is effective in treating polymyalgia rheumatica. The study showed that patients treated with tocilizumab were able to discontinue corticosteroids more quickly and remained in remission over 12 months.
Research from Hospital for Special Surgery found that community poverty significantly increases risk of pain and poor function following knee replacement surgery. Black patients with lower education levels are disproportionately affected, highlighting the need to address socioeconomic disparities in post-surgical outcomes.
A recent study published by Hospital for Special Surgery has identified complement activation as a strong predictor of adverse pregnancy outcomes in women with lupus. Elevated levels of Bb and sC5b-9 were found to be associated with an over 50% increase in the rate of pregnancy complications.
A study at Hospital for Special Surgery found that PROMIS is valid and reliable for assessing patient experience in systemic lupus erythematosus (SLE) patients. The questionnaire showed moderate to strong correlations with established questionnaires, but poor correlations with some domains.
A study at Hospital for Special Surgery found a support group addressing psychological and educational needs of people with lupus to be a valuable resource, increasing knowledge, coping skills, and social support. The program had high satisfaction rates among participants.
A new study reveals that black patients are at a significantly higher risk of requiring a revision after knee replacement surgery, with risks 38% higher than whites. Socioeconomic factors also play an important role in revision risk.
A low-impact exercise program at senior centers in New York City's Chinatown and Flushing, Queens communities has helped decrease participants' pain and improve mobility. The program, led by bilingual instructors, reduced musculoskeletal pain by 32% and improved function in activities such as climbing stairs and lifting groceries.
A study by Hospital for Special Surgery found that most women with lupus can expect a good pregnancy outcome, but those with specific risk factors such as antiphospholipid antibodies are at higher risk. The study identified clinical features and early detection of certain antibodies to predict serious pregnancy complications.
Two new studies at Hospital for Special Surgery found that bariatric surgery prior to joint replacement significantly improves outcomes in obese patients. The research shows that weight-loss surgery can reduce the risk of heart disease, diabetes, and certain cancers, while also decreasing costs and complications associated with hip or ...
A new study by researchers at Hospital for Special Surgery found significant racial and socioeconomic disparities in hip fracture care, with black patients, Medicaid patients, and those from impoverished communities facing increased risks of delayed surgery, hospital readmissions, complications, and mortality. The study analyzed data f...
Researchers at Hospital for Special Surgery found that patients who go home after knee replacement and receive physical therapy at home do just as well as those discharged to an in-patient rehabilitation facility. Two-year outcomes in terms of pain, function, and improvement were similar between the two groups.
A study at Hospital for Special Surgery found that hip replacement is an excellent option to alleviate pain and improve function in juvenile arthritis patients under age 35 when conservative treatments fail. The procedure lasted at least 10 years in 85 percent of patients, with some implants lasting up to 20 years.
A hospital-based exercise program improves quality of life for adults with arthritis by reducing pain, stiffness, and fatigue. The study found that participants experienced a significant reduction in muscle/joint pain and improved balance after completing the program.
A study at Hospital for Special Surgery found that a support group addressing the psychological and educational needs of people recently diagnosed with rheumatoid arthritis has a strong positive impact on their lives. The program improved patients' ability to manage their disease, connect with others, and cope with emotional challenges.
Researchers found that patients with underweight or overweight/obese BMIs were less likely to achieve sustained remission in early rheumatoid arthritis. The study also identified other contributing factors, such as smoking and response to treatment, that can impact patient outcomes.
A new study by Hospital for Special Surgery found that total hip replacement is an excellent option for young JIA patients, with 85% of patients experiencing at least 10 years of implant longevity. Patient-reported outcomes showed favorable results in terms of activities of daily living and pain management.
Researchers at Hospital for Special Surgery have discovered a novel cell signaling pathway contributing to bone destruction in rheumatoid arthritis. The study suggests that RBP-J protein controls excessive bone erosion through a newly identified signaling pathway.
Researchers at Hospital for Special Surgery found that patients who lose weight after hip or knee replacement have better clinical outcomes, including improved function and activity levels. Meanwhile, patients who gain weight experience inferior outcomes, highlighting the importance of maintaining good health and a suitable weight.
A study found that pre-operative EMG evaluation of donor nerves improves nerve transfer surgery outcomes for patients with brachial plexus injuries. The use of normal donor nerves resulted in greater post-operative improvement in muscle strength and function compared to less robust donor nerves.
Researchers from Hospital for Special Surgery found that same-day bilateral knee replacement surgery is safe for select patients with rheumatoid arthritis. The study analyzed hospital data from 240 RA patients and 3,680 OA patients and found no higher complication rate in the RA group.
Researchers developed an MRI that can visualize bone and soft tissue despite the presence of metal screws, allowing for earlier detection of osteonecrosis. The study found that 80% of patients had decreased blood flow to the injured area and osteonecrosis in the femoral head.
A new study using a driving simulator found that patients can return to driving safely four weeks after total hip replacement. Patients under 70 reached improved reaction times earlier than those over 70.
Researchers found that younger female patients, particularly those with post-traumatic or rheumatoid arthritis, had the highest pain scores. Surgical factors like general anesthesia and longer tourniquet time during knee replacement also contribute to postoperative pain.
A study by Hospital for Special Surgery found that an exercise program for Asian seniors with arthritis reduced pain, improved mobility, and enhanced overall health. The program, which consisted of chair-based exercises and yoga, helped participants decrease musculoskeletal pain, stiffness, and fatigue.
A study at Hospital for Special Surgery identified an imbalance of angiogenic factors as a predictor of poor pregnancy outcomes in lupus patients. Elevated levels of anti-angiogenic protein sFlt1 and lower levels of placental growth factor (PIGF) were associated with increased risk of preeclampsia and other complications.
Researchers found that people with good social ties had less severe pain after hip replacement surgery, while those with poor social connections experienced more pain. The study suggests that improving social support before surgery could lead to better outcomes.
A survey of rheumatologists reveals that many face moral dilemmas when trying to provide the best care for their patients. The study found that physicians often compromise on ethical principles to obtain necessary treatments or medications for their patients.
A new study from Hospital for Special Surgery found that achieving low disease activity within six months significantly reduces disability at two years. Patients who reached this state had better functional ability and fewer joint damages compared to those who delayed treatment.
Researchers will validate new MRI techniques and biomarkers to identify early stages of osteoarthritis and test therapies for prevention. The study aims to develop biomarkers that reflect joint environment changes predictive of arthritis development.
Researchers use molecular robots to identify specific cell populations, allowing for more targeted therapy. The technique could lead to better anti-cancer agents, arthritis drugs, and other treatments with fewer side effects.
A new knee cartilage repair technique, De Novo NT Natural Tissue Graft, has shown promising results in treating articular cartilage lesions. Patients who underwent the procedure experienced significant improvements in symptom assessment and MRI images at two years of follow-up.
A study found that knee shape can affect ACL reconstruction decisions after a tear. Knees with more stable shapes, such as deeper tibial plateaus and less concave areas, may not require surgery. This discovery could help clinicians identify patients who can skip ACL reconstruction.
The 'epidemic' of sleep apnea in surgical patients poses significant financial burdens on hospitals due to the lack of evidence-based guidelines. A new study suggests that regional anesthesia can reduce major complications by 17% in patients with sleep apnea undergoing joint surgery.
Two studies assess joint replacement outcomes in patients with RA, overturning the common belief that RA patients have worse outcomes after a total knee replacement. RA patients who undergo hip replacement show similar improvements in function and pain as osteoarthritis patients.
A new study found that metal-on-metal hip implants can cause inflammation of the joint lining (synovitis) in asymptomatic patients, with MRI scans identifying this inflammation. The study suggests that symptoms alone are insufficient to determine an implant's health and recommends using imaging, such as MRI, to predict potential damage.
Using regional anesthesia instead of general anesthesia decreases major complications in patients with sleep apnea undergoing total joint replacement. This study found that neuraxial anesthesia improves outcomes, reducing pulmonary, gastrointestinal, and infectious complications, as well as acute renal failure and hospital length of stay.
Neuraxial anesthesia reduces morbidity, mortality, length of hospital stay, and costs in patients undergoing hip or knee replacement. It lowers rates of pulmonary compromise, pneumonia, infections, and acute renal failure compared to general anesthesia.
The Hospital for Special Surgery will establish a genomics center to study rheumatoid arthritis and systemic lupus erythematosus using genomic approaches, aiming to develop more effective therapies. The center will focus on epigenetic therapy and personalized medicine, analyzing gene expression and environmental influences.
A study by Hospital for Special Surgery found that long nerve grafts comparable to modern nerve transfers restored function in patients with axillary nerve injuries. The outcomes were measured by patient recovery and electromyography tests.
A study at Hospital for Special Surgery found that the docking technique yielded favorable results in teenage athletes with UCL tears, outperforming previous reports. The procedure resulted in excellent outcomes for 89% of patients, who were able to return to competitive play.
Researchers at Hospital for Special Surgery found that tissue damage is more likely to cause unexplained pain in metal-on-metal hip implant patients. The study found significant tissue damage in 90% of patients with unexplained pain compared to 10% in the control group.
A multi-center study found that total knee replacements in younger patients with juvenile idiopathic arthritis (JIA) last at least 10 years in 92 percent of cases. More than 75 percent of implants survived for 20 years or more, enabling many JIA patients to walk again and lead normal lives.
A new study by Hospital for Special Surgery found that approximately 25% of ACL tears from recreational ski injuries can heal on their own. Researchers developed a six-to-12-week test to identify patients with low-grade ACL injuries who are likely to recover without surgery.
IRHOM2 is a protein that regulates TACE on immune cells, and blocking it could provide an effective treatment for rheumatoid arthritis. Researchers found that mice deficient in IRHOM2 were protected from inflammatory arthritis.
Researchers found that rituximab can improve outcomes in patients with antiphospholipid antibodies who suffer from non-criteria APS manifestations. The study showed that rituximab may be effective in treating cognitive dysfunction, thrombocytopenia, skin ulcers, and kidney disease in aPL-positive patients.
A low-cost hospital-based exercise program improved pain, balance, and overall well-being in participants with osteoarthritis. The study showed a significant reduction in pain intensity and improvement in daily activities.