Articles tagged with Orthopedics
A study of 13,089 patients found that higher physical therapy utilization after ACL reconstruction increases the risk of a second ACL injury. Young female athletes are at particular risk.
A study of 18 ACL patients found that higher levels of collagen breakdown at the time of surgery correlate with worse outcomes two years after. This suggests that initial biochemical changes after injury may have a lasting impact on osteoarthritis development.
Professional baseball players face low success rates after undergoing biceps tenodesis surgery, with only 35% returning to pre-operative levels. Ability to recover varies by position, with pitchers showing less success compared to other players, according to research.
A recent study suggests that surgical approaches to treating tennis elbow may not provide additional benefits compared to a placebo procedure. Patients who underwent surgery experienced significant improvements in pain measures within 26 weeks, with no significant difference between the two groups at any point.
A study found that arthroscopic superior capsule reconstruction significantly improves shoulder function and stability in patients with rotator cuff tears. The surgical approach eliminated pseudoparalysis in 96.3% of moderate and 93.3% of severe cases.
A new study found that patients with spinal deformity are at greater risk for dislocation or revision surgery after hip replacement. The researchers analyzed 107 patients with sagittal spinal deformity who underwent 139 hip replacements, finding an 8% dislocation rate and a 5.8% revision surgery rate.
David A. Spiegel, a pediatric orthopedic surgeon, has spent over 20 years providing humanitarian care to children with clubfoot conditions in Nepal and internationally. He introduced the Ponseti method for treatment, which has benefited over 4,000 feet at the Hospital and Rehabilitation Centre for Disabled Children.
A new study by Hospital for Special Surgery (HSS) found that MPFL reconstruction is a safe and effective treatment for patients with patellofemoral instability, even in those with trochlear dysplasia. The procedure achieved high patient outcomes scores and a significant return to sports.
Dr. Scott Wolfe's research has significantly advanced the understanding of wrist kinematics and its applications to treating arthritis and wrist injuries. His work has led to the development of new implants for total and partial wrist replacements, enabling better movement and reduced pain for patients.
Smokers who enrolled in a smoking cessation program before surgery had fewer adverse events and better surgical outcomes, including lower hospital readmission rates. The study found that the program reduced the risk of complications by 4.3 times and decreased reoperation rates.
William J. Robb III, MD, is awarded the American Academy of Orthopaedic Surgeons' (AAOS) highest honor for his exceptional leadership qualities and contributions to the orthopedic community. He has demonstrated a commitment to advancing patient safety through initiatives such as the establishment of a new safety culture in the AAOS.
The Kappa Delta Sorority presented four awards to scientists conducting outstanding musculoskeletal disease research, focusing on ankle osteoarthritis, clubfoot treatment, and wrist kinematics. The winners emphasized the importance of personalized medicine, assessing physical performance beyond patient-reported outcomes to improve reco...
Dr. Grant, a pioneer in promoting diversity in orthopaedics, has been recognized by the American Academy of Orthopaedic Surgeons (AAOS) with its Diversity Award. He has dedicated his career to empowering minority students in residency programs.
A recent Henry Ford Health study suggests that age is not a factor in the success of shoulder replacement surgery. The research analyzed data from patients under 65 and those older than 75 with osteoarthritis, finding that both groups experienced significant improvement in shoulder function after surgery.
A recent study published in The Journal of Bone & Joint Surgery found that patients undergoing total hip replacement surgery experience significant improvements in quality of life (QOL) through at least five years after the procedure. The SF-6D score, a widely used measure of patient-perceived QOL, showed lasting improvements in scores.
A study from Hospital for Special Surgery found that arm slot, arm speed and shoulder rotation are significantly related to elbow varus torque, a key factor in UCL injuries. The research used advanced technology to analyze throwing biomechanics in real-game settings, providing new insights into injury prevention.
A recent study found that less than half of elderly hip fracture patients take vitamin D supplements, contradicting national recommendations. This suggests a need for improved advocacy and education about vitamin D supplementation.
Research shows that arthroscopic hip surgery is effective in improving running ability, with 96% of recreational and competitive runners returning to their sport within nine months. However, increasing BMI and longer time without running prior to surgery are associated with slower recovery.
A new study found that patients who live alone can recover effectively and safely at home after total hip or knee replacement surgery. The study, involving 769 patients, found no increase in complications or pain, but significant cost savings for those recovering at home.
A new study found that female soccer players suffer the most concussions in high school sports, with a significantly higher concussion rate than boys. The study, which analyzed injury data from 2005 to 2015, also revealed that girls' soccer had the highest concussion rate during the 10-year study period.
A study of 86,000 patients found that almost one-third of costs prior to total knee replacement went towards non-recommended therapies. The top three most costly treatments were hyaluronic acid injections, corticosteroid injections, and physical therapy, accounting for 52.6% of expenses.
A new study reveals that men are at a higher risk of mortality after osteoporosis-related fractures compared to women. The study found that men who require surgical treatment for an initial fracture are more likely to suffer a subsequent fracture within three years.
A new study found that well-informed patients who decide on their own orthopaedic treatment have better outcomes and higher patient satisfaction. Patients with a good understanding of their condition are more likely to make informed, patient-centered decisions and experience improved quality of life.
A new study found that nearly all recreational athletes under 55 who underwent total shoulder replacement surgery returned to at least one sport within seven months, with high satisfaction rates and high use of their shoulders.
Patients with high cholesterol levels face increased risk of rotator cuff surgery failure. Statin use prior to surgery reduces this risk, according to a new study. The study found no impact on outcomes from patient triglyceride levels.
Patients taking SSRIs for anxiety and depression may experience a reduced risk of revision surgery after total hip or knee replacement. This is due to better management of depression and pain in these patients, or potential positive biologic effects of SSRIs.
A study found that bariatric surgery prior to total hip or knee replacement can reduce in-hospital and 90-day postoperative complications, improving patient health for morbidly obese patients. However, it does not reduce the risk of needing a revision surgery.
Researchers found no improvement in mid to long-term outcomes for children who received bone morphogenetic proteins during spinal fusion surgeries. The study suggests caution when using BMPs in pediatric patients, as they may not provide additional benefits or improve safety.
A new study reveals that the level of lumbar spine fusion significantly influences the risk of developing proximal junctional kyphosis (PJK). Fusing lower portions of the lumbar spine decreases PJK risk, while more dramatic spinal fusions may increase it.
The study provides recommendations to optimize decision-making for medical imaging in pediatric orthopedic care, highlighting the risk of cancer and genetic defects from radiation exposure. Best practices to reduce radiation include limiting precise collimation, fluoroscopy bursts, and utilizing low-dose CT protocols.
The University of Miami's Miami project successfully completes a Phase I clinical trial of schwann cell transplantation to treat spinal cord injuries. The trial demonstrates the safety and feasibility of transplanting autologous human Schwann cells to repair damaged spinal cords.
A new study from Ohio State University Wexner Medical Center reveals that body mass index (BMI) has no effect on meniscus repair surgery failure rates. The research found similar success rates for patients with average and higher BMI, challenging common assumptions about weight and joint pressure.
A new study published in JOSPT found that physical therapy achieved results comparable to surgery outcomes for patients with carpal tunnel syndrome. Patients treated with physical therapy showed faster improvements and similar benefits at one year following treatment.
Researchers identified key strategies to enhance total knee replacement outcomes for patients with obesity, including managing chronic conditions and nutritional deficiencies. Excess soft tissue during surgery can obstruct visibility, leading to difficulty achieving proper alignment and implant fixation.
Scientists discover a tissue layer with extremely thin protein fibers at the interface between tendons and bones, explaining why athletes can withstand tremendous loads without damaging the bond. This breakthrough could lead to innovative connections in material research and tumour surgery.
Current smokers have a significantly higher rate of septic reoperation compared to nonsmokers, with each additional pack-year contributing to total reoperations. Smoking history affects the risk of hospital readmissions among patients undergoing total joint replacement.
A study analyzing over 100,000 shoulder replacement surgery cases found that patients with Medicaid or no insurance had significantly higher complication rates compared to privately insured patients. Disparities in postoperative outcomes were attributed to lack of access to preoperative and postoperative care due to socioeconomic factors.
Researchers found that elevated levels of GFAP and UCH-L1 in patients with acute orthopedic injuries did not distinguish between those with and without mild traumatic brain injury. This study highlights the need for caution when using these biomarkers, as false-positive diagnoses could lead to unnecessary imaging.
The American College of Surgeons has launched a new initiative funded by the Agency for Healthcare Research and Quality (AHRQ) to implement Enhanced Recovery After Surgery (ERAS) protocols in 750 hospitals. ERAS practices have been shown to lower costs, improve safety, and shorten recovery times for surgical patients.
Patients with low back pain that radiates to the buttock, groin, thigh, and knees may have complex 'hip-spine syndrome'. A comprehensive physical examination and imaging studies can help diagnose the primary cause of pain. The article recommends considering both hip and spine conditions in diagnosis and treatment.
Misdiagnosing six common foot and ankle injuries can result in poor long-term patient outcomes, including arthritis and disability. Clinicians are advised to be suspicious and obtain additional imaging or a second opinion from an orthopedic surgeon to confirm the initial diagnosis.
A new review found functional rehabilitation and minimally invasive surgery to be effective treatment options for Achilles tendon tears, especially in recreational athletes. Surgical repair may be optimal for high-performance athletes, offering improved strength and power.
Researchers found rotator cuff tendon overuse leads to degeneration of the shoulder tendon and osteoarthritis-like changes to neighboring cartilage. The study may help clinicians determine optimal treatment for tendon overuse injuries, reducing further damage.
Researchers found that patients recovering from carpal tunnel release surgery can regain their pre-operative typing speed within two to three weeks. This recovery timeline allows patients to resume typing earlier, with some restrictions on prolonged use.
Research suggests direct costs for select orthopaedic procedures at ambulatory surgical centers (ASCs) could be significantly less than university hospitals. ASCs offer convenient and potentially cost-effective care options with streamlined processes.
A decision aid significantly increased the rate of total knee replacement surgery among black patients, who were more likely to undergo surgery when informed about treatment risks and benefits. The intervention also led to a higher uptake of surgery among those willing compared to unwilling patients, women, and younger patients.
A bilingual support group addressing the psychological and educational needs of patients with lupus and their families has been shown to have a positive impact. The study found substantial improvements in knowledge and coping strategies among participants, particularly those from the Hispanic/Latino community.
A study of over 1,200 patients found that mild postoperative pulmonary complications are associated with increased intensive care unit admission and early mortality. The researchers call for more interventions to curb these risks and improve patient outcomes.
A Hospital for Special Surgery survey found that arthritis and osteoporosis were the most common diagnosed musculoskeletal conditions affecting residents in lower Fairfield and Upper Westchester Counties. The study also highlighted falls as a significant problem, with 25% of respondents reporting a fall in the past year.
Orthopaedic surgeons are adopting new patient-focused measures to improve post-surgical outcomes and quality of life. The National Institutes of Health's Patient-Reported Outcomes Measurement Information System (PROMIS) is being used to objectively assess and track patient symptoms over time.
A study of patient perceptions by Henry Ford Hospital found that patients overestimate the Medicare reimbursement for knee surgery and ACL reconstruction procedures. Patients believe a surgeon's salary should be compensated more for advanced training and are willing to pay more out-of-pocket costs.
A Canadian study found that patients with hip fractures have higher mortality rates at smaller hospitals compared to teaching hospitals. The risk of death after surgery was also higher at medium community hospitals, possibly due to limited resources.
A modified casting technique resulted in comparable functional outcomes to surgery at 6 months, while reducing wound complications and intervention costs. The study found no significant differences in quality of life, pain, or mobility between the two groups.
A new study by the American Academy of Orthopaedic Surgeons found that incorporating multiple senses in physician-patient conversations improves patient comprehension of orthopaedic conditions. The study showed significant differences in understanding between groups using verbal, video, and model-based discussions.
A study by the American Academy of Orthopaedic Surgeons found that X-rays are the most effective diagnostic tool for knee pain in middle-aged patients. The study suggests that weight-bearing X-rays should be obtained before an MRI to screen for knee pain, as they can often provide enough information for a diagnosis and treatment plan.
A national team of orthopaedic surgeons identified risk factors contributing to fracture nonunion in adults, including the severity and location of the fracture, presence of diseases, and medication use. Nonunion rates varied by bone type, with scaphoid and tibia/fibula showing the highest rates.
A new study found that prevention programs significantly reduce the risk of ankle injuries in soccer players. These programs include neuromuscular, proprioceptive, strengthening, and stretching exercises, and have been shown to be effective in reducing injury rates by up to 40%.
A new study found that Medicare's mandatory bundled payment program could cause financial difficulties for hospitals caring for older, sicker patients. Introducing risk adjustment to the program could mitigate this impact and ensure fairer reimbursement.
In Illinois, average monthly ER visits increased by 5.7% after Obamacare's implementation. In Massachusetts, availability of on-call specialists declined significantly between 2005 and 2014.
Research found no significant differences in post-operative complications or mortality between African American and white patients treated in a universally insured military health system. In contrast, uninsured or Medicaid-receiving African Americans experienced significantly higher odds of mortality, complications, and readmission aft...