Articles tagged with Orthopedics
A study of 20 patients under 60 found substantial long-term improvement after 'reverse' shoulder replacement for massive, irreparable rotator cuff tears. Despite a high complication rate, most patients reported excellent or good satisfaction levels with improved shoulder function and pain management.
A recent study has found that patients often overestimate their anticipated level of pain following surgery, which can lead to unnecessary anxiety. Patients receiving regional anesthesia, such as peripheral nerve blocks or epidurals, were more likely to overestimate their postoperative pain.
A new study by Oxford University Press USA found that patients undergoing neurosurgical procedures between 9 pm and 7 am are at a higher risk of developing complications. The odds of complication more than doubled when accounting for the length of the surgery, highlighting the importance of performing surgeries during daylight hours.
A randomized controlled trial found ibuprofen to be a better choice for postoperative pain relief in children aged 5-17 after minor orthopedic surgery. The study showed that ibuprofen had fewer adverse effects compared to oral morphine, which was associated with significant side effects such as nausea and drowsiness.
Researchers found that treating donor grafts with bone marrow aspirate concentrate (BMC) before surgery improves bone integration and speeds recovery in biologic joint restoration surgeries. BMC pretreatment resulted in 43% bone integration at six weeks, compared to 25% of untreated grafts.
A study confirms that blood metal ion levels can predict patients with low risk of ARMD (Adverse Reactions to Metal Debris) after metal-on-metal hip replacement. Using implant-specific cutoff points identifies all but 2.8% of ARMD cases, outperforming fixed regulatory authority thresholds.
Intra-articular corticosteroid injections provide effective short-term pain relief and improved function for patients with low-grade knee OA. Maintaining a healthy weight and engaging in physical activity can also help manage symptoms, potentially delaying the need for surgery.
A study published in The Journal of Bone & Joint Surgery found that early surgery to repair supraspinatus tears leads to substantial improvement in clinical and radiographic outcomes at 10 years. The results suggest that preventing later rotator cuff muscle degeneration is key to long-term success.
According to a new literature review, therapeutic modalities such as physical therapy can improve bone-and-joint function affected by pain and/or injury. The study highlights the utility of various modalities, including cryotherapy, neuromuscular electrical stimulation, hot and cold therapies, cupping therapy, and iontophoresis, in man...
Researchers have identified a care plan for colon and rectal surgical procedures, presenting 12 components to improve preoperative and postoperative care. The clinical pathway aims to lower costs, improve safety, and speed recovery while increasing patient satisfaction.
A study found that between 42-71% of prescribed opioids went unused among patients, highlighting the need for personalized pain management. Patients often store prescription opioids improperly and fail to dispose of unused pills safely.
The study found that examination fees accounted for 88% of revenue and 21% of expenditures, while officer and employee compensation and benefits accounted for 42% of expenses. The ABMS member boards reported a cumulative surplus of $635 million between 2003 and 2013.
A new study has found that an alternative method of pain relief for knee replacement surgery reduces the need for powerful painkillers like morphine. The new approach involves injecting anaesthetic agents around the knee joint, administered by the surgeon without specialist equipment.
Researchers found that athletes who specialized in a single sport were more likely to suffer from lower extremity injuries. Specifically, those with moderate or high levels of specialization had a 50% and 85% higher incidence of such injuries, respectively.
A new arthroscopic technique allows patients with irreparable rotator cuff tears to regain shoulder function and return to sports or jobs requiring heavy physical activity. The study showed significant improvement in shoulder range of motion after surgery.
Patients taking opioids prior to ACL surgery are more likely to be on pain medications longer, according to a recent study. The research found that those who were filling opioid prescriptions before surgery were 10 times more likely to be using them five months after surgery.
A retrospective economic analysis found that certified outreach athletic trainers generated $2,283,733 in revenue from referring patients to orthopedic provider and hospital systems. The ATC program provided comprehensive care during practices and games, potentially lowering chronic medical conditions in adulthood.
A new study found that patients who underwent ACL reconstruction using the patellar tendon or double-bundle technique experienced significant improvements in quality of life five years after surgery. Researchers followed 315 randomized patients for up to five years, with the hamstring tendon approach showing higher re-injury rates.
A study of over 1,300 patients found significant improvements in knee-related quality of life two to 10 years after ACL reconstruction. Activity levels decline over time but patients can still perform sports-related functions.
Researchers analyzed concussion data from national high school surveillance system, finding a decrease in severe symptoms like amnesia and an increase in dizziness and light sensitivity. Clinicians may be over-diagnosing concussions, while diagnostic tools have shifted to more computerized and non-invasive methods.
Research presented at the American Orthopaedic Society for Sports Medicine's Annual Meeting found that surgery effectively treats pectoralis major tendon ruptures with a low risk of re-rupture and complications. The study, which included 120 patients, showed that 95% were able to return to their occupation at full capacity.
Young patients who suffer patellar dislocations are at a higher risk of recurring dislocations, with over 20% of cases occurring within two years after the initial injury. Despite this high rate of recurrence, these young athletes do not develop significant patellofemoral arthritis.
Dr. Douglas W. Brown is being inducted into the American Orthopaedic Society for Sports Medicine's (AOSSM) Hall of Fame for his groundbreaking work in sports medicine, spanning over four decades. He has served as a team physician for numerous national teams and has been an active member of AOSSM since 1981.
Jesse C. DeLee, MD, a prominent figure in the field of sports medicine, has been inducted into the American Orthopaedic Society for Sports Medicine's (AOSSM) Hall of Fame. With over 50 peer-reviewed articles and numerous textbook chapters to his name, Dr. DeLee has made significant contributions to the advancement of sports medicine.
Thomas Wickiewicz, an orthopaedic surgeon with 35 years of practice, is being inducted into the American Orthopaedic Society for Sports Medicine's (AOSSM) Hall of Fame. He has made substantial contributions to sports medicine through his extensive education and research.
A recent study found no association between opioid intake and disability, satisfaction with surgery, or pain management at 5-8 months post-surgery. However, patients using opioids reported more pain with activity and catastrophic thinking, leading to anxiety and limited mobility.
A study of nearly 130 adolescent and young women with sports-related concussions found an association between concussion and abnormal menstrual bleeding patterns. The researchers observed a higher incidence of irregular bleeding among those with concussions compared to non-injured controls.
A new guideline aims to reduce joint infection risks from total hip and knee replacements by managing anti-rheumatic medications during perioperative process. The guideline provides recommendations for withholding certain medications, such as biologics and immunosuppressants, to minimize the risk of infection.
The American College of Rheumatology and the American Association of Hip and Knee Surgeons developed guidelines to manage anti-rheumatic medication in patients with joint replacement. The recommendations prioritize preventing infection over potential disease flares, and aim to lower the risk of complications.
A systematic review of 25 studies found that recreational running is not associated with osteoarthritis, but competitive running increases the risk. Recreational runners are less likely to develop knee and hip osteoarthritis compared to sedentary individuals.
Research at the University of Missouri School of Medicine highlights the importance of understanding risk factors and following treatment plans to prevent osteoporosis-related fractures. The study emphasizes the need for preventive screening methods, cost-effective medications, and patient education to effectively manage the disease.
A study published in The Journal of Bone & Joint Surgery found that patients who previously took prescription opioids had a higher average pain score six months after knee replacement surgery. This suggests that preoperative opioid use may be problematic due to its negative effects on subsequent total knee arthroplasty outcomes.
A Cedars-Sinai-led team developed a technique that cues bone to regrow its own tissue, potentially replacing bone grafts. The innovative method combines ultrasound, stem cell and gene therapies to mend severely broken bones.
An ERAS program implemented at 20 hospitals reduced hospital length of stay and postoperative complication rates among patients undergoing elective colorectal resection or emergency hip fracture repair. The study also found significant practice changes in mobility, nutrition, and opioid use.
Pregnant women are vulnerable to orthopaedic traumas due to car crashes or domestic violence, with bodily changes affecting treatment processes. A team of specialists is essential for optimal patient outcomes, prioritizing the mother's health and minimizing fetal harm.
A study published in The Journal of Bone & Joint Surgery found that women are more likely to experience hypersensitivity to metals used in joint replacements, leading to increased pain and complications. Women accounted for 60% of patients with unexplained pain after joint replacement, with higher average pain scores than men.
Researchers used 3-D prints to compare three surgical techniques for treating Charcot-Marie-Tooth disease and found that none provide adequate correction of the heel bone deformity. The study, funded by the Charcot-Marie-Tooth Association, was presented at the American Academy of Orthopaedic Surgeons annual meeting.
A randomized clinical trial will compare surgery and non-operative therapy for patients with rotator cuff tears, considering factors such as age and tear size. The study aims to inform patient care and provide evidence-based information for better health decisions.
A new study by UBC researchers found that inactive teenagers have weaker bones than their active peers. The four-year study measured bone strength and found that kids who didn't meet daily physical activity recommendations had significantly weaker bones.
A recent study by Asheesh Bedi at the AAOS Annual Meeting highlights that ACL reconstruction surgery can fail in up to 20% of cases, requiring repeat surgery. The surgeon is working on identifying correctable factors to reduce failure rates and improve outcomes for young active athletes.
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 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 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.
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.
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.
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 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 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.