Articles tagged with Orthopedics
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.
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 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.
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...
The study found moderate inter-rater reliability between therapists in determining muscle fatigue through observation of changes in movement patterns. This approach may provide clinicians with a tool to address the challenge of therapeutic exercise dosing in rehabilitation settings.
An automated communication system has been shown to improve surgical patient engagement in preventing SSIs, with a high degree of patient acceptance. The system's two-pronged approach reminds patients to follow antibiotic protocols and reports signs of infection, reducing the risk of rehospitalization and treatment costs.
Research found that osteochondral allograft transplantation can successfully treat knee cartilage injuries in athletes and highly active patients. After an average follow-up of 6 years, 76% of patients returned to activity, with 90% survivorship of the transplanted grafts.
A new study by the American Orthopaedic Society for Sports Medicine found that surgical treatment for shoulder instability in collegiate athletes can lead to high return-to-play rates, especially for those who played at high levels previously. Athletes with scholarships were more likely to return as starters after surgery.
A new study found that wearing a wearable neuromuscular device improved postural control in athletes without limiting performance. The devices, used with regular training programs, also prevented any ACL injuries during the season.
A study found that artificial turf surfaces with higher infill weights (above 9 pounds per square foot) resulted in lower injury rates among high school football players. The research, led by Michael Clinton Meyers, PhD, recommends a minimum of 6.0 pounds per square foot of infill weight to optimize player safety on artificial surfaces.
A study found that using hamstring injury prevention programs can reduce hamstring injuries by 40% and lost playing time by up to 45.3% in minor league players, with a 65% reduction in major league players.
Researchers found that female patients under 25 with graft sizes less than 8mm are more likely to experience an ACL re-tear. This is due to factors such as estrogen levels, anatomical differences, and decreased knee strength.
Research suggests that the location of ulnar collateral ligament (UCL) tears in MLB pitchers can predict non-operative treatment failures and guide surgical recommendations. Distal UCL tears are more likely to require surgery than proximal tears.
A study by the American Orthopaedic Society for Sports Medicine found that surgery after a first-time shoulder dislocation lowers re-injury risks and need for follow-up surgery. The average age of patients was 19 years old, with a postoperative dislocation rate of 29% compared to 62% in those who did not have surgery.
A look-back study suggests that a major operation to fuse the spines of children with rare, early-onset scoliosis can be eliminated in many cases. In the study, 26 out of 30 patients who opted out of the final fusion procedure had their spines stay straight over three to seven years of follow-up.
Dr. Freddie H. Fu, MD, has been inducted into the American Orthopaedic Society for Sports Medicine's (AOSSM) Hall of Fame for his substantial contributions to the field of sports medicine. Dr. Fu is a renowned expert in anatomic ACL reconstruction and bioengineering of sports-related problems.
Dr. K. Donald Shelbourne has made a lasting impact on sports medicine through his work on ACL rehabilitation and long-term outcomes research. He is recognized as one of the pioneers in this field, with over 6,500 successful ACL reconstructions performed.
Researchers found that combining procedural checklists with error-tracking systems enhances resident performance. Evaluating residents on cadavers helps them identify areas for improvement, while an objective evaluation system provides unambiguous feedback.
A new study at Hospital for Special Surgery shows that a communication skills training program for orthopedic surgery residents has a positive impact on their interactions with older adults. The program, which includes interactive sessions and presentations, results in improved attitudes and anxiety levels towards older adults.
A study investigated risk factors for progressive kyphosis after a thoracolumbar spine injury. The authors analyzed X-rays of patients with traumatic spinal fractures to determine the relationship between fracture type, patient characteristics (AO classification, age, gender, and localization), and post-traumatic kyphosis.
LegBank, a social enterprise company, has received a $1 million grant from Google.org to produce and distribute high-quality prosthetic limbs to amputees in need. The grant will enable production expansion and distribution to Colombia, where it aims to help an estimated 15,000 amputees with limited access to prosthetic care.
A literature review found that deployed military service members are three times more likely to suffer non-combat musculoskeletal injuries than combat-related ones. Non-combat injuries common among service members include ACL injuries and ankle sprains, with 50% of surgical procedures on the knee or shoulder.
A study found that patients who listened to relaxing music before cataracts surgery experienced significantly reduced anxiety and required less sedation. Music-induced relaxation lasts for approximately 60 minutes after the music stops, making it a potential non-pharmacological method to reduce pre-operative anxiety.
Researchers found that MLB pitchers who threw fastballs nearly half of the time were at increased risk for Tommy John surgery. The study also showed no correlation between pitch velocity and risk of injury.
Researchers at the University of Missouri have developed a new minimally invasive tendon repair technique that supports knee movement sooner after surgery. The suture anchor technique, which requires a smaller incision and disrupts less tissue, showed better strength results in human cadaveric tendon specimens.
A new study found that visiting consultant clinics (VCCs) with orthopaedic surgeons traveling to meet patients in rural areas significantly improved access to care. The average driving distance to the nearest orthopaedic surgeon was reduced by more than 50% for 450,000 to 670,000 Iowa residents.
A Loyola Medicine study found no differences in bacterial infections between knee replacement patients who showered two days after surgery and those who waited 10-14 days. Patients overwhelmingly preferred early showering, with 94% reporting its importance.
A recent study published in The British Medical Journal found that deprived patients and those admitted at weekends are least likely to receive the recommended total hip replacement surgery. Despite national guidelines setting out who should get the procedure, substantial variation in compliance between hospitals was observed.
A large study of nearly 29,000 outpatient hand and shoulder surgeries found a 0.2 percent complication rate, with most complications being post-operative infections or blood clots. The study suggests that proper patient selection can make these procedures safe at freestanding ambulatory surgery centers.
Minimalist running shoes with forefoot strike may reduce repetitive strain on the knee, lower leg, and heel. However, runners should still exercise caution and transition to a new gait pattern gradually to avoid injuries.
A study at Hospital for Special Surgery found that peripheral nerve blocks significantly reduce cardiac and wound complications in hip and knee replacement patients. The use of PNBs was associated with lower odds for almost all complications, particularly in resource utilization.
A new handheld 3D printing device has been developed to create bespoke scaffolds for cartilage repair, with cell survival rates in excess of 97%. The BioPen allows surgeons to sculpt customised implants during surgery, addressing the challenge of precise geometry.
Researchers found a genetic connection between athlete genotype and prolonged recovery time following sports-related concussions. Athletes with specific gene variations were more likely to experience balance issues and delayed recovery.
Research shows that young baseball pitchers who participate in preseason training programs experience improvements in arm flexibility and strength, potentially diminishing the risk of injuries. The study found that pitchers who had previous injuries were 4 times less likely to suffer an injury after participating in the program.
Researchers developed an arthroscopic superior capsule reconstruction (ASCR) procedure that restored shoulder function at a greater rate than previous treatments. This new method helped patients return to recreational activities and work sooner, with 92% of individuals experiencing significant improvements in strength and function.
A study of elite adolescent pitchers found that fatigue significantly impacted pitching mechanics, causing pain and potentially leading to injuries. Core and leg strength were identified as key components in preventing such injuries through targeted training programs.
Research finds that single and double-bundle ACL reconstruction techniques yield comparable outcomes in patients undergoing surgery, with both groups demonstrating similar knee stability and health post-recovery. The study also notes no significant difference in performance tests between the two techniques.
A study by American Academy of Orthopaedic Surgeons found that ill-fitting helmets increase the risk of severe concussions in high school football players. Helmet fit affects cervical muscle function and brain impact during hits.
Researchers found that self-guided exercise programs can be as effective as traditional physical therapy for patients undergoing total hip replacement. The study also suggests that activating the quadriceps muscles immediately after total knee replacement may improve rehabilitation progress.
A study found that nearly 80% of rural fracture patients avoided traveling to an urban medical center through remote care, which also provided significant savings in transportation and healthcare costs.
Two studies found that patients who reduced their opioid use prior to joint replacement surgery had improved patient satisfaction and outcomes, fewer complications, and a reduced need for post-surgical opioids. Patients with chronic opioid use were more likely to experience prolonged pain and higher rates of post-operative complications.
Digital fitness devices can empower patients to monitor their health and activity levels, ultimately improving clinical outcomes. By analyzing data from these devices, non-surgical, pre-operative, and post-operative patients can optimize their care and rehabilitation progress.
A new study of 274 patients undergoing total hip replacement found that the surgical approach had no significant impact on pre- or post-surgical pain and function. The results suggest that both anterior and posterior approaches yield excellent, equivalent outcomes for patients.
A three-year pilot program at NYU Langone Medical Center reported reductions in patient length-of-stay and readmission rates among Medicare patients undergoing total joint replacements. The bundled payment initiative resulted in lower overall costs while improving quality of care and patient outcomes.
Two studies found that steroid injections received in the months prior to total knee and hip replacement surgeries may increase the risk of infection. Injections containing corticosteroids suppress the immune system, making patients more susceptible to severe post-operative infections.
A new study published by Hospital for Special Surgery recommends patients wait at least three months after a steroid injection to avoid an increased infection risk before undergoing hip replacement surgery. Researchers found that the immune system is weakened by corticosteroids, contributing to a higher risk of surgical site infections.
Researchers at NYU Langone Health successfully performed ultra-low dose CT scans to diagnose joint fractures with 14 times less radiation, achieving 98% sensitivity and comparable image quality. The protocol, called REDUCTION, has significant implications for public health and safety.
A study of 1,525 patients who underwent hip fracture surgery found that hypothermia is associated with an increased risk of deep surgical site infections. Patients over 70 and those with lower body mass index (BMI) were more prone to hypothermia.
Patients aged under 45 and 75 years and older report greater pain and lower activity levels following TKR surgery. Despite comparable range of motion improvements across all age groups, these patients experience more challenges with daily activities.