Articles tagged with Orthopedics
A recent study at the American Academy of Orthopaedic Surgeons meeting found that physician empathy is a key driver of patient satisfaction, explaining 65% of variation in satisfaction. Effective communication strategies can be coached and practiced to improve patient experience.
Osteoporosis medications bisphosphonates have significantly reduced fracture risks but also increase the risk of atypical femur fractures. Treatment involves stopping the drug and supplementing with calcium and vitamin D.
A new study published in Journal of Bone and Joint Surgery found that a sustainable surgical follow-up program can be cost-effective in ensuring acceptable outcomes for patients treated during short-term mission trips. The study showed that 97% of fractures were successfully repaired, and 101 patients experienced successful wound healing.
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.
A retrospective study found that freezing nerves before knee replacement surgery significantly improves patient outcomes, with shorter hospital stays and reduced opioid use. The treatment group had fewer knee symptoms and better local pain control, allowing patients to walk and function well enough to go home sooner.
A new literature review suggests that a team-based care approach, combining newer pain management strategies, is key to maximizing patient outcomes after total knee replacement (TKR) procedures. Multimodal protocols, including regional anesthesia and intra-operative pain injections, have been shown to lower patient pain severity rating...
A Finnish study found that arthroscopic knee surgery does not alleviate sensations of knee catching or locking associated with degenerative knees. Physical therapy and sham surgery showed similar effectiveness in reducing symptoms.
A new study supports bariatric surgery in morbidly obese patients with end-stage osteoarthritis prior to total knee replacement (TKR) surgery. The evaluation predicts improved quality-of-life and cost-effectiveness for these patients, making it a viable treatment strategy.
A new study found that adolescent scoliosis patients who received regular monitoring of their brace wear had less spinal progression and were less likely to require surgery. Patients who wore their braces for an average of 13.8 hours per day showed a 59% success rate in preventing curve progression.
A new literature review finds that nearly two-thirds of adolescent patients with back pain have unclear causes after clinical physical examination and imaging. Dr. Suken A. Shah advises maintaining proper posture, good core strength, regular exercise, and avoiding heavy backpacks to prevent or minimize back pain.
Researchers at McMaster University found that using saline water instead of soap and water can lead to lower rates of infection and complications. The study involved 2,400 patients with open fractures and showed that low-pressure saline irrigation was an acceptable alternative to traditional cleaning methods.
Biomedical engineer Prof Helen Lu has received a $1.125M grant to develop a nanofiber-based device for tendon-to-bone integration in rotator cuff repair, aiming to improve healing outcomes and reduce re-tear rates.
A study by the American Academy of Orthopaedic Surgeons reveals that 78% of US adults consider distracted walking a serious issue, yet only 29% admit to themselves. Common behaviors include talking on phones, listening to music, and using smartphones while walking.
A study found a strong association between obesity and an increased need for surgery, longer hospital stays, and higher treatment costs in orthopaedic trauma patients. Patients with obesity were more likely to be discharged to a care facility rather than home.
A study by Johns Hopkins Medicine found that nearly one-third of knee and hip arthroplasty surgeries had excessive door openings, potentially defeating the safety effects of positive pressure systems. The researchers suggest planning better to prevent unnecessary door openings and exploring reasons behind frequent door opening.
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.
Most Achilles tendon ruptures can be effectively treated with conservative methods, including rest and physical therapy, before considering surgery. For acute tears in young or active patients, surgical intervention may be necessary to prevent re-rupture and promote quicker recovery.
Researchers studied 83 patients with moderate to severe AC joint dislocations and found that non-surgical treatment resulted in greater mobility than surgical patients. Patients who did not undergo surgery returned to work sooner and experienced fewer complications.
The Department of Defense has awarded a nearly $6 million grant to Houston Methodist to further bone fracture repair research. Researchers aim to develop technologies that can help mend broken bones faster and more efficiently.
Researchers at Thomas Jefferson University found that patients with metastatic cancer are at high risk of venous thromboembolism after surgery, and a personalized approach to anticoagulation therapy is needed. The study suggests that the primary type of cancer may play a role in determining the risk for blood clots.
A recent study highlights the risk of catastrophic complications from failure of modular head-neck prostheses in hip-replacement surgery. The Journal of Bone and Joint Surgery has issued a 'Watch' to raise awareness and encourage further research into this issue.
Researchers develop an antigen-sensitive hydrogel integrated into a small wireless sensor to detect early surgical site infections in orthopedic implants. The test has the potential to guide therapy, improve outcomes and reduce readmissions and costs associated with implant-related infections.
A new wound closure technique has been shown to significantly reduce complication rates in patients with non-idiopathic scoliosis undergoing spinal fusion surgery. The multilayered flap closure method eliminates 'dead space' and creates a better barrier, resulting in a 0% complication rate in patients who received the novel technique.
A Vanderbilt study found that breaking down fibrin is essential for fracture repair, contradicting previous assumptions. The study also suggests that impaired fibrin clearance may be a key factor in conditions like obesity and diabetes impeding fracture healing.
A team of Vanderbilt investigators has discovered that fibrin breakdown is essential for fracture healing, contradicting previous assumptions. The findings have significant implications for efforts to promote fracture repair and may lead to new treatments by reducing or enhancing fibrin levels.
A new study by American Academy of Orthopaedic Surgeons finds that imaging studies necessary to diagnose traumatic injuries in pregnant women are generally safe. The radiation doses from these studies are well below thresholds considered risky. However, multiple scans and repeated exposure increase the likelihood of a harmful effect.
A study found that nearly two-thirds of meniscal transplants remain viable at 10 years, relieving pain and improving knee function. However, many patients required additional surgery within 15 years.
The 'Watch' from Journal of Bone and Joint Surgery highlights potential risks of all-inside meniscal repair using FAST-FIX devices. Surgeons can minimize loose anchors by using strong holding tissue, particularly in the posterior third of the medial meniscus.
A new study has found an alternative limb-lengthening technique that significantly reduces the amount of time patients spend in the external fixator, from 11 months to seven months. The technique combines an internal titanium rod with the external fixator, resulting in good-to-excellent outcomes for trauma patients.
Youth football players who received comprehensive coach education had fewer injuries, according to a recent study. The study found that coaches played a strong role in preventing injuries, particularly among older players.
Research found that 15-19 year-olds accounted for 56.7% of Ulnar Collateral Ligament Reconstruction surgeries performed in the US between 2007-2011. This represents a notable increase in incidence, with an average annual growth rate of 4.2%.
Research suggests that athletes who underwent lower extremity surgeries before college may be left with functional deficits, increasing their risk of future injuries. The study, which analyzed data from over 1,100 athletes, found that pre-college surgeries were associated with a higher incidence of intracollegiate surgeries.
A new study presents evidence that surgical treatment is more effective than non-surgical therapy for patients with certain types of hamstring injuries. Patients treated surgically showed significant improvements in lower extremity function, as well as a higher likelihood of returning to athletic activities without re-injury.
Researchers found that 77% of older athletes (average age 73) who underwent arthroscopic rotator cuff repair could return to their sport at similar intensity. The surgery effectively reduced pain and improved function, with patients over 70 showing significant improvement.
Research presented at AOSSM Annual Meeting shows surgery to be an effective treatment option for multidirectional shoulder instability. A study of 41 athletes who received arthroscopic surgery found 73% returned to play with equal or slightly lower performance.
A multicenter observational study found that collegiate collision athletes treated with arthroscopic stabilization had a successful return to play rate of 90% compared to nonoperative treatment at 35%. Athletes with subluxation or dislocation types were more likely to return to play without recurrent instability issues.
A new study published by the MOON Knee Group found that patients with stable meniscus tears did not require reoperation after ACL reconstruction, with only 7.7% needing treatment over six years. The research confirmed that smaller, stable tears can be left alone without compromising outcomes.
A new study shows that using silicone ankle sleeves and lace-up braces during sports participation can improve neuromuscular control in athletes. This improvement was observed in tests such as the drop vertical jump and timed cutting maneuvers, without negatively influencing athletic performance measures.
Researchers compared bone-tendon-bone and hamstring autografts for ACL reconstruction, finding similar healing rates at 6 weeks and 1 year. This challenges the common assumption that BTB grafts heal faster than hamstring autografts.
A new study published in the Journal of the American College of Surgeons found that the 2011 duty hour reform did not decrease serious postoperative complications in surgical patients. The researchers evaluated outcomes in five surgical specialties, including neurosurgery, obstetrics/gynecology, and vascular surgery, and found no signi...
Dr. James R. Andrews is being inducted into the American Orthopaedic Society for Sports Medicine (AOSSM) Hall of Fame for his extensive contributions to sports medicine, including injury prevention and treatment. He has also made significant research contributions and received numerous awards for his work.
Dr. Lars Engebretsen is a leading expert in general sports medicine, knee ligaments, and prevention of sports injuries and illnesses. He has published over 300 articles and book chapters and serves as Head of Medical Sciences for the International Olympic Committee.
Dr. J. Richard Steadman, a renowned US ski team doctor and orthopaedic surgeon, has been inducted into the American Orthopaedic Society for Sports Medicine's (AOSSM) Hall of Fame. He is recognized for his contributions to sports medicine, including developing the microfracture technique for treating chondral defects of the knee.
A new study reveals that older patients with traumatic spinal cord injuries are less likely to receive surgery and experience longer wait times for treatment. The delay in diagnosis and treatment may be due to age-related biases or delayed recognition of less severe injuries.
A new study found that women with the female athlete triad are at greater risk of bone stress injuries and fractures. The triad includes low energy availability, menstrual cycle abnormalities, and low bone mineral density.
A new study found that a web-based tutorial can increase patients' understanding of knee surgery and enhance their experience. Patients who completed the tutorial reported higher levels of knowledge, satisfaction, and an improved surgical experience.
A study reveals differences in musculoskeletal disorders between males and females, including higher ACL injury rates and osteoarthritis prevalence among women. This knowledge is crucial for healthcare professionals to provide better care and recognize potential risks.
A study of US and international orthopaedic surgery patients found that despite receiving more pain medication, American patients reported higher worst pain scores than international patients. This suggests that the relationship between pain medication and pain perception may be complex.
A new study found that smoking is associated with increased complications during and after urologic cancer surgery, as well as other major surgeries. Quitting smoking for even a year significantly improves surgical outcomes.
A Loyola University Medical Center study found that among 205 cases of mesenchymal chondrosarcoma, more than half survived at least five years and 43 percent survived at least 10 years. Survival rates varied depending on tumor location, with axial tumors showing worse outcomes.
A literature review highlights the alarming rise of opioid use in the US, with orthopaedic surgeons as the third highest prescribers. The study emphasizes the need for comprehensive risk assessment and patient-physician relationship trust to avoid overprescribing opioids.
A new study found that ACL surgery resulted in significant improvements in physical function at two years, which continued for at least six years. Younger patient age, lower body mass index, and complete excision of torn ACL during surgery were key predictors of positive outcomes.
A Johns Hopkins Medicine study found that phone counseling can significantly boost recovery and reduce pain in patients after spinal surgery. The intervention involved short series of phone conversations with trained counselors, leading to higher physical therapy attendance rates and improved functional outcomes.
Researchers found that pain relief from diagnostic injections did not correlate with patient outcomes after surgery. The study suggests that careful evaluation of symptoms and imaging findings is crucial in considering patients for surgery. Future investigations into improving success rates are needed.
Researchers investigated meniscus tear healing after root repair via pullout technique. They found significant stress on the area leading to lack of biologic healing in four out of nine patients.
A new study published by the American Orthopaedic Society for Sports Medicine found that delaying rotator cuff surgery may not be necessary. Patients who received both a rotator cuff repair and an additional glenohumeral joint capsule release procedure reported significant improvements in range of motion, pain, and function after surgery.
Researchers found that a 10-inch height increase, 10-mile-per-hour pitching speed boost, or playing for multiple teams are associated with a higher likelihood of previous shoulder and elbow injuries. The study predicts 77% of injury histories using these factors alone.
Research presented at the American Orthopaedic Society for Sports Medicine's Specialty Day found that young athletes are more prone to re-injury after ACL surgery. The study of 242 patients under 18 revealed a 31% risk of further injury, highlighting the need for careful consideration when treating juvenile populations.
A study of 24 patients found that non-surgical therapy allowed more patients to return to active duty without limitations. Those who underwent delayed surgery after a trial of physical therapy had a full recovery and returned to full activity.
A recent study found that over one-third of Division I college athletes have low vitamin D levels, with male and darker-skinned athletes at greatest risk. The study suggests that correcting these levels may improve performance and reduce injury risk through modifications to diet, sunlight exposure, and supplementation.