Articles tagged with Orthopedics
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.
Researchers created an algorithm to determine factors contributing to arthritis pain in a national representative sample of adults. The study found that physical health status, diabetes, and previous joint pain were the greatest predictors of pain, with an accuracy rate of 98.6%.
A study by the American Academy of Orthopaedic Surgeons found that older runners (age 30 and older) are less likely to adapt their running style to barefoot shoes, putting them at increased risk of injury. Despite this, many experienced runners continue to use a heel-first strike pattern when running without shoes.
Research found that child pedestrian injuries involving motor vehicles most frequently occur when children are unsupervised near schools and bus stops during the spring months. The study identified injury clusters near these locations, which can help guide prevention strategies in urban settings.
A study published by NYU Langone researchers found that patients with diabetes who undergo ankle fracture surgery have significantly longer lengths of stay and total hospital charges compared to non-diabetics. Patients with complicated disease also experience worse trends, with increased costs and prolonged hospital stays.
New research reveals that spinal surgery significantly reduces low back pain and improves sexual function in patients with degenerative conditions. The study found that 70% of patients consider sex an important aspect of their life quality.
Researchers found that most hip replacement patients can safely drive within two weeks of surgery, with only 13% reaching baseline driving readiness at four weeks. Patients who underwent THR were assessed using the Brake Reaction Test and reported a high rate of recovery.
A new study finds that routine bisphosphonate treatment can significantly reduce the risk of additional fractures in women over 65 who sustain a distal radius fracture, but at an estimated lifetime cost of $19.5 billion.
A new study found that 48% of hip fracture patients experienced delirium during hospitalization, leading to significantly longer hospital stays and higher costs. The study suggests that reducing the rate of delirium would simultaneously increase quality of care while decreasing costs for elderly patient care.
The study found a 12% reduction in blood transfusions and increased discharge to home by 9.3%, reducing hospital stays and healthcare costs. Topical tranexamic acid administration enables precise control over drug concentration, potentially reducing infection rates.
Researchers discovered 32 genes expressed differently in female compared to male ACL tissues, affecting ligament structure and integrity. Genetic counseling may guide personal decisions about participating in athletics, while strengthening core and technique could reduce injury risk.
Recent articles in JBJS publications examine the relationship between bisphosphonates and atypical femoral fractures. Prodromal thigh pain, radiolucent lines on X-rays, and prolonged bisphosphonate use are indicators of an impending fracture. Conservative management with discontinuation and weight-bearing is recommended.
A new study found that administering antibiotics within the first hour of injury can significantly reduce infection rates in trauma patients. The study, published in the Journal of Orthopaedic Trauma, included 137 patients with open fractures and found that those who received antibiotics early had much lower infection rates.
A new study found that surgical treatment provides significant benefit for lumbar spinal stenosis and degenerative spondylolisthesis in patients over 80, with comparable complication rates to younger patients. The benefits of surgery were similar to those in younger patients, except for pain and physical function outcomes.
Researchers developed a new technology that preserves tissue quality in donated tissues, extending storage life to at least 60 days. This will allow surgeons to provide patients with more natural joint repair options, reducing the need for metal and plastic implants.
Human bites can transmit over 600 bacterial species through oral flora, posing a significant risk of infection. Prompt treatment within 24 hours of an animal or human bite is crucial to prevent serious injury or infection, with antibiotic treatment recommended for hand bites to reduce the risk of infection and disability.
A new study found that injecting liposomal bupivacaine during knee replacement surgery reduces pain scores and improves knee function compared to traditional methods. The injection technique optimizes early pain control without side effects, allowing patients to walk comfortably within hours after surgery.
Researchers at Columbia University Irving Medical Center have developed a way to replace the meniscus with a personalized 3D-printed implant infused with human growth factors, promoting tissue regeneration in sheep. The therapy could provide an effective and long-lasting repair of damaged menisci, reducing the risk of arthritis.
Shoulder pain affects athletes like baseball pitchers, with various structures contributing to the issue. Nonsurgical options include icing and medication, while arthroscopic surgery can be effective for repairing partial rotator cuff tears.
A study published in JAMA found that the 2011 duty hour reforms had no significant effect on 30-day mortality or readmissions for hospitalized patients with various medical conditions. Despite concerns about decreased continuity of care, the reforms did not appear to worsen patient outcomes.
A new study found that patients with spinal compression fractures who wore no brace fared as well as patients instructed to wear a brace for treatment, with comparable outcomes in terms of pain and healing. However, prolonged use of the braces may result in muscle deterioration, skin irritation, and additional costs.
A popular knee surgery to repair meniscal tears may accelerate disease onset in some patients. Meniscal surgery was associated with a higher risk of developing osteoarthritis and cartilage loss compared to conservative management.
A literature review suggests that prompt and appropriate treatment of dislocated shoulders can minimize risk and effects of related bone, muscle, and nerve injuries. The study found that up to 96 percent of dislocations are traumatic, occurring most often during contact sports or falls onto an outstretched hand.
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.
A recent report in the Journal of Bone and Joint Surgery has highlighted the potential issue of flexible reamer breakage during single-bundle ACL reconstruction. This has prompted a 'Watch' from JBJS to alert orthopaedic surgeons about the problem. The 'Watch' aims to help surgeons avoid similar mishaps by understanding the causes and ...
Obesity affects orthopaedic care, healthcare systems, and individual organs, increasing the risk of musculoskeletal pain, osteoarthritis, and joint injuries. Patients with obesity face higher surgical complication rates, but orthopaedic procedures can minimize pain and improve bone function.
Researchers at Penn State College of Medicine identified common gene variants associated with delayed fracture healing, potentially leading to improved treatment for patients. The study's findings suggest that specific genetic polymorphisms may impair or fail to support fracture healing.
A recent study by the American Academy of Pediatrics found that 93% of splints used on children were applied incorrectly, causing skin irritation and poor healing. The most common errors included direct application of elastic bandages to the skin and improper positioning of the splint.
A study of Medicare data found that hospitals with high care intensity had lower failure-to-rescue rates after major surgery, but longer hospital stays. However, patients treated at these hospitals also experienced higher inpatient deaths and reduced hospice use.
A new study by UNC researchers found that younger elite athletes are more likely to suffer repeat ACL reinjuries than those who experienced their first injury during collegiate play. The study also showed significant differences in return-to-play and reinjury rates between precollegiate and intracollegiate groups.
A study published in Science Translational Medicine found that immune cell activity within the first 24 hours after surgery can predict a patient's recovery time. The researchers used single-cell mass cytometry to analyze blood samples from patients undergoing hip-replacement procedures, revealing a unique pattern of immune response.
A recent study by researchers found no conclusive evidence to support the use of new hip and knee implants, highlighting concerns over inadequate regulatory oversight. The review of 15,384 implants in 13,164 patients revealed higher rates of repeat surgery associated with some devices.
A study by the University of Gothenburg found that 39% of planned operations for joint replacement, arthroscopy, or foot and ankle surgery were cancelled or rebooked. Common reasons include patient cancellations (33%), emergency cases prioritized (9%), and incomplete pre-operative preparation (12%).
Research suggests that comprehensive fitness and nutrition regimens can minimize bone and joint health decline and maintain overall physical health in seniors. The study recommends individualized exercise programs with resistance, endurance, flexibility, and balance training, as well as proper nutrition to optimize performance.
A new study found that surgery for hip fractures yields significant savings in lifetime medical costs, with total societal savings exceeding $16 billion for older patients. Surgery also improves physical function and reduces mortality risk.
A new study published in CMAJ found that arthroscopic knee surgery does not provide relief for middle-aged patients with mild osteoarthritis. The research analyzed seven randomized controlled trials and concluded that the procedure may have little to no effect on short-term and long-term outcomes.
A meta-analysis review of seven randomized control trials found no short-term pain relief and limited long-term function improvement in patients with some osteoarthritis after arthroscopic knee surgery. The study suggests that non-operative treatments should be used first for middle-aged or older patients.
Researchers found that an inside-out vein graft filled with platelet-rich plasma (PRP) improved sciatic nerve function in rats compared to traditional autografting. The study showed increased myelination, axon diameter, and myelin sheath formation in PRP-filled vein grafts.
A new study by Women's College Hospital evaluates a tool for assessing doctors' communication and soft skills, including CanMEDS competencies, in orthopedic residency programs. The tool, called the objective structure clinical examination (OSCE), is effective in testing multiple soft skills in one examination session.
A study of 151 adult orthopaedic trauma patients found that one in five obtained narcotic prescriptions from multiple providers, leading to increased drug use and longer prescription durations. Patients who 'doctor shopped' used narcotics four times longer than those with single provider care.
A pilot program testing bundled payments for orthopedic procedures in California failed to meet its cost-saving objectives, mainly due to low participant volume and administrative burden. The study's findings highlight the need for sufficient case volume, simple bundle definitions, and financial risk management to make bundled payment ...
A literature review published in JAAOS found that patients' activity levels are a strong predictor for orthopedic outcomes. The study highlights the importance of considering activity level when deciding treatment options, as more active patients may be at higher risk of re-injury after surgery.
A new analysis compares various anticoagulants after different types of orthopedic surgery. Aspirin may be a suitable option for preventing blood clots in patients undergoing hip or knee replacements, but anticoagulation therapy is more beneficial for those who have undergone hip fracture repairs.
New study finds orthopedic surgeries for patients aged 80+ generally safe, with significant decreases in mortality and complication rates. Spinal fusion, total knee replacement, and total hip replacement procedures show improved outcomes in patients without comorbidities.
Researchers found that blood clots are rare in children undergoing spine operations, and most patients can be safely monitored without anti-clotting medication. High-risk groups include children with congenital scoliosis or spinal curvatures part of a syndrome, as well as older children.
Researchers at Miriam Hospital found significantly higher smoking rates among individuals with mobility impairments, particularly those using special ambulatory equipment. The study highlights the need for tailored cessation strategies for this high-risk population.
A study of 99 patients found that autografts had a lower failure rate than allografts after ACL reconstruction. The study suggests that using an autograft may increase the lifespan of these procedures and minimize future surgeries.
A recent study suggests that identifying modifiable risk factors such as age, activity level, and graft type can help minimize the chance of a future ACL tear. The study analyzed data from 2,695 patients and found that younger age, higher activity levels, and certain graft types increased the risk of re-tearing the same ACL.
A new study found that stabilizing shoulder surgery in NFL players results in a significant return to play rate of approximately 90%. The average time for returning was 8.6 months. Players selected before the fourth round of the NFL draft were more likely to return following shoulder stabilization surgery.
Researchers found that athletes with limited range of motion were three times more likely to experience injury recurrence after returning to play. The study also identified common treatment options, including rest, physical therapy, and position change.
New data shows that young patients who receive ACL surgery within 6-12 weeks after injury have a lower risk of secondary meniscal and chondral injuries. Delaying surgery can lead to increased odds of lateral and medial meniscus tears, as well as prior episodes of knee instability.
Nearly 63 percent of athletes with in-season shoulder instability experience recurrent instability and return to competition within one week, according to research presented at the AOSSM Annual Meeting. The study found that only 36% completed the season without subsequent instability.
A large cohort of MLB pitchers found that entering the league at a younger age increases the risk of UCL reconstruction surgery. The study also revealed a statistically significant decline in pitching performance the year before reconstructive surgery, which was linked to an increased risk of needing surgery.
Dr. Steven P. Arnoczky, a prominent sports medicine researcher, has been inducted into the AOSSM Hall of Fame for his extensive contributions to the field. He is recognized for his numerous awards and publications, including over 185 scientific articles and 150 abstracts.
Timothy N. Taft, M.D. is being inducted into the American Orthopaedic Society for Sports Medicine's (AOSSM) Hall of Fame for his significant contributions to sports medicine education and research. He has served as a long-time professor at UNC and team physician for numerous international teams.
Dr. Bruce Reider has been recognized for his extensive contributions to sports medicine education and research. He is a prominent figure in the American Orthopaedic Society for Sports Medicine (AOSSM), serving as editor-in-chief of the American Journal of Sports Medicine and Executive Editor of the Medical Publishing Group.
A new study from Michigan Medicine found that 60% of U.S. Army soldiers who couldn't return to a military career after an Iraq deployment had a muscle, bone or joint injury and nearly half had a mental health diagnosis. The strongest predictors of inability to continue serving were musculoskeletal conditions, psychological diagnoses, a...
Researchers are working on bionic arms with full motor and sensory function to treat veterans with upper extremity amputations. While advancements have been made, challenges remain in creating prostheses that meet the abilities of a human arm and hand.
Professional surfer Richie Lovett has made a full recovery from clear cell chondrosarcoma, an uncommon form of bone cancer, thanks to pioneering surgical procedures. The groundbreaking technique developed by Dr. Earl Warren Brien removed the tumor and damaged bone in its entirety, replacing it with a prosthetic implant.
A new measure ranks US hospitals based on complications following hip and knee replacements, revealing a significant four-fold difference in risk-adjusted complication rates. The study found no disparities in outcomes between hospitals caring for higher proportions of Medicaid-eligible or black patients.