Articles tagged with Orthopedics
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 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.
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.
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.
Two new studies at Hospital for Special Surgery found that bariatric surgery prior to joint replacement significantly improves outcomes in obese patients. The research shows that weight-loss surgery can reduce the risk of heart disease, diabetes, and certain cancers, while also decreasing costs and complications associated with hip or ...
A new study found that black and Hispanic patients were 62% and 50% more likely to be readmitted within 30 days after TJR surgery compared to white patients. Longer hospital stays and comorbidities increased the risk of readmission.
A study found that injecting stem cells during rotator cuff surgery improved healing and durability of tendons. After 10 years, 87% of patients who received stem cell injections had intact rotator cuffs, compared to 44% without treatment.
A recent study reveals nearly double growth in middle-aged hip replacements between 2002-2011, primarily due to population expansion. This trend poses significant challenges for healthcare costs, access, and future revisions.
Researchers developed two predictive models to identify patients at risk for serious complications after joint replacement surgery. The first tool identifies patients with conditions like chronic obstructive pulmonary disease and congestive heart failure, while the second model predicts which patients require intensive care unit admiss...
A new study found that women have better outcomes than men following total knee and hip replacement surgeries, with lower rates of complications and revision surgeries. Men are more likely to experience heart attacks, infections, and require revisions after surgery.
Recent discoveries in inflammation, tissue engineering for cartilage repair, adolescent idiopathic scoliosis diagnosis and treatment, and osteochondral allograft transplantation are recognized. Awards honor scientists conducting outstanding clinical research to advance patient treatment.
A Penn Medicine study found that modern technology for healing distal femur fractures is as safe and effective as its more established alternative without a potential shortfall of the older approach. Surgeons' improved decision-making using fewer screws has resulted in decreased technical problems associated with locked plating.
A new study found that 53% of parents/caregivers of youth baseball pitchers are unaware of safe pitching practices designed to prevent overuse injuries. Sixty-four percent of parents or caregivers recalled their child having upper extremity pain as a direct result of pitching.
A new study by researchers at Hospital for Special Surgery found significant racial and socioeconomic disparities in hip fracture care, with black patients, Medicaid patients, and those from impoverished communities facing increased risks of delayed surgery, hospital readmissions, complications, and mortality. The study analyzed data f...
According to a new study, hip replacement patients can safely drive as early as two weeks following surgery, thanks to advancements in surgical techniques, pain management, and rehabilitation procedures. The study found that brake reaction time returned to baseline or better in most patients by two weeks.
Researchers at NYU Langone found that adolescent patients who undergo high-volume scoliosis surgery have significantly lower reoperation rates compared to those with low-volume surgeons. The study suggests that experienced spine surgeons can reduce complications and need for revision surgeries.
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.
A recent study found that men have higher levels of function before and after total knee replacement (TKR) surgery compared to women. At five years post-surgery, implant survival was nearly identical between genders, with men having a slightly higher functional score.
A study at Hospital for Special Surgery found that hip replacement is an excellent option to alleviate pain and improve function in juvenile arthritis patients under age 35 when conservative treatments fail. The procedure lasted at least 10 years in 85 percent of patients, with some implants lasting up to 20 years.
Major League Baseball pitchers who underwent a second Tommy John surgery saw significant performance decline and shortened careers. Researchers found that only 65% returned to pitching at the MLB level, with average career duration of three years or less.
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.