Articles tagged with Orthopedics
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 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 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 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 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 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 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Researchers found that universal neuromuscular training for high school and college-age athletes significantly reduced ACL injuries by 63%. The study also showed that implementing such a program would save an average of $275 per player, per season in injury-related costs, making it a cost-effective preventative measure.
A recent study found a 10-fold increase in UCL reconstruction among youth athletes, with year-round play contributing to the rise. Experts recommend preventing overuse injuries by following recommended guidelines, including pitch count limits and adequate rest. Early recognition of symptoms is also crucial to prevent unnecessary surgery.
Beaumont researchers will investigate a stem cell-based technique to redirect cells to heal injuries without removing them from the patient's body. The goal is to develop new treatments for osteoarthritis and Achilles tendon ruptures.
A targeted violence intervention program was found to reduce violent behavior and increase competencies to deal with violence among middle school students. The program showed a significant decrease in violent behavior and victimization rates, with students reporting 'never' getting beaten up or threatened with a gun.
A new study reveals that 83% of major league pitchers who underwent Tommy John Surgery returned to the mound, with most returning after an average of 20.5 months. The surgery also showed positive performance indicators, including a drop in ERA and pitching losses.
Researchers found that revision arthroscopic rotator cuff repair surgery's long-term outcomes are not as successful as in a first-time surgery. After two years, patients who underwent revision surgery experienced increased pain and impaired function compared to those who had primary surgery.
Researchers found significant osteoarthritic changes on reconstructed knees (65%) compared to non-involved knees (14%). Quality of life and other health-related scores were comparable to those seen in healthy controls.
Research suggests that pediatric ACL surgeries are faster for those with commercial insurance and higher household incomes, leading to better outcomes and quicker returns to sports. This delay in treatment may increase the risk of additional knee injuries.
New research shows a 95% success rate after five years for meniscal allograft transplantation (MAT) surgery, with an additional operation required in 32% of cases. Patients can recover and return to active lifestyles with the right treatment, according to lead author Dr. Frank McCormick.
New data reveals that 82% of Division 1 NCAA football players return to play after ACL surgery, with motivation and skill playing key roles. Sophomores and juniors show the highest return rates, at approximately 90%, while scholarship players average around 87.6% recovery.
The study found that approximately 2.5 million Americans are living with an artificial hip and 4.7 million with a knee replacement, highlighting the need for ongoing patient care. The prevalence of total hip and knee replacements among adults aged 50 and older is as high as 2.3% and 4.6%, respectively.
A study of obese orthopedic trauma patients found higher rates of complications and increased healthcare costs, but surprisingly lower injury severity scores compared to non-obese counterparts. The research revealed that obese patients required longer hospital stays and more intensive care unit admissions.
Researchers assessed 1,095 patients following acute fractures and found poor sleep independently associated with poor emotional status. Orthopaedic surgeons should monitor patient mental health and counsel patients on sleep expectations to provide highest level of care after fracture treatment.
A new study suggests that gastric bypass surgery can diminish knee pain in obese patients without osteoarthritis, with improvements comparable to those achieved through knee replacement surgery. Patients who underwent bariatric surgery reported significant reductions in knee pain and physical function at one-year follow-up.
A study published by the American Academy of Orthopaedic Surgeons found that platelet-rich plasma (PRP) treatment is more effective than cortisone injections in treating severe chronic hip bursitis. PRP provided short- and long-term pain relief, with significant improvements in patient function.
A new study evaluated the outcomes of Charnley total hip replacements in patients under 50 years old at least 35 years post-surgery. The results showed that a significant number of these patients had functional hip components, despite decreased activity levels over time, primarily due to age and health-related factors.
A new study found that universal neuromuscular training for adolescent athletes can reduce ACL injuries by 63%, making it the most cost-effective strategy. The program's estimated cost is approximately $1.25 per day, saving $275 per player per season.
A new study found that extreme sports like skateboarding and snowboarding have the highest risk of severe head and neck injuries. Concussions were the most common injury, with a higher risk in snowboarding and skateboarding. The Academy recommends helmet use for safer participation.
Researchers from Hospital for Special Surgery found that same-day bilateral knee replacement surgery is safe for select patients with rheumatoid arthritis. The study analyzed hospital data from 240 RA patients and 3,680 OA patients and found no higher complication rate in the RA group.
A study of 28 shoulder replacement patients found that their driving skills improved significantly at 12 weeks post-surgery, with a decrease in simulator collisions. Patients who drove less than 1,800 miles per year incurred more collisions, suggesting that long-distance driving may be safe earlier