Articles tagged with Orthopedics
A new study published in the Journal of Bone and Joint Surgery found that ACL reconstruction surgery provides a significant cost savings to society, with an average lifetime benefit of $50,000 per patient. The study estimated lifetime societal savings of approximately $10.1 billion annually.
Researchers report two cases of early intraprosthetic dislocation with dual-mobility hip implants, suggesting a potential link to mixed-component designs. The study highlights the need for clinicians to carefully evaluate and monitor patients receiving these implants.
A recent study found that using DVDs, booklets, and health coaches can help patients arrive at an informed treatment decision within their first visit with an orthopaedic surgeon. The study showed a significant increase in patient confidence in knowing what questions to ask their doctor, leading to better shared medical decision making.
A literature review found that one in four people develop hip arthritis before age 85, contributing to groin pain. Contributing factors include sports-related injuries, prior surgery, and traumatic occupational history. A detailed medical history and examination are crucial for diagnosing the source of groin pain.
The American Academy of Orthopaedic Surgeons has released a list of five targeted, evidence-based recommendations to support conversations between patients and physicians about necessary care. The recommendations aim to reduce waste and overuse in the healthcare system by identifying unnecessary tests and procedures in orthopaedics.
A new study highlights the economic benefits of knee replacement surgery, finding that patients can save nearly $40,000 in indirect costs, resulting in lifetime societal savings of $10,000-$30,000. The study estimates that total knee replacement surgeries will exceed 3 million by 2030 due to an aging population.
A study at the University of Eastern Finland found that abnormal bone properties in children with vertebral fractures and after solid organ transplantation can predict fracture risk. Bone histomorphometry revealed changes in bone composition that could explain increased fracture risk.
Dr. Jingwei Xie has been awarded a $293,000 NIH grant to lead a project developing a new biological device that better mimics an uninjured tendon-to-bone attachment, potentially improving healing rates for rotator cuff injuries.
A study of 256 baseball players who underwent ulnar collateral ligament surgery found that 83% were able to return to competition at the same or higher level, with an average additional 3.6 years of playing time
A new knee cartilage repair technique, De Novo NT Natural Tissue Graft, has shown promising results in treating articular cartilage lesions. Patients who underwent the procedure experienced significant improvements in symptom assessment and MRI images at two years of follow-up.
A study of 1,332 high school football players found no association between helmet brand or age and lower concussion risk. However, players with a history of concussions were twice as likely to sustain another one. Researchers recommend further screening to identify those at increased risk.
Researchers studied 296 MLB pitchers and found that those with a deficit in total range of motion had a higher risk of injury. The study's findings could help team physicians and athletic trainers prevent long-term injury absences.
New research suggests that arthroscopic bankart repair surgery is a viable and cost-effective treatment option for young patients with first-time shoulder dislocations. The study found that surgical costs were significantly lower than previously estimated, with a probability of re-dislocation below 7%.
Researchers found that corticosteroid injections helped NFL players recover 10 days sooner than those without treatment, with a median recovery time of 15 days. The study involved 31 players from two teams and showed no complications from the injections.
Researchers identified dynamic knee rotation and frontal plane angles as key risk factors for lower extremity stress fractures. Movement patterns targeting these aspects could help prevent stress fractures through injury prevention programs.
Researchers analyzed data from 78 subjects who underwent ACLR and found that female athletes were over four times more likely to suffer an injury within 24 months than their healthy counterparts. The study also showed a trend for female subjects to be two times more likely to suffer an injury on the opposite knee.
A new study published in Foot & Ankle International found a 28.8% decline in lower extremity amputations over the past decade, with advances in diabetic foot ulcer treatments contributing to this decrease. The number of orthopaedic claims for diabetic foot ulcers rose 143.3% during the same period.
A recent study found that orthopedic oncologists and surgical oncologists conducted only 52% of sarcoma surgeries, while general surgeons, plastic surgeons, and orthopedic surgeons performed the remaining 48%. This disparity may impact patient outcomes due to varying levels of expertise in removing deep-seated tumors.
A study found that knee shape can affect ACL reconstruction decisions after a tear. Knees with more stable shapes, such as deeper tibial plateaus and less concave areas, may not require surgery. This discovery could help clinicians identify patients who can skip ACL reconstruction.
The study found that it took a mean of 5.2 physician visits to obtain the correct diagnosis of cervical spondylotic myelopathy (CSM), highlighting delays in diagnosis due to lack of awareness among primary care physicians and community-based orthopedic surgeons.
A national study led by Dr. Joseph Guettler found that youth baseball pitchers experience serious injuries 16 times more often than 30 years ago. Parents' behavior is to blame, with most leagues and coaches adhering to guidelines, yet pitchers still engaging in excessive throwing behaviors.
A large international study led by McMaster researchers found that one in six women arriving at orthopedic fracture clinics have been victims of physical, emotional, or sexual violence within the past year. This highlights the need for healthcare professionals to identify and support victims of intimate partner violence, who are often ...
A study of 2945 adult women found that 16% experienced domestic violence in the past year and 34.6% reported abuse at some point in their lives. The research suggests that healthcare professionals in injury clinics are well-positioned to identify and support victims, emphasizing the need for screening and referral services.
The Brown University School of Public Health and Alpert Medical School will develop and deliver aging-related curricula for hundreds of doctors. The program aims to improve care for older patients by integrating healthy aging into medical specialties.
Using proper child safety restraint systems decreases mortality and serious injury rates in motor vehicle crashes. Booster seats minimize abdominal injuries, and rear-facing seats should be used until at least 2 years old or 20 pounds.
A retrospective study found that higher numbers of lumbar epidural steroid injections (LESI) were associated with increased risk of bone fragility and vertebral fractures. Patients at high risk for fractures include older women, those who have had an earlier fracture, smokers, and underweight individuals.
A study published in Clinical Orthopaedics and Related Research found that people on higher incomes are more satisfied with their knee replacement surgery results. In contrast, those from lower-income households reported higher levels of dissatisfaction and poorer function.
The Orthopaedic Journal of Sports Medicine publishes quality research, systematic reviews, and meta-analyses on orthopaedic sports medicine topics. The first three published articles include studies on ACL reconstruction, running-related injuries, and knee kinematics.
A literature review highlights the evolution of synthetic playing surfaces and their association with injuries, particularly to the foot, ankle, toe, and knee. The study suggests that optimal shoe-playing surface conditions are level and sport-specific, and further research is needed to improve playing conditions for all athletes.
A study of 406 patients found that male athletes, particularly those who engage in sports like basketball and tennis, are at a higher risk of Achilles tendon ruptures. The majority of these injuries occur during sporting activities, and delayed diagnosis can lead to poorer outcomes. Orthopaedic foot and ankle surgeons emphasize the imp...
Orthopedic surgery faces challenges with obese patients due to increased risk of complications, poor nutrition, and diminished treatment outcomes. Weight loss is recommended for pre-joint replacement surgery to improve outcomes.
A new study presents biceps tenodesis surgery as a safe and effective treatment option for individuals with failed primary arthroscopic repairs, allowing 81% of patients to return to pre-injury activity levels. The procedure alleviates pain and dysfunction, enabling patients to regain full shoulder function.
Researchers compared two ACL repair methods and found both techniques lead to similarly effective outcomes for patients. The study involved 98 patients who underwent reconstructions using either a single or double-bundle method, with 79% of the double bundle group showing normal knee function.
A new case study on over 500 hip procedures found a complication rate of 7.2%, higher than previously reported 1.5%. The multicenter study evaluated all arthroscopic hip procedures using a grading scheme and included a mean age of 32.3 years among participants.
A study of 38 military patients treated with allograft osteoarticular transplants (OATS) found that only 28.9% returned to full duty, while 5.3% regained pre-injury level of activity. Cartilage injuries remain a challenge for high-demand athletes.
A recent study found that exercise interventions in childhood may be associated with lower fracture risks as people age due to increased peak bone mass. Researchers conducted a six-year exercise intervention in children aged 7-9 and found similar fracture risks between the intervention and control groups.
A small study involving 42 patients found that mechanomyography (MMG) technology effectively measures nerve function and determines whether nerves are compressed. After decompression, 70% of nerves had normal threshold values, while 98% showed a drop in threshold greater than 1mA.
A new study from the University of Pennsylvania School of Medicine found that smoking delays fracture healing and increases post-operative complications. The research, which analyzed over 6,480 patient cases, shows that smokers take roughly six weeks longer to heal than non-smokers.
A study at the American Academy of Orthopaedic Surgeons found significant variations in spinal component costs, with pedicle screws, anterior cervical plates, and posterior interbody cages costing $400 to $7,200 per patient. Greater transparency and coordinated implant selection and purchase processes could reduce these costs by up to ...
A recent study by the American Academy of Orthopaedic Surgeons found that smoking significantly increases the risk of nonunion in fractures involving long bones. The average time to fracture healing is also longer for smokers compared to nonsmokers, highlighting the negative impact of smoking on bone health.
A new study identifies predictors of complications and mortality following a hip fracture, including dialysis, cardiac disease, and diabetes. The study found that reducing time to surgical intervention appears to be the single greatest factor in influencing the risk of mortality or complications.
A multi-center study found that PRP treatment improved pain scores and reduced elbow tenderness in 55.1% and 37.4% of patients at 12 weeks, respectively. At six months, 83.9% of patients reported significantly less pain and tenderness following PRP treatment.
A new study found that nearly all (98%) total knee replacement patients returned to work after surgery, with 89% able to return to their previous job. The study also showed significant improvements in physical activity levels among THR patients over a decade, with many resuming activities like biking and swimming.
A study at Hospital for Special Surgery found that the docking technique yielded favorable results in teenage athletes with UCL tears, outperforming previous reports. The procedure resulted in excellent outcomes for 89% of patients, who were able to return to competitive play.
A study by University of Pennsylvania researchers found that younger mice exhibit a more robust healing response compared to older mice. The team identified the Notch signaling pathway as critical to fracture healing, with reduced baseline activity in geriatric MSCs.
A new study presented at the American Academy of Orthopaedic Surgeons found that female-specific knee implants do not significantly improve clinical outcomes in total knee replacement patients. The study compared implant fit and clinical results with and without female components, revealing comparable pain scores and range of motion.
Researchers have made significant discoveries in musculoskeletal health, including bio-enhanced ACL repair and the diagnosis of posterolateral knee injuries. The new approaches aim to stimulate healing and regeneration, reduce future injury-related osteoarthritis, and improve patient outcomes.
Researchers at Hospital for Special Surgery found that tissue damage is more likely to cause unexplained pain in metal-on-metal hip implant patients. The study found significant tissue damage in 90% of patients with unexplained pain compared to 10% in the control group.
A recent study found that current and past smokers have a higher risk of hip replacement failure compared to non-smokers. The study, which reviewed records of total hip replacement patients between 2007 and 2009, found a significant correlation between smoking and increased revision rates.
A new study found that MRI is highly sensitive and specific for identifying tissue damage in metal-on-metal hip replacement patients. Early detection allows for timely revision surgery, decreasing the risk of further tissue damage and pain.
A new study from Brigham and Women's Hospital found that physical therapy improves functional status, pain, and physical function in patients with meniscal tears and osteoarthritis. For a third of patients assigned to physical therapy, surgery was still necessary.
Research found that cushioned heel trainers alter an adolescent runner's biomechanics and diminish performance by promoting a heel-strike pattern. In contrast, runners with track flats and barefoot had a forefoot or mid-foot strike pattern.
The Return to Run program, using the Intrepid Dynamic Exoskeletal Orthosis (IDEO), successfully returned 13 out of 14 service members to duty. Functional capabilities improved significantly, including walking, running, and jumping without assistive devices.
A new study published at the American Academy of Orthopaedic Surgeons (AAOS) meeting found that living in a sunny climate does not improve vitamin D levels in patients with hip fractures. The majority of patients with hip fractures had insufficient or deficient levels of vitamin D, regardless of their geographical location.
A multi-center study found that total knee replacements in younger patients with juvenile idiopathic arthritis (JIA) last at least 10 years in 92 percent of cases. More than 75 percent of implants survived for 20 years or more, enabling many JIA patients to walk again and lead normal lives.
Injuries from bicycling, roller sports, and trampolines decreased by 38.1%, 20.8%, and 17.5% respectively between 2000 and 2010. Football and soccer injuries increased by 22.8% and 10.8%, with overall musculoskeletal-specific injuries declining 12.4%.
A new study presented at the American Academy of Orthopaedic Surgeons meeting shows that 13 out of 14 wounded warriors returned to combat after completing the Return to Run orthotic rehab initiative. The program successfully restored functional and occupational capabilities, including walking, running, and standing for long periods.
New research found that total hip and knee replacement surgeries significantly improve sexual function in 90% of patients, with women experiencing a higher rate of improvement. The study also revealed that psychological issues related to osteoarthritis were common among patients, but improved following surgery.
A recent study presented at the American Academy of Orthopaedic Surgeons meeting found that spine patients who quit smoking experience diminished pain. Non-smokers showed significant improvements in reported pain, while those who continued to smoke saw no clinically significant improvement.
A literature review suggests that weight loss can diminish pain, restore function, and quality of life in osteoarthritis patients. Obesity may trigger biomechanical changes contributing to the condition, making weight loss a key treatment option for arthritis and joint pain prevention.