Articles tagged with Orthopedics
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.
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 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.
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.
The number of ACL injuries in young athletes is rising due to increased training and reduced free play. Pediatric orthopaedic surgeons recommend optimal strategies for treating ACL injuries based on the specifics of the injury and the child's skeletal maturity, including non-surgical management and surgical reconstruction.
A new study by Hospital for Special Surgery found that approximately 25% of ACL tears from recreational ski injuries can heal on their own. Researchers developed a six-to-12-week test to identify patients with low-grade ACL injuries who are likely to recover without surgery.
A study by pediatric orthopaedic surgeons at Le Bonheur Children's Hospital found that spine-related injuries from ATVs are more common in older children and females, with a significant increase in non-contiguous spinal fractures. The researchers emphasize the need for parents to recognize ATV safety risks and take preventive measures.
A new study by UCSF neurosurgeon Christopher Ames and orthopedic surgeon Vedat Deviren found that complex spinal surgeries with two attending physicians were significantly shorter, averaging five hours instead of eight, and resulted in less blood loss, fewer major complications, and shorter hospital stays.
Research highlights the unique anatomical differences in the female knee that contribute to higher injury rates. Preseason and ongoing neuromuscular training programs can significantly decrease ACL injury risk among girls and women.
Patients with severe back pain who quit smoking reported less pain than those who continued to smoke, according to a recent study. The study found that quitting smoking led to significant improvements in pain levels and disability indexes for nonsmokers.
Athletes are vulnerable to extreme heat or cold, which can cause hypothermia, frostbite, heat edema, heat syncope, and even life-threatening conditions. Team physicians play a crucial role in educating coaches and athletes on the risks of exposure and how to prevent these injuries.
Researchers developed reverse dynamization, which accelerates healing of large segmental bone defects by varying stiffness levels. This approach showed promising results in rat models, with improved bone mineral content and mechanical strength compared to traditional methods.
New research suggests that statins can decrease inflammatory and thrombotic proteins in individuals with antiphospholipid antibodies, reducing the risk of blood clots and other complications. A prospective study found that fluvastatin significantly decreased protein levels in patients with APS, offering a potential new treatment option.
Using regional anesthesia reduces need for blood transfusions and major complications in bilateral knee replacements, according to a new study. Patients receiving neuraxial anesthesia had lower rates of blood transfusions compared to general anesthesia.
Obese patients are at a greater risk of post-surgical infections and require more follow-up surgeries following total knee replacement. The study advises well-informed obese patients to lose weight before surgery to lessen osteoarthritis symptoms and improve outcomes.
Research finds that academic websites provide the most accurate pediatric orthopedic information, while commercial sites yield the least reliable results. The study also highlights concerns about duplicate content and misinterpretation of information.
A recent study found that only 23.2% of general orthopedic practices agreed to schedule an appointment for a pediatric fracture patient with Medicaid, while 82% accepted private PPO insurance. This decline in access to care is attributed to low Medicaid reimbursement rates.
A literature review published in Journal of Bone and Joint Surgery found that physical therapy begun shortly after ACL surgery can bring about very good outcomes for patients. However, bracing did not seem to improve results. Strength, range-of-motion, and functionality exercises are recommended as a key part of rehabilitation.
Older patients with shoulder dislocations are more likely to experience rotator cuff tears due to weakened tissues, but less likely to recur compared to younger patients. Prompt evaluation and management by a specialist or orthopedic surgeon is crucial for optimal outcomes.
A new study reveals that younger and healthier patients undergoing bilateral total knee replacements are actually becoming sicker, with rising complication rates attributed to obesity. The study found a 3% increase in pneumonia, pulmonary embolism, and nonmyocardial infarction cardiac complications over time.
A recent study found that nearly 20 percent of people who underwent low back fusion surgery developed post-traumatic stress disorder symptoms. The strongest factor in determining whether a patient suffered PTSD symptoms was a pre-surgery psychiatric disturbance, but some patients without such diagnoses also experienced symptoms.
Researchers at Penn State developed a method to create a rough surface on bone grafts similar to untreated bone, promoting healing and increasing the likelihood of successful implantation. The new technique uses physical vapor deposition to coat the graft with hydroxyapatite, optimizing its osteogenic properties.
A study of spinal injury data found that explosions accounted for 56% of spine injuries, followed by motor vehicle collisions and gunshots. The average age of injured personnel was 26.5 years, and 90% were enlisted personnel.
A review of twelve studies on joint replacement surgery found no conclusive evidence for weight loss after the procedure. In fact, some patients even gained weight due to improved mobility and reduced pain.
A recent study suggests that some blood clots identified by sensitive testing methods may not require treatment, potentially reducing risks of bleeding complications. However, developing guidelines to accurately identify patients who can benefit from anticoagulant therapy is crucial.
UT Southwestern Medical Center has been named the official healthcare team of the Dallas Stars, marking a significant expansion of their longstanding relationship with the club. The team will oversee the health needs of players, including injury evaluation and treatment, and promote healthy messages through initiatives such as "Hockey ...
Recent studies have found that poorly-performing hand implants, such as the Moje and Elektra thumb CMC joint implants, should be withdrawn due to poor outcomes. The Journal of Hand Surgery recommends caution when using these implants in future surgeries.
A recent JAAOS study highlights the success of nerve transfer surgery, particularly when patients are referred early. Nerve transfer surgeries can restore function to severely damaged nerves, and the study aims to raise awareness among healthcare providers about this treatment option.
Two studies published in the Journal of Bone and Joint Surgery found that high blood sugar and obesity significantly increase the risk of surgical site infections after orthopaedic trauma and total joint replacement. Nearly one-third of hospital admissions without diabetes have hyperglycemia, which is associated with longer stays, ICU ...
Researchers found that pre-injury levels of four biomarkers were associated with an increased likelihood of ACL injury, with one biomarker linked to a 19-fold risk increase.
Patients undergoing multiple ACL surgeries show basic functional improvement, but rarely regain full pre-operative activity levels. Chondral injuries and high BMI are associated with worse outcomes.
Researchers found that 81% of elite athletes returned to play at a similar level after undergoing an arthroscopic reconstruction technique using an autograft, with improved clinical outcomes and patient satisfaction reported. The technique was effective in treating labral tears and associated hip instability issues.
A new study confirms platelet-rich plasma (PRP) therapy as a safe option for treating cartilage tears in athletes, with patients experiencing significant improvement in pain and basic function. The research involved 180 patients who received either PRP or viscosupplementation treatment, with all patients showing no complications.
A new study finds that immobilizing patients for longer periods after rotator cuff surgery may improve healing rates. The research used a rat model and found that immobilization improved tendon healing, reducing scar tissue and inflammation.
A recent study by the American Orthopaedic Society for Sports Medicine found that Femoral Acetabular Impingement (FAI) increases stress across the groin in athletes. This increased stress leads to a higher risk of sports hernia, a common cause of groin pain in athletes.
Researchers have found that double bundle ACL reconstruction does not significantly reduce the risk of osteoarthritis progression in patients. Despite this, patients over 40 at the time of surgery are more likely to experience OA change over time.
Researchers at Hospital for Special Surgery demonstrate the superiority of the All-Inside, All-Epiphyseal ACL Reconstruction (AE) technique in children. The AE procedure provides great knee stability and effectively controls joint stress without risking injury to growing bones.
A new study suggests that nonsurgical treatment for common shoulder injuries like SLAP tears may be more effective than surgery in increasing the chances of return-to-play in baseball players. The researchers found that position players were more likely to return to competition at a higher rate than pitchers, with 73% vs 40% respectively.
A recent study by the American Orthopaedic Society for Sports Medicine found that concussion rates among college football players have doubled in three programs over two years. The increase is attributed to improved reporting of concussions under new NCAA regulations.
A new study published in The Journal of Bone & Joint Surgery shows that children with hip and thigh fractures can heal just as well in single-leg casts, providing greater comfort and mobility. Parents reported taking fewer days off work to care for their children, with an average of eight fewer missed days.
The June issue of the Journal of the American Academy of Orthopaedic Surgeons highlights the negative impact of smoking on bone and joint health. Smokers face increased risks of postoperative complications and bone density loss, but preoperative counseling programs can mitigate these effects. The journal also discusses treatment option...
A study published in JAMA found that certain biomarker levels, specifically troponin T, measured after noncardiac surgery are associated with an increased risk of death within 30 days. The researchers identified peak troponin T values as the strongest predictors of 30-day mortality.
A study of half a million patients found that 3% require critical care services after hip and knee replacements. Hospitals should prepare for the growing number of orthopedic patients needing critical care, with risk factors including age, comorbidities, and anesthesia type.
New research from Johns Hopkins Medicine reveals that patients with a past history of skin infection are three times more likely to develop painful and costly surgical site infections during operations. Despite following proper procedures to prevent SSIs, some patients appear to be more susceptible to contracting an infection due to un...
A study of 27 orthopedic surgery residents found that they were functioning at less than 80% mental effectiveness due to fatigue during 48% of their awake time. Residents who worked night shifts slept an average of 5.1 hours daily, highlighting the prevalence and variability of resident fatigue.
A recent study published in the Journal of Bone and Joint Surgery found that hand and wrist injuries account for a significant number of annual emergency department visits in the US. The study estimated that the total cost of these injuries is substantial, with over $2 billion spent on healthcare costs and lost productivity each year.
Patients who engage in high-impact sports like football and skiing experience better function and quality-of-life scores than those with lower activity levels. However, this comes at the cost of reduced durability of hip implants, with a 15-year follow-up showing an 80% implant survivorship rate compared to 94% for low-activity patients.
A Johns Hopkins study reveals wide variation in blood transfusion use during surgery, with frequent unnecessary transfusions. Researchers suggest that patients only need a transfusion if their hemoglobin levels fall below seven or eight grams per deciliter.
A new study reveals that outpatient surgery patients are at risk for blood clots due to multiple factors such as age, surgery length, and type of procedure. The study suggests a need for better screening and prevention strategies in the growing outpatient surgery population.