Articles tagged with Orthopedics
Researchers investigated non-emergent musculoskeletal injuries in soldiers returning from combat, finding that nearly 19% required orthopaedic consultations. Another study estimated the incidence of symptomatic venous thromboembolism after elective knee arthroscopy, revealing a relatively low risk for complications.
A new study by UCSF doctors suggests that publicly available overall readmission rates may overestimate unplanned readmissions by up to 25 percent. The team found that 'all cause' readmission rates do not distinguish between planned and unplanned surgeries, potentially leading to misinformation about hospital quality.
A new study from the American Academy of Orthopaedic Surgeons analyzes current security measures on patients who have had a total hip replacement. The authors conclude that full body scanners can be a viable option for some travelers, but may cause delays and inconveniences.
A Canadian Journal of Surgery study reveals that only 13 out of 14,000 cancer patients with bone metastases receive orthopedic care annually. This under-referral may contribute to poor outcomes and high mortality rates, emphasizing the need for timely surgical consultations.
A structured exercise regimen reduced physical therapy visits by 40% in workers' compensation patients after arthroscopic meniscectomy. The study supports the implementation of independent exercise protocols to reduce therapy costs without compromising patient outcomes.
Researchers found that thromboembolic events following ankle fracture surgery are uncommon, with most patients experiencing no complications. The study suggests that surgical treatment for ankle fractures does not significantly increase the risk of blood clots or pulmonary embolism.
The Spine Patient Outcomes Research Trial (SPORT) found surgical treatment significantly favored outcomes for IDH, DS, and LSS, while vitamin D deficiency is critical to musculoskeletal health. A new study urges orthopaedic surgeons to proactively diagnose and treat vitamin D deficiency, which can improve treatment results for various ...
Cartilage transplant tissue can now be stored for up to 63 days, compared to 28 days previously, using a new method developed by researchers at the University of Missouri. This increase in storage time is expected to greatly improve the success rate of joint grafting procedures.
A Seminar published in The Lancet calls for improved long-term monitoring of knee replacement implant outcomes using national registries. This will provide patients and surgeons with high-quality evidence to assess different implants and techniques, ultimately enhancing clinical decision-making.
A study published in Clinical Orthopaedics and Related Research finds that socioeconomically disadvantaged patients actually sue physicians less frequently than other patient groups. This disparity is attributed to unconscious biases and limitations in accessing legal resources, which can affect the quality of medical care and the doct...
Researchers at UCSF Orthopaedic Trauma Institute have found a promising method to regenerate bone using cartilage grafts, which can integrate with the host bone and vascularize it. This approach could offer an alternative to traditional bone grafting techniques, which can result in poor integration and osteonecrosis.
A new orthopaedic smart device provides real-time diagnostic data to enable precise post-surgical diagnosis and follow-up. The device, made possible by tiny wireless sensors, can monitor load, strain, motion, temperature, and pressure in orthopaedic implants.
A team of researchers from the University of Rochester Medical Center has developed a vaccine that can prevent MRSA infection of orthopaedic implants. The antibody targets a component of the cell wall, preventing normal bacterial cell division and formation of sequestrum, a hallmark of osteomyelitis.
Researchers found that abduction strained the ACL more than anterior translation and internal rotation increased load equally with anterior translation. The combination of all three factors resulted in an additive effect, increasing average ACL strain significantly.
Epidural steroid injections showed promise as a treatment option for athletes suffering from lumbar disc herniations. The 89% success rate allows patients to participate in physical therapy sooner and reduces time missed from play. However, certain injuries still require surgery and long-term recovery.
A study by the American Orthopaedic Society for Sports Medicine found that athletes wearing properly fitted helmets were 82% less likely to experience loss of consciousness due to concussions. Helmet fit was not associated with a significant impact on concussion severity, but proper air bladder inflation was.
A recent study found that approximately 73% of healthy individuals have abnormal MRI scan results, highlighting the limitations of imaging in hip pain diagnosis. The study emphasizes the importance of correlating clinical signs and symptoms with imaging findings for accurate treatment decision-making.
The study found that primary Anterior Cruciate Ligament reconstruction improves quality of life and sports functionality for athletes. Researchers also identified risk factors, including younger female soccer players, smokers, and patients with meniscal or chondral injury at the time of surgery.
A new study by researchers at the American Orthopaedic Society for Sports Medicine found that elbow position alone does not affect injury rates or performance in baseball pitchers. Instead, visual elbow drag was positively associated with ball velocity, suggesting that proper pitching technique is crucial for optimal performance.
Researchers found that despite high success rates of ACL surgery, many amateur football players struggle to return to play due to fear of re-injury and decreased performance concerns. The study suggests that additional research is needed to analyze the rate of return based on position played.
Researchers found that children treated more than 150 days after an ACL injury have a higher rate of other knee injuries, including medial meniscal tears. Weight over 143 lbs was also associated with an increased risk of meniscal tears at the time of surgery.
Researchers found PRP treatment to be effective in treating partial UCL tears, improving KJOC Score and DASH Score. Athletes returned to play on average 10 weeks after treatment.
Researchers analyzed metal-on-metal hip replacement studies for negative outcomes, finding no bias in results from authors with disclosed conflicts. Despite a trend towards increasingly negative study results over time, the findings support the AAOS's disclosure requirements and peer review process.
More than 4.5 million Americans are living with a total knee replacement, with osteoarthritis being the leading cause. The prevalence of TKR is higher in women, with 5.3% compared to 4.1% in men.
The American Academy of Orthopaedic Surgeons has established a new credentialing process for doctors who plan to travel internationally to disaster sites. The Disaster Responders Certification Program provides training and certification for orthopaedic surgeons, with three levels of certification available. A study reports long-term po...
The department's second annual analysis of orthopaedic procedures reveals focus areas such as VTE prevention, MRSA control, and reducing readmission rates. NYU Langone Medical Center aims to embed quality and patient safety in every aspect of its work.
A national survey of 2000 orthopedic surgeons found that 96% practice defensive medicine, accounting for 24% of imaging studies, laboratory tests, consultations, and hospital admissions. The average cost per month is $8,485, totaling $2 billion annually.
A recent study has estimated the annual cost of defensive orthopaedic care in the US at $2 billion. The study found that 96% of orthopaedic surgeons ordered tests and referrals primarily to avoid malpractice liability, resulting in a significant increase in healthcare costs.
Two U.S. Army studies found that patients with a history of shoulder instability are more likely to experience future instability, while arthroscopic surgery has better outcomes than open repairs. The studies also identified risk factors associated with surgical failure and found that arthroscopic Bankart repair has a lower failure rate.
Researchers found ultrasound images to have 100% diagnostic correlation with X-rays for detecting developmental dislocation of the hip. The study showed ultrasound to be a reliable alternative imaging method for DDH screening in young children.
Hip fracture patients with undiagnosed neurological disorders, such as cervical myelopathy, are at increased risk of falls and additional fractures. Screening for cervical myelopathy should be standard care for all hip fracture patients to reduce this risk.
New research finds that shorter hospital stays for total knee replacement (TKR) patients are associated with increased risk of revision and mortality. Outpatient groups had lower costs at 2 years, but higher mortality and dislocation rates.
A study published by the American Academy of Orthopaedic Surgeons found that excessive sporting activities can lead to a higher risk of surgical revision in patients with hip resurfacing. Patients with lower Impact Scores had better survival rates and lower revision risks, highlighting the importance of limiting physical activity.
Men with anxiety traits experience higher post-operative pain ratings and longer hospital stays. Women report higher pain levels and are less satisfied with pain control following total knee replacement surgery.
Researchers at Hospital for Special Surgery found that the OATS procedure provides a higher return to sport and longer lasting results compared to microfracture. The study showed that patients who underwent OATS had improved Marx activity levels, indicating they could perform more sports and athletic activities.
Research found that discontinuing bisphosphonates after an atypical femur fracture significantly lowers the risk of a subsequent fracture. Bisphosphonates may suppress natural bone remodeling, leading to brittle bones and increased fracture risk.
A new study by the American Academy of Orthopaedic Surgeons found that online support after joint replacement surgery can save patients time and money. Patients who used web-based follow-up care reported fewer routine visits, lower travel costs, and reduced time spent on appointments.
A study of 46 retrieved metal-on-metal total hip replacements found common damage patterns, including scratches and wear patches. The researchers aim to understand the mechanisms behind these failures and develop new implant designs to reduce wear and corrosion.
A new study presented at the American Academy of Orthopaedic Surgeons meeting found that obese children are 74 percent more likely to sustain a fracture of the growth plate. The study looked at 224 children and found that those with a higher BMI were more likely to experience low-energy impact injuries.
A new study presented at the American Academy of Orthopaedic Surgeons meeting found that patients taking antidepressants before hip replacement surgery reported greater pain and lower satisfaction with their procedure. Assessing a patient's mental health status prior to surgery is crucial for predicting outcomes.
The risk of pulmonary embolism following total joint replacement is highest in the first week, with most cases occurring between two to seven days post-surgery. Anticoagulation treatment beyond seven days may not be necessary, according to a recent study presented at the American Academy of Orthopaedic Surgeons Annual Meeting.
A new study found that post-surgical phone support significantly improved physical activity and function in high-risk knee replacement patients. Telephone emotional support was well-received by all patients, particularly those with poor emotional health or morbid obesity.
A study by researchers at Hospital for Special Surgery found that surgeons who have performed less than 60 ACL reconstructions are roughly four to five times more likely to undergo a subsequent ACL reconstruction. The learning curve for ACL surgery is complex, and training programs may not be adequate to prepare young surgeons.
A new study found that modern low-energy handgun ammunition can inflict significant soft tissue damage, potentially causing infection and compartment syndrome. Orthopaedic surgeons should be aware of this powerful new ammunition to treat high-risk gunshot injuries properly.
A new study reveals that 77% of trauma patients have deficient or insufficient levels of vitamin D. Researchers found a strong link between vitamin D deficiency and increased risk of muscle weakness, bone fractures, and poor bone healing.
Research found 26% of patients with distal radius fractures and 11% of control patients were vitamin D insufficient, while 18% and 2% respectively were deficient. Vitamin D supplementation may help prevent future fractures.
Research by American Academy of Orthopaedic Surgeons reveals that elite girls' soccer athletes are at higher risk for delayed or irregular menstruation and stress fractures. A consistent warm-up exercise program can significantly decrease ACL injury risk.
A study of 1,500 patients found that aspirin reduced the incidence of Deep Vein Thrombosis (DVT) by 19.2%, with no complications from aspirin use. Aspirin, combined with stockings and a foot pump, is a safe and effective therapy for preventing DVT and PE in most joint replacement patients.
A 10-year study at a regional trauma center found significant negative association between orthopaedic trauma volume and county unemployment rates of the previous year. The study, presented at the AAOS Annual Meeting, suggests economic trends impact orthopedic trauma volume.
Experts from NYU Langone Medical Center will present their latest research on diseases of the muscle, tendon, bone, and joint. The focus includes reverse total shoulder arthroplasty, platelet-rich fibrin matrix for rotator cuff healing, and effects of partial medial meniscectomy on tibiofemoral position and stability.
A new review article suggests that medications targeting T-cells can significantly benefit patients with psoriatic arthritis, reducing symptoms and improving joint function. Surgery may also be considered for patients with joint deformities, offering insights into outcomes and risks for those who progress to joint destruction.
A study led by Dr. Russell R. Russo identified a new source of necrotizing fasciitis from intramuscular injection of 'bath salts.' The researchers treated a patient who developed rapidly progressing redness, skin sloughing, and drainage after injecting the street drug.
New guidelines aim to reduce waiting times and improve patient outcomes for patients with hip fractures. The guidelines recommend fast-tracking admission, multidisciplinary care, and surgery within 48 hours of hospital admission.
Researchers have discovered that graphite carbon is a key component of the lubricating layer on metal-on-metal hip implants. This finding could lead to improved designs and longer lifespan for these devices, which are often used by younger, more active individuals.
Researchers at Northwestern University discovered that graphitic carbon is a key element in the lubricating layer of metal-on-metal hip implants, reducing friction and wear. This finding offers a target for designing new materials to improve implant performance.
The FDA has established an international consortium of orthopedic registries to develop a unified method for analyzing and reporting multinational registry data. The ICOR aims to identify the best implants for patients worldwide, improving patient safety.
Introducing new knee replacement models can lead to increased risk of early revision surgery, especially for the first 15 patients. A study published in Clinical Orthopaedics and Related Research found that hospital staff must consider the consequences of their decisions when choosing implants and instruments.
The American Academy of Orthopaedic Surgeons has released a new clinical practice guideline for treating supracondylar humerus fractures in children. The guideline recommends stabilizing the fracture with pins and treating circulation problems, while emphasizing the importance of evaluating each child's individual circumstances. The fu...
Chronic opioid users have longer hospital stays, more post-surgical pain and complications, and are less likely to recover fully after knee replacement surgery. Researchers recommend strategies such as weaning patients off strong opioids prior to surgery to improve patient outcomes.
A multicenter NIH-funded study found that most women with stable lupus can have successful pregnancies, with 80% of patients experiencing favorable outcomes. The study's findings highlight the importance of timing and avoiding pregnancy during periods of increased disease activity.