Articles tagged with Orthopedics
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.
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.
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...
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 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.
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.
A new study by Hospital for Special Surgery suggests that mental health is a risk factor for disease flares in patients with vasculitis, a devastating form of the disease characterized by inflammatory destruction of blood vessels. Patients who experience stress are 19% more likely to experience a flare-up.
A study of 313 spine surgery patients found that more than half had inadequate vitamin D levels. Patients with insufficient vitamin D may benefit from taking supplements before and after surgery to aid in recovery.
A study analyzed financial payments made by orthopedic device manufacturers to orthopedic surgeons from 2007 to 2010. The findings show a reduction in total payments and funds distributed after payment disclosure was required, as well as an increase in the proportion of consultants with academic affiliations.
The University of Delaware will lead a consortium to develop new standards of care for warfighters with limb injuries, improving their quality of life. The BADER Consortium aims to advance post-injury treatment and bring evidence-based practices forward rapidly.
Popular herbal supplements like feverfew, ginger, and St. John's Wort can interact with prescription medicines, posing serious side effects when combined during and after surgery. Discontinuing use at least one to two weeks prior to surgery can help avoid adverse events.
The American Academy of Orthopaedic Surgeons recommends preventive treatments for patients undergoing hip or knee replacement surgery to reduce the risk of venous thromboembolic disease. The guideline suggests using mechanical compression devices and anticoagulants, such as blood thinners, to prevent clots.
Researchers at URMC discover that a medication already approved to build bone mass in patients with osteoporosis can also increase cartilage around joints, potentially treating millions suffering from arthritis. The study suggests that the drug could be repurposed as an alternative to current treatments.
A recent study found that older patient age, congestive heart failure, and preoperative neurological problems are independent risk factors for death and complications after spine surgery. The study analyzed data from the American College of Surgeons National Surgical Quality Improvement Program database.
A study published in Clinical Orthopaedics and Related Research found that African American patients are less likely to be admitted to high-volume hospitals for total knee replacement surgery, receiving instead lower-quality care. This racial disparity affects access to high-quality arthroplasty care.
A recent study published in the Journal of the American College of Surgeons found that part-time employment models for surgeons can promote retention and address the looming shortages in surgical specialties. By working fewer hours, surgeons may practice more years, alleviating the predicted surgeon shortage by up to 42.5%.
A new study shows that patients with coronary artery disease are more likely to experience thrombotic and bleeding complications after orthopedic surgery. The study found that increasing age, kidney disease, and female sex were strong predictors of these events.
Strains and sprains account for over a third of lower extremity injuries treated at emergency departments. An 'ankle hotline' could spare valuable ER time and resources by providing alternative care options.
A Wayne State researcher has discovered an antibiotic that can prevent and treat aseptic loosening, a condition where surrounding bones disintegrate after prosthetic joint surgery. The antibiotic, erythromycin, can be administered directly at the site of bone breakdown, reducing side effects associated with long-term oral use.
A new study published in the Journal of Bone and Joint Surgery found that carpal tunnel syndrome patients prefer to share decision-making with their physicians. Patients who had undergone previous surgical procedures, had caregivers, or additional private insurance were more likely to assume an active role in the decision-making process.
Lesser toe deformities, such as hammer toes and claw toes, can cause significant pain and limit activities. Improper footwear is a common cause, while genetic and neuromuscular conditions also play a role. Nonsurgical treatments like pads and gel sleeves can be effective, but surgery may be necessary for severe cases.