Articles tagged with Orthopedics
A new study by Danit Ein-Gar, Baba Shiv, and Zakary L. Tormala found that receiving minor negative information after a series of positive reviews can accentuate the positive impression, especially under low thought conditions.
Researchers identified patients at increased risk after bilateral knee replacement surgery due to congestive heart failure, pulmonary hypertension, age over 75, and male gender. The study suggests that these patients should not be considered high-risk candidates for this elective procedure.
Researchers found that obese patients developed respiratory insufficiency (RI) and adult respiratory distress syndrome (ARDS) less frequently, with lower in-hospital mortality rates. Fatty tissue may act as a sink for inflammatory proteins, neutralizing them and reducing the inflammatory process.
Researchers identified patients with high femoral anteversion who experience poor surgical outcomes for snapping psoas tendon treatment. This study suggests that releasing the psoas tendon in these patients may result in delayed return to activities and inferior outcomes.
Researchers found significant improvements in hip flexion (3.8 degrees) and internal rotation (9.3 degrees) after arthroscopic treatment for femoro-acetabular impingement, restoring range of motion across the joint.
Patients who showed motion limitations after surgery were more likely to develop arthritic changes in the knee. Rehabilitation emphasizing full motion was found to have more favorable results on x-rays compared to those who lost motion.
Researchers found that establishing a baseline for each youth athlete is critical for accurate concussion assessment. A study of 1,134 adolescent athletes showed variability in results and significant differences between males and females.
A recent study analyzing over 12,000 knee arthroscopy patients found that a history of cancer significantly increases the risk of developing blood clotting issues after surgery. Researchers identified several risk factors associated with VTEs (venous thromboembolic events), including cancer and prior VTE history.
A study of 256 patients found that younger patients with grafts less than 8mm were more likely to require future revision surgery. The researchers hope to improve ACL reconstruction outcomes for young athletes, particularly those who engage in high-activity sports.
Women show greater improvements in function and reduced pain than men at three and six months post-surgery. After a year, men recover as well as women, indicating that gender-specific knee implants may not be necessary.
A study from the University of Gothenburg found that physical exercise stimulates cell proliferation in intervertebral discs, suggesting a potential preventive effect against back pain and disc degeneration. The research team plans to investigate further with this animal model.
A survey of European and US anaesthesiologists found that only 35% monitor cardiac output during high-risk surgery, leading to postoperative complications. The authors call for increased awareness and implementation of guidelines for cardiac output monitoring.
Bursitis is a common cause of musculoskeletal pain affecting the hips, knees, heels, and elbows. The condition can be managed with simple nonsurgical techniques such as ice packs, compressive dressings, activity modification, and corticosteroid injections. Surgery may be required in cases where symptoms persist or infection is involved.
Researchers found that maintaining vitamin D levels above 33 ng/ml significantly improves outcomes in patients taking bisphosphonates for osteoporosis and low bone mineral density. The study supports optimizing vitamin D levels to improve treatment effectiveness.
Researchers developed a tool to measure outcomes of brachial plexus surgery, which is currently inconsistent and difficult to compare. The new tool aims to standardize reporting, helping clinicians advance the science and improve patient care.
Post-traumatic stress disorder (PTSD) occurs in 20-51% of patients with an orthopaedic injury, hindering recovery and daily activities. Effective treatment includes therapy, medications, and prevention strategies to mitigate symptoms and improve outcomes.
A Loyola University Health System study found that binge drinking can change the body's immune system response to orthopaedic injury, complicating trauma care. This means that measuring chemical markers in the blood may be misleading when alcohol is involved.
Researchers found that modern spinal fusion techniques do not cause significant damage to the spine just below the fused discs, contrary to previous beliefs. Patients who underwent surgery showed good functional scores, balance maintenance, and minimal lower back pain ten years post-operatively.
ATV-related injuries disproportionately affect children, with lower extremity fractures, partial foot amputations, and head injuries being common. The number of ATV-related deaths among children has increased dramatically over the past decade, highlighting the need for proper adult supervision, helmets, and age-appropriate vehicles.
A study published in the Journal of the American College of Surgeons found a 22% relative increase in women among USMG applicants to general surgery programs, with a corresponding 40% increase in those entering training. This trend aligns with increasing equal gender enrollment of medical students.
A new drug that targets a signaling-nuclear protein pathway has been shown to prevent heterotopic ossification, a painful buildup of bone tissue. The study's results offer great hope for the development of effective medications to treat this debilitating disease.
This study evaluated three-dimensional changes in the mandible and glenoid fossa of skeletal Class III patients treated with bone-anchored maxillary protraction. The results showed posterior displacement of the mandible and remodeling of the glenoid fossa, suggesting a favorable control of mandibular growth.
The US healthcare system is facing a significant challenge in caring for the growing number of Baby Boomers experiencing bone fractures. A new guide aims to improve care and quality for patients dealing with fragility fractures, addressing various aspects from hospital admission to rehabilitation.
A recent study surveyed 189 players, 15 coaches, and 31 parents, revealing alarming misconceptions about Tommy John surgery's purpose and impact. Researchers found that nearly a third of athletes believed pitch counts weren't a risk factor for injury, while a quarter thought surgery could improve performance.
A large prospective study found that arthroscopic rotator cuff repair is highly effective at restoring function, with improved ASSE scores and motor grades over time. The study also showed that some tendons can heal fully within five years after initial incomplete healing.
A recent study by the American Orthopaedic Society for Sports Medicine found that platelet-rich plasma (PRP) therapy does not significantly improve healing after a rotator cuff tendon repair. Researchers observed no notable differences in tendon-to-bone healing rates between patients who received PRP and those who did not.
Researchers found that athletes with symptomatic femoro-acetabular impingement (FAI) had a higher incidence of athletic pubalgia and sports hernias. Treating the underlying hip condition can resolve symptoms, allowing patients to return to play.
A study of 26 young patients with articular cartilage knee defects found that microfracture surgery improved knee function and allowed for a normal activity level following rehabilitation. The procedure showed promising results in treating these debilitating injuries.
A study published by the American Orthopaedic Society for Sports Medicine found that patients receiving hamstring tendon grafts had lower rates of pain and mobility issues 15 years after ACL knee reconstruction. The results showed a higher activity level in those with hamstring grafts, with 77% able to perform strenuous activities.
A new study reveals the risk of pulmonary embolism after outpatient knee arthroscopy is .028 percent, with identified risk factors including age, female gender, and cancer history. The study examined data from 374,033 patients undergoing 418,323 procedures between 1997 and 2006.
Patients who undergo elective orthopedic surgeries at high-volume hospitals have better surgical outcomes and fewer complications than those at local hospitals. Regionalizers, or patients traveling to regional high-volume hospitals, tend to be younger, white, male, and have private insurance.
A recent study published by Hospital for Special Surgery found that knee replacement surgeries take significantly longer and cost more for overweight patients. The researchers analyzed data from 454 patients and found that as body mass index increased, so did the time it took to perform all parts of the surgery.
Studies analyzed Medicare beneficiaries who had elective primary THR for osteoarthritis and found the risk of revision was approximately two percent per year for the first 18 months post-surgery. High-performance hips with improved functional capacity are also being developed for active patients, offering more durable implants.
The American Academy of Orthopaedic Surgeons emphasizes the risks of delayed hip fracture surgery, which can lead to increased medical complications and longer hospital stays. Additionally, researchers highlight high rates of adverse events in patients undergoing partial hip replacement, particularly among Medicare beneficiaries. The s...
A study of over 2,700 runners found that stretching before running neither prevents nor causes injury. However, runners who normally stretch and suddenly stop or switch routines are more likely to experience injuries, particularly groin pulls, foot/ankle injuries, and knee injuries.
The John Theurer Cancer Center orthopedic oncologist shares novel approaches to limb sparing surgery, improving patient care for tumors in difficult locations. The educational videos showcase state-of-the-art procedures for radical limb sparing surgery and reconstruction, benefiting patients globally.
A new study identified key factors influencing a dancer's ability to return to work after hip arthroscopy. The study found that younger age, modern dance training, and less degeneration of the articular cartilage were predictors of success, while ballet dancers and those with hip dysplasia or Cam impingement had lower rates of return.
A recent study by Hospital for Special Surgery investigators found no improvement in tendon healing after rotator cuff repair using platelet-rich fibrin matrix. The study's findings question the premature use of PRP in some cases, highlighting the need for further research on dosing and timing.
A recent study found that total knee replacement patients retain high levels of functionality 20 years after surgery, defying common concerns about long-term decline. The study revealed that 95% of patients could walk at least five blocks and nearly half had unlimited walking abilities.
Researchers at Rush University Medical Center found that a three-minute diluted betadine lavage and skin painting with a 10% betadine solution nearly eliminated early deep post-operative infections in total knee and hip joint replacement surgeries. The rate of infection was reduced from 0.97% to 0.15%.
Researchers found that patients who smoke, misuse alcohol, have poor blood sugar control, or have a negative mindset prior to surgery are more likely to experience post-operative complications. Quitting smoking and maintaining good lifestyle habits can significantly reduce these risks.
Patients who underwent simultaneous bilateral knee replacement had a lower risk of major joint infection and mechanical malfunction compared to those with staged procedures. However, they also experienced higher rates of heart attacks and pulmonary embolisms.
Researchers found that nuanced surgical techniques are more important than implant design in customizing knee replacements. These techniques ensure proper alignment and balance with ligaments and soft tissue.
A new study from Johns Hopkins Children's Center found that hip and thigh implants in children can lead to fractures of the same bones, even after the implant has been placed. The research, which analyzed over 7,500 pediatric bone implants, revealed a higher risk of fractures among patients with weakened or brittle bones.
A new study found that nearly 35% of orthopedic patient encounters in Pennsylvania were ordered for defensive purposes, resulting in $113,369 of total imaging charges. The study also revealed that surgeons are more likely to practice defensively if they have been in practice for over 15 years.
The NYU Langone Department of Orthopaedic Surgery has been selected to participate in the American Joint Replacement Registry (AJRR), aiming to collect key joint replacement and revision data to monitor device performance and identify best practices. The registry's participation is expected to improve long-term outcomes, cost managemen...
A study published in Annals of Internal Medicine found that obesity and knee osteoarthritis result in the loss of approximately 86 million healthy years of life among US adults aged 50-84. This loss disproportionately affects Black and Hispanic women, highlighting the need for targeted interventions to address these conditions.
New research reveals obesity significantly impacts knee pain and function, but also improves with weight loss via bariatric surgery. Studies find increased risk of complications after hip and knee replacement surgery for super-obese patients, emphasizing the importance of weight management in treating knee arthritis.
A new anti-microbial collar is being designed to prevent bacterial infections associated with broken bones, reducing infection rates by up to 85%. The device aims to kill bacteria before they can spread, and could reduce NHS costs by avoiding complications.
A new Northwestern Medicine study found that 80% of NFL linemen who underwent disc surgery were able to return to play many games, suggesting that average people can also resume their active lives. After proper recovery and rehabilitation, patients can safely lift weights and engage in strenuous activities without long-term risks.
A University of Rochester Medical Center team has discovered an antibody that stops MRSA bacteria from growing, potentially leading to a vaccine. The researchers found that the antibody targets the glucosaminidase protein, breaking the bacteria's armor and preventing replication.
A new study published in the Journal of Bone and Joint Surgery found that personal motivation is a crucial factor in determining how quickly patients return to work following total knee replacement surgery. Motivated patients were able to return to work an average of 8.9 weeks after surgery, while those with lower motivation took longe...
Sleep-deprived physicians may perform procedures with potentially severe consequences, compromising patient care. Patients deserve informed consent and the option to reschedule or choose a different provider if necessary.
A new study by the American Academy of Orthopaedic Surgeons found that patients wearing immobilization devices, such as splints or braces, take longer to brake than those wearing normal footwear. The results showed a significant impairment in braking response time for drivers using various types of devices.
According to a new review article from the Journal of the American Academy of Orthopaedic Surgeons, getting to a hospital quickly is the best thing to do if you are bitten by a snake. Current medical treatments, including new medications and surgery, are far more effective than anything that can be done at home.
A Kaiser Permanente study found that medical device registries enhance patient safety and quality of care by tracking implant effectiveness and patient risk factors. The study analyzed over 85,000 joint surgeries and identified key reasons for re-operations and outcomes for patients.
A recent study identified factors that increase the risk of falls among orthopedic inpatients, particularly those undergoing total hip replacements. The study found that THR patients are more likely to have serious falls earlier in their stay, highlighting the need for close monitoring and vigilance.
Recent studies report no significant difference in function or patient satisfaction between biceps tenotomy and tenodesis for long head biceps tendinopathy. Nonsurgical treatment options, such as rest, anti-inflammatory drugs, and physical therapy, are considered the first line of treatment for this condition.
Thay Q. Lee will receive $1.4 million to support his research on the biomechanics of flexing and kneeling in veterans with total knee arthroplasty. His work aims to improve quality of life for injured veterans and others.
Researchers at UMass Medical School have developed FlexBone, a synthetic bone material with bone-like properties, to replace traditional bone transplants. The material facilitates tissue repair by absorbing proteins from the surrounding tissue, accelerating healing, and delivering growth factors.