Articles tagged with Orthopedics
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 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.
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 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.
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.
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.
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.
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.
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.
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.
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 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 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 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.
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 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.
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.
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%.
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.
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.