Articles tagged with Orthopedics
A recent study published in the Journal of Bone and Joint Surgery found that nearly three-quarters of the top search results for common sports medicine diagnoses were inaccurate. Nonprofit sites scored highest for completeness and correctness, while commercial sites with a financial interest often provided biased information.
A team of researchers discovered a chromosomal abnormality in chromosome 17 region associated with clubfoot, a genetic cause for the condition. The study found that 6% of familial clubfoot cases had a duplication in this region, which may help predict treatment response and identify patients at risk of hip abnormalities.
A literature review suggests that surgery is not the first line of treatment for low back pain caused by herniated disks, and that alternative options such as physical therapy and medications can provide relief. The review also found that patients with larger herniations are more likely to experience a recurrence of pain after surgery.
A recent study found that patient treatment preferences play a significant role in racial disparities in total joint replacement utilization. African-American patients were less likely to receive a recommendation for the procedure and undergo surgery compared to white patients, despite similar disease severity.
The Medicare program is expected to spend over $510 billion on 47 million individuals by 2010, with costs projected to skyrocket. Solutions proposed include preventing hospital readmissions, enhancing communication among healthcare providers and patients, and realigning the physician payment system.
A survey of patients who underwent day surgery found that 85% experienced anxiety after receiving general anesthesia, with the top concerns including dying while asleep, not waking up, and waking up during surgery.
A new study highlights the importance of osteoporosis screenings for fracture patients, who are at a high risk of future fractures. Women should ask their physicians questions about their bone health to educate themselves and receive timely treatment.
A new study published in the Journal of Bone and Joint Surgery found that statin use post-operative reduces the need for revision surgery after total hip replacement. Statins have been associated with improved bone metabolism, anti-inflammatory effects, and prognosis after infections, which may improve THR outcomes.
A new mobile compression device has been shown to be as effective as medication in preventing blood clots after hip replacement surgery, with greater patient safety. The device reduces the risk of clot formation by maximizing blood flow and is comparable in cost to traditional blood thinners.
Researchers have created a new type of tissue and bone scaffolding polymer that addresses long-standing limitations in grafting materials. The smart polymer combines tissue-like properties and strength, and can be reshaped to fit complex injury sites before surgery.
A new study found that a patient's pre-surgical health classification, as determined by the American Society of Anesthesiologists (ASA), is a leading indicator of how well they will fare after hip fracture surgery. Medical complications were more common in patients with ASA class 3 and 4, highlighting the need for close medical managem...
A recent study reveals that 70% of professional and collegiate hockey players had abnormal hip and pelvis MRIs despite no symptoms. The findings highlight the importance of using clinical judgment alongside imaging in sports medicine diagnosis.
A new study found that 95% of skeletally mature high school pitchers were satisfied with their 'Tommy John' elbow reconstruction surgery and returned to competitive baseball. The procedure, named after Hall of Fame pitcher Tommy John, has been a game-changer for teenage athletes.
A new minimally invasive sports hernia repair technique has been shown to significantly reduce rehabilitation time. According to a study, patients who underwent this procedure returned to work or sports an average of 4.5 weeks, compared to 16.5 weeks for traditional repair methods.
After 15 years, 82 of 90 patients with ACL knee reconstruction still exhibit stable knees and minimal osteoarthritis. Eighty-four percent of males continue at a high level of activity, participating in strenuous sports like soccer and basketball.
A study of 99 pediatric patients found that repairing torn knee meniscus during ACL reconstruction resulted in a 74% overall success rate. The success rate decreased to 59% for displaced bucket-handle tears and 57% for complex tears, but improved significantly after two years.
Researchers evaluated outcomes of 218 patients who participated in non-recommended activities after TKA surgery and found no significant differences in implant durability or radiological results. The study showed that such activities might actually improve clinical scores, contradicting industry recommendations.
A study found that the average age of patients having total knee replacements decreased by two years between 1990-1994 and 2002-2006. The percentage of minorities also increased during this time period. Additionally, hospital stays decreased from 8.4 days to 3.9 days.
A study found that knee replacement surgery significantly improves dynamic balance and quality of life in elderly patients with severe osteoarthritis. The results reinforced the importance of balance in maintaining function and independence, especially for those with knee problems.
Recent studies highlight the growing trend of pediatric sports injuries, particularly in gymnastics and ACL injuries. Early detection and treatment can significantly improve outcomes, while awareness and prevention are essential to addressing this silent epidemic.
Three new studies presented at the American Academy of Orthopaedic Surgeons detail advances in back care and treatment options for specific back and spine conditions. Patients who seek treatment during the first six months of symptoms respond better to treatment, with surgery offering advantages over non-surgical treatment regardless o...
A new study found that joint replacement surgeries often fail to align patient and doctor expectations, resulting in higher dissatisfaction rates. The study suggests that educational interventions like preoperative classes can be used to improve dialogue between patients and surgeons.
New studies reveal a 140% increase in ATV-related spine injuries among US children between 1997 and 2006. Additionally, multi-rider ATVs are associated with higher incidence of open fractures and primary limb amputations compared to single-rider vehicles.
Studies found that a five-minute stretch after play can help young players avoid throwing-arm pain and reduce the risk of injury. Additionally, reviewing and adhering to youth baseball throwing guidelines is crucial in preventing elbow injuries, including osteochondral lesions, which are common among pitchers.
Researchers found that bisphosphonate treatments can alter the material properties of bone, potentially affecting its mechanical integrity and contributing to atypical fractures. Long-term suppression of bone remodeling may lead to brittle bone prone to fractures.
A study by Hospital for Special Surgery found that Forteo can enhance tendon to bone healing, leading to better repair results. The researchers used a rat model to test the effects of Forteo on rotator cuff surgery and achieved promising results, including improved tissue organization and strength.
Christopher Evans, a leading molecular biologist, has received the prestigious Arthur Steindler Award for his significant contributions to understanding musculoskeletal diseases. His innovative gene therapy work holds great promise as a new treatment option for managing rheumatoid arthritis and osteoarthritis.
Louis J. Soslowsky, a renowned orthopaedic surgeon and bioengineer, has been awarded the AAOS Kappa Delta Ann Doner Vaughan Award for his groundbreaking research on rotator cuff injuries. His studies using rat models have provided valuable insights into the etiology, pathogenesis, and repair response of these injuries.
Dr. Adele Boskey, a renowned researcher in orthopedics, has been awarded the ORS/AOA Alfred R. Shands, Jr. Award for her lifetime contributions to the field. Her research focuses on bone quality and osteoporosis, with a goal of decreasing fracture risk through a deeper understanding of bone biology.
A new study published in the Journal of the American Academy of Orthopaedic Surgeons found that surgical treatment soon after a biceps injury leads to faster and more complete recoveries. The study revealed that surgery offers significant improvements in elbow flexion and supination, with upper extremity endurance also enhanced.
A study by American Academy of Orthopaedic Surgeons reveals that majority of shoulder dislocations occur during sports and recreational activities, with young males being at higher risk. Elderly women also show a high rate of shoulder dislocation, especially among those aged 80 to 90 years old.
The study found that more specialized hospitals had better outcomes for patients undergoing hip and knee replacement surgery, with fewer serious complications and deaths. Hospitals that performed a higher volume of orthopedic surgeries were categorized as more specialized.
Geriatric Orthopaedic Surgery & Rehabilitation is a new bimonthly journal focusing on orthopaedic problems in older adults, featuring peer-reviewed research and reviews.
A new study compared two common treatment options for clubfoot – Ponseti method and surgical treatment. The Ponseti method was found to be more effective, with a lower recurrence rate and less invasive treatment required. Patients treated with the Ponseti method needed significantly less revision surgery.
Researchers at Hospital for Special Surgery used a novel technique involving transplanted bone and cartilage to treat an 18-year-old man's severe femoral head fracture. The patient successfully recovered from the surgery and delayed his need for a total hip replacement, avoiding multiple revision surgeries.
Researchers found that the natural grass/cleat combination placed a statistically lower maximum strain on the leg compared to other shoe-surface interactions. The Astroturf shoe was 80.2% greater, while modern playing turf/turf shoes were 47.5% and 45.1% greater than the natural/grass cleat combination.
A recent study by researchers at Hospital for Special Surgery identifies four key areas of need for orthopedic training programs: addressing compromised learning experiences due to work-hour restrictions, developing core knowledge with specific goals, establishing common benchmarks for program effectiveness, and adapting to generationa...
A new study published in the Journal of Bone and Joint Surgery found that the risk of early postoperative mortality following knee and hip replacement surgeries is slightly increased for the first 26 days after surgery. However, the risk of mortality drops to negligible levels 26 days post-op. The study included data from over 188,000 ...
The American Academy of Orthopaedic Surgeons emphasizes the need for better care for extremity war injuries, citing challenges in research, host nation care, and disaster preparedness. The symposium highlighted the importance of funding more research to improve treatment outcomes.
A new review article highlights the importance of detailed diagnosis for talus fractures, which are commonly misdiagnosed due to complex anatomy and subtle radiographic clues. By recognizing these injuries and providing targeted treatment, patients can avoid permanent disability and improve outcomes.
Researchers found that patients with high immune response during surgery recovered faster and had better knee function. Men were more likely to mount the beneficial stress response, leading to full recovery. The study suggests simple blood tests could predict patient recovery months after surgery.
A Kaiser Permanente study found that aggressively managing patients at risk for osteoporosis can reduce the hip fracture rate by 25%. The study, which followed 650,000 men and women over 50 years old, found a 38% drop in hip fractures and prevented 970 hip fractures in 2007.
Meniscal tears in children can often be repaired successfully with appropriate treatment, with a high success rate of 75-90%. Early treatment is crucial to prevent complications and promote long-term health. Diagnosing meniscal tears requires simple physical exams and imaging tests, such as MRI, to accurately assess the injury.
Researchers from American Academy of Orthopaedic Surgeons found shock-wave therapy equally effective as surgery for healing nonunions. The study showed that extracorporeal shock-wave therapy stimulated bone healing within six months and provided comparable outcomes to surgery even two years later.
A new study published in JBJS found that teenagers and young adults are more likely to need subsequent knee surgery after ACL reconstruction. The study analyzed over 70,000 patients and found that those under 20 years old had an 82% increased risk for additional ACL surgery.
A Loyola University Health System study found that co-managing high-risk surgical patients with general internists trained in managing medical complications resulted in significantly shorter hospital stays. Patients also reported being treated with more courtesy and respect.
A new study suggests that platelet-rich plasma (PRP) may catalyze the body's repair mechanisms at areas of injury, improving healing and shortening recovery time. However, more research is needed to determine its clinical effectiveness for chronic tendon conditions, such as tennis elbow and Achilles tendonitis.
A study found that 6.5% of ACL surgery patients underwent another knee operation within one year, with women and those treated by low volume surgeons at higher risk for subsequent surgeries. Younger patients under 40 were also more likely to require re-ACL reconstruction.
Researchers found that athletes with previous injuries to the anterior cruciate ligament (ACL) tend to have smaller ACLs than those without injuries. The study suggests that a smaller ACL may be more susceptible to injury due to various factors such as activity level, neuromuscular coordination, and muscle strength.
A survey found that 75% of surgical patients would consider allowing a competent unsupervised trainee to perform their entire operation if it meant they could have it done more quickly. Most respondents felt trainees needed to operate under supervision to improve skills, but were willing for supervised trainees to do procedures.
Prolonged surgery can weaken the immune system, leading to a higher likelihood of complications. Limiting surgical time to less than three hours improves patient outcomes. External fixators are often used to stabilize orthopaedic injuries and allow for staggered surgeries over several days.
A new study by the American Academy of Orthopaedic Surgeons found that patients undergoing after-hour orthopedic surgeries experience slightly higher rates of necessary follow-up surgeries compared to daytime surgeries. The data also suggests that nighttime surgery patients have similar healing times, recovery periods, and major compli...
A new study published in the Journal of Bone and Joint Surgery found that patients who undergo anterior cervical reconstructive surgery can experience significant improvement in headache symptoms. The study, which evaluated over 1000 patients, suggests that neck surgery can alleviate headaches associated with cervical spine disease.
Johns Hopkins students have developed a way to embed patient-derived stem cells in sutures to speed up healing and improve outcomes for orthopedic injuries. The technology has great promise for treating debilitating tendon, ligament, and muscle injuries that affect thousands of young and middle-aged adults annually.
Researchers at UAB will explore next-generation technology to improve the service life of total joint replacements, potentially reducing recurrent surgical procedures. The partnership with Smith and Nephew Inc. will provide access to state-of-the-art testing equipment and expertise.
A new study found that delaying ACL reconstruction in young athletes under 14 can lead to a four-fold increase in irreparable medial meniscus tears. The study highlights the need for continued injury prevention efforts, suggesting that the risks of delaying treatment may outweigh the benefits.
A new study suggests that ACL reconstruction does not shorten the NFL career length, unlike meniscectomies which can reduce it by 1.5 years and 23 games played. The study found no significant impact on career longevity from isolated ACL surgery.
A study suggests that preseason shoulder strength can predict injury severity in baseball pitchers, with weak points in prone internal rotation, external rotation, and supraspinatus strength linked to increased risk of injury. The findings highlight the importance of targeted strength training programs to prevent serious injuries.
A new study found that approximately 94% of patients who underwent total shoulder arthroplasty can return to sports and 85% can return to their type-specific sport. Activity modification until the six-month point in rehabilitation protected the shoulder from injury.
Researchers used motion analysis to study the kicking motion in male and female soccer players, finding that males have more activation in hip flexors and hip abductors compared to females. Female players also exhibit a knock-kneed knee position, which may contribute to increased ACL injuries.