Articles tagged with Orthopedics
Researchers at Osaka Metropolitan University found that AI model GPT-4 outperformed a weaker version of the model and was on par with radiology residents in diagnosing musculoskeletal conditions. However, it struggled to match the accuracy of board-certified radiologists.
The frequency of electric scooter-related injuries has increased nearly fivefold in Denver over five years, with a significant spike in weekend and nighttime incidents. Hospital charges for these injuries have more than doubled, averaging $10.4 million per year from 2020 to 2023.
Researchers developed a formula and assessment tool to calculate fall risks for older adults, considering factors like poor oral and cognitive function. The tool is simple to use and may assist in prevention and follow-up care.
A study by the University of Bristol found that nearly nine months of joint replacement surgery was lost since the start of the COVID-19 pandemic, with knee, shoulder, and ankle surgery being affected more severely. The recovery from this deficit is expected to take many years, if not decades.
Researchers developed core-shell microfibrous scaffolds that excel in rotator cuff repair, restoring natural morphology and mechanical properties. The acellular, in situ tissue engineering technology harnesses stem cell regenerative abilities to provide robust biological regeneration without cell seeding.
A new study reveals that Cutibacterium acnes can persist in biofilms on implants for weeks, invading deep bone networks and causing chronic infections. The bacteria's ability to invade osteocyte lacuno-canalicular networks provides a novel mechanism for treating difficult-to-treat bone infections.
A recent study found that e-bicycle injuries doubled every year from 2017 to 2022, while e-scooter injuries rose by 45%. The researchers also noted that e-scooter riders were more likely to suffer internal injuries and conventional scooter riders were more likely to experience upper extremity injuries.
A study comparing traditional and new hip replacement stems found larger contact areas in certain femur regions with the new stems. Traditional HA stems, however, demonstrated superior long-term preservation of bone density.
A new position paper argues that single race-agnostic FRAX models would unfairly discriminate against Black, Asian, and Hispanic communities. The authors recommend retention of ethnic and race-specific FRAX models for the US with updated data on fracture and death hazards.
A new study from the University of Toledo found that individuals with diabetes are nearly three times more likely to experience non-union complications following spinal fusion surgery. Researchers also found that diabetic patients have weaker bone growth and healing, leading to increased degeneration in adjacent segments of the spine.
Researchers at Columbia University have developed a biomimicry-inspired device that nearly doubles the strength of rotator cuff repairs, reducing the risk of re-tearing. The device, made from a biocompatible resin, is designed to grasp soft tissues without tearing and can be customized to individual patients.
Deep learning enhances STS diagnosis and treatment by automating contouring for radiation therapy and predicting treatment responses. The review highlights key areas where deep learning is making an impact, including data acquisition and processing, algorithm development, clinical applications, and pathological diagnosis.
A recent survey of over 170 surgeons reveals that most are resistant to using video for pre-operative appointments, despite being open to converting some post-operative visits to telehealth. Urologists are more likely to adopt virtual care, with 88% already using it for at least some patients.
Researchers found no difference in post-operative infection rates between patients treated with and without antibiotics prior to surgery. The study suggests that pre-surgical antibiotic treatment may not be necessary for pediatric elbow fractures.
Lumbar spondylolysis more frequently occurs on the nonpitching side in pitchers. In fielders, no significant difference was found between batting and nonbatting sides. The study suggests that repeated stress on the nonpitching side may contribute to the development of lumbar spondylolysis.
Engineers developed a material that mimics human bone for orthopedic femur restoration, providing optimized support and protection from external forces. This innovative approach uses machine learning, optimization, and 3D printing to create a fully controllable computational framework.
Researchers at Osaka Metropolitan University have discovered that plasma irradiation can accelerate tendon repair, showing faster regeneration and increased strength in lab rats. This breakthrough could lead to shorter treatment times and more reliable tendon healing for athletes and individuals with sports-related injuries.
A novel technique using radiomics reveals imperceptible patterns in medical images to predict the risk of meniscus tears. The study correctly classified cases with a sensitivity of 70.6% and specificity of 95.0%, providing clinicians with a valuable tool for proactive knee health management.
A longitudinal pilot study monitored musculoskeletal and joint health of NBA G League players over a professional basketball season. The study used wearable technologies and advanced imaging techniques to correlate training loads with structural and functional changes in the knee joint.
A recent study published in Anesthesiology found that liposomal bupivacaine is not sufficient to control pain during surgery, with successful blockade achieved in only a third of test subjects. However, the substance did lead to a reduction in pain sensitivity for 3.5 days post-operatively.
The study, led by Marshall University Joan C. Edwards School of Medicine, aims to determine if fertilized ACL surgery enables athletes to return to play sooner. Patients will undergo various tests and assessments before, during, and after surgery.
A recent study suggests that removing the bursa during shoulder surgery may impair the success of rotator cuff repairs. The researchers found that the bursa protects the undamaged tendon and bone by maintaining their mechanical properties and promoting healing. Retaining the bursa may prevent or delay progression of tendon degeneration.
Researchers developed a new treatment method using plasma irradiation to speed up bone healing. The study found that displaced fractures exhibited stronger unions than nonirradiated ones, with strength increased by 3.5 times.
The International Osteoporosis Foundation (IOF) and ESCEO presented awards to 20 young investigators from 16 countries for their outstanding research abstracts. The awards recognize the researchers' contributions to the prevention, diagnosis, and treatment of osteoporosis and related musculoskeletal diseases.
Professor Leith Zakraoui was awarded the 2024 IOF CNS Medal for his dedicated work in advancing musculoskeletal health at both national and international levels. He has been a key figure in strengthening IOF activities in Africa and promoting education and awareness within the region.
The International Osteoporosis Foundation has presented the prestigious IOF President’s Award to Professor Peter Ebeling AO in recognition of his longstanding contributions to advancing the work of the IOF. He is an internationally renowned expert in bone health, with a total of over 536 peer-reviewed publications and a h-index of 93.
A study found a significant association between hospital readmission after fracture surgery and underlying medical conditions. Gait analyses also offered valuable insights into injury impact on locomotion and recovery, optimizing rehabilitation strategies.
The World Congress on Osteoporosis, Osteoarthritis and Musculoskeletal Diseases will showcase new clinical research from over 1507 submitted abstracts. The event will offer valuable knowledge to help clinicians treat patients more effectively in their daily practice.
A comprehensive review examines the impact of osteoporosis on fracture healing and the effects of osteoporosis medications. The study concludes that there is no deleterious effect of osteoporosis medications on fracture healing, and prompt treatment can reduce the risk of secondary fractures.
Researchers develop PFBN to address mechanical challenges of intertrochanteric femur fractures, significantly reducing complications and improving patient outcomes. The study demonstrates the PFBN's ability to regulate local mechanical environment, promoting post-operative recovery for elderly patients.
Researchers are developing a living knee replacement made from biomaterials and human stem cells, including patient's own cells. The goal is to create a permanent solution for patients with advanced OA where conventional knee replacements fail.
The International Osteoporosis Foundation and European Society for Clinical and Economic Aspects of Osteoporosis have issued new guidelines for managing osteoporosis in men. These recommendations cover disease burden, fracture risk assessment, treatment thresholds, and interventions to reduce the substantial morbidity and mortality ass...
A study of 303 early childhood children found concussion associated with more postconcussive symptoms than typical development up to three months after injury. The study used developmentally appropriate manifestations and behaviors to track postconcussive symptoms and aid in concussion diagnosis in young children.
A study from Lund University found that a ceramic bone substitute injection improves the strength of bone anchors and enhances peri-implant bone formation. The treatment combination shows promising results in increasing bone tissue density by up to 10% six months after surgery.
A comprehensive review published in the Journal of Experimental Orthopaedics presents the outcomes and surgical methods of anterolateral augmentation procedures for skeletally immature patients. The study shows promising results for these procedures, which may reduce re-injury rates after ACL reconstruction in youth.
A survey of 156 individuals found that 94% of LGBTQ+ respondents were open about their identity in the workplace, but 74% reported experiencing bullying, discrimination, or being treated differently. The authors recommend creating safer environments by enforcing no-tolerance policies and promoting diversity and sensitivity training.
A recent study found that yoga significantly reduced pain intensity in women with chronic low back pain, with a notable decrease in flexion-relaxation phenomenon. The research suggests yoga can positively impact chronic back pain management, although further studies are needed to assess its long-term effects.
A large multicenter clinical trial found that an antiseptic containing iodine resulted in about one-quarter fewer post-surgical infections in patients with limb fractures compared to another frequently used skin antiseptic. The study included nearly 8,500 patients across the US and Canada.
A Canadian-American study has found that the use of iodine povacrylex in alcohol as a skin disinfectant can significantly reduce the risk of surgical site infection in patients undergoing surgery for closed fractures. The trial, which enrolled nearly 8,500 participants, compared two commonly used antiseptic products and showed that iod...
Researchers identified 7 genetic variants associated with surgical rhizarthrosis and 3 variants linked to nonsurgical rhizarthrosis. These findings suggest a potential genetic influence on the need for surgery, hinting at biological mechanisms underlying the disease.
A study published in Arthroplasty Today found that robotic-assisted knee revision surgery significantly influences the function of the knee replacement. The computer system can help predict implant size and balance the knee for stability, leading to improved patient outcomes.
Researchers at Medical University of South Carolina found that patients who received N-acetylcysteine (NAC) during spinal surgery reported lower pain scores and requested fewer opioids. This could lead to a reduction in opioid use after surgery, a crucial step towards minimizing addictive potential.
Scooter-related injuries in the US nearly tripled from 2016 to 2020, resulting in more severe injuries and higher healthcare costs. The study found that scooter riders were more likely to experience long bone fractures and paralysis than bicycle riders.
A pair of proteins YAP and TAZ have been identified as conductors of bone development in the womb. They help direct blood vessel integration into cartilage, a vital aspect of bone development, and may provide insight into genetic diseases such as osteogenesis imperfecta.
Post-surgery pain relief has shifted away from opioids since 2016, with a 36% drop in prescription rates and 46% decrease in average amount of opioids. However, the rate of decline slowed after 2020, suggesting ongoing efforts are needed to right-size prescribing.
A new implant coating made of Silver-Gallium nano-amalgamated particles has shown potent antimicrobial properties against various bacterial strains in animal models. The technology, patented and developed by Flinders University researchers, could be easily applied to medical devices to protect them against infection.
Researchers at Nagoya University have discovered a unique healing mechanism in newts that could aid humans in recovering faster from tendon injuries. By understanding how newts regenerate damaged tendons without scar tissue, scientists hope to develop more effective treatments for human athletes.
A systematic review and meta-analysis of 16 studies involving 875 patients with knee osteoarthritis found significant reductions in patient-reported pain from the third month onwards. Stem cell treatment was most effective when using patient's own fat-derived stem cells, leading to better pain alleviation and recovery of joint function.
A new study has found that most patients with osteoporosis want to receive information on their fracture risk, but only half of them actually get it. Patients prefer visual representations, such as graphs with a colored traffic-light system, to communicate fracture risk and are more likely to take medication if presented in this way.
Researchers have developed additively manufactured Ti-Ta-Cu alloys that exhibit improved biocompatibility and bacterial resistance, making them a promising alternative to traditional Ti6Al4V implants. The alloys were found to display remarkable synergistic effects in improving both in vivo biocompatibility and microbial resistance.
Researchers developed 'tension-activated repair patches' that release anti-inflammatory molecules, helping discs regain tension and reverse herniation. The patch uses natural biomechanical movement to activate its release, offering a potential early intervention for preventing worsening pain related to disc degeneration.
Researchers at CSU and the University of St. Andrews created an effective antimicrobial material that slowly releases nitric oxide, killing bacteria and fungus over time.
Researchers have identified a potential treatment for lower back pain by targeting senescent osteoclasts in the vertebral column of mice. Using anti-senescent drugs like Navitoclax may relieve spinal sensitivity and reduce pain, according to the study published in eLife.
A retrospective cohort study found that Black, lower SES, and publicly insured teens are at higher risk of major complications after scoliosis surgery. These disparities also affect pre-operative care, including rates of brace prescription and second opinions.
A clinical trial published in the New England Journal of Medicine found that adding a second antibiotic, vancomycin, did not protect against infection and may have led to more infections. The study showed no clear benefit from using two antibiotics instead of one.
A study by Tokyo Medical and Dental University found that ChatGPT's diagnoses and recommendations for carpal tunnel syndrome, cervical myelopathy, and hip osteoarthritis were inaccurate. The chatbot was consistent in some areas but inconsistent in others, highlighting the need for further development to ensure patient safety.
A new study uses AI to predict mortality rates in patients with hip fractures, identifying key biomarkers for poor outcomes. The model achieved accurate predictions using basic blood and lab test data as well as demographic information.
A clinical trial by HKUMed evaluates the effectiveness of a combination of intravenous corticosteroids (IVS) and periarticular corticosteroids (PAS) in TKA patients. The study finds that IVSPAS leads to improved pain relief, functional recovery, and discharge rates compared to individual treatments.
A recent study found that patients over 90 have higher complication and mortality rates after total hip arthroplasty (THA), but the risks can be minimized through careful patient selection and adequate preparation. Comorbidity has a major impact on THA risks, with certain conditions increasing the risk of complications and mortality.
A recent study found that cast immobilization is as effective as surgery in treating older adults with arm fractures. After one year, no statistically significant differences were found between the groups in terms of disability or range of motion. The study included 276 patients aged 70–89 years who suffered a distal radius fracture.