Articles tagged with Orthopedics
A new study has established recognized terms, definitions, design characteristics, and prescription criteria for off-the-shelf stability footwear. This standardized approach aims to improve the effectiveness of therapeutic footwear in treating children with various mobility issues.
Researchers found that a second dose of the Pfizer vaccine, especially in those with previous SARS-CoV-2 infection, dramatically increased virus variant neutralising antibody responses. This additional boost increases potential protection against existing and future variants of concern.
The new guideline recommends invasive diagnostic tests but acknowledges their potential infeasibility, instead focusing on clinical improvement to transition to oral therapy. It provides thoughtfully reasoned recommendations based on current evidence to help clinicians identify and manage bone infections.
Research presents alarming rate of glenohumeral arthritis progression after arthroscopic posterior stabilization in active-duty servicemembers. The study found that 12.7% of patients developed arthritis within seven years of surgery.
Research published at the American Orthopaedic Society of Sports Medicine Annual Meeting found that patients with high-grade acetabular cartilage damage have poorer outcomes after primary labral repair. The study also showed no significant difference in efficacy between chondroplasty and microfracture for patients with high-grade lesions.
A non-inferiority study found that biodegradable subacromial balloon spacers produced similar results to partial rotator cuff repairs for patients with massive rotator cuff tears at 24-month follow-up. Early improvements were noted in both groups, particularly the balloon spacer group.
Researchers found that quadriceps tendon autografts had a lower MRI signal at 12 months compared to hamstring tendon autografts, indicating quicker graft maturation and improved structural integrity. This suggests that quadriceps tendon autografts may have a superior rate of incorporation and synovialization.
A study of 1,234 revision ACL reconstruction patients found that using an interference screw for femoral and tibial fixation significantly improves six-year clinical outcomes. The transtibial surgical approach also showed improved results in pain and QOL subscales.
A recent study found that 66.7% of operatively treated gymnast UCL injuries allowed return to competition at an average of 7.5 months, while 100% of non-operatively treated gymnasts RTP, with the latter group showing better scores on multiple patient-reported measures.
Despite widespread use, many common joint procedures like hip replacements and shoulder repair surgery have limited high-quality evidence to support their clinical effectiveness. The analysis highlights the urgent need for research and definitive trials to evaluate these interventions.
A major national study is comparing the benefits of knee replacement surgery performed using a robot to a surgeon using traditional methods. The RACER study aims to determine which technique improves patient outcomes and reduces pain following surgery.
The Pan Am Clinic has introduced independent surgical simulation training as a requirement for residents, following research that showed improved performance and enhanced skills. The study used the ArthroS simulator to train residents, which resulted in better arthroscopic and laparoscopic skills.
A Mount Sinai study reveals rotator cuff injuries are the most common type, accounting for nearly half of all shoulder injuries. The research also identifies other risk factors, including pitching and throwing, and highlights the need for improved injury prevention strategies.
Researchers repurpose cancer drug PLX3397 to combat sarcoma's growth and spread in animal models. The treatment inhibits CSF-1/CSF-1R signaling, reprogramming tumor-associated macrophages and stimulating immune cell infiltration.
Patients undergoing total hip arthroplasty (THA) show significant improvements in pain, function, and quality of life, as well as improved walking gait biomechanics. However, daily physical activity levels remain largely unchanged, with most patients engaging in only light physical activity.
A study published in The Journal of Bone & Joint Surgery found that total ankle replacement (TAA) provides better long-term function than ankle arthrodesis (AA) for patients with severe ankle arthritis. TAA resulted in improved patient-reported outcomes, including reduced pain and enhanced quality of life.
A recent study examines young athletes' knee health after returning to sport following ACL reconstruction. Young athletes who feel confident about their knee health are at a higher risk of experiencing a second ACL injury within 2 years.
Researchers at Hospital for Special Surgery found that oral tranexamic acid (TXA) is non-inferior to intravenous TXA in preventing blood loss during total knee and hip replacement surgeries. The study suggests that oral administration of TXA may be logistically easier, less costly, and equally effective as IV TXA.
A study by Hospital for Special Surgery found hip fracture patients during COVID-19 had longer hospital stays, higher complication rates and more nonsurgical treatments. In contrast, those without the virus were discharged earlier with less use of intensive care units.
Researchers at Hospital for Special Surgery found that duloxetine reduced cumulative opioid use by 30% in patients undergoing total knee arthroplasty compared to those receiving placebo. Patients who received duloxetine also reported higher pain management satisfaction and less pain interference with daily activities.
A study at Hospital for Special Surgery found that older age, female sex, and higher comorbidities are associated with persistent opioid use in pediatric patients. The research aims to inform clinicians about risk factors for opioid dependence in this vulnerable population.
Disparities in access to orthopaedic care via telemedicine were found to persist, particularly for Hispanic and Asian patients, as well as those with Medicaid coverage, compared to white patients, English speakers, and commercial insurance holders.
Researchers at Tel Aviv University have developed an active molecule (SNV) that can significantly suppress both inflammation and bone destruction around dental and orthopedic implants. The new technology has the potential to help people with implant failures, gum recession, or loose teeth due to periodontal disease.
The Integrated Cardiothoracic (CT I-6) residency continues to be the most difficult to match among competitive surgical subspecialties. The number of female applicants has risen from 16% in 2015 to 28% in 2020, while diversity among I-6 program applicants has increased across all racial and ethnic categories. Greatest predictors of a s...
A Mount Sinai study of over 40,000 patients reveals that tranexamic acid use in high-risk patients does not increase complications such as deep vein blood clots or strokes. The study confirms prior findings and provides new insights into the safety of the drug when used in high-risk patients undergoing hip and knee replacement surgeries.
A recent study found that it will take over 200 years for women to reach parity in orthopaedic surgery, highlighting the need for substantial changes across education and leadership levels. The research emphasizes the importance of increasing representation of women in medical schools, residency programs, and subspecialty societies.
Researchers develop a 3D biomaterial scaffold that slowly releases stem cells, reducing dosages and improving therapeutic effects in mice with osteoarthritis. The cryogel 'sponge' ensures implanted stem cells stay in the knee joint area longer, allowing for more effective treatment.
A retrospective study published in the Journal of Occupational and Environmental Medicine found that manual labor jobs contribute to higher rates of carpal tunnel syndrome. Researchers estimate the overall cost of carpal tunnel syndrome cases to be between $47,000 and $119,000, including healthcare costs and lost productivity.
A study found that nearly 20% of patients with antibiotic-loaded spacers and IV antibiotics developed acute kidney injury, with those with preexisting chronic kidney disease at highest risk. The study identified several risk factors for AKI, including high doses of antibiotics and certain heart rhythm disorders.
A randomized trial of telemedicine versus office-based follow-up after arthroscopic meniscal surgery found equivalent patient satisfaction scores between the two groups. Patients using telemedicine for postoperative follow-up had similar pain scores and complication rates as those making in-person visits.
A joint effort by Pitt bioengineer and orthopaedic surgeon aims to improve surgical outcomes for capsular injuries, potentially leading to a more effective treatment. The study uses quantitative techniques to measure injury magnitude and location, with the goal of reducing failure rates and improving patient recovery.
A study found that assessing surgery patients for frailty before surgery reduces post-operative mortality, regardless of surgical specialty. The review of national patient databases showed that frailty was a consistent risk factor for death after surgery across all specialties.
A study published in JAMA Network Open found that remote monitoring using wearable step counters and conversational text messaging reduced hospital returns after joint surgery by 4x. The 'Hovering' program improved patient recovery and activity levels, with significant declines in hospital readmissions.
Researchers are developing new classification criteria for antiphospholipid syndrome (APS), a life-threatening autoimmune disorder, to improve its diagnosis and treatment. The new criteria will help identify patients most likely to have APS, allowing for high-quality research and better prevention and treatment options.
A new study by HSS researchers found that patients with skeletal abnormalities are more likely to experience complications after spinal fusion surgery. The study used high-resolution peripheral quantitative computed tomography (HR-pQCT) scans to assess bone quality and identified specific abnormalities linked to postoperative complicat...
A study found that surgeons' expectations were more accurate than patients' expectations in predicting patient-reported outcomes two years after lumbar spine surgery. Surgeons predicted a higher degree of improvement, while patients had higher expectations for complete recovery.
Researchers found lower utilization and higher complication rates among African American patients for unilateral knee replacement, but no significant differences for bilateral knee replacement. The study suggests physicians may offer bilateral procedures less often to African American patients or they may choose not to have the procedure.
Researchers from HSS presented studies on renal disorders, venous thromboembolism after total knee replacement, and pediatric patients with rheumatologic diseases. The surveys also explored perceptions of COVID-19 risk among rheumatologists and the use of clinical disease activity indexes in telemedicine.
A new rapid test has shown solid diagnostic performance in distinguishing between patients with and without periprosthetic joint infection (PJI), a serious complication of total joint replacement. The test, which measures alpha-defensin levels in synovial fluid, achieved high sensitivity and specificity rates.
Researchers at the University of Missouri School of Medicine found that younger patients are more likely to require revision surgery after knee replacement due to higher infection rates and mechanical complications. Smoking cessation efforts may be key to improving outcomes for this age group.
A multidisciplinary team of specialists at Hospital for Special Surgery successfully performed microsurgery to repair damaged nerves and restore muscle strength and movement to patients with Parsonage-Turner Syndrome. The surgery allowed 11 out of 24 patients to regain function of their arm.
A recent study published in the European Heart Journal - Acute Cardiovascular Care reveals that one in five high-risk patients undergoing major non-cardiac surgery will develop one or more heart complications within a year. The study found that patients are at risk for a longer period than previously thought and that measuring troponin...
A survey of 250 women orthopaedic surgeons found that 68% reported experiencing sexual harassment during their training, with common types including obscene images, unwanted touching, and invitations. Despite efforts to recruit more women and increase leadership positions, the problem persists, emphasizing the need for targeted trainin...
A study published in Journal of Orthopaedic Trauma found that Medicare reimbursement for common orthopedic trauma procedures has decreased by 30% over the past two decades. This decline is largely due to inflation adjustments, with costs increasing by 52.8% but average reimbursement rising only 4.9%.
A study found that patients with Medicaid expansion plans receive joint replacement surgery significantly faster than those without, highlighting an unmet need. The results suggest a 'surge in demand' rather than gradual increase, and policymakers must consider access to care.
A study published in Physiological Reviews suggests that elevated plasmin levels may contribute to COVID-19 susceptibility. Researchers propose using a drug that inhibits plasmin to reduce the virus's infectivity and virulence, with an ongoing clinical trial testing this hypothesis.
The article discusses the importance of peak performance in surgical training, citing the need for perseverance, stoicism, and grit. HSS physicians offer practical advice on achieving peak performance, including growing self-awareness through mindfulness activities and refining physical skills through deliberate practice.
A study analyzing over 650,000 hip replacement patients found that consistent use of reliable implants is a key factor in long-term success, not surgeon skill. The findings suggest that patients should ask their surgeons about the long-term evidence of an implant's effectiveness.
A retrospective study from the University of Missouri-Columbia found that vertebral body tethering (VBT) is a promising alternative to posterior spinal fusion (PSF) for treating scoliosis in pediatric patients with growth remaining. VBT yields a high success rate, preserving mobility and correcting curves in 74% of patients.
A recent study published in The Lancet Rheumatology found that nearly 90% of shoulder replacement implants last more than ten years. Patients reported continued benefits from the operation, with a sustained positive effect on their lives for at least a decade.
After a 5-year follow-up, bone-anchored leg prostheses show significant improvements in daily functioning, mobility, and quality of life for patients with above-knee amputations. Despite initial stoma problems, these prostheses lead to permanent benefits, including increased prosthesis use and improved health-related quality of life.
A study published in The Lancet found that plaster casts are as effective as surgery in healing scaphoid waist fractures in the wrist. Patients who received a plaster cast showed similar outcomes to those who underwent surgery, with no significant difference in pain, function, or complications.
A new study analyzed national data on women's representation in surgical specialties, finding little progress made in equal representation for women over the last 11 years. The research projects that many specialties will take decades to reach equal female representation if current progress continues.
A new study published by the Journal of Pediatric Orthopaedics found that ibuprofen does not hinder bone fracture healing in children. Six weeks after surgery, 92% of patients taking ibuprofen had healed fractures, compared to 82% in the control group.
Expert panel recommends criteria for resumeing elective orthopedic surgery, including local COVID-19 trends and personal protective equipment availability. Guidelines also emphasize patient education, social distancing, and postoperative safeguards.
Researchers have discovered a way to soften a cell's nucleus, allowing it to move through dense connective tissues and promote injury repair. This breakthrough could lead to new therapeutics for healing dense connective tissues with poor natural repair capacity.
A nationwide study in South Korea found that elderly patients with hip fractures are nearly three times more likely to die by suicide within the first six months following surgical treatment. The study also suggests that mental stress and emotional status evaluation are crucial for management.
Researchers found that 45% of patients had low levels of pain effectively managed by a non-opioid regimen, with no reported side effects. Patients who required opioids were more likely to have anxiety/depression and higher pain scores, highlighting the potential for reduced opioid use in surgical settings.
A new study published in The American Journal of Sports Medicine finds that human growth hormone (HGH) treatment after ACL reconstructive surgery may prevent the loss of muscle strength in the knee. Researchers found a 29% higher knee extension strength in patients who received HGH injections compared to those in the placebo group.
A new framework for assessing and managing serious spinal pathologies has been developed by the International Federation of Orthopaedic Manipulative Physical Therapists (IFOMPT). The framework provides a clinical-reasoning pathway to recognize red flags in spinal injuries and disease, enabling early identification and management.