Articles tagged with Orthopedics
A new Irish survey found that no trauma sites capture all fracture patients, with only 50% receiving osteoporosis medication within four months of a fracture. Implementing a national Fracture Liaison Service (FLS) would bring services in line with international standards and reduce hospital admissions.
A new care pathway has been shown to reduce long-term pain and improve quality of life for people after knee replacement surgery. The STAR care pathway is cost-effective and could potentially save the NHS up to £14 million per year.
A study found that 31.4% of trauma patients at Hospital das Clínicas in São Paulo, Brazil, tested positive for psychoactive substance use, including alcohol (23%), cocaine (12%), and marijuana (5%). The study contributes to the development of public policies to prevent accidents.
Fibrodysplasia ossificans progressiva (FOP) may be rooted in impaired and inefficient muscle tissue regeneration, which enables unwanted bone growth. This discovery could lead to new therapies targeting both extra-skeletal bone formation and muscle function.
A recent HSS study analyzed trends and complications in patients undergoing outpatient hip and knee replacements, finding no significant difference in readmission rates for hip replacements but slightly higher odds for knee replacements. The study suggests same-day discharge joint replacement is safe but requires additional monitoring.
The integration of optical sensing into orthopedic surgical devices has the potential to increase accuracy and improve outcomes in musculoskeletal repair. Researchers explore various types of optical sensing, including spectroscopy and imaging, to address unmet clinical needs in orthopedic surgery.
A new study suggests that combining two drugs can reduce postoperative opioid use and side effects in adolescents with scoliosis. The combination of intrathecal morphine and oral gabapentin provides more effective pain control, resulting in fewer side effects and lower narcotic consumption.
Researchers found that brain activity in children with arthrogryposis is different from healthy controls, with increased motor neuron activity and less precise movements. Non-invasive brain stimulation may be a possible rehabilitation strategy to help them start movements.
Researchers at INRS have developed a bioactive coating that mimics bone tissue using chitosan, collagen, and copper-doped phosphate glass. The coating promotes healing and reduces the risk of rejection, paving the way for improved orthopaedic implant success.
A new study found that COVID-19 lowered expenses for orthopaedic surgery residency applicants due to the elimination of in-person interviews and away rotations. The median total expenses decreased from $7,250 in 2020 to $2,250 in 2021, with significant savings seen in interview and away rotation costs.
A lighter, more robust knee brace for the elderly has been developed through a collaboration between Delsson and Nanyang Technological University. The X-Brace uses lightweight plastic and assistive springs to reduce weight by 30%, making it easier for patients to walk with less pain.
Researchers at Keck School of Medicine of USC have developed a stem cell-based bio-implant to repair cartilage and delay joint degeneration. The Plurocart implant successfully integrates into damaged articular cartilage tissue and survives for up to six months.
A LSU Health New Orleans study reports a nearly 70% decrease in morphine milligram equivalent (MME) per discharge opioid prescriptions for patients who underwent common lower extremity surgical procedures. The study also found a significant decline in new opioid prescriptions, from 50% in 2013 to 19.3% in 2018.
Researchers at the University of Oklahoma have discovered a new protein fragment that could improve cartilage regeneration and reduce the need for osteoarthritis treatments. The protein fragment, developed by Handan Acar and Amgad Haleem, aims to help the body heal itself by elicititing a response from stem cells.
UArizona researchers created osseosurface electronics, a wireless device that grows to the surface of bone to monitor health and healing. The thin structure allows for accurate measurements over long periods, enabling personalized orthopedic care.
Researchers from Osaka City University found that non-thermal atmospheric pressure plasma (NTAPP) accelerates cell growth and promotes bone regeneration in animal models with critical bone defects. Micro-CT images showed a 1.51 times larger bone volume after 10-minute treatment, while histological analysis confirmed new bone formation ...
A new study suggests that patient-specific plates can provide superior performance in terms of anatomical fit and fracture stability. Custom-made plates designed through computer modeling have shown potential in improving healing outcomes for clavicle fractures.
Researchers at Graz University of Technology have developed a new production method for germanium-based photoinitiators, making them cheaper and more efficient. This enables their use in contact lenses, prostheses, and artificial human tissue, among other applications.
A novel computational model predicts that articular cartilage can partially heal after injury by controlling inflammation. The study uses biomechanical and inflammatory aspects of osteoarthritis progression to develop a physics-based computational model.
Researchers at Duke University developed an antibiotic coating that can be applied to orthopedic implants before surgery, eliminating the risk of infection. The coating, made from two polymers and an antibiotic, prevents bacterial colonization and can be personalized for individual patients.
A new study suggests that same-day discharge for high-risk patients undergoing hip and knee replacement surgery is safe and feasible. The research found no increase in complications or adverse outcomes with same-day discharge compared to inpatient surgery.
The study found that robotic-aided pedicle screw placement showed accurate positioning, even for experienced surgeons, with a significant decrease in time required. The technology saved time in the operating room, making it an efficient option for spine surgery.
A multi-center study found micro-fragmented adipose tissue injections to be highly effective in reducing knee pain, improving function, and enhancing quality of life. Positive effects were observed for up to 12 months, with notable differences in efficacy among demographics.
A study developed by HSS experts shows improved patient outcomes, including reduced hospital stays and readmissions, after implementing an optimized recovery pathway for complex spine surgeries. The new approach also lowered complication rates and enabled patients to recover faster at home.
A study published in Nature Communications found that microRNA-455 helps regulate cartilage homeostasis and slows cartilage degeneration in osteoarthritis. By targeting the gene hypoxia-inducible factor-2α, miR-455 treatment inhibits cartilage breakdown.
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.
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.
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 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.
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 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.
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 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.
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 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.
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.
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.
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.
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.
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...