Articles tagged with Orthopedics
A new study conducted at Hospital for Special Surgery found that race and poverty are not risk factors for total knee replacement revision or failure. Factors associated with a higher risk of revision included younger age, male sex, and use of constrained prosthesis.
A new study published in Annals of Surgery found that high-risk patients who underwent general or vascular surgery at major teaching hospitals had significantly lower 30-day mortality rates (15.9% vs 18.2%) and reduced costs compared to non-teaching hospitals. Orthopedic surgery patients showed similar outcomes at both types of hospitals.
A recent study published in JAMA Surgery found that an increased risk of pulmonary embolism persists for several years after six types of surgery among cancer-free middle-age adults. The research analyzed data from a French national inpatient database and followed 60,000 participants to determine the duration of this increased risk.
A study of 3,275 surgeons found female surgeons earned less per hour and were less likely to perform lucrative procedures. The study also identified significant earnings differences between specialties, with women earning up to $60/hour less than men in cardiothoracic surgery.
A new study found that partial replacement, or hemiarthroplasty, is a viable alternative to total hip arthroplasty for treating displaced femoral neck fractures in patients over age 50. The study reported similar rates of outcome measures between the two techniques, with no significant difference in the incidence of secondary procedures.
A large clinical study of 1,495 patients in 10 countries found that those who had a total hip arthroplasty reported better function but also higher incidence of serious complications. The study suggests the advantages of total hip replacement may not be compelling.
A new report highlights the limitations of cell-based therapies for treating musculoskeletal diseases like arthritis and osteoporosis due to insufficient clinical evidence. The task force recommends specific guidelines for preclinical and clinical investigations to develop more effective treatments.
A new study finds that kids who specialize in a chosen sport tend to engage in higher levels of vigorous exercise, increasing their risk of injuries such as stress fractures, tendinitis, and ACL tears. The study suggests moderating the amount of time young athletes spend engaging in vigorous physical activity can help mitigate this risk.
A study published in Health Economics found that orthopaedic surgeons are less likely to schedule surgeries for patients who meet them at the end of their shift. This suggests that decision fatigue affects medical decision-making, leading doctors to rely on simplistic processes and avoid big decisions when tired.
A recent survey found that half of key hospital doctors in the UK are ill-prepared to respond to major incidents. The study, published in Emergency Medicine Journal, suggests that the situation hasn't improved since 2006, with many doctors lacking knowledge of their organization's major incident plans.
A comprehensive study from Aarhus University finds that conservative treatment with a sling is as effective as surgery for shoulder fractures. The study involved 88 patients over 60 who were either treated with surgery or a sling, and found no significant difference in function, pain, or quality of life between the two groups.
A study by University of Oxford researchers found that the Best Practice Tariff scheme saved up to 7,600 lives in England between 2010 and 2016. The scheme led to improved standards of care for hip fracture patients, including increased surgeries within 36 hours and reduced hospital readmissions.
A new study published in PLOS ONE found that spaying or neutering large-breed dogs can lead to a higher risk of obesity and nontraumatic orthopedic injuries. Dogs spayed or neutered before 6 months of age were at a significantly greater risk of sustaining these injuries.
A study by researchers at New York University Langone Health found that mandatory headgear use in women's lacrosse significantly reduces the rate of head and face injuries as well as concussions. The study showed a 76% lower injury rate compared to non-headgear wearing teams.
Researchers found that young athletes who fail to achieve a 90 percent score on quadricep strength tests are at increased risk for second knee injuries. Those who failed individual return-to-sport criteria were three times more likely to suffer contralateral ACL tears.
Professional baseball players with low-grade elbow injuries on the humeral side have a higher chance of returning to play and lower risk of ulnar collateral ligament surgery. Lower MRI grade and humeral location are associated with better outcomes.
Non-traumatic fatalities in football are often linked to over-exertion during conditioning sessions, which can be prevented with standardized workout design and accountability. The NCAA's acclimatization model has been ineffective in reducing exertional heat-related fatalities.
Patients receiving a hamstring graft have twice the risk of an ACL graft revision compared to those who received a bone-patellar tendon-bone graft. The risk is increased by five percentage points for low-risk patients and 15 percentage points for high-risk patients.
A new surgical technique significantly reduces graft failure and persistent anterolateral rotatory laxity in young athletes after knee surgery. The study, presented at the American Orthopaedic Sports Medicine Society Annual Meeting, used a lateral extra-articular tenodesis to restore pivot control.
A recent study suggests that all-inside arthroscopic repair technique is more effective than non-operative management in treating posterior meniscal root tears in older patients. The study found a significant improvement in clinical outcome scores and lower rates of total knee surgery among those who underwent surgery.
A recent study suggests that arthroscopy is a more accurate method than magnetic resonance imaging (MRI) for staging chondral injuries in the knee. The study found that arthroscopy was correct in 47% of cases, while MRI had a specificity and sensitivity of 73% and 42%, respectively.
Research suggests that platelet-rich plasma therapy can lower the risk of meniscus repair failure after surgery. In contrast, PRP does not appear to offer protection for patients who have also undergone anterior cruciate ligament reconstruction, according to a study presented at the American Orthopaedic Society of Sports Medicine meeting.
The BioSA project aims to create a more attractive option for filling defects in load-bearing areas with biodegradable metals. The team is working on designing an implant that corrodes at a controlled rate, reducing the need for second surgical interventions.
A survey of orthopaedic providers found that they frequently recommend prescribing a nine-day supply of oxycodone after surgery, exceeding current guidelines. Despite knowledge gaps, the study highlights the need for evidence-based guidelines to curb overprescribing and patient harm.
Common conditions like cartilage defects over 55 or under 18 are often excluded from clinical trials due to concerns about optimal results and complications. Researchers highlight promising therapies for these populations, including scaffolding for cartilage growth and 3D-printed tissues for larger defects.
Researchers developed a method to replicate fetal bone growth, aiming to improve healing rates for large bone defects. The approach, tested in rodent models, involves delivering stem cells and adjusting mechanical forces to mimic embryonic development, showing promising results without adverse side effects.
Researchers repurpose pregnancy hormone relaxin to alleviate symptoms of arthrofibrosis, a painful and debilitating joint condition, restoring range of motion and improving tissue health in an animal model. The findings suggest that relaxin could offer relief for millions of people affected by the disease.
A study of 1,154 patients with mild traumatic brain injury (mTBI) found that more mTBI patients reported limitations at 12 months post-injury compared to those with orthopedic injuries. At this time, 47% of mTBI patients and 62% of control group patients had returned to full pre-injury functioning.
A new study finds that virtual reality hypnosis distraction (VRHD) can reduce anxiety and procedure-related pain during locoregional anaesthesia for orthopaedic procedures. The randomised trial shows a significant reduction in the need for intravenous sedation, with 25% of patients requiring no further sedation.
A new study published at the Euroanaesthesia Congress found that wrong side surgical errors (WSEs) are more common than thought, with over 80 incidents reported in 11 years. The study highlights the need for improved training and implementation of surgical safety checklists to prevent such errors.
A multi-center clinical trial found that performing an additional surgical procedure called lateral extra-articular tenodesis (LET) can improve patient outcomes in young athletes. The study showed a 65% relative risk reduction for graft failure, suggesting patients under 25 may benefit from considering the LET procedure
A pre-clinical study investigates the use of nicotine-like medications to reduce limb damage caused by inflammation. The research could potentially modulate the immune response to protect limbs after an injury.
A study published in Clinical Orthopaedics and Related Research found that low-income patients are at higher risk of above-knee amputation after periprosthetic joint infection. The researchers analyzed data from a nationally representative hospital database and found that patients living in areas with lower incomes were 58% more likely...
Researchers analyzed 4,442 hip implants and 947,686 knee replacements to find that some implants have excellent results with low failure rates, while others perform poorly. The study provides a comprehensive benchmark for joint replacement surgery, enabling patients to discuss their options with surgeons.
A new study published in Orthopedics found that pre-operative daily life disability is a significant predictor of poor outcomes after total hip replacement surgery. Patients who cannot perform daily activities independently before surgery are more likely to experience surgical complications, longer hospital stays, and higher rates of r...
Patients who received a shoulder injection within one month of surgery had a significantly higher infection rate (1.3%) compared to those who did not. Steroid injections at other intervals during the year before surgery did not affect postoperative infection risk.
Women may be at greater risk of developing surgical site infections after coronary bypass surgery, re-vascularization of arterial occlusion, and hernia repair. Men are more likely to develop infections after orthopaedic and trauma procedures.
Dr. Harry K. Genant received the 2019 International Osteoporosis Foundation Medal of Achievement for his innovative work in non-invasive and quantitative imaging methods, advancing knowledge on bone fragility and fracture risk assessment. This award recognizes his significant contributions to osteoporosis research.
The Jim and Julie Cardwell Fund has gifted $750,000 to Texas Tech University Health Sciences Center El Paso to establish an endowed chair in neurology. The chair will be supported by a $1.5 million fund, aiming to increase the number of neurologists available for the El Paso community.
A new study suggests that combining blood flow restriction (BFR) therapy with traditional rehabilitation efforts may slow bone loss and reduce return to function time after ACL reconstruction. The addition of BFR was found to minimize muscle mass loss, preserve bone density, and improve functional outcomes in patients.
The study found improved outcomes in patients treated with arthroscopic SCR, including restored shoulder function and increased active elevation. Only three out of 30 patients experienced graft tears during the five-year follow-up period.
Patients with insulin-dependent diabetes are more than five times as likely to experience post-operative hyperglycemia compared to those without the condition. The risk is linked to higher blood glucose levels over the previous three months, regardless of insulin dependency.
A recent study at Hospital for Special Surgery found that multi-level anterior cervical discectomy and fusion (ACDF) can be safely performed in an outpatient setting without increased risk of complications. The study compared outcomes between 57 outpatient and 46 inpatient patients, with results showing shorter operative times and hosp...
Dr. Parks, clinical director of Orthopedic Surgery at Hospital for Special Surgery, received the 2019 Diversity Award from the American Academy of Orthopaedic Surgeons. He has led research projects on socioeconomic and racial disparities in arthritis care and total joint replacement surgery.
A recent study published by Hospital for Special Surgery found that joint replacement surgeries performed in an ambulatory setting show no increased risk of complications. The average cost per patient was $11,677 compared to $19,361 for in-patient procedures.
A supplement to OTA International journal summarizes current status and future needs of national trauma systems in lower- and higher-income countries. The report highlights the importance of well-developed trauma systems in improving patient outcomes and reducing trauma-related mortality.
Researchers at Boston Children's Hospital have successfully completed a Phase I trial for the Bridge-Enhanced ACL Repair (BEAR) procedure, which helps the ligament regrow itself. The study showed promising results with no graft or repair failures and similar recovery times between the BEAR group and traditional reconstruction.
A new assessment tool before revision hip replacement surgery has significantly reduced the rate of recurrent dislocations compared to a standard evaluation. The tool assigns a score based on spinal alignment and mobility, informing the approach for revision surgery.
A study found that a significant number of patients undergoing lumbar spine fusion had previously undiagnosed low bone density, with 44% diagnosed with osteopenia and 15% with osteoporosis. This discovery could lead to changes in surgical planning and treatment, potentially improving patient outcomes.
Researchers found that low-risk patients undergoing total hip replacement with a posterior approach can eliminate standard hip precautions without increasing the risk of dislocation. This could lead to improved recovery and reduced fear in patients, as they focus more on mobility rather than restrictions.
A new study by researchers at Hospital for Special Surgery found that patients living near the hospital after joint replacement surgery are less likely to seek follow-up care in person, but instead call their surgeon with questions. This efficient use of healthcare resources is ideal, as it reduces expensive ER visits.
HSS has developed a pain management pathway that combines multimodal analgesia and alternative treatments, resulting in a significant decrease in opioid use without sacrificing pain control. The initiative involves surgeons, anesthesiologists, nurses, and other care team members.
A recent study found that most middle-aged and older adults recover their ability to live independently within a year after surgery for hip fracture. Age, fitness level, and certain fracture characteristics are strong predictors of returning to independent living and walking one year after hip fracture surgery.
A study of 4,818 patients found that diabetes, morbid obesity, tobacco smoking, and prolonged surgical duration increase the risk of surgical site infections. The overall incidence was 3.64%, with deep and superficial infections occurring at 0.4% and 1.1% respectively.
A new study suggests that surgery is a viable option for adults with scoliosis, but nonoperative treatments can also be effective. The extent of disability was found to be the most important factor in deciding whether to operate, with patients who had adequate quality-of-life benefiting from nonoperative treatment.
A global study analyzing thousands of case studies found that eight out of ten total knee replacements and six out of ten total hip replacements will last 25 years. The study provides reliable data on the long-term outcomes of joint replacement surgery, giving patients and clinicians a better understanding of what to expect.
Dr. Cato T. Laurencin is being honored for his groundbreaking contributions to biomedical engineering, including the development of biocomposite interference screws and soft tissue implants that have transformed orthopedic therapies. He has also played a key role in shaping US technology policy and mentoring minority scientists.
A new analysis found that a classification system for hip preservation surgery relies heavily on age and radiographic tests, raising concerns about its accuracy. The system's limitations may lead to incorrect clinical decisions for patients with complex hip conditions.
A study by the US Department of Veterans Affairs found that new appointment wait times have decreased at VA medical centers, making it easier for veterans to access healthcare services. The research compared primary care, dermatology, cardiology, and orthopedics appointments in 15 major metropolitan areas.
CHOP surgeons found that opioids were often overprescribed for children's elbow fractures, with patients using less than 25% of the prescribed amount. Most patients stopped taking opioid medication after a short period, with some opting for over-the-counter pain relievers instead.