Articles tagged with Orthopedics
A new study by Johns Hopkins researchers found that it may take between seven and 16 months for surgeons to complete the backlog of elective orthopaedic surgeries suspended during COVID-19. The US is facing over a million delayed surgeries for spinal fusion and knee/hip replacements.
The Journal of Bone and Joint Surgery shares update on COVID-19 evidence and strategies for managing the novel SARS-CoV-2 virus. The review analyzes available evidence and identifies critical lessons from past pandemics to inform orthopaedic surgeons' responses.
Researchers at Saarland University developed a personalized therapeutic concept that creates tailored implants to accommodate each individual fracture. This approach improves the fracture healing process by predicting precise load patterns and optimizing implant shape and structure.
Surgically treated patients fared better than those with functional bracing, showing faster recovery and improved outcomes one year after the injury. However, problems were observed in bracing-treated patients, including 30% requiring reoperation due to fracture union failure.
A new study found that Rivaroxaban significantly reduces the risk of venous thromboembolism (VTE) after lower limb orthopedic surgery by 75%, compared to heparin, without increasing the risk of bleeding. This breakthrough has significant implications for patients undergoing non-major orthopedic surgeries.
A study in The Journal of Bone & Joint Surgery found that a fracture liaison service improved bone quality and function for patients with fragility fractures. Patients managed with the service had high rates of osteoporosis treatment and low risk of subsequent fractures.
A nationwide study found that racial/ethnic minorities and individuals with lower incomes are less likely to receive office-based care for musculoskeletal conditions, while those with public insurance status are more likely to use emergency department care. This disparity contributes significantly to healthcare expenditures.
Lehigh University MechE professor Hannah Dailey has received a prestigious grant from the National Science Foundation's Faculty Early Career Development (CAREER) Program. Her virtual mechanical test approach holds promise for identifying nonunions, which can lead to depression and opioid abuse, and may enable earlier surgical intervent...
Researchers evaluated patient characteristics after introduction of bundled payment program, finding no significant changes in access to hip and knee replacement for sicker patients or those at higher risk of complications. The study provides reassurance that the Comprehensive Care for Joint Replacement program has not led to 'cherry-p...
A study published in The Journal of Bone & Joint Surgery found that virtual physical therapy after knee replacement surgery is safe and effective, with similar outcomes to traditional in-person PT. Virtual PT also resulted in lower healthcare costs, with patients completing more exercises and having fewer hospital readmissions.
The Mount Sinai Diversity Innovation Hub has been named among the Top 50 Leaders in Digital Health for 2020, recognizing its efforts to improve healthcare through technology. The hub aims to diversify the pipeline for career paths in healthcare innovation and technology.
Researchers have developed a minimally invasive procedure to treat chronic Achilles tendon disorder, reducing pain and recovery time. The percutaneous Zadek osteotomy (ZO) technique has shown significant improvement in functional outcomes and faster recovery times compared to traditional open surgery.
Research found that obesity and smoking can lead to slower fracture healing and higher disability in patients with wrist fractures. However, the study also showed that clinical and radiographic outcomes are achievable with surgery for displaced wrist fractures in obese and smoking patients.
A new treatment using whittled sheep and dog bones has been found to be an effective alternative to metal pins for stabilizing fractured wings in pigeons. Pigeons with the bone implants were able to fly as well as before the operation, with no rejection of the implanted bones.
A new clinical trial at Marshall University is investigating the use of biologic augmentation in ACL reconstruction surgery. The study aims to assess improvements in pain, failure rates and clinical outcomes using a minimally invasive technique combining bone marrow concentrate, autograft bone and demineralized bone matrix.
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 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 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 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.
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.
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.
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.
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.
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.
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.
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.
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 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.