Articles tagged with Orthopedics
Two studies showed that pre-operative counseling and non-opioid pain relievers can significantly reduce post-surgery opioid use, resulting in a two-thirds decrease in opioid consumption. Patients who used non-opioids experienced an equivalent pain experience with fewer adverse events compared to those using opioids.
Researchers found no significant difference between original and modified PersonaCARE software versions in predicting inpatient mortality. The study suggests using the tool to guide older patients toward specialized care pathways, reducing complications and costs.
Patients receiving dual mobility implants had zero dislocations, while traditional fixed bearing implants had a 5.1% dislocation rate. The study found encouraging results for active, high-demand patient groups.
Research finds that patients with undiagnosed neurocognitive deficits have poorer short-term outcomes after hip and knee replacements. Neurocognitive impairment was prevalent in older patients and those with depression, leading to increased hospital resources and slower physical therapy progress.
Two US programs, Sportsmetrics and PEP, have been shown to significantly decrease non-contact ACL injury rates and alter dangerous neuromuscular movement patterns in female athletes. These programs improve muscle strength, reduce muscular imbalances, and decrease landing forces.
A recent study by Boston University School of Medicine found that cardiac events and urinary tract infections were more common in Medicare patients undergoing total knee arthroplasty. The study also showed increased risks of central nervous system complications, gastrointestinal issues, and mortality among Medicare patients compared to...
Children with vitamin D deficiency are at a higher risk of having more severe forearm fractures requiring surgical treatment. A new study found that 21% of patients were deficient and 49% had insufficiency, with those treated surgically having a significantly higher incidence rate.
A new study found that soccer athletes who returned to play after ACL reconstruction had a lower success rate than those who underwent primary ACL reconstruction. Female athletes faced a higher risk of additional knee surgery, with about one in five needing further surgery, compared to one in twenty for males.
A study found that patients undergoing elective total hip arthroplasty (THA) have a slightly improved survival rate compared to the general population. After ten years, higher survival rates were observed among THA patients, particularly those with primary osteoarthritis.
A review in Journal of Pediatric Orthopaedics outlines the severity of opioid use among children and teenagers undergoing surgery, with nearly one-fourth of US high school seniors having exposure to prescription opioids. Strategies for reducing opioid prescribing include education, standardized practices, and legislation to shift presc...
A new study by Johns Hopkins researchers found that a common knee operation in elderly patients provides little benefit and may be considered low-value care. The procedure, called arthroscopic partial meniscectomy (APM), accounted for an estimated two-thirds of all orthopaedic knee arthroscopy procedures in older patients.
A new patient questionnaire developed by Hospital for Special Surgery measures the physical and emotional impact of brachial plexus injury, assessing patients' expectations and treatment outcomes. The survey has the potential to improve patient care by aligning surgical alternatives with patient needs and expectations.
A Swedish study found that nearly one-third of pugs have abnormal gait, associated with breathing problems, incontinence, and neurological disorders. The prevalence of gait abnormalities was higher than previously thought, suggesting a more significant health issue.
The American Academy of Orthopaedic Surgeons recommends a preseason conditioning program and familiarity with equipment maintenance to reduce the risk of bone and joint injuries. Skiers are more likely to experience lower extremity injuries, while snowboarders are more likely to suffer upper extremity injuries due to falls.
Researchers examined artificial joints used for total hip replacement and found ceramic components experience less corrosion than cobalt-chromium. The findings suggest improvements to artificial joints for better outcomes.
A new ranking system assesses orthopaedic surgery residency programs based on the number of citations in high-quality journals. The study identifies top-ranked programs with over 1,000 research publications and 20,000 citations within a decade.
A Loyola Medicine study found nearly four out of five diabetic patients with severe Charcot foot were able to walk normally after surgery. The study used a stricter standard for treatment success, with 77.6% of patients meeting the criteria, and Dr. Pinzur's Ilizarov circular external fixator technique showed promising results.
A recent study published in The Journal of Bone & Joint Surgery found that outpatient total knee replacement surgery is associated with a higher risk of certain complications, including infections, repeat surgery, and blood clots. Patients undergoing outpatient TKA were more likely to experience joint-related complications and medical ...
A study published in the Journal of the American Academy of Orthopaedic Surgeons found that female athletes experience a higher concussion injury rate than male athletes. Athletes with a prior concussion injury were three times more likely to suffer another contact sport-related concussion.
Bone infection can be debilitating and potentially fatal. Researchers at the University of Rochester Medical Center are advancing new treatments for bone infections by understanding how bacteria like Staphylococcus aureus evade treatment and developing new antibiotics to target those mechanisms.
A study of 20 patients under 60 found substantial long-term improvement after 'reverse' shoulder replacement for massive, irreparable rotator cuff tears. Despite a high complication rate, most patients reported excellent or good satisfaction levels with improved shoulder function and pain management.
A recent study has found that patients often overestimate their anticipated level of pain following surgery, which can lead to unnecessary anxiety. Patients receiving regional anesthesia, such as peripheral nerve blocks or epidurals, were more likely to overestimate their postoperative pain.
A new study by Oxford University Press USA found that patients undergoing neurosurgical procedures between 9 pm and 7 am are at a higher risk of developing complications. The odds of complication more than doubled when accounting for the length of the surgery, highlighting the importance of performing surgeries during daylight hours.
A randomized controlled trial found ibuprofen to be a better choice for postoperative pain relief in children aged 5-17 after minor orthopedic surgery. The study showed that ibuprofen had fewer adverse effects compared to oral morphine, which was associated with significant side effects such as nausea and drowsiness.
Researchers found that treating donor grafts with bone marrow aspirate concentrate (BMC) before surgery improves bone integration and speeds recovery in biologic joint restoration surgeries. BMC pretreatment resulted in 43% bone integration at six weeks, compared to 25% of untreated grafts.
A study confirms that blood metal ion levels can predict patients with low risk of ARMD (Adverse Reactions to Metal Debris) after metal-on-metal hip replacement. Using implant-specific cutoff points identifies all but 2.8% of ARMD cases, outperforming fixed regulatory authority thresholds.
Intra-articular corticosteroid injections provide effective short-term pain relief and improved function for patients with low-grade knee OA. Maintaining a healthy weight and engaging in physical activity can also help manage symptoms, potentially delaying the need for surgery.
A study published in The Journal of Bone & Joint Surgery found that early surgery to repair supraspinatus tears leads to substantial improvement in clinical and radiographic outcomes at 10 years. The results suggest that preventing later rotator cuff muscle degeneration is key to long-term success.
According to a new literature review, therapeutic modalities such as physical therapy can improve bone-and-joint function affected by pain and/or injury. The study highlights the utility of various modalities, including cryotherapy, neuromuscular electrical stimulation, hot and cold therapies, cupping therapy, and iontophoresis, in man...
Researchers have identified a care plan for colon and rectal surgical procedures, presenting 12 components to improve preoperative and postoperative care. The clinical pathway aims to lower costs, improve safety, and speed recovery while increasing patient satisfaction.
A study found that between 42-71% of prescribed opioids went unused among patients, highlighting the need for personalized pain management. Patients often store prescription opioids improperly and fail to dispose of unused pills safely.
The study found that examination fees accounted for 88% of revenue and 21% of expenditures, while officer and employee compensation and benefits accounted for 42% of expenses. The ABMS member boards reported a cumulative surplus of $635 million between 2003 and 2013.
A new study has found that an alternative method of pain relief for knee replacement surgery reduces the need for powerful painkillers like morphine. The new approach involves injecting anaesthetic agents around the knee joint, administered by the surgeon without specialist equipment.
Researchers found that athletes who specialized in a single sport were more likely to suffer from lower extremity injuries. Specifically, those with moderate or high levels of specialization had a 50% and 85% higher incidence of such injuries, respectively.
A new arthroscopic technique allows patients with irreparable rotator cuff tears to regain shoulder function and return to sports or jobs requiring heavy physical activity. The study showed significant improvement in shoulder range of motion after surgery.
Patients taking opioids prior to ACL surgery are more likely to be on pain medications longer, according to a recent study. The research found that those who were filling opioid prescriptions before surgery were 10 times more likely to be using them five months after surgery.
A new study found that patients who underwent ACL reconstruction using the patellar tendon or double-bundle technique experienced significant improvements in quality of life five years after surgery. Researchers followed 315 randomized patients for up to five years, with the hamstring tendon approach showing higher re-injury rates.
A study of over 1,300 patients found significant improvements in knee-related quality of life two to 10 years after ACL reconstruction. Activity levels decline over time but patients can still perform sports-related functions.
Researchers analyzed concussion data from national high school surveillance system, finding a decrease in severe symptoms like amnesia and an increase in dizziness and light sensitivity. Clinicians may be over-diagnosing concussions, while diagnostic tools have shifted to more computerized and non-invasive methods.
A retrospective economic analysis found that certified outreach athletic trainers generated $2,283,733 in revenue from referring patients to orthopedic provider and hospital systems. The ATC program provided comprehensive care during practices and games, potentially lowering chronic medical conditions in adulthood.
Young patients who suffer patellar dislocations are at a higher risk of recurring dislocations, with over 20% of cases occurring within two years after the initial injury. Despite this high rate of recurrence, these young athletes do not develop significant patellofemoral arthritis.
Research presented at the American Orthopaedic Society for Sports Medicine's Annual Meeting found that surgery effectively treats pectoralis major tendon ruptures with a low risk of re-rupture and complications. The study, which included 120 patients, showed that 95% were able to return to their occupation at full capacity.
Jesse C. DeLee, MD, a prominent figure in the field of sports medicine, has been inducted into the American Orthopaedic Society for Sports Medicine's (AOSSM) Hall of Fame. With over 50 peer-reviewed articles and numerous textbook chapters to his name, Dr. DeLee has made significant contributions to the advancement of sports medicine.
Dr. Douglas W. Brown is being inducted into the American Orthopaedic Society for Sports Medicine's (AOSSM) Hall of Fame for his groundbreaking work in sports medicine, spanning over four decades. He has served as a team physician for numerous national teams and has been an active member of AOSSM since 1981.
Thomas Wickiewicz, an orthopaedic surgeon with 35 years of practice, is being inducted into the American Orthopaedic Society for Sports Medicine's (AOSSM) Hall of Fame. He has made substantial contributions to sports medicine through his extensive education and research.
A recent study found no association between opioid intake and disability, satisfaction with surgery, or pain management at 5-8 months post-surgery. However, patients using opioids reported more pain with activity and catastrophic thinking, leading to anxiety and limited mobility.
A study of nearly 130 adolescent and young women with sports-related concussions found an association between concussion and abnormal menstrual bleeding patterns. The researchers observed a higher incidence of irregular bleeding among those with concussions compared to non-injured controls.
A new guideline aims to reduce joint infection risks from total hip and knee replacements by managing anti-rheumatic medications during perioperative process. The guideline provides recommendations for withholding certain medications, such as biologics and immunosuppressants, to minimize the risk of infection.
The American College of Rheumatology and the American Association of Hip and Knee Surgeons developed guidelines to manage anti-rheumatic medication in patients with joint replacement. The recommendations prioritize preventing infection over potential disease flares, and aim to lower the risk of complications.
A systematic review of 25 studies found that recreational running is not associated with osteoarthritis, but competitive running increases the risk. Recreational runners are less likely to develop knee and hip osteoarthritis compared to sedentary individuals.
Research at the University of Missouri School of Medicine highlights the importance of understanding risk factors and following treatment plans to prevent osteoporosis-related fractures. The study emphasizes the need for preventive screening methods, cost-effective medications, and patient education to effectively manage the disease.
A study published in The Journal of Bone & Joint Surgery found that patients who previously took prescription opioids had a higher average pain score six months after knee replacement surgery. This suggests that preoperative opioid use may be problematic due to its negative effects on subsequent total knee arthroplasty outcomes.
A Cedars-Sinai-led team developed a technique that cues bone to regrow its own tissue, potentially replacing bone grafts. The innovative method combines ultrasound, stem cell and gene therapies to mend severely broken bones.
An ERAS program implemented at 20 hospitals reduced hospital length of stay and postoperative complication rates among patients undergoing elective colorectal resection or emergency hip fracture repair. The study also found significant practice changes in mobility, nutrition, and opioid use.
Pregnant women are vulnerable to orthopaedic traumas due to car crashes or domestic violence, with bodily changes affecting treatment processes. A team of specialists is essential for optimal patient outcomes, prioritizing the mother's health and minimizing fetal harm.
A study published in The Journal of Bone & Joint Surgery found that women are more likely to experience hypersensitivity to metals used in joint replacements, leading to increased pain and complications. Women accounted for 60% of patients with unexplained pain after joint replacement, with higher average pain scores than men.
Researchers used 3-D prints to compare three surgical techniques for treating Charcot-Marie-Tooth disease and found that none provide adequate correction of the heel bone deformity. The study, funded by the Charcot-Marie-Tooth Association, was presented at the American Academy of Orthopaedic Surgeons annual meeting.
A randomized clinical trial will compare surgery and non-operative therapy for patients with rotator cuff tears, considering factors such as age and tear size. The study aims to inform patient care and provide evidence-based information for better health decisions.
A new study by UBC researchers found that inactive teenagers have weaker bones than their active peers. The four-year study measured bone strength and found that kids who didn't meet daily physical activity recommendations had significantly weaker bones.
A recent study by Asheesh Bedi at the AAOS Annual Meeting highlights that ACL reconstruction surgery can fail in up to 20% of cases, requiring repeat surgery. The surgeon is working on identifying correctable factors to reduce failure rates and improve outcomes for young active athletes.