Articles tagged with Orthopedics
Researchers found that individuals who receive cortisone injections within six months before a rotator cuff repair have a higher risk of requiring revision surgery. The study identified over 5,000 patients and found that those with recent injections were more likely to need reoperation.
A study found that 79% of high school athletes with anterior shoulder instability achieved a full return to sport after nonoperative treatment. The Non-Operative Instability Severity Score (NSIS) tool helps identify higher-risk patients who may require other forms of treatment.
Researchers Nelly Andarawis-Puri and Johnny Huard received Kappa Delta Awards for their work on tendon healing and remodeling, and the use of adult stem cells in musculoskeletal tissue repair. Their research has led to a better understanding of how tendons heal and how to develop more effective treatments for musculoskeletal injuries.
Mark C. Gebhardt, MD, is recognized for his efforts to increase diversity in orthopaedics, particularly among women and minority groups. He has mentored numerous medical students and residents, and advocates for recruiting and hiring diverse talent into the field.
Rick D. Wilkerson, DO is the recipient of the American Academy of Orthopaedic Surgeons (AAOS) 2018 Humanitarian Award for his humanitarian efforts abroad. He has made significant contributions to orthopaedic care in countries such as Haiti, Iraq, Vietnam, Afghanistan, Pakistan, Libya, and Uganda.
Ramon L. Jimenez, MD, is awarded the AAOS' highest leadership honor for his outstanding contributions to advancing important causes in orthopaedics, including mentoring physician leaders and promoting cultural competency. He has worked diligently to improve patient care and diversify the orthopaedic workforce.
A mandatory educational session on opioid abuse and new prescribing guidelines led to a significant decrease in opioids prescribed after hand surgery. The study found a 45% reduction in opioids prescribed, suggesting that similar standardized education and guidelines could reduce over-prescription nationwide.
The study projects a significant increase in total joint replacement procedures, with primary THR expected to grow 171% by 2030 and 330% by 2060. Revision TJR procedures are also expected to rise, particularly for TKR, which has been slowing its growth rate since 2008.
Research finds that 54.7% of parents encourage their children to specialize in a single sport, increasing injury risk and burnout. Sports specialization can decrease enjoyment due to excessive training and limit cross-training benefits.
A growing number of centers are advertising stem cell therapies for knee osteoarthritis, claiming an 80% success rate. However, research has found poor levels of evidence to support the efficacy of these treatments, and no correlation between treatment costs and effectiveness.
A study at Hospital for Special Surgery found a discrepancy between doctor reviews on hospital websites and those posted on independent physician rating websites. Hospital surveys yielded higher patient satisfaction scores and lower negative comments compared to commercial sites.
Research reveals cycling as the leading cause of cervical fractures in men, with a significant increase in injuries over the past two decades. The study analyzed 50,000 patient cases and found that football was the most common cause of neck sprains in women, while horseback riding caused the most cervical fractures in females.
A new study found that a return to play checklist decreases the incidence of injury to the knee following ACL reconstruction. The checklist includes seven objective measures to determine when athletes are safe to return to sports, resulting in significant reductions in re-injury and contralateral knee injuries.
Researchers found a correlation between flying following hip or knee arthroplasty and an increased risk of venous thromboembolism. VTE is a serious complication that can follow these surgeries, with 10 million cases occurring annually worldwide.
A novel risk assessment tool has been developed to identify patients at higher risk of post-surgical hip replacement dislocations. The tool, used in conjunction with a treatment algorithm, resulted in a six-fold decrease in dislocation rates among high-risk patients.
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.