Articles tagged with Orthopedics
A blood management program safely reduced transfusions in orthopedic patients undergoing hip and knee replacement surgeries. The program implemented strategies to minimize bleeding, resulting in lower hemoglobin thresholds and reduced complications.
The guidelines, published in the Journal of the American College of Surgeons, recommend custom-tailored pain management regimens based on the operation and patient needs. The ranges offered for each procedure generally call for reductions from current rates of opioid prescription.
A study reveals a widening wage gap between hospital CEOs and medical staff, with CEO salaries increasing by 93% while doctor and nurse wages rose by 26-15%. The cost-burden of nonclinical workers contributed to the growth in healthcare costs, with nationwide expenditures reaching $3.2 trillion in 2015.
A long-term study confirms that cross-linked polyethylene hip implants significantly lower the rate of repeat surgery, with a cumulative revision rate of 11.7% compared to 6.2% for conventional polyethylene implants over 16 years. The use of XLPE implants also encourages total hip replacement in younger patients.
A new study published in The BMJ found that decompression surgery for shoulder impingement syndrome offers no greater relief from pain than placebo surgery. Two years after the procedure, patients in both groups experienced equally little shoulder pain and were equally satisfied with their situation.
A 45% increase in rejected requests for knee and hip surgery has been revealed by an investigation by The BMJ. The number of patients being refused these operations has risen to nearly 1,700, causing stress for doctors and patients alike.
A study published in The Journal of Bone & Joint Surgery found that patients taking prescription opioids for more than 60 days before total knee or hip replacement surgery are at higher risk of hospital readmission and repeat joint-replacement surgery. Prolonged opioid use was associated with an increased risk of both adverse outcomes,...
A new study shows that young patients who underwent surgery for isolated meniscus tears between 1990 and 2005 experienced significant improvements in functional outcomes. The average IKDC score increased from pre-operative levels, indicating a lasting improvement in knee health.
A recent study suggests that young athletes with shoulder instability can benefit from arthroscopic stabilization when properly selected. The procedure resulted in low revision surgery rates (6%) and high return to sport rates (82%) at a minimum follow-up of 2 years.
Researchers found that older patients (over 40) with knee pain can benefit from osteochondral allograft transplantation, showing significant improvement in knee function and daily activities. This novel approach offers an alternative to traditional treatments for cartilage disorders in active individuals.
Current ACL return to sport criteria may not accurately assess young patients at risk of future injury, according to a new study. The study found that only 26% of athletes met standard return to play criteria after ACL reconstruction, with no difference in second injury rates between those who met and failed to meet the criteria.
A study of 149 patients undergoing arthroscopic rotator cuff repair found significant functional improvements and pain relief through the procedure. Males demonstrated better outcomes than females, while pre-operative narcotic use correlated with poorer results.
A new study reveals that young athletes who experience fatigue are more likely to suffer from Anterior Cruciate Ligament (ACL) injuries. The research found that athletes demonstrating high levels of fatigue had a significantly increased risk of ACL injury compared to those without fatigue.
Researchers found that young female athletes who underwent ACL reconstruction using bone-patellar tendon-bone (BTB) or quadrupled hamstring (HS) autografts had different outcomes. The study revealed higher re-tear rates in younger patients using HS autografts compared to BTB, suggesting that age affects graft repair success.
A study published in The Journal of Bone & Joint Surgery found that patients who take prescription opioids for a longer period before spinal surgery are more likely to continue using opioids several months after surgery. Duration of opioid use before surgery was the main risk factor for continued use. After adjustment, the likelihood o...
Researchers identified urinary markers that differentiate between hip replacement patients who develop bone tissue destruction and those who do not. The combination of α-CTX and IL-6 biomarkers predicted osteolysis with high accuracy.
The study analyzed an insurance database of over 1 million patients with knee osteoarthritis treated between 2007 and 2015. Updated guidelines from the American Academy of Orthopaedic Surgeons led to a decline in hyaluronic acid injections, while steroid injection rates leveled off after a recommendation against its use was made.
A network meta-analysis of 53 randomized controlled trials found naproxen most effective in improving both pain and function, followed by cortisone injections and PRP injections. The study suggests naproxen as a relatively safe and low-cost treatment option for knee osteoarthritis.
New research from Duke University Medical Center found that ACL tears occur the same way in women and men, contradicting previous theories. The study used forensic analysis to examine bone bruises on knees of athletes with torn ACLs, revealing no significant difference in injury mechanism between sexes.
A multicenter database study of adults undergoing spinal deformity surgery found that daily opioid users had longer ICU stays and more severe postop disability compared to non-opioid users. The study highlights the need for preoperative counseling and alternative pain management strategies for patients at risk of daily narcotic use.
A new study found that only slightly more than half of PT clinics in the metropolitan Boston area accept Medicaid, leading to longer wait times for initial appointments compared to privately insured patients. The authors highlight the importance of providers working with patients with Medicaid earlier on to establish a postoperative tr...
A study published in The Journal of Bone & Joint Surgery found that scoliosis surgery significantly improves the quality of life for children with severe cerebral palsy and their caregivers. The procedure reduces spinal curvature and leads to long-term gains in personal care, positioning, and comfort.
A new study found that serious chest muscle injuries, including pectoralis major tears, are occurring with 'alarming frequency' among deployed service members who lift weights. The injuries required surgical repair and six months recovery.
A recent study found that the rate of hip replacement revision surgery has decreased in all age groups except those between 45 and 64 years old. In this age group, the revision rate increased by over 30%, indicating a need for longer-lasting implants.
A new study from Hospital for Special Surgery finds that flatfoot reconstruction is a viable option for older patients, providing better long-term outcomes and mobility compared to foot fusions. The research, which evaluated over 130 patients aged 65 and older, showed consistent positive surgical outcomes across all age groups.
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 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.
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.
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.
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.
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.