Journal articles on the topic 'Orthopaedic'
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1
Silva, Geeth, Robert U. Ashford, Clare J. Wildin, and Pramod Achan. "Evidence-based quality leadership in orthopaedics." British Journal of Hospital Medicine 83, no. 3 (March 2, 2022): 1–9. http://dx.doi.org/10.12968/hmed.2021.0617.
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There is a paucity of literature analysing the importance of leadership within trauma and orthopaedics. However, such skills are essential to make an orthopaedic surgeon proficient in their various roles. This literature review on leadership within orthopaedics enables an understanding of current issues. A narrative literature review was conducted using Pubmed, Medline and The National Centre for Biotechnology databases. The search string used to conduct the narrative literature review was (orthopaedic) and (leadership[Title]). The articles were screened by title, abstract and full text. A reference search was subsequently conducted on these papers using the same inclusion and exclusion criteria. The papers then underwent a thematic analysis to understand the issues surrounding leadership in orthopaedics. The critical themes recognised were quality improvement, training, women in leadership, inequality and traits of a leader. Through reviewing the themes in this article, a framework was developed to identify the current issues and potential avenues of advancing orthopaedic leadership. This narrative literature review has demonstrated a paucity of research in orthopaedic leadership. Further work would create a robust evidence base, outline ideal orthopaedic leadership and standardise training to create better orthopaedic leaders.
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Osowski, Jakub, and Tomasz Mazurek. "History of osteosynthesis in the Department of Orthopaedics and Traumatology, Medical University of Gdansk, based on examination of surgical instruments withdrawn from the operating theatre." Chirurgia Narządów Ruchu i Ortopedia Polska 87, no. 3 (September 22, 2022): 118–22. http://dx.doi.org/10.31139/chnriop.2022.87.3.5.
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Based on the analysis of surgical instruments withdrawn from the operating theatre, it was decided to briefly present the history of osteosynthesis in the orthopaedic department in Gdansk, Poland. Boxes with orthopaedic instruments withdrawn from the operating theatre were obtained. The instruments were grouped, numbered, photographed and catalogued. Not all obtained instruments were used in orthopaedics; the boxes contained several instruments typically used in other fields of surgery. Attempts have been made to divide orthopaedic instruments into several groups, depending on their use in bone fixation. Some specific instruments are used only in one method. The most interesting tools are discussed in detail, with attention to their features and role in shaping modern orthopaedics. Some of the obtained equipment could have been made in the Orthopaedic Workshop in the hospital. They are specific exhibits related to the development of orthopaedics in this hospital that required preservation.
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Burkhart, Robert J., Alexander J. Acuña, David A. Kolin, Christian J. Hecht, Aakash K. Shah, and Atul F. Kamath. "What Are the Trends in the Utilization of Orthopaedic Advanced Practice Professionals? A Large Database Medicare Study." JBJS Journal of Orthopaedics for Physician Assistants 11, no. 4 (2023): e23.00015. http://dx.doi.org/10.2106/jbjs.jopa.23.00015.
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Background: Advanced practice professionals (APPs), such as physician assistants (PAs) and nurse practitioners (NPs), are expected to have an increasing role in delivering high-quality orthopaedic care in the coming years. Our analysis aimed to determine the current proportion and geographic distribution of APPs in orthopaedics. In addition, we predicted future growth into 2025. Methods: Our analysis was a retrospective, large national database study evaluating services provided by APPs from 2014 to 2019 using the Medicare Provider Utilization and Payment Data prepared by the Centers for Medicare & Medicaid Services (CMS). NPs and PAs were recognized by provider type and aggregated to form the APP group for analysis. Mann-Kendall trend tests were used to evaluate changes in the number of each provider type. Poisson regression will be used to predict the expected number of APPs in the field up to the year 2025. Results: From 2014 to 2019, there was a 34.36% increase in the number of orthopaedic APPs (5,480-7,363), compared with a 5.37% increase in orthopaedic surgeons (22,518-23,728). APPs were located in predominately large metropolitan areas (96%), followed by small metropolitan (3.6%) and rural areas (0.4%). Using data from our study period, we projected that by 2025, there will be 10,484 APPs in orthopaedic surgery [95% Confidence Interval (CI): 9,004-11,964 providers]. This represents an 84% increase over the decade between 2015 and 2025. Conclusion: Our analysis demonstrated that the volume of established patient visits and various nonsurgical services provided by APPs in orthopaedic surgery continues to grow. The number of APPs and surgeons in orthopaedics is increasing, but the proportion of APPs choosing orthopaedics as a speciality is on the decline. Furthermore, we found a greater proportion of PAs in orthopaedics than NPs. Because the demand for services for orthopaedic surgery continues to grow, APPs may serve as one possible solution to increase access to orthopaedic care, and additional programs should be developed to improve the educational access for APPs to train in orthopaedics.
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Iobst, Christopher, Alexander Cherkashin, and Robert Wigginton. "Historical Persepective: Gavriil Ilizarov, MD." Journal of the Pediatric Orthopaedic Society of North America 4, no. 1 (January 31, 2022): 1–12. http://dx.doi.org/10.55275/jposna-2022-0010.
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Gavriil Ilizarov (1921-1992) would have celebrated his 100th birthday in 2021. His contributions to the field of orthopaedic surgery are simply extraordinary. While he is most famous for the circular external fixator system that bears his name, his principles of distraction osteogenesis revolutionized the field of limb lengthening and reconstruction. Despite having no formal education in orthopaedics, he developed a method that became so successful that an 800-bed orthopaedic hospital was built for him in Kurgan, Siberia. The Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics became the largest orthopaedic clinic in the world.
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Pelletier, Brittany, and Alex Hoyt. "The Orthopaedic NP Workforce." Orthopaedic Nursing 43, no. 1 (January 2024): 32–40. http://dx.doi.org/10.1097/nor.0000000000001000.
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Although a growing number of nurse practitioners (NPs) are practicing in orthopaedics, little is known about the workforce. The aim of this study was to estimate the size of the orthopaedic NP workforce, compare it with the workforce of primary care NPs, and investigate the interaction effect specialty NP practice and physician relationships have on NP role perception. We selected licensed, practicing orthopaedic and primary care NPs from the 2018 National Sample Survey of Registered Nurses and compared demographics, education, experience, functional autonomy, and job outcomes. Nationally, 2,796 NPs described their specialty as orthopaedics. Compared with primary care NPs, they spent 27% more time on care coordination, were half as likely to have their own patient panel, and were most likely to say that their NP education was fully utilized when in a collaborative relationship with physicians. Differences between orthopaedic and primary care NPs may call for reform of Consensus Model that currently places specialty practice outside its regulatory network.
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Al-kulabi, Ali, Mohamed A. Mansour, and Azeem Thahir. "The orthopaedic experience of COVID-19: A literature review." Journal of Perioperative Practice 31, no. 3 (February 8, 2021): 102–7. http://dx.doi.org/10.1177/1750458920971506.
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This literature review aims to provide an account of the changes to orthopaedics in the era of COVID-19. Herein, the authors explored the use of telemedicine in orthopaedics as well as changes in surgical protocols, screening methods, work priorities and orthopaedic education. There was increased utilisation of telemedicine in orthopaedic training and outpatient cases as a means to provide continuity in education and care. The need to implement social distancing measures, coupled with the reduced availability of staff, has dictated that the practice of orthopaedics shifts to focus on acute care whilst redistributing resources to front-line specialities. This was facilitated by the cancellation of electives and the reduction of outpatient clinics. Thus, it is demonstrated that major changes have been implemented in many aspects of orthopaedic practice in order to address the challenges of the COVID-19 pandemic.
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Tarrant, Seth, Vafa Behzadpour, Thomas McCormack, Justin Cline, Jordan Willis, Gregory Mendez, Rosalee Zackula, Bradley Dart, and Bernard Hearon. "Improving Medical Student Mentorship in Orthopaedic Surgery." Kansas Journal of Medicine 16, no. 1 (February 21, 2023): 48–52. http://dx.doi.org/10.17161/kjm.vol16.18770.
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Introduction. Owing to limited clinical clerkships and travel restrictions related to COVID-19, recent medical student mentorship in orthopaedic surgery has been negatively impacted. The purpose of this Quality Improvement (QI) project was to determine if medical student awareness of orthopaedics as a possible career field may be improved through a mentoring program designed and delivered by orthopaedic residents. Methods. A five-resident QI team developed four educational sessions aimed at a medical student audience. Forum topics included (1) orthopaedics as a career, (2) fracture conference, (3) splinting workshop, and (4) residency application process. Pre- and post-forum surveys were administered to student participants to assess changes in their perceptions regarding orthopaedic surgery. Data derived from the questionnaires were analyzed with nonparametric statistical tests. Results. Of 18 forum participants, 14 were men and 4 were women. A total of 40 survey pairs were collected, averaging 10 per session. In the all-participant encounter analysis, there were statistically significant improvements in all outcome measures including interest in, exposure to, and knowledge of orthopaedics; exposure to our training program; and ability to interact with our residents. Those undecided regarding their specialty demonstrated larger increases in post-forum responses, suggesting that the learning experience was more impactful for that subgroup. Conclusions. This QI initiative was a successful demonstration of orthopaedic resident mentorship of medical students, wherein perceptions of orthopaedics were favorably influenced by the educational experience. For some students with limited access to orthopaedic clerkships or formal one-on-one mentoring, forums like these may be an acceptable alternative.
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Chat, GPT, and Aleti Torgeir. "Orthopedic interventions: current advancements and future perspectives." Archives of Clinical and Experimental Orthopaedics 7, no. 1 (March 10, 2023): 005–6. http://dx.doi.org/10.29328/journal.aceo.1001013.
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This article reviews the latest advancements in orthopaedic interventions, including robotic-assisted surgery, 3D printing, nanotechnology, and biological approaches. The potential impact of phage therapy on preventing infections caused by antibiotic-resistant bacteria in orthopaedic surgery patients is also discussed. Additionally, the article explores future perspectives for orthopaedic interventions, including personalized medicine, artificial intelligence, and regenerative medicine. As the field of orthopaedics continues to evolve, these advancements have the potential to significantly improve patient outcomes and revolutionize the field.
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Kayastha, S. R., B. Parajuli, A. Basi, and D. Shrestha. "Orthopaedic Services during Nationwide COVID-19 Lockdown: Dhulikhel Hospital, Kathmandu University Hospital Experience and Review." Kathmandu University Medical Journal 18, no. 2 (November 17, 2020): 29–35. http://dx.doi.org/10.3126/kumj.v18i2.32941.
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Background The Nepal government issued a nationwide lockdown due to COVID-19 from 24 March to 21 July 2020. This halted elective medical services in our hospital. A number of modifications in the orthopaedic practices at our department were made.
Objective This article discusses the impact on orthopaedic load at the Department of Orthopaedics and Trauma, Dhulikhel Hospital, Kathmandu University Hospital during the lockdown.
Method This is a longitudinal observational study done during the nation-wide lockdown including all the patients who presented to the hospital requiring orthopaedic consultation. For comparison purposes, the patient numbers from the same date in previous year (2019) were retrieved.
Result We received no COVID-19 cases requiring orthopaedics consultation. A total of 1828 patients were seen in the Orthopaedic Outpatient Department, 1077 trauma patients in the Emergency Department, 216 patients were admitted and 210 orthopaedics procedures were performed at the operation theatre. There was 82.21% decrease in OPD patients and 56% less surgeries in OT compared to the same duration of last year.
Conclusion There was a great reduction in the patient numbers visiting the hospital, which reflected in decreased number of admission and surgery. A greater part of our work during the lockdown was trauma.
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Olson, Steven A., and Anthony S. Rhorer. "Orthopaedic Trauma for the General Orthopaedist." Clinical Orthopaedics and Related Research &NA;, no. 433 (April 2005): 30–37. http://dx.doi.org/10.1097/01.blo.0000159893.41205.85.
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Myl’nikova, T. A., L. S. Shalygina, M. V. Gusev, O. I. Ivaninskiy, and I. A. Tsytsorina. "Methodic Approaches to Evaluation of Requirements in Traumatologic and Orthopaedic Care to Child Population in Novosibirsk Region." N.N. Priorov Journal of Traumatology and Orthopedics 21, no. 3 (September 15, 2014): 10–14. http://dx.doi.org/10.17816/vto20140310-14.
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High social significance of traumatism in child population (2 nd place by the level of primary morbidity and 8 th one by the causes of disability) determines the priority of traumatologic and orthopaedic service development. Great importance is given to the prognosis of justified requirement in this type of medical care for the short term prospective. Study was performed basing on the analysis of official statistic data on Novosibirsk region for 2005-2012 as well as on the results of expert evaluation of traumatologic and orthopaedic service condition, problems and prospective of development. It is stated that provision of traumatologic and orthopaedic care availability to child population in Novosibirsk region requires 19 additional beds (5 traumatologic and 14 orthopaedic). Requirement in outpatient trauma and orthopaedic surgeons makes up 32 specialists. Complex analysis of traumatologic and orthopaedic service personnel showed the presence of internal potentials for its perfection. Realization of measures on raising the qualification of trauma and orthopaedic surgeons, general surgeons and child surgeons working in the field of pediatric traumatology and orthopaedics will not require additional personnel.
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Gardner, Elizabeth C., Ryan Cheng, Jay Moran, Luanna C. Summer, Camilla B. Emsbo, Robin G. Gallagher, Jiaxin Gong, and Felicity G. Fishman. "Describing the women of orthopaedic surgery." Bone & Joint Open 5, no. 5 (May 20, 2024): 419–25. http://dx.doi.org/10.1302/2633-1462.55.bjo-2023-0073.r1.
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AimsThe purpose of this survey study was to examine the demographic and lifestyle factors of women currently in orthopaedic surgery.MethodsAn electronic survey was conducted of practising female orthopaedic surgeons based in the USA through both the Ruth Jackson Society and the online Facebook group “Women of Orthopaedics”.ResultsThe majority of surveyed female orthopaedic surgeons reported being married (76.4%; 285/373) and having children (67.6%; 252/373). In all, 66.5% (247/373) were collegiate athletes; 82.0% (306/373) reported having no female orthopaedic surgeon mentors in undergraduate and medical school. Their mean height is 65.8 inches and average weight is 147.3 lbs.ConclusionThe majority of female orthopaedic surgeons did not have female mentorship during their training. Additionally, biometrically, their build is similar to that of the average American woman.Cite this article: Bone Jt Open 2024;5(5):419–425.
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Burn, Damon, and Elaine Beeson. "Orthopaedic triage: cost effectiveness, diagnostic/surgical and management rates." Clinical Governance: An International Journal 19, no. 2 (April 1, 2014): 126–36. http://dx.doi.org/10.1108/cgij-12-2013-0041.
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Purpose – The purpose of this paper is to investigate cost effectiveness, diagnostic rates, surgical percentage and appropriateness for orthopaedic referrals and number of patients able to be seen in orthopaedic triage from GP orthopaedic referrals. Design/methodology/approach – The study involved triaging paper referrals for orthopaedic outpatients to an interface service, orthotics or continue normal route. Data were collected on outcome of the interface appointment and outcomes for those patients referred to orthopaedics from the appointment. Findings – The study demonstrated a 27.3 per cent cost saving from the normal orthopaedic route with 86.1 per cent of patients able to be managed by an extended scope physiotherapist (ESP) without requiring orthopaedic assessment. Appropriateness of onward orthopaedic referrals was 80.5 per cent with surgery conversion rate of 75 per cent. Originality/value – Although triage and ESP positions have been studied before, this is the first known study to look at cost effectiveness across the patient pathway despite this being a large reason for the creation of these positions. Further larger studies are required to build upon this base in terms of demonstrating the cost effectiveness of the value of these positions.
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Jagodzinski, NA, NE Fisher, LC Bryan, and H. Prem. "Results of an Effective Hub and Spoke Model for Treatment of Clubfoot." Bulletin of the Royal College of Surgeons of England 93, no. 10 (November 1, 2011): 1–4. http://dx.doi.org/10.1308/147363511x594993.
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The aim of this study was to assess a 'hub and spoke' model for a treatment of clubfoot that involves the casting of feet by trained physiotherapists based at local hospitals close to the patients' homes. It has been demonstrated that non-medical personnel can be trained effectively in the Ponseti technique in developing nations where resources and orthopaedic surgeons are scarce. 1–5 In the UK the British Orthopaedic Association published the 'blue book' on children's orthopaedics in 2006, which advises a hub and spoke model to address the issue of a shortage of paediatric orthopaedic surgeons in peripheral district general hospitals (DGHs). 6 The extent of subspecialisation among orthopaedic surgeons and the lack of paediatric anaesthetists have reduced peripheral paediatric orthopaedic surgical treatment. We believe there is no study in the literature to date assessing the advantages of such a service using existing physiotherapy facilities at multiple centres.
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Banskota, AK. "Stroke and the Orthopaedic Surgeon." Nepal Orthopaedic Association Journal 2, no. 1 (May 26, 2013): 43–46. http://dx.doi.org/10.3126/noaj.v2i1.8139.
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The role that can be effectively played by the orthopaedic surgeon in the long-term management of the stroke victim is often overlooked. Post-stroke patients rely heavily on the orthopaedist, amongst other members of the multidisciplinary team, to regain the maximum possible functional status following the stroke event. A great need to understand and implement the principles of post-stroke orthopaedic treatment and rehabilitation exists in our own community and practice.DOI: http://dx.doi.org/10.3126/noaj.v2i1.8139 Nepal Orthopaedic Association Journal Vol.2(1) 2011: 43-46
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Jovic, Dave, Jonathan Mulford, Kathryn Ogden, and Nadia Zalucki. "Diagnosis and management of chronic hip and knee pain in a Tasmanian orthopaedic clinic: a study assessing the diagnostic and treatment planning decisions of an advanced scope physiotherapist." Australian Journal of Primary Health 25, no. 1 (2019): 60. http://dx.doi.org/10.1071/py18076.
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The aim of this study is to investigate the clinical effectiveness of an advanced practice physiotherapist triaging patients referred from primary care to the orthopaedic clinic with chronic hip and knee pain. An exploratory study design was used to assess 87 consecutive patients referred from general practice in Northern Tasmania. Patients were assessed by both an advanced practice physiotherapist and a consultant orthopaedic surgeon. Diagnostic and treatment decisions were compared, with the orthopaedic consultant decision defined as the gold standard. By using these decisions, over and under referral rates to orthopaedics could be calculated, as well as the surgical conversion rate. Conservative care of patients referred to the orthopaedic clinic with hip and knee pain was limited. The diagnostic agreement between the advanced scope physiotherapist and the orthopaedic surgeon was almost perfect (weighted kappa 0.93 (95% CI 0.87–1.00)), with treatment agreement substantial (weighted kappa 0.75 (95% CI 0.62–0.89)). Under a physiotherapist-led triage service, the surgical conversion rate doubled from 38% to 78%. An advanced physiotherapist assessing and treating patients with chronic hip and knee pain made decisions that match substantially with decisions made by an orthopaedic consultant. A model of care utilising an advanced physiotherapist in this way has the potential to support high-quality orthopaedic care in regional centres.
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Ahmed, Riaz, Junaid Khan, Rahman Rasool Akhtar, and Talia Urooj. "Impact of COVID Pandemic on the Mental Well-Being of Orthopaedic Patients – A Single Centre Study." Journal of Rawalpindi Medical College 25, no. 1 (August 31, 2021): 122–25. http://dx.doi.org/10.37939/jrmc.v25i1.1683.
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Objectives:
To assess the frequency of psychiatric diseases in orthopaedic patients during the COVID-19 pandemic.
Material and methods:
This study was conducted from 20th April 2020 to 20th September 2020 at the Department of Orthopaedics, Benazir Bhutto Hospital, Rawalpindi, Pakistan. Patients aged 18 years and above and belonging to either gender with Orthopaedic injuries were included. Gender, age, injury mechanism, associated trauma, site of fracture, use of tobacco and mental health disorder was recorded.
Data was analyzed using SPSS version 23.
Results:
The study included 210 patients with Orthopaedic injuries. Mean age of patients in the study was 40.45±12.54 years. Falls were the most common mechanism of injury (50.4%) followed by motorcycle accidents (22.8%) and motor vehicle accidents (16.7%). 70.47% patients with Orthopaedic injuries were diagnosed with a mental health problem. There were notably higher rates of depression (33.1%) and anxiety (24.3%).
Conclusion:
There was a high frequency of psychiatric illnesses in Orthopaedic patients during the COVID-19 pandemic.
Keywords:
COVID-19, mental well-being, orthopaedic injuries, psychiatric illness.
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Garrigues, Grant E., Cameron Ledford, and Robert D. Fitch. "Ilizarov: The Man, The Myth, The Method: An Orthopaedic Inspiration." Duke Orthopaedic Journal 3, no. 1 (2013): 104–7. http://dx.doi.org/10.5005/jp-journals-10017-1039.
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ABSTRACT There are many orthopaedic pioneers whose impact continues to live on today, teaching us valuable lessons, inspiring us to greatness, and touching the lives of generations of future patients. Professor Ilizarov, a nonsurgically trained general practitioner, represents such an important orthopaedic forefather for his instruction on how to grow bones and soft tissues that would otherwise face catastrophic deformity and dysfunction. A simple look at his life, his innovation, and astonishing legacy serves as an inspiration to all involved in the amazing field of orthopaedics. Ledford C, Garrigues GE, Fitch RD. Ilizarov: The Man, The Myth, The Method: An Orthopaedic Inspiration. The Duke Orthop J 2013;3(1):104-107.
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Siraj, Muhammad, Abbas Ali, and Mudir Khan. "Effect of Prophylactic Antibiotics in Orthopaedic Surgery." Pakistan Journal of Medical and Health Sciences 15, no. 11 (November 30, 2021): 2969–70. http://dx.doi.org/10.53350/pjmhs2115112969.
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Background: Orthopaedic surgeries require sensitive protocol for prevention of infection pre and post-surgery. Antibiotic-prophylaxis has been reported for reducing risk of infection in orthopaedic surgeries such as removal of implants. Aim: To assess the effect of prophylactic antibiotics in orthopaedic surgery. Study design: Retrospective study Place and duration of study: Dept. of Orthopaedics, Khyber Teaching Hospital, Peshawar from 1-1-2020 to 31-12- 2020. Methodology: One hundred and ten patients within 18-75 years were divided into two groups. Each group had 55 patients. Group 1 were given prophylactic antibiotics pre-operative as a single dose while group 2 were given only saline. All patients were admitted for removal of orthopaedic implants in foot, ankle or leg. Patients 30 days record was observed for any surgical-site infection. Results: The mean age of patient was 42.95±10.8 years. Group 1 and Group 2 had more males than females. There were 10.9% and 9.09% diabetic patients within group 1 and group 2. The 30 days assessment of post implant removal orthopaedic surgery showed a decrease of surgical-site infection in group 1. Surgical-site infection decreased by a rate of 5.4% among patients who were given cefazolin antibiotic. Conclusion: The effect of prophylactic antibiotic reduces chance of surgical-site infection in orthopaedic surgery. Keywords: Antibiotic-prophylaxis, Orthopaedic surgery, Implant-removal, Surgical-site infection
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DeNiese, Pascal. "Recent trends in foot and ankle orthopaedics for an Indian perspective." Journal of Clinical Orthopaedics 7, no. 1 (2022): 53–55. http://dx.doi.org/10.13107/jcorth.2022.v07i01.469.
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Foot and ankle orthopaedics in India is a rapidly growing and relatively new field being pursued by the Orthopaedic surgeon in view of the pateints recognizing the need for specialized treatment. The article attempts to guide the orthopaedic surgeon with a few commonly occurring conditions with evidence based medicine. This narrative review was performed following a literature search in the Pubmed database and Medline using the mentioned keywords. Related articles were then reviewed.
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Pascual-Leone, Nicolas, Danielle Chipman, Preston Gross, Daniel W. Green, and Peter D. Fabricant. "Trends in Pediatric Orthopaedic Publications by Language." Journal of the Pediatric Orthopaedic Society of North America 4, no. 3 (August 1, 2022): 1–5. http://dx.doi.org/10.55275/jposna-2022-0050.
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Introduction: English publications have been found to be more widely cited than publications in other languages leading to a higher impact in various fields. Many authors have thus focused on publishing in English so as to reach the largest audience possible, however, important non-English publications remain a vital part of the peer-reviewed literature. This study sought to understand the relative quantities of pediatric orthopaedic publications written in the top 10 languages published in PubMed. Methods: The 10 languages with the most publications in PubMed were analyzed. These included English, German, Chinese, French, Russian, Japanese, Spanish, Polish, Italian, and Portuguese. All publications in orthopaedics and pediatric orthopaedics were pulled for each language. Publication rates were analyzed by individual language and by English versus non-English. Results: A total of 522,099 publications were analyzed between 1960-2020. English publications accounted for 93.1% of all orthopaedic publications and 91.4% of pediatric orthopaedic publications. When analyzing by individual language, German, French, and Chinese accounted for the greatest number of non-English publications with 24.9%, 21.2%, and 20.0% of non-English pediatric orthopaedic publications, respectively. Conclusion: In the 10 languages analyzed in this study, 8.6% of pediatric orthopaedic publications were written in non-English languages. When performing systematic reviews, care should be taken to assess literature published in these languages, specifically German, French, and Chinese, as they account for the greatest number of non-English publications. This will ensure that no relevant constituent studies are missed in qualitative syntheses due to lack of translation or access.
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Adam, JA, F.-M. Khaw, RG Thomson, PJ Gregg, and HA Llewellyn-Thomas. "Patient Decision Aids in Joint Replacement Surgery: A Literature Review and An Opinion Survey of Consultant Orthopaedic Surgeons." Annals of The Royal College of Surgeons of England 90, no. 3 (April 2008): 198–207. http://dx.doi.org/10.1308/003588408x285748.
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INTRODUCTION Patient decision aids could facilitate shared decision-making in joint replacement surgery. However, patient decision aids are not routinely used in this setting. METHODS With a view to developing a patient decision aid for UK hip/knee joint replacement practice, we undertook a systematic search of the literature for evidence on the use of shared decision-making and patient decision aids in orthopaedics, and a national survey of consultant orthopaedic surgeons on the potential acceptability and feasibility of patient decision aids. RESULTS We found little published evidence regarding shared decision-making or patient decision aids in orthopaedics. In the survey, 362 of 639 (57%) randomly selected consultant orthopaedic surgeons responded. Respondents appear representative of consultant orthopaedic surgeons in the UK. Of 272 valid responses, 79% (95% CI, 73–85%) thought patient decision aids a good or excellent idea. There was consensus on the potential helpfulness of patient decision aids and core content. A booklet to take home was the preferred medium/practice model. CONCLUSIONS Despite the increased emphasis on patient involvement in decision-making, there is little evidence in the medical literature relating to shared decision-making or the use of patient decision aids in orthopaedic surgery. Further research in this area of clinical practice is required. Our survey shows that consultant orthopaedic surgeons in the UK are generally positive about the use of patient decision aids for joint replacement surgery. Survey results could inform future development of patient decision aids for joint replacement practice in the UK.
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Kelly, Cambre, and Samuel B. Adams. "3D Printing Materials and Technologies for Orthopaedic Applications." Journal of Orthopaedic Trauma 38, no. 4S (April 2024): S9—S12. http://dx.doi.org/10.1097/bot.0000000000002765.
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Summary: 3D printing technologies have evolved tremendously over the last decade for uses in orthopaedic surgical applications, including being used to manufacture implants for spine, upper extremity, foot and ankle, oncologic, and traumatic reconstructions. Materials used for 3D-printed orthopaedic devices include metals, degradable and nondegradable polymers, and ceramic composites. There are 2 primary advantages for use of 3D printing technologies for orthopaedics: first, the ability to create complex porous lattices that allow for osseointegration and improved implant stability and second, the enablement of complex geometric designs allowing for patient-specific devices based on preoperative imaging. Given continually evolving technology, and the relatively early stage of the materials and 3D printers themselves, the possibilities for continued innovation in orthopaedics are great.
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Samora, Julie Balch, Christen Russo, and Dawn LaPorte. "Ruth Jackson Orthopaedic Society: Promoting Women in Orthopaedics." Journal of the American Academy of Orthopaedic Surgeons 30, no. 8 (December 14, 2021): 364–68. http://dx.doi.org/10.5435/jaaos-d-21-00956.
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Graham, Simon Matthew, Ciaran Brennan, Maritz Laubscher, Sithombo Maqungo, David G. Lalloo, Daniel C. Perry, Nyengo Mkandawire, and William J. Harrison. "Orthopaedic research in low-income countries: A bibliometric analysis of the current literature." SICOT-J 5 (2019): 41. http://dx.doi.org/10.1051/sicotj/2019038.
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Background: To perform a bibliometric analysis and quantify the amount of orthopaedic and trauma literature published from low-income countries (LICs). Methods and methods: The Web of Science database was utilised to identify all indexed orthopaedic journals. All articles published in the 76 orthopaedics journals over the last 10 years were reviewed, to determine their geographic origin. Results: A total of 131 454 articles were published across 76 orthopaedic journals over the last 10 years. Of these, 132 (0.1%) were published from LICs and 3515 (2.7%) were published from lower middle-income countries (LMICs); 85.7% (n = 112 716) of published orthopaedic research was undertaken in a high-income setting. The majority of the studies (n = 90, 74.4%) presented level IV evidence. Only 7.4% (n = 9) were high-quality evidence (level I or II). Additionally, the majority of research (74 articles, 56%) was published in partnership with high-income countries (HICs). Conclusions: There is a stark mismatch between the publication of scientific reports on orthopaedic research and the geographical areas of greatest clinical need. We believe there is an urgent need for orthopaedic research to be carried out in low-income settings to guide treatment and improve outcomes, rather than assuming that evidence from high-income settings will translate into this environment. Level of evidence: IV
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Dırvar, Ferdi, Sevda Uzun Dırvar, Alper Köksal, Osman Çimen, Anıl Erbaş, İlhan Avni Bayhan, and Mehmet Akif Kaygusuz. "Experiences from a non-COVID hub referral orthopedic trauma hospital during the COVID-19 pandemic in Turkey." International Journal of Research in Orthopaedics 7, no. 2 (February 23, 2021): 183. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20210611.
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<p><strong>Background:</strong> During the COVID-19 pandemic period, resources should be reorganized to treat the increased burden of COVID-positive patients under the best conditions while simultaneously providing non-deferrable treatment to patients with no suspicion of COVID-19. In this study, we aimed to analyse the trauma patient profile and treatment strategies that emerged in the regional orthopaedic and traumatology hospital during the pandemic period after the implementation of “hub and spoke” organization among the orthopaedic and traumatology clinics.</p><p><strong>Methods:</strong> This cross-observational study was conducted in a training and research hospital in the field of orthopaedics and traumatology that was converted to a non-COVID referral orthopaedic trauma center during the pandemic. Gender, age, length of hospitalization, duration of trauma, place of trauma, severity of trauma, type of admission, type of anaesthesia and site of trauma were evaluated in the patients that presented between March 16 and May 16, 2020.</p><p><strong>Results:</strong> Of the orthopaedic trauma patients requiring surgery, 169 (62.6%) were men and 101 (37.4%) were women. In comparison of the data with that of the last year, significant increases were observed in the number of home traumas (241.5%), low-energy traumas (87.4%), patients referred from other institutions (328.9%), regional anaesthesia patients (124.2%) and patients with hip traumas (226.7%). The length of hospitalization decreased significantly (p<0.05).</p><p><strong>Conclusions:</strong> The creation of hub and spoke organization through the cooperation of orthopaedics and traumatology clinics in the region can reduce the burden on pandemic hospitals by isolating trauma patients requiring orthopaedic surgery who were not suspected of COVID-19 and directing them to dedicated orthopaedics and traumatology hospital.</p>
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Sarfani, Shumaila. "Unsolicited Patient Complaints in Orthopaedic Surgery: An Analysis Utilizing a Large National Database." Foot & Ankle Orthopaedics 7, no. 1 (January 2022): 2473011421S0043. http://dx.doi.org/10.1177/2473011421s00434.
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Category: Other Introduction/Purpose: Unsolicited patient complaints (UPCs) about surgeons have been shown to correlate with surgical complications and malpractice claims in several specialties. Analysis of UPCs in orthopaedics is limited and using large national databases of UPCs may prove informative to orthopaedic providers and administrators. Our purpose was to 1) Evaluate the differences in the number and distribution of UPCs between orthopaedic surgeons as compared to other surgeons, and non- surgeons. 2) Describe the distribution of UPCs among orthopaedic sub-specialties. 3) Assess for clinical characteristics that may be associated with UPCs. Methods: Patient complaint reports recorded at 36 medical centers between January 1st, 2015 through December 31st, 2018 were coded using a previously validated coding algorithm, PARS® (Patient Advocacy Reporting System®). We (1) evaluated the distribution of UPCs across orthopaedic surgeons, (2) compared orthopaedic surgeons’ UPC distribution with those of other surgeons and non-surgeons, and (3) analyzed differences in complaint types across orthopaedic sub-specialties. Results: A total of 33,174 physicians had four consecutive years of data across the 36 nation-wide participating medical centers and met other inclusion criteria, including 1,148 orthopaedic surgeons, 6,747 other surgeons, and 25,279 non-surgeons. Orthopaedic surgeons experienced more UPCs per physician than non-orthopaedic surgeons and non-surgeons (5 vs. 2 vs. 1 respectively, p<0.05); the top 20% of orthopaedic surgeons with UPCs accounted for half of all complaints about orthopaedic surgeons received by the organizations in the study. The sub-specialties that had significantly more UPCs compared to general orthopaedic surgeons were Foot and Ankle (OR 2.6 [1.4-4.6], p=.002), followed by Adult Reconstruction (OR 2.2 [1.3-3.8], p=.002), Spine [OR 2.2 (1.3-3.8), p=.005), and Trauma (OR 2.2 [1.2-4.0], p =.01). Surgeons in the midwest were less likely to get complaints that surgeons in the northeast and sex was not a predicting factor. Conclusion: Orthopaedic surgeons receive comparatively more UPCs than other surgical and non-surgical specialties. Among orthopaedic surgeons, the subspecialties of Foot and Ankle, Adult, Reconstruction, Spine, and Trauma received the most UPCs. As increased UPCs have been linked to higher risk of malpractice claims, individual orthopaedic surgeons with high numbers of UPCs may benefit from being made aware of their elevated risk status in ways that invite reflection on underlying causes.
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Boyd, Carter J., Ian J McGeary, Kevin Y. Wang, Ivan Z Liu, Joseph X. Robin, and Kshipra Hemal. "Characterizing the effect of the COVID-19 pandemic on the orthopaedic surgery literature." IP Journal of Nutrition, Metabolism and Health Science 6, no. 1 (May 15, 2023): 32–35. http://dx.doi.org/10.18231/j.ijnmhs.2023.006.
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While the novel Coronavirus 2019 disease’s (COVID-19) impact on the practice of orthopaedics has been readily apparent, the effects of COVID-19 on the orthopaedic literature has not been studied. The objective of this paper is to analyze the COVID-19 pandemic’s impact on peer-reviewed articles published in the orthopaedic surgery literature. Using the Journal Citation Reports, twenty orthopaedic surgery journals with the highest impact factor in 2019 were selected and articles within those journals were sorted by mention of COVID-19. The Altmetric Attention Score (AAS) and citation count were collected and compared for COVID-19 versus non-COVID-19 related articles using the Mann-Whitney U test. Furthermore, within COVID-19 related articles, AAS and citation count were compared using Kruskal-Wallis test between sub specialty of orthopaedics, type of article, study type, and quarter of publication. The average AAS of COVID-19 articles was significantly higher than non-COVID articles (15 vs. 6, p=0.019). Within COVID-19 articles, those pertaining to spine and trauma had a significantly lower AAS than those pertaining to orthopaedics as a whole (20 & 6 vs 51, p<0.001). The average number of citations accrued by COVID-19 articles was significantly higher than non-COVID-19 articles (8 vs. 1, p<0.001). Original COVID-19 articles received significantly more citations than editorial articles (10 vs. 5, p<0.001), as well as those published in the second quarter of 2020 compared to those published later (p<0.001). Orthopaedic articles related to COVID-19 demonstrated a greater influence, dissemination, and impact than articles not related to COVID-19 as demonstrated by AAS and citations accrued.
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Lindsay, Sarah E., Stephanie Holmes, Jonas Owen, Ishaan Swarup, and Matthew Halsey. "The Pin: An Orthopaedic Transformation." Journal of the Pediatric Orthopaedic Society of North America 4, no. 2 (May 1, 2022): 1–18. http://dx.doi.org/10.55275/jposna-2022-0039.
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The stainless-steel pin has become an important part of operative orthopaedics over the last several decades. It is used in all subspecialties as tool to localize a lesion or to effectuate reduction, as a conduit for implant placement (screw or blade plate), as a guide for making an osteotomy, and as an implant that can stabilize bone whether it is placed in an open or percutaneous manner. While simple and ubiquitous to the craft of orthopaedics, it has revolutionized the care of children with orthopaedic conditions. This review highlights the history and the applications of the simple pin that can assist in obtaining good results in common problems.
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Chen, Aaron Z., Kaylre M. Greaves, Thomas A. Fortney, Christopher S. Ahmad, William N. Levine, David P. Trofa, and T. Sean Lynch. "The Role of Advanced Academic Degrees in Orthopaedic Sports Medicine Faculty." Orthopaedic Journal of Sports Medicine 10, no. 2 (February 1, 2022): 232596712110737. http://dx.doi.org/10.1177/23259671211073713.
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Background: Limited knowledge exists on the role of advanced academic degrees within faculty positions in orthopaedic sports medicine. Purpose: To 1) provide an assessment of the baseline demographics of advanced degrees among orthopaedic sports medicine faculty and 2) examine the impact of advanced degrees on research productivity and career attainment of orthopaedic sports medicine faculty. Study Design: Cross-sectional study; Level of evidence, 4. Methods: Orthopaedic sports medicine academics were identified using faculty listings on websites of the 200 orthopaedic surgery residency programs during the 2020-2021 academic year. Advanced degrees were defined as those additional to the primary medical degree (Doctor of Medicine [MD] or Doctor of Osteopathic Medicine [DO]). Outcome measures included timing of advanced degree obtainment, residency program rankings, research productivity, and current academic rank and leadership roles. Statistical analysis was performed using chi-square and Mann-Whitney U tests to determine the association of advanced degrees on outcome measures. Results: In total, 911 orthopaedic sports medicine faculty members were identified, of whom 100 had an advanced degree. The most common advanced degrees were Master of Science (MS/MSc; 38%), Doctor of Philosophy (PhD; 23%), and Master of Business Administration (MBA; 13%). The presence of an advanced degree was associated with greater research productivity, including higher h-index and number of publications, as well as more editorial board positions on orthopaedics journals ( P < .001). Advanced degrees were not significantly associated with attending a higher ranked orthopaedic surgery residency program, current academic rank, or leadership roles. At the institutional level, orthopaedic sports medicine programs that employed faculty with an advanced degree had a higher residency program ranking and the presence of a sports medicine fellowship was more likely ( P < .05). Conclusion: Advanced degrees in orthopaedic sports medicine were associated with greater faculty research engagement and employment at a higher ranked institution; they were not associated with matching to a highly ranked orthopaedic surgery residency program, higher faculty rank, or academic leadership roles.
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Poacher, Arwel T., Hari Bhachoo, Jack Weston, Kavita Shergill, Gethin Poacher, and Joe Froud. "Undergraduate education of trauma and orthopaedic surgery in the UK." Bone & Joint Open 3, no. 7 (July 1, 2022): 549–56. http://dx.doi.org/10.1302/2633-1462.37.bjo-2022-0044.r1.
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Aims Evidence exists of a consistent decline in the value and time that medical schools place upon their undergraduate orthopaedic placements. This limited exposure to trauma and orthopaedics (T&O) during medical school will be the only experience in the speciality for the majority of doctors. This review aims to provide an overview of undergraduate orthopaedic training in the UK. Methods This review summarizes the relevant literature from the last 20 years in the UK. Articles were selected from database searches using MEDLINE, EMBASE, ERIC, Cochrane, and Web of Science. A total of 16 papers met the inclusion criteria. Results The length of exposure to T&O is declining; the mean total placement duration of two to three weeks is significantly less than the four- to six-week minimum advised by most relevant sources. The main teaching methods described in the literature included didactic lectures, bedside teaching, and small group case-based discussions. Students preferred interactive, blended learning teaching styles over didactic methods. This improvement in satisfaction was reflected in improvements in student assessment scores. However, studies failed to assess competencies in clinical skills and examinations, which is consistent with the opinions of UK foundation year doctors, approximately 40% of whom report a “poor” understanding of orthopaedics. Furthermore, the majority of UK doctors are not exposed to orthopaedics at the postgraduate level, which only serves to amplify the disparity between junior and generalist knowledge, and the standards expected by senior colleagues and professional bodies. Conclusion There is a deficit in undergraduate orthopaedic training within the UK which has only worsened in the last 20 years, leaving medical students and foundation doctors with a potentially significant lack of orthopaedic knowledge. Cite this article: Bone Jt Open 2022;3(7):549–556.
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McLoughlin, Liam. "Churchill’s fractured neck of femur." Journal of Medical Biography 27, no. 3 (March 14, 2019): 129–36. http://dx.doi.org/10.1177/0967772018785858.
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In June 1962 at the age of 87 years, Sir Winston Churchill (1874–1965) fell over in his hotel room at the Hotel de Paris in Monte Carlo and sustained a fracture to the neck of his left femur. He was flown back to London and the fracture operated on at The Middlesex Hospital by two eminent orthopaedic surgeons, Mr Phillip Newman (1911–1994), Consultant to the The Middlesex Hospital and The Royal National Orthopaedic Hospital, Stanmore, and The Institute of Orthopaedics, London, and Professor Herbert Seddon (1903–1977), Consultant to the The Royal National Orthopaedic Hospital, Stanmore, and Director of The Institute of Orthopaedics under whom Churchill was admitted as a private patient. Churchill’s recovery was complicated by the development of deep vein thrombosis. During his convalescence, Churchill befriended Seddon who recorded his time with him in his private papers. On 21 August, Churchill was discharged to his home at 28 Hyde Park Gate which had been modified during his admission and made a return to public life in November 1962 at a dinner at the dining club he had originally founded, The Other Club.
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Wang, Hao, Chenwei Xiong, Zhentang Yu, Junjie Zhang, Yong Huang, and Xindie Zhou. "Research Progress on Antibacterial Coatings for Preventing Implant-Related Infection in Fractures: A Literature Review." Coatings 12, no. 12 (December 8, 2022): 1921. http://dx.doi.org/10.3390/coatings12121921.
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Implant-related infection is a difficult problem in orthopaedics as it not only leads to failure in internal fixation, but also increases the financial burden and perioperative risk on patients. In the past, orthopaedic implants were designed as mechanical fixation devices simply to maintain mechanical and biological properties, not to regulate the surrounding biological microenvironment. More recently, antimicrobial biocoatings have been incorporated into orthopaedic implants to prevent and treat implant-related infections through the modulation of the local environment. This article reviews the application of orthopaedic-implant biocoating in the prevention of implant-caused infection. Although there are many candidate coatings, they are still in the preclinical testing stage, and thus additional research by biomaterials and clinicians is necessary to identify the ideal implant coatings for patients who require fracture surgery.
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Ganesh, Arjun, and M. Mohan Kumar. "Orthopaedic surgeons and the legal tightrope: safeguarding patient welfare amidst rising litigation." International Journal of Research in Orthopaedics 9, no. 4 (June 29, 2023): 851–52. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20232014.
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Medicolegal litigation is a critical aspect of orthopaedic practice. These disputes can arise due to a variety of reasons, including medical negligence, malpractice, and breach of duty. Orthopaedic surgeons are at risk of being involved in medicolegal cases due to the nature of their work, which involves complex surgical procedures and postoperative care. They are required to manage a wide range of cases, from minor fractures to complex spinal and joint surgeries. As with any medical field, orthopaedic surgery being a complex and dynamic medical specialty; carries with it a certain amount of legal responsibility, with litigation rates on the rise globally. This article aims to provide an overview of the areas in orthopaedics where medicolegal litigation is highest and highlight some of the strategies that can be employed to reduce the risk of litigation.
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Morgan, Catrin, Lily Li, Pragna R. Kasetti, Ria Varma, and Alexander D. Liddle. "Pregnancy, parenthood, and fertility in the orthopaedic surgeon." Bone & Joint Journal 105-B, no. 8 (August 1, 2023): 857–63. http://dx.doi.org/10.1302/0301-620x.105b8.bjj-2023-0253.r1.
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AimsAs an increasing number of female surgeons are choosing orthopaedics, it is important to recognize the impact of pregnancy within this cohort. The aim of this review was to examine common themes and data surrounding pregnancy, parenthood, and fertility within orthopaedics.MethodsA systematic review was conducted by searching Medline, Emcare, Embase, PsycINFO, OrthoSearch, and the Cochrane Library in November 2022. The Preferred Reporting Items for Systematic Reviews and Meta Analysis were adhered to. Original research papers that focused on pregnancy and/or parenthood within orthopaedic surgery were included for review.ResultsOf 1,205 papers, 19 met the inclusion criteria. Our results found that orthopaedic surgeons have higher reported rates of obstetric complications, congenital abnormalities, and infertility compared to the general population. They were noted to have children at a later age and voluntarily delayed childbearing. Negative perceptions of pregnancy from fellow trainees and programme directors were identified.ConclusionFemale orthopaedic surgeons have high rates of obstetric complications and infertility. Negative perceptions surrounding pregnancy can lead to orthopaedic surgeons voluntarily delaying childbearing. There is a need for a pregnancy-positive culture shift combined with formalized guidelines and female mentorship to create a more supportive environment for pregnancy within orthopaedic surgery.Cite this article: Bone Joint J 2023;105-B(8):857–863.
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Hung, Man, Jerry Bounsanga, Maren W. Voss, and Jeremy D. Franklin. "Medicare Part B Status among Orthopaedic Surgery Providers in the United States." Journal of Health and Human Services Administration 41, no. 2 (June 2018): 126–52. http://dx.doi.org/10.1177/107937391804100201.
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Health care delivery often focuses on treatments over provider and payment attributes, which also impact care delivery. This study describes the procedures, allowed charges, submitted charges, and payments for orthopaedic providers that accept Medicare Part B in the US. Additionally, the study investigated regional and gender differences in charges and payments. We used the national Medicare Part B Provider Utilization and Payment data released from the CMS in April 2014. Analyses were conducted on US providers that identified as orthopaedic surgeons. There was a major gender disparity in orthopaedic providers and charges. Average allowed charges, submitted charges, and payments were generally the same across all regions except for region 6. Extreme differences between allowed charges and submitted charges were evident. The most frequent procedures across all regions were x-ray exams and raises questions about overutilization of diagnostic imaging in orthopaedics.
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Swiontkowski, Marc F. "Outcome Measures in Orthopaedics and Orthopaedic Trauma. 2nd ed." Journal of Bone & Joint Surgery 87, no. 2 (February 2005): 481. http://dx.doi.org/10.2106/00004623-200502000-00053.
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Bozic, Kevin J. "Orthopaedic Healthcare Worldwide: Shared Medical Decision Making in Orthopaedics." Clinical Orthopaedics and Related Research 471, no. 5 (May 2013): 1412–14. http://dx.doi.org/10.1007/s11999-013-2838-5.
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Keny, Swapnil M. "Trends in Guided Growth for Correction of Angular Deformities around the Knee: Past, Present, and Future." Journal of Clinical Orthopaedics 8, no. 2 (2023): 57–61. http://dx.doi.org/10.13107/jcorth.2023.v08i02.600.
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The principles of guided growth have been followed in orthopaedics since historic times . The bent tree braced to a stake to make it grow upward and straight is the first reference to the principles of growth modulation in the annals of orthopaedic history Keywords: Guided Growth, Epiphysiodesis, Hemiepiphysiodesis, growth modulation, eight plates, genu varum, genu valgum, deformity correction, pediatric orthopaedics, growth plate
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Ganesh, Arjun, and M. Mohan Kumar. "Advancing patient care: unleashing the potential of artificial intelligence in orthopaedics." International Journal of Research in Orthopaedics 9, no. 6 (October 26, 2023): 1298–99. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20233283.
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I am writing to highlight the remarkable strides that artificial intelligence (AI) has taken in the field of orthopaedics, paving the way for transformative changes in patient care and clinical outcomes. As the realm of medical science evolves, integrating AI into orthopaedics has the potential to revolutionize diagnosis, treatment, and management strategies, enhancing both the precision and efficiency of orthopaedic care.
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&NA;. "ORTHOPAEDIC NURSING 1987 Orthopaedic Product Directory." Orthopaedic Nursing 6, no. 2 (March 1987): 51–64. http://dx.doi.org/10.1097/00006416-198703000-00013.
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Sasanelli, Francesca, Khang Duy Ricky Le, Samuel Boon Ping Tay, Phong Tran, and Johan W. Verjans. "Applications of Natural Language Processing Tools in Orthopaedic Surgery: A Scoping Review." Applied Sciences 13, no. 20 (October 23, 2023): 11586. http://dx.doi.org/10.3390/app132011586.
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The advent of many popular commercial forms of natural language processing tools has changed the way we can utilise digital technologies to tackle problems with big data. The objective of this review is to evaluate the current research and landscape of natural language processing tools and explore their potential use and impact in the field of orthopaedic surgery. In doing so, this review aims to answer the research question of how NLP tools can be utilised to streamline processes within orthopedic surgery. To do this, a scoping review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Arksey and O’Malley framework for scoping reviews, as well as a computer-assisted literature search on the Medline, Embase and Google Scholar databases. Papers that evaluated the use of natural language processing tools in the field of orthopaedic surgery were included. Our literature search identified 24 studies that were eligible for inclusion. Our scoping review captured articles that highlighted multiple uses of NLP tools in orthopaedics. In particular, one study reported on the use of NLP for intraoperative monitoring, six for detection of adverse events, five for establishing orthopaedic diagnoses, two for assessing the patient experience, two as an informative resource for patients, one for predicting readmission, one for triaging, five for auditing and one for billing and coding. All studies assessed these various uses of NLP through its tremendous computational ability in extracting structured and unstructured text from the medical record, including operative notes, pathology and imaging reports, and progress notes, for use in orthopaedic surgery. Our review demonstrates that natural language processing tools are becoming increasingly studied for use and integration within various processes of orthopaedic surgery. These AI tools offer tremendous promise in improving efficiency, auditing and streamlining tasks through their immense computational ability and versatility. Despite this, further research to optimise and adapt these tools within the clinical environment, as well as the development of evidence-based policies, guidelines and frameworks are required before their wider integration within orthopaedics can be considered.
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Jäger, M., C. Zilkens, K. Zanger, and R. Krauspe. "Significance of Nano- and Microtopography for Cell-Surface Interactions in Orthopaedic Implants." Journal of Biomedicine and Biotechnology 2007 (2007): 1–19. http://dx.doi.org/10.1155/2007/69036.
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Cell-surface interactions play a crucial role for biomaterial application in orthopaedics. It is evident that not only the chemical composition of solid substances influence cellular adherence, migration, proliferation and differentiation but also the surface topography of a biomaterial. The progressive application of nanostructured surfaces in medicine has gained increasing interest to improve the cytocompatibility and osteointegration of orthopaedic implants. Therefore, the understanding of cell-surface interactions is of major interest for these substances. In this review, we elucidate the principle mechanisms of nano- and microscale cell-surface interactions in vitro for different cell types onto typical orthopaedic biomaterials such as titanium (Ti), cobalt-chrome-molybdenum (CoCrMo) alloys, stainless steel (SS), as well as synthetic polymers (UHMWPE, XLPE, PEEK, PLLA). In addition, effects of nano- and microscaled particles and their significance in orthopaedics were reviewed. The significance for the cytocompatibility of nanobiomaterials is discussed critically.
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Whitaker, Amanda T. "What’s New in Orthopaedic Management in Neuromuscular Disorders." Journal of the Pediatric Orthopaedic Society of North America 4, no. 3 (August 1, 2022): 1–7. http://dx.doi.org/10.55275/jposna-2022-0072.
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Over 6,000 articles were published in 2021-2022 between our Pediatric Orthopaedic Society of North America (POSNA) meetings in the neuromuscular space. This work reviews these influential papers covering the spectrum of neuromuscular orthopaedics, comments on the presentations during Neuromuscular Subspecialty Day at POSNA on May 12, 2022, and suggests potential changes in our practice in the future.
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Raza, Mohsen, Ryan Geleit, James Houston, Rachel Williams, and Alex Trompeter. "Radiation in orthopaedics (RIO) study: a national survey of UK orthopaedic surgeons." British Journal of Radiology 94, no. 1125 (September 1, 2021): 20210736. http://dx.doi.org/10.1259/bjr.20210736.
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Objectives: Orthopaedic surgeons have a responsibility to minimise risks of ionising radiation to patients, themselves and staff. This study aims to establish the understanding of radiation practice, legislation and risk by orthopaedic surgeons. Methods: A nationwide online survey of UK-based orthopaedic surgeons was conducted. Participants answered 18 multiple-choice questions assessing level of radiation safety training, basic principles/knowledge of ionising radiation, relevant legislation and operating practice. Results: A total of 406 surgeons completed the survey. 92% reported using intraoperative ionising radiation at least once per week. 38% received no formal training on radiation safety. Knowledge of basic principles of radiation and legislation was limited. There was variable knowledge when labelling an image intensifier machine and choosing its safest orientation. Poor uptake of radiation protection equipment was noted. Only 19% agreed they had adequate training in ionising radiation safety and 27% reported receiving adequate training in equipment emitting ionising radiation in the operating theatre. Conclusion: Many orthopaedic surgeons in the UK do not believe they are adequately trained in radiation safety. There is a deficiency amongst practicing surgeons in basic knowledge, relevant legislation and practicalities of the use of ionising radiation in the operating room. This could potentially put patients and health-care professionals at additional risk. We recommend that a standardised national training programme on the basic principles and safety of ionising radiation is implemented for all practicing orthopaedic surgeons. Advances in knowledge: This paper is the first UK national survey amongst orthopaedic surgeons and is one of the largest reported internationally.
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Bent, Melissa, and Saji Azerf. "The Emergence of Non-Operative Pediatric Orthopaedists (NOPO) to Increase Access to Orthopaedic Care for Children." Journal of the Pediatric Orthopaedic Society of North America 2, no. 1 (May 1, 2020). http://dx.doi.org/10.55275/jposna-2020-61.
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Pediatric orthopaedic surgeons (POS) are faced with numerous changes including increased volume of referrals from pediatricians and family medicine physicians who do not feel comfortable managing “primary care orthopaedic conditions”. There is an emerging field of medicine, Non-Operative Pediatric Orthopaedics (NOPO), which has grown over the past 15 years. These physicians bridge the respective fields of Pediatrics and Pediatric Orthopaedics by providing the full spectrum of non-operative pediatric orthopaedic care while creating a symbiotic partnership with pediatric orthopaedic surgeons.
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Drake, W., M. El-Hassan, and C. Jones. "821 Impact of a One-Day Conference on Perceptions and Understanding of T&O - Outcomes of the South West Orthopaedic Conference 2023." British Journal of Surgery 111, Supplement_6 (July 2024). http://dx.doi.org/10.1093/bjs/znae163.055.
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Abstract Aim This study aimed to evaluate the effects of a student-organised conference on delegates’ motivation and understanding of orthopaedic surgery. Method This was a conference organised by students with the support of consultants from the Princess Elizabeth Orthopaedic Centre in The Royal Devon and Exeter Hospital. Identical questionnaires were completed immediately before and after the conference on google forms. The google forms were distributed to the delegates via their registered email address. The pre- and post-conference questionnaire had three sections comprising of understanding, motivations, and barriers to pursing orthopaedic surgery. Pre- and post-conference responses which were recorded on a Likert scale and were compared using Wilcoxon signed rank test. All data analysis performed was using IBM SPSS (v.28, USA). Results 62 delegates completed the questionnaires, the majority of which were medical students with 4 junior doctors. Understanding of orthopaedics showed a significant increase in the majority of questions (p<0.001), except the intention to pursue orthopaedics which showed no significant difference. Delegates were attracted to orthopaedics due to the work-life balance, prestige and salary (p<0.001), however they showed a reduced interest in case variety and private practice. There was no difference in the barriers to pursuing orthopaedic surgery, except lack of patient contact which showed a significant increase (p<0.001). Conclusions Orthopaedic conferences improve delegates understanding, perceptions and motivations to pursue a career in orthopaedic surgery. We therefore encourage orthopaedic surgeons and educationalists to increase exposure to orthopaedics for undergraduates by supporting more student-led initiatives to promote recruitment into orthopaedic surgery.
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Pujari, Amit, Franchesca Johnson, Milton T. Little, David A. Forsh, and Kanu Okike. "Racial/Ethnic and Gender Diversity of Orthopaedic Journal Editorial Boards." Journal of Bone and Joint Surgery, September 15, 2023. http://dx.doi.org/10.2106/jbjs.23.00384.
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Background: In the current era of evidence-based medicine, scientific publications play a crucial role in guiding patient care. While the lack of diversity among orthopaedic surgeons has been well documented, little is known about the diversity of orthopaedic journal editorial boards. The purpose of this study was to assess the racial/ethnic and gender diversity of U.S. orthopaedic journal editorial boards. Methods: The editorial boards of 13 orthopaedic journals were examined, including 10 subspecialty and 3 general orthopaedic journals. Race/ethnicity and gender were determined for each editorial board member. The representation observed on orthopaedic journal editorial boards was compared with representation at other phases of the orthopaedic pipeline, as well as within the various subspecialty fields of orthopaedics. Logistic regression and t tests were used to evaluate these comparisons. Results: We identified 876 editorial board members of the 13 journals; 14.0% were Asian, 1.9% were Black, 1.9% were Hispanic, 2.4% were multiracial/other, and 79.7% were White. Racial/ethnic representation was similar across the subspecialty fields of orthopaedics (p > 0.05). The representation of women on orthopaedic editorial boards was 7.9%, with differences in gender diversity observed across subspecialty fields (p < 0.05). Among journals in the subspecialty fields of spine and trauma, female editorial board representation was lower than expected, even after taking into account the representation of women in these subspecialty fields (2.0% versus 9.0% [p = 0.002] and 3.8% versus 10.0% [p = 0.03], respectively). Conclusions: In this study of 13 subspecialty and general orthopaedic journals, the representation of racial/ethnic minorities and women on editorial boards was similar to their representation in academic orthopaedics. However, these values remain low in comparison with the population of patients treated by orthopaedic surgeons. Given the importance of scientific publications in the current era of evidence-based medicine, orthopaedic journals should continue working to diversify the membership of their editorial boards.
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Alomar, Abdulaziz Z., Shahd Almonaie, Khalid Nabil Nagshabandi, Deema AlGhufaili, and Manar Alomar. "Representation of women in orthopaedic surgery: perception of barriers among undergraduate medical students in Saudi Arabia." Journal of Orthopaedic Surgery and Research 18, no. 1 (January 7, 2023). http://dx.doi.org/10.1186/s13018-022-03487-6.
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Abstract Background While female participation has improved in several surgical specialties over time globally, no such increase has been observed in orthopaedic surgery over the past decades. The potential barriers to female participation are likely present from the beginning of medical education. Therefore, this study assessed the apparent lag in equal representation among men and women in orthopaedic surgery in the Kingdom of Saudi Arabia. Methods This cross-sectional study used a questionnaire survey to investigate medical students’ and interns’ perceptions of women participating in orthopaedic surgery, their subspeciality preferences, and barriers preventing them from pursuing an orthopaedic career. The responses were analysed to understand general perceptions, gender-based differences, impact of clinical experiential learning, and exposure to orthopaedic surgery. Results Approximately 565 medical students (49% females, 51% males) participated in the survey. Only 17% of students (11% females, 23% males) considered orthopaedic surgery as their future career option. While 31% of female and 17% of male students disagreed with the concept of female-appropriate orthopaedic subspecialties, most of the remaining male and female students perceived paediatric orthopaedics as a female-appropriate subspecialty. Concerning equal representation of women, gender bias and lack of a strong physique were the most frequently selected barriers by female and male students, respectively. Patient preference for male orthopaedicians, gender discrimination, social and family commitments, and need for physical strength were all perceived as barriers for women in orthopaedics. Overall, clinical experience and orthopaedic exposure did not significantly improve the likelihood of female students in choosing orthopaedic surgery as a career. Conclusions The bias against women in orthopaedic careers is prevalent among medical students early in their academic years. Clinical experience and exposure to orthopaedic surgery should be improved to make a significant impact on female participation in orthopaedic careers. Career building efforts in terms of improved career opportunities, career counselling, flexible working hours, social and family related adjustments and implementation of mentorship/research/fellowship programmes for females are needed to reduce gender discrimination and improve female orthopaedic participation. Furthermore, process improvements may yield greater flexibility for women pursuing the challenging field while accommodating other barriers faced by women in orthopaedic surgery.
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Gerull, Katherine M., Maria Pérez, Cara A. Cipriano, and Donna B. Jeffe. "Orthopaedic Surgery Attrition Before Board Certification: A National-Cohort Study of US MD Graduates in Orthopaedic Surgery Residency Programs." JBJS Open Access 9, no. 2 (April 2024). http://dx.doi.org/10.2106/jbjs.oa.23.00175.
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Introduction: Little is known about attrition before American Board of Orthopaedic Surgery (ABOS) board certification for orthopaedic residents training in Accreditation Council for Graduate Medical Education (ACGME)-accredited orthopaedics programs. This national-cohort study examined orthopaedic surgery attrition, associated risk factors, and specialties pursued by residents who left orthopaedics. Methods: From August 2022 through July 2023, we analyzed deidentified, individual-level data from the Association of American Medical Colleges for 129,860 US MD-granting medical-school matriculants in academic years 1993 to 1994 through 2000 to 2001. Graduates with records of training ≥1 year in orthopaedic surgery during GME and of board certification as of May 2020 were included. Retention was defined as being ABOS-certified; attrition was defined as being certified by another specialty board and not ABOS. We identified variables independently associated with attrition from orthopaedics using multivariable logistic regression analysis and reported adjusted odds ratios (OR) and 95% confidence intervals (CI). Results: Of 4,319 US medical-school graduates from 1997 to 2009 with ≥1 year of orthopaedic surgery GME, 4,085 (94.6%) obtained ABOS board certification (retention) and 234 did not (attrition). Women (OR 2.8, 95% CI 2.0-3.9), first-generation college graduates (OR 1.6, 95% CI 1.1-2.2), Asians (OR 1.9, 95% CI 1.4-2.7), and residents who placed greater importance on innovation/research in choosing medicine as a career (OR 1.4, 95% CI 1.1-1.7) and completed ≥1 year of research during GME (OR 2.4, 95% CI 1.7-3.5) were more likely to leave orthopaedics. Overall, 121 trainees who left orthopaedics selected surgical specialties for board certification, most commonly plastic surgery (n = 66) and general surgery (n = 45). Conclusions: The increased risk of attrition among women, Asians, first-generation college graduates, and trainees endorsing higher importance of innovation/research in choosing medicine and participating in research during GME raises concerns about the potential loss of underrepresented groups among orthopaedic surgeons and surgeon-scientists. Efforts to mitigate attrition among residents in high-risk groups are warranted.