13 papers
This geospatial analysis of Ontario long-term care facilities suggests that while selective prehospital transfer protocols directly to orthopaedic centers can reduce travel distances for hip fracture patients, they may increase overall EMS burden and travel for non-fracture patients, particularly in remote communities.
This retrospective study demonstrates that the junctional Hounsfield unit ratio (HU of UIV+1 divided by HU of UIV) is a superior, patient-specific predictor of proximal junctional kyphosis risk in adult spinal deformity surgery compared to absolute HU values, offering a valuable tool for preoperative risk assessment and upper instrumented vertebrae selection.
In a retrospective study of adults with degenerative spine conditions meeting surgical criteria, platelet-rich plasma (PRP) injections were associated with significantly lower healthcare utilization and costs compared to lumbar fusion or decompression surgery over 24 months, without evidence of increased subsequent surgery rates.
This cross-sectional study validates the Pediatric Outcomes Data Collection Instrument (PODCI) as a reliable performance and health-related quality of life assessment tool for children with cerebral palsy across all GMFCS severity levels by demonstrating statistically significant differences compared to the general population.
This study demonstrates that implementing a high-throughput, markerless biomechanics protocol in community-based settings is an acceptable and effective strategy for recruiting a diverse sample of knee osteoarthritis patients, thereby enhancing research engagement and reducing sample bias compared to traditional on-campus approaches.
This prospective clinical audit conducted in a regional hospital in northern Pakistan demonstrates that structured educational interventions, including live demonstrations and visual reminders, significantly improved healthcare personnel's compliance with WHO-recommended hand-scrubbing practices in an orthopedic operating theatre.
This study of older Caucasian women found that while higher body mass index is consistently associated with a lower likelihood of osteoporosis, diabetes showed no consistent association with the condition, with only a weak negative correlation emerging at a later study visit.
By analyzing SPORT trial data, this study quantifies a significant contribution of patient choice (beta) to physical outcomes that is distinct from biological treatment effects (alpha), thereby highlighting a critical limitation of current AI systems that rely on population-level evidence and cannot capture individual preference-driven decision-making.
This study demonstrates that a data-driven model utilizing a single boot-mounted accelerometer can accurately and continuously estimate peak Achilles tendon loading in rupture patients during rehabilitation, enabling objective monitoring and personalized guidance previously unattainable in clinical settings.
This retrospective, propensity-matched study of commercially insured patients demonstrates that orthobiologic treatments (PRP and BMAC) for degenerative meniscal tears and knee osteoarthritis result in similar or lower downstream healthcare costs and utilization compared to surgical alternatives, with low rates of subsequent surgery over a four-year period.
This protocol outlines a natural experiment study using target trial emulation to evaluate the real-world impact of a single high-dose glucocorticoid administration on postoperative opioid consumption and adverse events in patients undergoing primary hip and knee arthroplasty in Denmark.
This case series study found that while baseline patient-reported measures can predict 12-month pain and functional outcomes following arthroscopic rotator cuff repair, physical therapy utilization factors such as wait time and visit frequency were not significantly associated with postoperative improvements.
This study develops gender-specific machine learning models using longitudinal data from the SOF and MrOS cohorts to accurately predict osteoporosis risk, demonstrating that separate models for men and women outperform combined approaches and reveal distinct, sex-specific risk factors for improved personalized clinical intervention.