CRP-to-Albumin Ratio Reflects Risk of Adverse Events After Spinal Epidural Abscess Treatment

MRI of cervical spine showing epidural abscess that causes spinal cord compression and paralysis

Matthew H. Lindsey, MD, Andrew J. Schoenfeld, MD, MSc, of the Department of Orthopaedic Surgery at Brigham and Women’s Hospital, and colleagues have published putative evidence that the C-reactive protein to albumin ratio can help predict adverse events after spinal epidural abscess treatment.


Cost of Anterior Cervical Decompression and Fusion Are Highly Variable in Healthcare Systems

Lateral projection cervical spine x-ray showing anterior cervical discectomy and fusion or ACDF procedure.

Hospital costs associated with anterior cervical decompression and fusion (ACDF) are highly heterogeneous. Andrew K. Simpson, MD, MBA, MHS, the Department of Orthopaedic Surgery at Brigham and Women’s Hospital, and colleagues conducted the first rigorous analysis of the relative drivers of ACDF costs.


Review: Environmental Sustainability in the Orthopaedic Operating Room

Close up of surgeon putting on blue gloves in operating room

Operating rooms (ORs), including orthopedic ORs, contribute substantially to greenhouse gas emissions because of the high amount of energy used and waste generated. A recent review explains steps orthopedic surgeons can take to improve environmental sustainability.


Female Orthopedic Surgeons Blaze New Trails at the Brigham

Diverse surgical team performing operation

Women constitute about 6% of practicing orthopedic surgeons, but at the Brigham, the ratio is 6 out of 34, or 17.6%. Meet three of the Brigham’s female orthopedic surgical faculty—Antonia Chen, MD, Elizabeth Martin, MD, ScM, and Elizabeth G. Matzkin, MD—all of whom are innovators in research and clinical care.


Insurance Status Correlates With Patient-reported Baseline Symptoms of Adult Spinal Deformity

Close up of doctor pointing to clipboard paper, sitting at table explaining something to patient

In a study of patients with lumbar spinal stenosis, researchers at Brigham and Women’s Hospital previously demonstrated that patients insured by Medicaid have worse baseline PROMs than those commercially insured or insured by Medicare. Now, they’ve found the same is true in the setting of adult spinal deformity (ASD).


Up to One-Half of Runners Return to Running One Year After Arthroscopic Partial Meniscectomy

3D rendering of human knee bone and cartilage with meniscus tear highlighted red

Researchers at Brigham and Women’s Hospital determined that within one year after arthroscopic partial meniscectomy (APM), approximately 50% of runners return to their preoperative running frequency.


Review: Role of Pronator Quadratus Repair in Volar Locking Plate Treatment of Distal Radius Fractures

Rendering of human hand bones with pronator quadratus muscle in anterior compartment of the forearm

Surgeons in the Department of Orthopaedic Surgery at Brigham and Women’s Hospital recently reviewed the evidence for and against pronator quadratus (PQ) muscle repair.


Sleep Disturbances After Rotator Cuff Repair Usually Resolve Within Six Months

Elderly man leaning back holding left arm where pain is highlighted red coming from upper shoulder

In a large sample of prospectively collected data, researchers at Brigham and Women’s Hospital found that sleep patterns returned to normal within two years after surgery in 81% of patients and within six months in 77%.


Proximity of Metacarpal Plates to Adjacent Joints Increases Risk of Implant Removal

Two views of X-ray of human hand with fracture in fifth metacarpal highlighted red

Internal fixation with plates and screws is commonly used to treat isolated metacarpal fractures but can cause stiffness and requires subsequent hardware removal. Brigham and Women’s Hospital researchers and colleagues studied factors associated with implant removal in this setting.


Mepivacaine Has Advantages Over Bupivacaine for Outpatient Total Joint Arthroplasty

Close up of vertical scar on knee and a bandaged knee after Total Knee Arthroplasty

Antonia F. Chen, MD, MBA, of the Department of Orthopaedic Surgery at the Brigham, Ahmed Siddiqi, DO, MBA, of the Orthopedic Institute of Central Jersey, and colleagues performed a systematic review and meta-analysis comparing bupivacaine with a shorter-acting spinal anesthetic, mepivacaine, during elective TJA.