Review: Diagnosis and Management of Lumbar Spinal Stenosis

Female clinician physical therapist working on spine of male patient

Brigham and Women’s Hospital’s Jeffrey N. Katz, MD, MS, of the Orthopaedic and Arthritis Center for Outcomes Research, Melvin C. Makhni, MD, of the Department of Orthopaedic Surgery, and colleagues review the current evidence about managing acquired, degenerative lumbar spinal stenosis (LSS).

Read More...

Consensus Report: Appropriate Use of Telemedicine in Spine Surgery

Over the shoulder of doctor speaking to patient via video chat on laptop, taking notes on clipboard

The Telemedicine Working Group of AO Spine, a global academic community, convened an expert panel to attempt to reach a consensus on practical aspects of telemedicine related to spine care. Melvin C. Makhni, MD, in the Department of Orthopaedic Surgery, served as senior author of the report.

Read More...

Pre-TKA Expectations About Pain, Functional Limitation Influence One-Year Outcomes

X-ray of total knee arthroplasty, highlighted in red

Robert R. Edwards, PhD, and colleagues explored the impact of expectancies on outcomes at three time points after total knee arthroplasty. They report that presurgical expectancies about pain reduction and functional improvement significantly predicted those outcomes only at the one-year follow-up.

Read More...

Flipping the Tubercle for Knee Cartilage Repair Increases Risk of Arthrofibrosis

Color rendering of a human knee joint on black background

Gergo Merkely, MD, and colleagues wondered whether extensive trauma and greater traction on the patella tendon might induce an inflammatory response that increases the risk of postoperative stiffness. They report evidence that, indeed, TTO-HD is an independent risk factor for postoperative arthrofibrosis.

Read More...

Leveling the Playing Field: The Importance of Graft Choice for ACL Reconstruction in Female Athletes

Graft for ACL Reconstruction

The Women’s Sports Medicine Program at the Brigham aims to narrow the disparity in outcomes between female and male athletes following anterior cruciate ligament injury. Program Chief Elizabeth G. Matzkin, MD, explains how determining the optimal graft size and source for surgical reconstruction can improve outcomes.

Read More...

Complication Rates High When New Surgeons Treat Spinal Deformity

Close up of doctor holding an x-ray of the spine

Studies have established a relationship between surgeon volume and patient outcomes in spine surgery. Given the additional complexity of spinal deformity surgery, younger surgeons may be particularly disadvantaged. Caleb Yeung, MD, Melvin Makhni, MD, MBA, and colleagues conducted the first study on this question.

Read More...

PROMIS Physical Function Questionnaires Compare Well With Other Outcome Measures in Spine Surgery

Close up of hands typing on a laptop

Melvin C. Makhni, MD, MBA, in the Department of Orthopaedic Surgery at Brigham and Women’s Hospital, and colleagues conducted the first systematic review to thoroughly compare PROMIS physical function questionnaires with “legacy” PROMs in spine surgery.

Read More...

Total Joint Arthroplasty: Should Patients Stay or Should They Go?

Doctor shaking hands with patient

Historically an inpatient procedure, total joint arthroplasties (TJAs) were recently removed from the U.S. Centers for Medicare & Medicaid Services’ inpatient-only list. Now the Brigham is leading the trend toward same-day discharge TJAs. Antonia F. Chen, MD, MBA, explains how the Brigham is managing this transition.

Read More...

Review: Team Approach to Optimizing Metabolic Conditions Before Total Joint Replacement

X-ray of total knee joint replacement / knee arthroplasty front view and side view

Mass General Brigham’s Antonia F. Chen, MD, MBA, Christina Liu, MD, and colleagues detail the effects of metabolic disease on total joint arthroplasty outcomes. They also reviewed the literature on preoperative management of osteoporosis, vitamin D deficiency, and diabetes mellitus.

Read More...