Improving Perioperative Care in Foot and Ankle Surgery

Doctor giving a patient foot treatment

For over a decade, the Foot and Ankle Service in the Department of Orthopaedic Surgery at Brigham and Women’s Hospital has conducted research that places a strong emphasis on optimizing perioperative care for foot and ankle surgery patients.

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Lower Dose Opioid Regimen Shows Promise for Total Hip Replacement Patients

Senior Woman Taking Medication From Pill Box

In March, the Hip Society presented the 2019 Otto Aufranc Award to Antonia Chen, MD, MBA and her colleagues, honoring their research on opioid usage. Dr. Chen is the senior author of the award-winning paper, “Cluster-Randomized Trial of Opiate-Sparing Analgesia after Discharge from Elective Hip Surgery.”
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An Evidence-based Scoring System for Patients with Metastatic Spine Cancer

Female doctor writing medical records in the officeFor patients with spinal metastases, it remains challenging for providers to choose between operative and nonoperative treatments, especially when life expectancy and quality of life are difficult to predict. At Brigham and Women’s Hospital, Andrew J. Schoenfeld, MD, MSc, and investigators in the Department of Orthopaedic Surgery, are using the New England Spinal Metastasis Score (NESMS) to navigate this complex decision-making process.
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The Brigham Makes The Push Toward Same-Day Joint Replacement

"Arrow sign for outpatient parking in front of parking lot, horizontal with copy space to right."Five years ago, Vivek Shah, MD, a hip and knee replacement surgeon, replaced the right hip of an 85-year-old woman. After the routine surgery, she stayed in the hospital for three days. A few years later, she visited Dr. Shah when she needed her left hip replaced.
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Microendoscopic Surgery Offers Alternative for Spine Patients

microendoscopy image of a spineAt Brigham and Women’s Hospital, spine surgeon Andrew Simpson, MD, focuses a large portion of his practice on microendoscopic spine surgery, a minimally invasive technique used to treat patients with a range of spinal disorders—including disc herniation, spinal stenosis and sciatica.
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When is the Best Time to Measure Glucose During Total Joint Arthroplasty?

Study explores the optimal time to measure glucose levels after TJA

Mid section of doctor examining patient knee in clinic

A periprosthetic joint infection (PJI) after total joint arthroplasty (TJA) is often a devastating experience for a patient, involving a long treatment process that dramatically reduces a patient’s quality of life.

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“Prehab” Program Lowers Length of Hospital Stay by 12 Hours

Closeup shot of an unrecognizable physiotherapist treating a patientFive years ago, Wolfgang Fitz, MD, a knee replacement surgeon in the Department of Orthopaedic Surgery, asked his patients to bridge the two-to-three months prior to surgery with physical conditioning, tailored to their activity levels and knee osteoarthritis.

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Health Coaching and Financial Incentives Boost Physical Activity After Total Knee Replacement

There’s a growing interest in finding strategies to increase physical activity in patients who have undergone total knee replacement (TKR). In a clinical trial, Brigham and Women’s Hospital researcher, Elena Losina, PhD, and colleagues showed that one-on-one health coaching and financial incentives substantially increased physical activity in patients following TKR. The results were published in the April 2018 issue of Arthritis Care & Research.

Pair of legs walking on a trail in nature towards the light

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Spinal Tumor Program: Multidisciplinary Care for Patients with Spinal Tumors

If your patient has been diagnosed with a spinal tumor, there are many treatment options, including surgery, radiation and chemotherapy. Determining the most appropriate treatment plan can be challenging, and often requires the collective opinion of multiple physicians across several specialties. Our team in the Spinal Tumor Program can assist in the care of your patients.

“The Spinal Tumor Program is a unique program that offers consultative services to physicians who are caring for patients with tumors of the spine. Our physicians work as a multidisciplinary team to create individualized treatment plans for each patient,” said John H. Chi, MD, director of neurosurgical spine cancer at the Brigham and Women’s Hospital.

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The Public Health Impact of Lower Knee Replacement Rates among Racial Minorities


New research from Brigham and Women’s Hospital shows that lower utilization of total knee replacements among black Americans is associated with significant losses in well-being.    

Total knee replacement (TKR) surgery improves the quality of life of people with advanced knee osteoarthritis. However, research shows that racial minorities with knee osteoarthritis are less likely to be offered TKR, less likely to opt for the surgery, and experience higher rates of complications after TKR.

A new study from researchers at Brigham and Women’s Hospital (BWH) is the first to evaluate the public impact of lower TKR uses on the wellbeing of black Americans with knee osteoarthritis.

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