Rates of Spinal Symptoms and Spinal Surgery Are Lower After Bariatric Surgery

Doctor holds up x-ray of spine to show older patient

A study showed patients with a history of bariatric surgery had lower overall complication rates after spinal surgery than morbidly obese patients who did not have bariatric surgery. Now researchers report significant reductions in symptomatic spinal disorders and the need for spinal surgery after bariatric surgery.

Read More...

Editorial: Meaningless Applications and Misguided Methodologies of AI-Related Research in Orthopedics

Researcher working on multiple displays showing artifical intelligence, machine learning concept

Prem N. Ramkumar, MD, MBA, of the Orthopaedic Machine Learning Laboratory at Brigham and Women’s Hospital, and colleagues want orthopedic surgeons to understand artificial intelligence (AI) better but critically assess AI-related reporting in the medical literature.

Read More...

Brigham Embraces Tendoscopy for Foot and Ankle Injuries

Rendering of a human ankle showing bones and tendons

While the first tendoscopy procedure was reported in 1995, the minimally invasive but technically challenging approach to addressing various foot and ankle pathologies is not yet commonplace. However, Brigham surgeons including Elizabeth Martin, MD, ScM, are adopting the technique for its patient-centered benefits.

Read More...

Reliability of Fifth Metatarsal Base Fracture Classifications and Current Management

X-Ray of foot with fifth metatarsal base fracture highlighted red

Christopher P. Chiodo, MD, at Brigham and Women’s Hospital, and colleagues surveyed foot and ankle surgeons to evaluate the reliability of current classification systems for fifth metatarsal base fractures. They recommend limiting classification to two types.

Read More...

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...