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1.
J Bone Joint Surg Am ; 106(11): 939-940, 2024 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-38984729

Assuntos
Ortopedia , Humanos
4.
Bone Joint J ; 106-B(7): 640-641, 2024 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-38945530
6.
J Orthop Res ; 42(8): 1631-1640, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38897819

RESUMO

Proteomics is a growing field that offers insights into various aspects of disease processes and therapy responses. Within the field of orthopedics, there are a variety of diseases that have a poor prognosis due to a lack of targeted curative therapy or disease modifying therapy. Other diseases have been difficult to manage in part due to lack of clinical biomarkers that offer meaningful insight into disease progression or severity. As an emerging technology, proteomics has been increasingly applied in studying bone biology and an assortment of orthopedics related diseases, such as osteoarthritis, osteosarcoma and bone tumors, osteoporosis, traumatic bone injury, spinal cord injury, hip and knee arthroplasty, and fragile healing. These efforts range from mechanistic studies for elucidating novel insights in tissue activity and metabolism to identification of candidate biomarkers for diagnosis, prognosis, and targeted treatment. The knowledge gained from these proteomic and functional studies has provided unique perspectives in studying orthopedic diseases. In this review, we seek to report on the current state of the proteomic study in the field of orthopedics, overview the advances in clinically applicable discoveries, and discuss the opportunities that may guide us for future research.


Assuntos
Proteômica , Humanos , Pesquisa Translacional Biomédica , Ortopedia , Animais , Biomarcadores/metabolismo
7.
J Bone Joint Surg Am ; 106(12): 1130-1135, 2024 Jun 19.
Artigo em Inglês | MEDLINE | ID: mdl-38900014

RESUMO

ABSTRACT: The Austrian-Swiss-German Fellowship was set up in 1978 to facilitate a program through which surgeons from the German-speaking countries of Austria, Switzerland, and Germany could visit the United Kingdom, Canada, and the United States of America. In 2023, surgeons Brian Mullis and Satish Kutty, representing the American Orthopaedic Association and the British Orthopaedic Association, respectively, visited centers in Austria, Switzerland, and Germany over the course of 4 weeks. This article describes their journey and experiences.


Assuntos
Bolsas de Estudo , Ortopedia , Áustria , Humanos , Alemanha , Ortopedia/educação , Suíça , Estados Unidos , Intercâmbio Educacional Internacional
8.
PLoS One ; 19(6): e0304218, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38837974

RESUMO

Tanzania is disproportionately burdened by musculoskeletal injuries as it faces unique challenges when dealing with trauma care. This scoping review aims to summarize and assess the current state of orthopaedic and trauma research in Tanzania. By identifying key themes, trends, and gaps in the literature, this review seeks to guide future research initiatives catered specifically to the needs of Tanzania's healthcare system. Utilizing the PRISMA-ScR protocol, OVID Medline, PubMed, and CINAHL databases were searched from inception to June 17, 2023, using keywords such as "Orthopaedics" "Trauma" and "Tanzania". One hundred and ninety-two eligible studies were included and the Arksey and O'Malley framework for scoping studies was followed. There was a notable growth of relevant publications from 2015 onward, with peaks in growth in the years 2019, 2021, and 2020. The studies employed diverse research methodologies, with cross-sectional (n = 41, 21%) and prospective studies (n = 39, 20%) being the most prevalent, and randomized-controlled trials being the least prevalent methodology, making up eight studies (4.2%). The most common study themes were trauma (n = 101, 52.6%), lower extremity (n = 31, 16%), and spine-related issues (n = 27, 14%). Only three studies looked at work-related injuries (1.6%). Road traffic injuries (RTIs) were the most common mechanism of trauma in 77.0% of the trauma focused studies. Fifty-three percent of the studies were conducted by a majority of Tanzanian authors. This scoping review highlights various trends in orthopaedic and trauma research in Tanzania, with a particular emphasis on road traffic-related injuries. Various gaps are explored, including a lack of research on work-related injuries and a paucity of experimental research. Our findings underline areas where future research is warranted. The future of orthopaedic and trauma care in Tanzania depends on the efforts and collaboration of both local and international stakeholders.


Assuntos
Ortopedia , Tanzânia/epidemiologia , Humanos , Ferimentos e Lesões/epidemiologia
9.
Iowa Orthop J ; 44(1): 1-10, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38919343

RESUMO

Background: Per the American Academy of Orthopaedic Surgeons, 6.5% of practicing orthopedic surgeons are female and a majority subspecialize in pediatrics, hand, and foot and ankle surgery. The study purpose is to evaluate influences of orthopedic subspecialty selection, specifically factors such as perceived strength, lifestyle, and mentorship influence on subspecialty decisions and to identify if gender plays a role in these perceptions. Methods: An IRB approved cross-sectional study was conducted via email distribution of a REDCapTM survey to U.S. licensed orthopedic surgeons. Data regarding demographics, professional degree, training and current practice location, and perceptions regarding orthopedic surgery was obtained using Likert rating scales. Data was analyzed using descriptive statistics with two-tailed student's t-tests (α=0.05). Results: The survey yielded 282 responses (182 females and 100 males). Overall, the distribution of residents (28%), fellows (6%), and attendings (66%) correlates well with the prevalence of each respective physician category in the field of orthopedic surgery. The study demonstrated no difference in subspecialty choice based on mentorship, work-life-balance, career advancement, subspecialty culture, salary potential, family planning, or schedule. However, a statistically significant difference exists regarding stereotypes, perceived strength required, and perception of discrimination from pursuing a specific orthopedic subspecialty. 27% of females and 10% of males reported discouragement from any subspecialty (p<0.05). Adult reconstructive and oncology were most frequently discouraged. Women reported not choosing a subspecialty because of perceived physical demands more often than men (p<0.001). Women reported an increased use of adaptive strategies in the operating room (p<0.001). Women were also more likely to report feeling discouraged from pursuing a subspecialty due to their gender (p<0.001). Both men and women reported mentorship as the most influential factor in subspecialty selection. Conclusion: Women and men reported different factors were important in their decision of subspecialty. Women were more likely to be discouraged from a subspecialty and experience discrimination based on their perceived strength compared to male peers. Residents, fellows, and attending surgeons valued mentorship as the most influential in their subspeciality choice. This study suggests intrinsic and extrinsic influences that may differentially affect male and female orthopedic surgeons when they choose a subspecialty. Level of Evidence: III.


Assuntos
Escolha da Profissão , Ortopedia , Humanos , Estudos Transversais , Feminino , Masculino , Ortopedia/educação , Estados Unidos , Fatores Sexuais , Adulto , Cirurgiões Ortopédicos/psicologia , Inquéritos e Questionários , Médicas/estatística & dados numéricos , Médicas/psicologia , Mentores
10.
Iowa Orthop J ; 44(1): 11-15, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38919355

RESUMO

Background: The orthopaedic surgery residency match is becoming increasingly more competitive with a disproportionate number of applicants to positions. As the residency application process has become more competitive, applicants have resorted to applying broadly to improve their chance of a successful match. Preference signaling was implemented for orthopaedic surgery for the 2022-2023 match cycle which allowed applicants to "signal" 30 programs of their choosing. Methods: The purpose of this study was to assess the impact of preference signaling on orthopaedic surgery applicant experiences and outcomes in the 2023 residency application cycle and match. An anonymous electronically based survey study developed using Research Electronic Data Capture (REDCap) was send to 895 applicants to a single orthopedic residency program. 148 applicants filled out some portion of the survey for a 16.5% response rate. Results: 51% of applicants applied to 61-100 programs. Applicants received more interview offers from programs they signaled compared to programs they did not signal. 50% of applicants responded that the number of allotted signals was "just right", with more applicants responding that the number of signals allotted was "too many" rather than "too few". 62% of applicants agreed that signaling increased his/her chances of receiving an interview offer at a signaled program, 66% were satisfied with the results of the match, and 50% thought signaling had a positive impact on the application process. Conclusion: Overall, preference signaling was well received by applicants and may help to connect applicants with residency programs they are specifically interested in. Level of Evidence: III.


Assuntos
Internato e Residência , Ortopedia , Humanos , Ortopedia/educação , Inquéritos e Questionários , Seleção de Pessoal , Satisfação Pessoal
11.
14.
Tunis Med ; 102(6): 354-359, 2024 Jun 05.
Artigo em Francês | MEDLINE | ID: mdl-38864199

RESUMO

INTRODUCTION: The increase in hip arthroplasties predicts a rise in periprosthetic fractures in Morocco, posing challenges for orthopedic surgeons. Therapeutic strategies vary considerably, highlighting the absence of a universally accepted treatment protocol. AIM: To analyze the management of per-prosthetic hip fractures, while addressing the challenges associated with them. METHODS: This was a retrospective study, conducted in the trauma-orthopedics department between December 2015 and November 2022. Nineteen patients who presented to the hospital with fractures around a hip prosthesis were included. RESULT: Nineteen periprosthetic fractures were observed. The majority of patients (68%) were women, with an average age of 68. The Vancouver classification showed that 52.6% of the fractures were type B1, and 21.1% type C, while the other fracture types were distributed differently. These fractures were mainly associated with diagnoses such as femoral neck fracture (63.2%) and coxarthrosis (31.6%). We observed variations in treatment recommendations and results between the different series analyzed. We noted discrepancies with certain series concerning fracture types and therapeutic choices. However, in our series, we achieved satisfactory results, with successful consolidation and the absence of complications in all patients. CONCLUSION: These results underline the importance of an individualized approach to fracture management, taking into account the specificities of each case.


Assuntos
Artroplastia de Quadril , Fraturas do Quadril , Hospitais Universitários , Fraturas Periprotéticas , Humanos , Feminino , Estudos Retrospectivos , Fraturas Periprotéticas/epidemiologia , Fraturas Periprotéticas/terapia , Fraturas Periprotéticas/cirurgia , Fraturas Periprotéticas/etiologia , Fraturas Periprotéticas/diagnóstico , Masculino , Marrocos/epidemiologia , Idoso , Pessoa de Meia-Idade , Artroplastia de Quadril/estatística & dados numéricos , Artroplastia de Quadril/métodos , Hospitais Universitários/estatística & dados numéricos , Fraturas do Quadril/epidemiologia , Fraturas do Quadril/cirurgia , Fraturas do Quadril/terapia , Idoso de 80 Anos ou mais , Traumatologia/normas , Traumatologia/métodos , Ortopedia/estatística & dados numéricos , Prótese de Quadril/estatística & dados numéricos , Adulto
15.
J Long Term Eff Med Implants ; 34(4): 71-81, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38842235

RESUMO

A thorough literature search was done in PubMed and Google Scholar as well as in physical books in libraries to summarize the literature on the history and evolution of medicine and orthopedics. The philosophical ideas that emerged in ancient Greece served as a foundation for the development of medicine. In the 5th century BC, the schools of Knidos and Kos emerged as influential centers for the development of medical thinking. The field of orthopedics can be traced back to early human civilizations. Ancient Egyptians perpetuated the tradition of employing splinting techniques. Hippocrates provided insights for the diagnosis, correction and treatment of many musculoskeletal entities. The field of medicine experienced a period of limited advancement during the Middle Ages. The Renaissance provided for the foundation of modern orthopedics and important contributions to the understanding and implementation of antisepsis. The discovery of x-ray and advancements in infection control and anesthesia have shown substantial progress in the domain of orthopedics and have contributed to the development of orthopedic subspecialization. Orthopedic surgery holds a historical lineage deeply entrenched in ancient practices and early human civilizations. Physicians specializing in orthopedics should be aware of the historical origins of their discipline and continue to evolve through further subspecialization and enhanced research.


Assuntos
Ortopedia , História Antiga , Humanos , História do Século XVI , História Medieval , Ortopedia/história , História do Século XVII , História do Século XX , História do Século XV , História do Século XIX , História do Século XVIII , História do Século XXI
16.
Can J Surg ; 67(3): E243-E246, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38843943

RESUMO

SummaryLetters of recommendation are increasingly important for the residency match. We assessed whether an artificial intelligence (AI) tool could help in writing letters of recommendation by analyzing recommendation letters written by 3 academic staff and AI duplicate versions for 13 applicants. The preferred letters were selected by 3 blinded orthopedic program directors based on a pre-determined set of criteria. The first orthopedic program director selected the AI letter for 31% of applicants, and the 2 remaining program directors selected the AI letter for 38% of applicants, with the staff-written versions selected more often by all of the program directors (p < 0.05). The first program director recognized only 15% of the AI-written letters, the second was able to identify 92%, and the third director identified 77% of AI-written letters (p < 0.05).


Assuntos
Inteligência Artificial , Internato e Residência , Humanos , Redação/normas , Ortopedia/educação , Ortopedia/normas , Correspondência como Assunto , Seleção de Pessoal/métodos , Seleção de Pessoal/normas
17.
Mo Med ; 121(2): 164-169, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38694601

RESUMO

The use of telemedicine has rapidly expanded in the wake of the COVID pandemic, but its effect on patient attendance remains unknown for different clinicians. This study compared traditional in-clinic visits with telehealth visits by retrospectively reviewing all scheduled orthopaedic clinic visits. Results demonstrated lower rates of cancellations in patients scheduled for telehealth visits as compared to in-clinic visits, during the initial COVID pandemic. In general, physicians can expect a lower cancellation rate than non-physician practitioners.


Assuntos
COVID-19 , Ortopedia , Telemedicina , Humanos , Telemedicina/estatística & dados numéricos , COVID-19/epidemiologia , Estudos Retrospectivos , Ortopedia/estatística & dados numéricos , Agendamento de Consultas , Feminino , Masculino , SARS-CoV-2 , Pacientes não Comparecentes/estatística & dados numéricos , Pessoa de Meia-Idade , Pandemias , Adulto , Missouri
18.
J Pak Med Assoc ; 74(4 (Supple-4)): S90-S96, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38712415

RESUMO

Integrating Artificial Intelligence (AI) in orthopaedic within lower-middle-income countries (LMICs) promises landmark improvement in patient care. Delving into specific use cases-fracture detection, spine imaging, bone tumour classification, and joint surgery optimisation-the review illuminates the areas where AI can significantly enhance orthopaedic practices. AI could play a pivotal role in improving diagnoses, enabling early detection, and ultimately enhancing patient outcomes- crucial in regions with constrained healthcare services. Challenges to the integration of AI include financial constraints, shortage of skilled professionals, data limitations, and cultural and ethical considerations. Emphasising AI's collaborative role, it can act as a complementary tool working in tandem with physicians, aiming to address gaps in healthcare access and education. We need continued research and a conscientious approach, envisioning AI as a catalyst for equitable, efficient, and accessible orthopaedic healthcare for patients in LMICs.


Assuntos
Inteligência Artificial , Países em Desenvolvimento , Ortopedia , Humanos , Neoplasias Ósseas/cirurgia , Fraturas Ósseas/cirurgia
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