TOPIC

Orthopaedic research

Everything we have read on orthopaedic. Each paper is summarised from the full article rather than its abstract, so the limitations are in there too, and the funding wherever the paper declares it.

2,015 PAPERS · PAGE 1 OF 41 · NEWEST FIRST

• PTRNCohort2017Effects of Postacute Settings on Readmission Rates and Reasons for Readmission Following Total Knee Arthroplasty.Journal of the American Medical Directors AssociationMedicare patients discharged home after knee replacement had lower 30-day readmission rates than those discharged to skilled nursing or inpatient rehabilitation. Infection was commonest early readmission reason; later readmissions were often digestive or urinary.
• PTOTSLPRNCohort2018The Relationship Between the Dietary Inflammatory Index and Incident Frailty: A Longitudinal Cohort Study.Journal of the American Medical Directors AssociationOlder adults with the most pro-inflammatory diets had a higher risk of becoming frail over eight years. This link was strong in men, where the highest diet score group had four times the risk, but no association was found in women.
• PTSystematic Review2017Factors associated with balance function in patients with knee osteoarthritis: An integrative review.International journal of nursing sciencesIn knee osteoarthritis, older age, higher BMI, greater pain, and weaker knees or ankles were linked to poorer balance. Knee sleeves and insoles gave mixed results. Weight loss and strengthening were suggested, but this review cannot prove they improve balance.
• PTRCT2017Circulating Lipids and Acute Pain Sensitization: An Exploratory Analysis.Nursing researchIn 30 people with acute low back pain, four blood lipids differed between those with and without pain sensitization, but predicted sensitization only 58% of the time, so this is not a clinical test.
• PTNarrative Review2019Nurse Practitioners in Orthopaedic Surgical Settings: A Review of the Literature.Orthopedic nursingNurse practitioners in orthopaedic surgical teams were reported to improve access, communication and length of stay, but formal specialty training was inconsistent.
• PTRNPilot2019Use of a Wearable Technology and Motivational Interviews to Improve Sleep in Older Adults With Osteoarthritis and Sleep Disturbance: A Pilot Study.Research in gerontological nursingOlder adults with osteoarthritis and insomnia symptoms reported less severe insomnia after 19 weeks of Fitbit tracking, tailored texts, and motivational calls. Insomnia scores improved by 1.2 points on a 28-point scale. No control group means this is feasibility, not proof.
• PTOTRNSystematic Review2019A systematic mixed methods review: Recovering from a hip fracture in a health promoting perspective.Nursing openOlder adults recovering at home after hip fracture described recovery as a battle for independence. Support that strengthens their sense of control and motivation may matter more than exercise alone.
• PTOTRNCohort2019Genotype, resilience and function and physical activity post hip fracture.International journal of orthopaedic and trauma nursingAt two months after hip fracture, resilience was associated with genetic variation and social activity, and with better function and more exercise. The study cannot show cause.
• PTRNQualitative2019Struggling to be seen and understood as a person - Chronic back pain patients' experiences of encounters in health care: An interview study.Nursing openNine chronic back pain patients described struggling to be seen and understood. They felt disbelieved, shuttled between providers, and obliged to adapt to care routines. They wanted time, honest answers, and continuity.
• PTRNCohort2019The Clinical Potential of Frailty Indicators on Identifying Recurrent Fallers in the Community: The Mr. Os and Ms. OS Cohort Study in Hong Kong.Journal of the American Medical Directors AssociationFall history was the strongest predictor of recurrent falls in older adults. Frailty indicators did not beat it; they added little, mainly in women with a prior fall.
• PTRNSurvey2020Predicting physical activity and cardiovascular risk and quality of life in adults with osteoarthritis at risk for metabolic syndrome: A test of the information-motivation-behavioral skills model.Nursing openIn adults with osteoarthritis at risk for metabolic syndrome, physical activity was associated with lower cardiovascular risk. Confidence to overcome exercise barriers and cognitive function were associated with activity, while quality of life was associated with social support and depressive symptoms rather than activity.
• PTRNSystematic Review2020Benefits of Qigong as an integrative and complementary practice for health: a systematic review.Revista latino-americana de enfermagemQigong trials reported improvements in fatigue, pain, sleep, mood, function and quality of life in adults and older adults, but several trials found no benefit, so it does not prove it works for every condition.
• PTRNOther2021Black American older adults' motivation to engage in osteoarthritis treatment recommendations for pain self-management: A mixed methods study.International journal of nursing studiesOlder Black Americans with osteoarthritis reported high motivation, but pain, unsafe neighborhoods, no pool, low access, and disbelief blocked recommended exercise and self-management. Group settings, home equipment, and empathetic education helped.
• PTCohort2020Walking Speed and Muscle Mass Estimated by the D3-Creatine Dilution Method Are Important Components of Sarcopenia Associated With Incident Mobility Disability in Older Men: A Classification and Regression Tree Analysis.Journal of the American Medical Directors AssociationIn older men, walking speed under 0.88 m/s was the most important predictor of later mobility disability. Estimated muscle mass and chair stand speed also predicted it. Grip strength and DXA lean mass did not.
• PTOTRNCohort2020Risk of Hospitalized Falls and Hip Fractures in 22,103 Older Adults Receiving Mental Health Care vs 161,603 Controls: A Large Cohort Study.Journal of the American Medical Directors AssociationOlder adults using mental health services had twice the rate of hospitalized falls and 4 times the rate of hip fractures compared with local residents. Substance use, bipolar disorder, dementia, mild cognitive impairment, and delirium carried particularly high risk.
• PTOTSLPRNNarrative Review2021Important perioperative factors, guidelines and outcomes in the management of hip fracture.Journal of perioperative practiceThis review summarises perioperative care for hip fracture patients. It highlights the need for early surgery, prompt mobilisation, and awareness of physical and psychosocial complications. It notes that current risk prediction tools do not yet account for social factors.
• PTOTSLPRNCohort2020Predicting hospital outcomes with the reported edmonton frail scale-Thai version in orthopaedic older patients.Journal of clinical nursingPreoperative frailty screening with the REFS-Thai predicted postoperative complications and delirium better than standard medical assessments in older orthopaedic patients. Frail patients had higher odds of complications and longer stays, while apparent frailty also predicted delirium.
• PTOTSLPRNRCT2021Application of enhanced recovery after surgery in total knee arthroplasty in patients with haemophilia A: A pilot study.Nursing openPatients with haemophilia A recovering from knee replacement had shorter hospital stays, less pain, and better joint function scores when receiving enhanced recovery protocols compared to routine nursing.
• PTOTRNSystematic ReviewAnxiety Symptoms After Orthopedic Injury: A Systematic Review.Journal of trauma nursing : the official journal of the Society of Trauma NursesAfter limb or pelvic fractures, clinically significant anxiety symptoms were common, from 11.5% to 55.7% during admission and 20% to 39% years later, and were associated with depression, PTSD, and pain.
• PTOTRNCohort2021Fragility hip fractures in the COVID-19 pandemic: A local experience in the United Kingdom.International journal of orthopaedic and trauma nursingIn 34 older hip fracture patients during UK lockdown, 48% were operated within 36 hours and 30-day mortality was 20%; timing was not significantly linked to stay or death.
• PTNarrative Review2021The orthopaedic experience of COVID-19: A literature review.Journal of perioperative practiceEarly orthopaedic care during COVID-19 shifted toward urgent cases: elective surgery was cancelled, screening and PPE expanded, outpatient work moved online, and waiting times lengthened.
• PTRNCohort2021Investigating key predictors of persistent low back pain: A focus on psychological stress.Applied nursing research : ANRIn acute low back pain, higher stress, worse pain, and lower pressure thresholds were linked to less pain resolution. In the final model, household income greater than $60,000 per year was the strongest predictor.
• PTRNNarrative Review2021Perioperative management of elderly patients with osteoarthritis requiring total knee arthroplasty.Journal of perioperative practicePreoperative education, pain drugs, strength exercises, blood management and early mobilisation are discussed for older patients having total knee replacement. This is a narrative review, so these are reported recommendations, not tested outcomes.
• PTRCT2021The effectiveness of social media and in-person interventions for low back pain conditions in nursing personnel (SMILE).Nursing openErgonomic and exercise education reduced pain and disability in nurses with work-related low back pain versus no education at 3 months. Social-media delivery gave greater 6-month pain and disability benefit than in-person sessions, but reminders and content were not separated.
• PTRNCohort2021Perception of musculoskeletal pain in the state of confinement: associated factors.Revista latino-americana de enfermagemDuring Spain's early lockdown, more adults reported musculoskeletal pain, especially women and people over 65, and pain was linked to more sitting, screen time, and restlessness, tension, or poor sleep.
• PTRNRCT2022Effect of a multimedia training programme for pain management on pain intensity and depression in patients with non-specific chronic back pain.Investigacion y educacion en enfermeriaMultimedia pain training showed no clear difference from routine care at each measured time for pain or depression. Change over time differed between groups, and baseline depression was higher in the multimedia group.
• PTOTNarrative Review2022The role of acetic acid in orthopaedic surgery.Journal of perioperative practiceAcetic acid may be used off-licence in orthopaedic wounds and iontophoresis for tendon or scar problems, but evidence is limited and optimal doses and soak times are unclear.
• PTOTCohort2021Functional Status Across Post-Acute Settings is Associated With 30-Day and 90-Day Hospital Readmissions.Journal of the American Medical Directors AssociationPatients with lower self-care or mobility function at the initial post-acute stay had higher 30-day and 90-day readmission risk across stroke, lower extremity joint replacement and hip/femur fracture/procedure. Function flags risk; it does not prove rehabilitation prevents readmission.
• PTSurvey2022Depressive Symptoms Associated With Musculoskeletal Pain in Inactive Adults During COVID-19 Quarantine.Pain management nursing : official journal of the American Society of Pain Management NursesDuring quarantine, physically inactive adults with depressive symptoms were more likely to report pain in multiple body regions, especially shoulders and knees. Pain clusters in inactive patients may be associated with low mood.
• PTOTRNSurvey2022A Brief Survey of the COVID-19 Pandemic's Impact on the Chronic Pain Experience.Pain management nursing : official journal of the American Society of Pain Management Nurses62.4% of chronic pain patients reported more average pain, 70.0% less activity, 63.2% worse mood; women reported larger increases. Lower perceived control over pain was linked to worsening pain and mood.
• PTRNOther2022Inflammatory and Immune Protein Pathways Possible Mechanisms for Pain Following Walking in Knee Osteoarthritis.Nursing researchA single 30-minute walk increased pain sensitivity in adults with knee osteoarthritis, while healthy controls were unchanged. Walking also raised inflammatory proteins in osteoarthritis participants.
• PTOTOtherBias in Musculoskeletal Pain Management and Bias-Targeted Interventions to Improve Pain Outcomes: A Scoping Review.Orthopedic nursingBias and discrimination were linked to worse pain, disability and less pain treatment for patients with musculoskeletal pain. Perspective-taking reduced provider bias in a reviewed study, but interventions had mixed effects and did not consistently improve pain outcomes.
• PTRNQualitative2022Identified gamification opportunities for digital patient journey solution during an arthroplasty journey: secondary analysis of patients' interviews.Nursing openPatients undergoing hip or knee replacement suggested that digital journey tools could include clear goals, checklists, activity tracking, progressive exercises, visual timelines, and supervised peer or staff support. This was not a test of whether such tools improve outcomes.
• PTRNNarrative Review2022Bone Health Issues in the Pediatric Oncology Patient.Seminars in oncology nursingPediatric cancer treatment can damage growing bones. Monitor bone health before, during and after therapy, teach calcium/vitamin D and weight-bearing activity, and refer for a bone density scan or endocrine evaluation when treatment puts children at risk.
• PTRNNarrative Review2022Bone Health Considerations in Breast Cancer.Seminars in oncology nursingBreast cancer endocrine therapy can rapidly reduce bone density. Use bone density screening, calcium, vitamin D, weight-bearing exercise, and consider bisphosphonates when fracture risk warrants.
• PTOTOther2022Characterizing Standardized Functional Data at Inpatient Rehabilitation Facilities.Journal of the American Medical Directors AssociationInpatient rehab records show Section GG and FIM mostly line up, but Section GG often scores patients as more independent. Transfer change scores were least consistent. Higher Section GG scores can mean device use or different definitions, not better function.
• PTOther2022Factors associated with the 6-minute walk test performance in older adults with hyperkyphosis.Geriatric nursing (New York, N.Y.)In older adults with hyperkyphosis, spine curvature severity was not independently associated with 6-minute walk distance. Taller height, lower weight, and fewer prescription medications were associated with walking farther.
• PTRNOther2022A comprehensive health education plus monitoring support program for older adults with knee osteoarthritis coexisting with overweight and type 2 diabetes.International journal of nursing sciencesOlder Thai adults with knee osteoarthritis, diabetes and overweight had lower pain at 6 months when village volunteers supported their walking, strengthening and diet plan after education (1.73 versus 2.93 on 0 to 10). Baseline pain differed, and other outcomes were mixed.
• PTOTRNCohort2023Risk Factors for First and Recurrent Fractures among Kidney Transplant Recipients.Progress in transplantation (Aliso Viejo, Calif.)Kidney transplant recipients face high fracture rates, with 27% breaking a bone within 10 years. Female sex, diabetes, and prior fracture increase first-fracture risk. For recurrent fractures, female sex, diabetes, and recent transplant era are key risks, while higher BMI appears protective.
• PTOTRNQualitative2023Medical staff's perception of factors contributing to accelerated rehabilitation in patients with cervical spinal cord injury: A qualitative research.Nursing openStaff cited inconsistent messaging and heavy workloads as barriers to Enhanced Recovery After Surgery in cervical spinal cord injury. Nurses reported delaying catheter removal on night shifts due to staffing shortages. Patients' belief that rest aids healing reduced compliance with early mobilization.
• PTOTRNOther2023Virtual Fracture Care in Long-Term Care Homes Avoiding Emergency Department Visits.Journal of the American Medical Directors AssociationIn 17 long-term care referrals, all residents avoided emergency department transfer, and 47% avoided fracture clinic transfer. Trained LTC nurses and physiotherapists stabilized injuries on site, but this is a small quality improvement report, not proof the pathway works.
• PTOTRNSystematic Review2023The relationship between experience of knee pain and physical activity participation: A scoping review of quantitative studies.International journal of nursing sciencesEvidence linking knee pain to physical activity is inconsistent. Pain may reduce moderate activity but not light activity. Psychological factors like catastrophizing and specific painful movements interfere with participation more than pain intensity alone.
• PTOTCohort2023Post-Acute Care in Inpatient Rehabilitation Facilities Between Traditional Medicare and Medicare Advantage Plans Before and During the COVID-19 Pandemic.Journal of the American Medical Directors AssociationDuring the pandemic, inpatient rehabilitation stays became shorter and more expensive, with far more patients discharged home with home health care and fewer to nursing facilities. Differences between traditional and managed care plans narrowed, but the study shows association, not cause.
• PTMeta-Analysis2023Digital self-care in the management of spine musculoskeletal disorders: A systematic review and meta-analysis.Revista latino-americana de enfermagemDigital self-care programmes produced small reductions in pain and disability for chronic low back pain compared with control groups. Benefits were modest and not clear for neck pain, so use them as an addition to usual treatment.
• PTOTSLPRNSystematic ReviewWhat Is Important to the Younger Person (≤50 Years) When Having a Total Hip Arthroplasty: A Systematic Literature Review.Orthopedic nursingNo existing study has directly asked adults under 50 what outcomes matter most to them after hip replacement. Current knowledge relies on data from mixed-age groups or older patients, so clinicians cannot yet confirm if younger patients' priorities differ from those measured by standard tests.
• PTOTRNNarrative Review2023Principles of management of hand fractures.Journal of perioperative practiceFor adult hand fractures, early pain, wound and neurovascular checks, antibiotics for open fractures, and hand therapy five to seven days after surgery are core principles.
• PTOTRNOther2023A quasi-experimental study of group counselling effectiveness for patient functional ability and quality of counselling among patients with hip arthroplasty.Nursing openGroup counselling before hip replacement matched individual counselling for patient satisfaction and post-surgery function. Nurses can safely use group sessions to save time without harming recovery, though most patients still want better advice on coping at home.
• PTRNCohort2023A descriptive study of physical function and performance in older black men with low back pain.Geriatric nursing (New York, N.Y.)Older Black men with chronic low back pain had moderate pain and limited function: average pain 5.7 out of 10, balance/gait/chair 8.5 out of 12, back tasks 7.0 out of 15, 400m walk 6.3 minutes. Use as baselines, not treatment proof.
• PTSurvey2024How Well Do Seven Self-Report Measures Represent Underlying Back Pain Impact?Pain management nursing : official journal of the American Society of Pain Management NursesCommon back pain questionnaires mostly measured the same overall impact. If time is short, a brief PEG or disability score appeared to capture that impact well. This is about measurement, not treatment.
• PTOTRNSurvey2023Stroke severity to determine musculoskeletal symptoms in family caregivers.Revista latino-americana de enfermagemFamily caregivers of stroke survivors reported low back pain most often, and their low back and shoulder symptoms were linked to the patient's disability. Neck, hip, knee and foot pain did not track the patient's condition.