Patellar resurfacing and nonresurfacing show similar 5-year outcomes in total knee arthroplasty
Five-year knee data shows resurfacing offers no benefit over leaving the kneecap alone
This randomized controlled trial in 250 knees compared patellar resurfacing to nonresurfacing during primary TKA. At 60-month follow-up, no …
After five years, patients who had their kneecap resurfaced during knee replacement did not fare better than those who did not. This trial o…
Intercostal nerve cryoablation reduces opioid use and ICU stay compared to surgical stabilization alone in rib fracture patients
Freezing rib nerves may lower pain medicine needs and shorten hospital stays for broken ribs
This systematic review and meta-analysis evaluated intercostal nerve cryoablation versus surgical stabilization alone in adult patients with…
A new analysis suggests freezing rib nerves could reduce pain medicine use and shorten hospital time for adults with broken ribs, though mor…
Preventing tibial fracture infections may cut CO2 by 1025 kg per case
Preventing bone infections could cut carbon emissions
This meta-analysis models the environmental impact of preventing tibial fracture-related infections (FRIs). Each prevented FRI could reduce …
Preventing just one tibial fracture infection saves over 1,000 kg of CO2, enough to drive 2,500 miles.
Drug-induced osteoporosis mechanisms and gut microbiota links remain largely unresolved for most medication classes
Many common medicines might change gut bacteria and affect bone strength in older adults
This narrative review examines the association between medications such as glucocorticoids and aromatase inhibitors and gut microbiota alter…
Some drugs like antidepressants and seizure medicines can alter gut bacteria. Scientists are still studying if these changes hurt bones or c…
Tubeless thoracic surgery may reduce pain and hospital stay in pulmonary nodule resection, though long-term safety remains unconfirmed
Tubeless lung surgery may reduce pain and hospital stays for some patients
This narrative synthesis reviews 59 articles on tubeless thoracic surgery for patients with pulmonary nodules. The authors note reductions i…
A review of 59 articles suggests tubeless lung surgery might lower pain and hospital stays, though long-term safety needs more proof.
Discogenic Low Back Pain Management Shifts Toward Mechanism Informed Precision Care Strategies
Discogenic Low Back Pain May Need Precision Care Instead of Generalized Algorithms
Current management of discogenic low back pain requires a shift from generalized algorithms to mechanism-informed precision care. Integratin…
A narrative review suggests moving from generalized algorithms toward mechanism-informed precision care for discogenic low back pain patient…
Exercise improves executive function and memory in cognitively healthy older adults
Exercise Boosts Memory and Thinking in Older Adults
This meta-analysis of exercise interventions in cognitively healthy older adults found significant improvements in executive function (SMD =…
A new analysis finds exercise improves memory, focus, and processing speed in healthy older adults.
Gut microbiome metabolites regulate bone health via SCFAs, bile acids, and tryptophan pathways
Multi-omics approaches reveal new links between gut microbes and bone health
This narrative review synthesizes evidence that gut microbiome metabolites—SCFAs, bile acids, and tryptophan derivatives—regulate bone remod…
A narrative review suggests gut microbes may influence bone conditions like osteoporosis and osteoarthritis through specific metabolic pathw…
MRI-guided laser interstitial thermal therapy shows variable seizure freedom in drug-resistant epilepsy
MRI laser therapy for drug-resistant epilepsy shows wide seizure freedom rates
A systematic review of systematic reviews evaluated MRI-guided laser interstitial thermal therapy for patients with drug-resistant epilepsy.…
A review of 16 studies finds MRI-guided laser therapy can free some patients from seizures, but the success rate varies widely and safety ri…
Single-port VATS reduces hospital stay and pain compared to multi-port VATS in primary spontaneous pneumothorax patients
Single-port surgery reduces hospital time and pain for lung bubble removal
This meta-analysis of cohort studies evaluated single-port versus multi-port video-assisted thoracoscopic surgery (VATS) for bullous lung re…
Single-port lung surgery shortens hospital stays and lowers pain after removing lung bubbles, while keeping other risks the same as standard…
Global review reveals complex governance challenges for transgender athletes across diverse sporting contexts and regions
Current rules for transgender athletes lack stability and clear evidence
An integrative review highlights uneven evidence regarding testosterone and pubertal development in transgender athletes. Current policies s…
A global review shows rules for transgender athletes are unstable and media coverage shapes public views on their legitimacy.
Case report review highlights suspicion of breast cancer metastasis to thyroid in a 54-year-old woman
Breast cancer can spread to the thyroid gland in rare cases
This case report review describes a 54-year-old woman with a history of breast cancer who developed metastasis to the thyroid. The authors n…
A single case report shows a 54-year-old woman survived after breast cancer spread to her thyroid, highlighting the need for careful diagnos…