Consensus Paper | Surgical video data use, structure, and exploration (for research in AI, quality improvement, and education)9 Aug, 2023 | 15:20h | UTC
SAGES consensus recommendations on surgical video data use, structure, and exploration (for research in artificial intelligence, clinical quality improvement, and surgical education) – Surgical Endoscopy
RCT | Ferric derisomaltose plus tranexamic acid may reduce blood transfusion risk by 50% in hip surgery3 Aug, 2023 | 13:18h | UTC
Ferric derisomaltose and tranexamic acid, combined or alone, for reducing blood transfusion in patients with hip fracture (the HiFIT trial): a multicentre, 2 × 2 factorial, randomised, double-blind, controlled trial – The Lancet Haematology (link to abstract – $ for full-text)
M-A | Updated evidence supports incisional negative pressure wound therapy for surgical site infection prevention1 Aug, 2023 | 14:15h | UTC
Systematic Review | Ethical perspectives on surgical video recording for patients, surgeons and society11 Jul, 2023 | 13:44h | UTC
Opioid analgesia for acute low back pain and neck pain (the OPAL trial): a randomised placebo-controlled trial – The Lancet (link to abstract – $ for full-text)
Commentary from the authors: Opioids don’t relieve acute low back or neck pain – and can result in worse pain, new study finds – The Conversation
RCT | Arthroscopic capsular shift surgery shows no significant pain or functional improvement in atraumatic shoulder instability29 Jun, 2023 | 13:45h | UTC
Arthroscopic capsular shift surgery in patients with atraumatic shoulder joint instability: a randomised, placebo-controlled trial – British Journal of Sports Medicine (link to abstract – $ for full-text)
Cohort Study | Increased revision rates seen in shoulder replacement surgeries by surgeons with less than 10 procedures annually27 Jun, 2023 | 13:48h | UTC
Summary: This prospective cohort study investigated the correlation between surgeon volume and patient outcomes after elective shoulder replacement surgeries. Utilizing data from 39,281 procedures performed by 638 surgeons in UK public and private hospitals between 2012-20, the study focuses on adults aged 18 years or older.
The results indicate a significant connection between a surgeon’s mean annual volume and risk of adverse patient outcomes. Surgeons performing fewer than 10.4 procedures per year demonstrated a significantly increased risk of revision surgery, with the hazard ratio being almost twice as high as that of the lowest risk surgeons. Higher mean annual surgical volume correlated with lower risks of reoperations, fewer serious adverse events, and shorter hospital stays.
These findings suggest the need for strategic resource planning in surgical services, with considerations given to surgeon’s annual procedure volume to improve patient outcomes after shoulder replacement surgery. It should be noted that the study was limited in scope to surgeries performed within the NHS and private hospitals in England. Furthermore, potential confounding factors like patients’ social circumstances, carer availability, or body mass index were not considered.
Article: Association between surgeon volume and patient outcomes after elective shoulder replacement surgery using data from the National Joint Registry and Hospital Episode Statistics for England: population based cohort study – The BMJ
Summary: This randomized superiority trial studied the effect of high-dose dual-antibiotic loaded cement versus standard care single-antibiotic loaded cement on deep surgical site infection (SSI) rates in hip hemiarthroplasty patients. This large-scale study, conducted in 26 UK hospitals, included people aged 60 and older with a hip fracture.
The trial randomly allocated 4936 participants to either treatment group. The primary outcome was deep SSI at 90 days post-randomisation. Notably, no significant difference was found between the groups. About 1.7% of participants in the single-antibiotic group and 1.2% in the dual-antibiotic group experienced a deep SSI (adjusted odds ratio 1.43; 95% CI 0.87–2.35; p=0.16). This result contradicts previous findings suggesting that high-dose dual-antibiotic cement could reduce infection rates.
Review | The antibiotic bead pouch – A useful technique for infection prevention and therapy in trauma surgery26 Jun, 2023 | 00:35h | UTC
RCT | Comparable 1-year outcomes for intramedullary nail vs. sliding hip screw in trochanteric fractures22 Jun, 2023 | 15:06h | UTC
Commentary on Twitter
INSITE RCT: No significant benefit to using more costly intramedullary devices over sliding hip screws for the majority of patients with trochanteric hip fractures, adding to the body of evidence that the increasing use of these implants is unwarranted. https://t.co/15iJRW5xIS
— JAMA Network Open (@JAMANetworkOpen) June 6, 2023
Systematic Review | Tranexamic acid likely decreases red blood cell transfusion need in hip fracture surgery16 Jun, 2023 | 14:09h | UTC
Imaging features of the postoperative spine: a guide to basic understanding of spine surgical procedures15 Jun, 2023 | 14:43h | UTC