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Arthroplasty

Cohort Study | Risk of total hip arthroplasty in former elite athletes

2 Feb, 2023 | 14:43h | UTC

Risk of total hip arthroplasty after elite sport: linking 3304 former world-class athletes with the Norwegian Arthroplasty Register – British Journal of Sports Medicine

Commentary: Elite athletes 2x more likely to need hip arthroplasty – Orthopedics This Week

 


M-A | Continuous cryotherapy vs. traditional cryotherapy after total knee arthroplasty

1 Feb, 2023 | 13:07h | UTC

Continuous cryotherapy vs. traditional cryotherapy after total knee arthroplasty: A systematic review and meta-analysis of randomized controlled trials – Frontiers in Surgery

 


M-A | Tourniquet application in primary total knee arthroplasty for osteoarthritis

31 Jan, 2023 | 13:41h | UTC

Tourniquet application in primary total knee arthroplasty for osteoarthritis: A systematic review and meta-analysis of randomized controlled trials – Frontiers in Surgeryv

 


RCT | High-dose steroid in low pain responders undergoing total knee arthroplasty

27 Jan, 2023 | 12:08h | UTC

High-dose steroid in low pain responders undergoing total knee arthroplasty: a randomised double-blind trial – British Journal of Anaesthesia

 


RCT | Comparison of functional recovery between unicompartmental and total knee arthroplasty

26 Jan, 2023 | 11:58h | UTC

Comparison of Functional Recovery Between Unicompartmental and Total Knee Arthroplasty: A Randomized Controlled Trial – The Journal of Bone and Joint Surgery  (link to abstract – $ for full-text)

News Release: Functional outcome measures show faster recovery with ‘partial’ versus total knee arthroplasty – Wolters Kluwer

Commentary: Partial Knee Arthroplasty Shortens Recovery Time in Patients With Medial Knee OA – Consultant 360

 


Key elements of enhanced recovery after total joint arthroplasty: a reanalysis of the ERAS guidelines

20 Jan, 2023 | 14:49h | UTC

Key Elements of Enhanced Recovery after Total Joint Arthroplasty: A Reanalysis of the Enhanced Recovery after Surgery Guidelines – Orthopaedic Surgery

Related:

Consensus statement for perioperative care in total hip replacement and total knee replacement surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations – Acta Orthopaedica

Enhanced recovery pathways in orthopedic surgery – Journal of Anaesthesiology Clinical Pharmacology

Enhanced recovery after surgery for primary hip and knee arthroplasty: a review of the evidence – British Journal of Anaesthesia

 


RCT | Does choice of patellar implant in total knee arthroplasty matter?

18 Jan, 2023 | 14:06h | UTC

Does Choice of Patellar Implant in Total Knee Arthroplasty Matter? A Randomized Comparative Trial of 3 Commonly Used Designs – The Journal of Bone and Joint Surgery (link to abstract – $ for full-text)

Commentary: To resurface the patellar: Onlay, Inlay or Onlay Oval? – Orthopedics This Week

 


Study shows many patients com safely wait 10 years for follow-up after primary hip and knee replacement

13 Jan, 2023 | 13:17h | UTC

Safety of disinvestment in mid- to late-term follow-up post primary hip and knee replacement: the UK SAFE evidence synthesis and recommendations – Health Technology Assessment

Commentary: Joint replacements: many people can safely wait 10 years for follow-up – National Institute for Health and Care Research

 

Commentary on Twitter

 


Retrospective Study | Incidence, timing, and predictors of hip dislocation after primary total hip arthroplasty for osteoarthritis

11 Jan, 2023 | 14:01h | UTC

Incidence, Timing, and Predictors of Hip Dislocation After Primary Total Hip Arthroplasty for Osteoarthritis – Journal of the American Academy of Orthopaedic Surgeons (link to abstract – $ for full-text)

Commentary: Who (and why) risks dislocation after hip arthroplasty? – Orthopedics This Week

 


RCT | Thromboprophylaxis with unilateral pneumatic device vs. enoxaparin after knee arthroplasty.

13 Dec, 2022 | 14:12h | UTC

Thromboprophylaxis with unilateral pneumatic device led to less edema and blood loss compared to enoxaparin after knee arthroplasty: randomized trial – BMC Musculoskeletal Disorders

 


RCT | In patients with end-stage ankle osteoarthritis, total ankle replacement and arthrodesis resulted in comparable results.

16 Nov, 2022 | 13:45h | UTC

Total Ankle Replacement Versus Arthrodesis for End-Stage Ankle Osteoarthritis: A Randomized Controlled Trial – Annals of Internal Medicine (link to abstract – $ for full-text)

News Release: Trial shows benefits of two forms of ankle surgery for osteoarthritis – University College London

Summary for Patients: Total Ankle Replacement Versus Arthrodesis for End-Stage Ankle Osteoarthritis

 


RCT | Clinical and cost-effectiveness of single stage compared vs. two-stage revision for hip prosthetic joint infection.

4 Nov, 2022 | 13:49h | UTC

Clinical and cost effectiveness of single stage compared with two stage revision for hip prosthetic joint infection (INFORM): pragmatic, parallel group, open label, randomised controlled trial – The BMJ

 


M-A | Clinical effectiveness and safety of spinal anesthesia vs. general anesthesia in patients undergoing hip fracture surgery.

24 Oct, 2022 | 14:09h | UTC

Clinical effectiveness and safety of spinal anaesthesia compared with general anaesthesia in patients undergoing hip fracture surgery using a consensus-based core outcome set and patient-and public-informed outcomes: a systematic review and meta-analysis of randomised controlled trials – British Journal of Anaesthesiology

Related:

RCT: In older patients undergoing hip fracture surgery, regional anesthesia did not reduce the incidence of postoperative delirium compared to general anesthesia.

RCT: Spinal anesthesia is associated with more pain and prescription analgesic use after hip surgery compared to general anesthesia.

RCT: Spinal Anesthesia not Superior to General Anesthesia for Hip Surgery in Older Adults.

RCT: Similar long-term survival after combined epidural–general anesthesia vs. general anesthesia alone.

Long-term Survival after Combined Epidural–General Anesthesia or General Anesthesia Alone: Follow-up of a Randomized Trial – Anesthesiology

Delirium in Older Patients after Combined Epidural–General Anesthesia or General Anesthesia for Major Surgery: A Randomized Trial – Anesthesiology

 


RCT | The efficacy of bone wax in reduction of perioperative blood loss in total hip arthroplasty via direct anterior approach.

21 Oct, 2022 | 12:48h | UTC

The Efficacy of Bone Wax in Reduction of Perioperative Blood Loss in Total Hip Arthroplasty via Direct Anterior Approach: A Prospective Randomized Clinical Trial – The Journal of Bone and Joint Surgery (link to abstract – $ for full-text)

 


RCT | A postoperative multimodal opioid-sparing protocol can reduce opioid consumption after knee or shoulder arthroscopy.

5 Oct, 2022 | 13:57h | UTC

Effect of a Postoperative Multimodal Opioid-Sparing Protocol vs Standard Opioid Prescribing on Postoperative Opioid Consumption After Knee or Shoulder Arthroscopy: A Randomized Clinical Trial – JAMA (free for a limited period)

News Release: Orthopedic surgery patients do fine without opioid painkillers – McMaster University

See also: Visual Abstract

Video Editor’s Note: Effect of an Opioid-Sparing Protocol vs Standard Prescribing on Opioid Consumption After Knee or Shoulder Arthroscopy

 


Systematic Review | Interventions for improving mobility after hip fracture surgery in adults.

14 Sep, 2022 | 13:11h | UTC

Interventions for improving mobility after hip fracture surgery in adults – Cochrane Library

Summary: Do mobility strategies improve and restore mobility after hip fracture surgery in adults? – Cochrane Library

 

Commentary from the author on Twitter

 


Opinion | Tranexamic acid for safer surgery: the time is now.

7 Sep, 2022 | 12:37h | UTC

Tranexamic acid for safer surgery: the time is now – British Journal of Surgery

Related:

#ACC22 – RCT: Tranexamic acid reduces the risk of bleeding in patients undergoing noncardiac surgery.

Update on applications and limitations of perioperative tranexamic acid.

RCT | Effect of high- vs. low-dose tranexamic acid infusion on need for red blood cell transfusion and adverse events in patients undergoing cardiac surgery.

Safety of tranexamic acid in hip and knee arthroplasty in high-risk patients – this large observational study did not show an increased risk for venous thromboembolism, myocardial infarction, seizures, ischemic strokes, or transient ischemic attacks, irrespective of patient high-risk status at baseline

M-A: Intravenous tranexamic acid in surgical patients is not associated with increased risk of thromboembolic events and mortality

 


RCT | Enoxaparin (40 mg/d) is superior to aspirin (100 mg/d) for the prevention of thromboembolism in patients undergoing hip or knee arthroplasty.

25 Aug, 2022 | 12:12h | UTC

Effect of Aspirin vs Enoxaparin on Symptomatic Venous Thromboembolism in Patients Undergoing Hip or Knee Arthroplasty: The CRISTAL Randomized Trial – JAMA (free for a limited period)

Editorial: Thromboprophylaxis After Hip or Knee Arthroplasty – JAMA

 

Commentary on Twitter

 


RCT | Small trial suggests intraosseous morphine may decrease postoperative pain and pain medication use after total knee arthroplasty.

15 Aug, 2022 | 12:03h | UTC

Intraosseous Morphine Decreases Postoperative Pain and Pain Medication Use in Total Knee Arthroplasty: A Double-Blind, Randomized Controlled Trial – The Journal of Arthroplasty

News Release: A new way to control pain after knee replacement surgery – Houston Methodist

 


Retrospective cohort study | In patients with recurrent prosthetic joint infection after attempted surgical eradication, chronic antibiotic suppression may be a reasonable strategy in patients who lack or refuse further surgical treatment options.

10 Aug, 2022 | 12:17h | UTC

Predictors of Success with Chronic Antibiotic Suppression for Prosthetic Joint Infections – The Journal of Arthroplasty (link to abstract – $ for full-text)

Commentary: Chronic antibiotic suppression may successfully treat periprosthetic joint infections – Healio (free registration required)

 


A guide to regional analgesia for total knee arthroplasty.

20 Jul, 2022 | 12:13h | UTC

A guide to regional analgesia for Total Knee Arthroplasty – Efort Open Reviews

 


Retrospective Cohort Study | The impact of frailty on short-term mortality following primary total hip and knee arthroplasty due to osteoarthritis.

20 Jul, 2022 | 11:50h | UTC

The impact of frailty on short-term mortality following primary total hip and knee arthroplasty due to osteoarthritis – Age and Ageing

 


Registry-based cohort study | Modifiable and non-modifiable risk factors in hip fracture mortality in Norway, 2014 to 2018.

15 Jul, 2022 | 12:31h | UTC

Modifiable and non-modifiable risk factors in hip fracture mortality in Norway, 2014 to 2018 – The Bone & Joint Journal

 


M-A | Factors correlated with physical function 1 year after total knee arthroplasty in patients with knee osteoarthritis.

12 Jul, 2022 | 12:24h | UTC

Factors Correlated With Physical Function 1 Year After Total Knee Arthroplasty in Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis – JAMA Network Open

 

Commentary on Twitter

 


2022 ACR Guideline for the perioperative management of antirheumatic medication in patients with rheumatic diseases undergoing elective total hip or total knee arthroplasty.

11 Jul, 2022 | 12:29h | UTC

2022 American College of Rheumatology/American Association of Hip and Knee Surgeons Guideline for the Perioperative Management of Antirheumatic Medication in Patients With Rheumatic Diseases Undergoing Elective Total Hip or Total Knee Arthroplasty – Arthritis Care & Research (PDF)

See also: Guideline Summary (PDF)

 


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