Arthroplasty | Links Medicus Content Curation & Alerts in Medicine

Many people do not need a follow-up appointment after hip or knee replacement surgery. Research found that most people who had replacement surgery using UK-recommended replacement joints can safely wait 10 years: https://t.co/L0ZQ9M0Dno @srkingsbury @lindsayksmith6 @LeedsBRC pic.twitter.com/Db6GUZG4SA

— NIHR Evidence (@NIHRevidence) January 12, 2023

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

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.

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

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

Pleased to have our Cochrane review on mobility training after hip fracture out today. Key message “extra exercises targeting balance, walking and functional tasks appear effective in improving mobility in hospital and after discharge.” ⁦@msk_health⁩ https://t.co/vLbGWKZWgp

— Prof Cathie Sherrington (@CathieSherr) September 7, 2022

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

#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

In patients undergoing hip or knee arthroplasty for osteoarthritis, aspirin compared with enoxaparin resulted in a significantly higher rate of symptomatic venous thromboembolism (VTE), including below-knee VTE. #Research https://t.co/CdlbAgBttJ

— JAMA (@JAMA_current) August 23, 2022

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

Commentary on Twitter

This meta-analysis of 20 prospective cohort studies (11,317 patients) found associations between presurgical BMI, physical function, and osteoarthritis severity and physical function after total knee arthroplasty (TKA). https://t.co/tQf7HytTEW

— JAMA Network Open (@JAMANetworkOpen) July 11, 2022

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)

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