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Arthroplasty

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

8 Jan, 2022 | 23:09h | UTC

Effect of Regional vs General Anesthesia on Incidence of Postoperative Delirium in Older Patients Undergoing Hip Fracture Surgery: The RAGA Randomized Trial – JAMA (link to abstract – $ for full-text)

Commentary: China-wide study will boost understanding of fatal surgical complication – University of Birmingham

Related:

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.

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

 


Management of Hip Fractures in Older Adults: Evidence-Based Clinical Practice Guideline.

16 Dec, 2021 | 09:42h | UTC

Management of Hip Fractures in Older Adults Evidence-Based Clinical Practice Guideline – American Academy of Orthopaedic Surgeons

Summary: Management of Hip Fractures in Older Adults – American Academy of Orthopaedic Surgeons

News Release: AAOS Updates Clinical Practice Guideline for Management of Hip Fractures in Older Adults

 


Systematic Review | Prehabilitation and rehabilitation for major joint replacement.

21 Nov, 2021 | 22:41h | UTC

Prehabilitation and Rehabilitation for Major Joint Replacement – Agency for Healthcare Research and Quality

See also:

Evidence Summary

Final Report

 


Update on medical management of acute hip fracture.

10 Aug, 2021 | 08:50h | UTC

Update on medical management of acute hip fracture – Cleveland Clinical Journal of Medicine

 

Commentary on Twitter

 


AAOS Guideline: Pharmacologic, physical, and cognitive pain alleviation for musculoskeletal extremity/pelvis surgery.

5 Aug, 2021 | 08:49h | UTC

Pharmacologic, Physical, and Cognitive Pain Alleviation for Musculoskeletal Extremity/Pelvis Surgery – American Academy of Orthopaedic Surgeons

Evidence summary: Pharmacologic, Physical, and Cognitive Pain Alleviation for Musculoskeletal Extremity/Pelvis Surgery

News release: Clinical Practice Guideline and Appropriate Use Criteria for the Evaluation of Pharmacologic, Physical, and Cognitive Pain Alleviation for Musculoskeletal Extremity/Pelvis Surgery

 


Clinical Practice Guideline for Postoperative Rehabilitation in Older Patients With Hip Fractures.

12 Jul, 2021 | 01:39h | UTC

Clinical Practice Guideline for Postoperative Rehabilitation in Older Patients With Hip Fractures – Annals of Rehabilitation Medicine

Related: Guideline for the perioperative management of hip fractures 2020

 


RCT: Among patients with prosthetic joint infection, antibiotic therapy for 6 weeks was NOT shown to be noninferior to antibiotic therapy for 12 weeks and resulted in a higher percentage of patients with unfavorable outcomes.

27 May, 2021 | 08:20h | UTC

Antibiotic Therapy for 6 or 12 Weeks for Prosthetic Joint Infection – New England Journal of Medicine (link to abstract – $ for full-text)

 


M-A: Among patients undergoing total knee arthroplasty, glucocorticoid supplementation in periarticular infiltration analgesia is effective and does not increase complications or side effects.

21 May, 2021 | 08:22h | UTC

The Efficacy and Safety of Glucocorticoid on Periarticular Infiltration Analgesia in Total Knee Arthroplasty: A Systematic Review and Meta-Analysis of Randomized Controlled Trials – The Journal of Arthroplasty

 


Consensus on pre-operative total knee replacement education and prehabilitation recommendations: a UK-based modified Delphi study

28 Apr, 2021 | 08:01h | UTC

Consensus on pre-operative total knee replacement education and prehabilitation recommendations: a UK-based modified Delphi study – BMC Musculoskeletal Diseases

 


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

28 Apr, 2021 | 07:59h | UTC

Safety of Tranexamic Acid in Hip and Knee Arthroplasty in High-risk Patients – Anesthesiology (link to abstract – $ for full-text)

 

Commentaries on Twitter

 


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

20 Apr, 2021 | 05:28h | UTC

Association of Intravenous Tranexamic Acid With Thromboembolic Events and Mortality: A Systematic Review, Meta-analysis, and Meta-regression – JAMA Surgery (free for a limited period)

Invited commentary: Tranexamic Acid and Safety in the Right Patient – JAMA Surgery (free for a limited period)

 

Commentary on Twitter

 


M-A: Time to reconsider the routine use of tourniquets in total knee arthroplasty surgery

17 Mar, 2021 | 02:23h | UTC

Time to reconsider the routine use of tourniquets in total knee arthroplasty surgery: An abridged version of a Cochrane systematic review and meta-analysis – The Bone & Joint Journal

 


M-A: Evaluation of exercise interventions and outcomes after hip arthroplasty

3 Mar, 2021 | 08:18h | UTC

Evaluation of Exercise Interventions and Outcomes After Hip Arthroplasty: A Systematic Review and Meta-analysis – JAMA Network Open

 


Review: Diagnosis and treatment of hip and knee osteoarthritis

16 Feb, 2021 | 02:05h | UTC

Diagnosis and Treatment of Hip and Knee Osteoarthritis: A Review – JAMA (free or a limited period)

 


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