Arthroplasty
Systematic Review | Interventions for improving mobility after hip fracture surgery in adults.
14 Sep, 2022 | 13:11h | UTCInterventions for improving 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 | UTCTranexamic acid for safer surgery: the time is now – British Journal of Surgery
Related:
Update on applications and limitations of perioperative tranexamic acid.
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 | UTCEffect 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 | UTCNews 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 | UTCPredictors 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 | UTCA 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
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
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 | UTCSee also: Guideline Summary (PDF)
M-A of randomized trials | Tourniquet use in total knee arthroplasty and the risk of infection.
4 Jul, 2022 | 11:55h | UTCM-A: Effectiveness of pharmacological-based interventions, including education and prescribing strategies, to reduce subacute pain after total hip or knee arthroplasty.
23 Jun, 2022 | 10:04h | UTC
Commentary on Twitter
A systematic review of RCTs looking at effectiveness of pharmacological interventions to ⬇️ pain following total hip/knee arthroplasty. Interventions involving multimodal non-opioid analgesia & education show positive effects on ⬇️ pain intensity. https://t.co/t2majwzHPz pic.twitter.com/HoybWv2VFO
— Pain Medicine Journal (@PainMedJournal) March 31, 2022
M-A: Accuracy of Fluorodeoxyglucose Positron Emission Tomography/ Computerized Tomography for diagnosing periprosthetic joint infections.
21 Jun, 2022 | 10:38h | UTC
M-A: Effect of intravenous dexamethasone on postoperative pain in patients undergoing total knee arthroplasty.
11 May, 2022 | 10:52h | UTC
M-A: Comparison of different strategies in revision arthroplasty of the knee with severe bone loss.
4 May, 2022 | 10:32h | UTC
RCT: Incisional negative pressure following high-risk direct anterior total hip arthroplasty.
4 May, 2022 | 10:35h | UTC
RCT: Among patients waiting for total knee arthroplasty with a BMI above 35, bariatric surgery before the procedure was associated with reduced risk of complications.
18 Apr, 2022 | 09:52h | UTCCommentary: Bariatric Surgery Before TKA Cuts Complications in Obese Patients – HealthDay
Commentary on Twitter
In this RCT, bariatric surgery before knee replacement (TKA) reduced the risk of complications in TKA in adults <65y with class II obesity scheduled to undergo TKA; 30% had sufficient symptom improvement to decline TKA altogether. https://t.co/qyhl0eIV2o
— JAMA Network Open (@JAMANetworkOpen) April 14, 2022
RCT: In patients undergoing knee replacement surgery, the administration of periarticular liposomal bupivacaine did not improve postoperative recovery or pain compared with bupivacaine hydrochloride alone.
13 Apr, 2022 | 10:16h | UTC
M-A: Impact of enhanced recovery pathways on safety and efficacy of hip and knee arthroplasty.
1 Apr, 2022 | 08:31h | UTCRelated:
Review: Enhanced recovery after surgery for major orthopedic surgery.
Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines (some guidelines are free)
Before-and-after study: Effectiveness of implementing a preventive urinary catheter care bundle in hip fracture patients.
29 Mar, 2022 | 08:33h | UTCNews Release: Catheter infections went down after more preventive efforts – University of Gothenburg
International consensus meeting on venous thromboembolism in orthopedic surgery.
28 Mar, 2022 | 09:45h | UTCHomepage: International Consensus Meeting on Venous Thromboembolism (free articles for a limited period)
Recommendations from the ICM-VTE: General
Recommendations from the ICM-VTE:: Foot & Ankle
Recommendations from the ICM-VTE: Hand & Wrist
Recommendations from the ICM-VTE: Hip & Knee
Recommendations from the ICM-VTE: Oncology
Recommendations from the ICM-VTE: Pediatric
Recommendations from the ICM-VTE: Shoulder & Elbow
Recommendations from the ICM-VTE: Sports
Recommendations from the ICM-VTE: Trauma
Recommendations from the ICM-VTE: Spine
RCT: In patients with knee osteoarthritis, prehabilitation before total knee replacement did not improve functional outcomes.
25 Mar, 2022 | 08:32h | UTCCommentary: Prehabilitation May Not Improve Knee Replacement Results – Medscape (free registration required)
Commentary on Twitter
In this randomized clinical trial that included 262 participants, prehabilitation for knee osteoarthritis did not improve functional outcomes in total knee replacement. Findings question the usefulness of prehabilitation before total knee replacement. https://t.co/vsMxQ8PYJ7
— JAMA Network Open (@JAMANetworkOpen) March 9, 2022
Meta-analysis of randomized trials: benefits and harms of direct oral anticoagulation and low molecular weight heparin for thromboprophylaxis in patients undergoing non-cardiac surgery.
10 Mar, 2022 | 10:48h | UTC
Commentary on Twitter
Led by Maura Marcucci, network meta-analysis of of 68 surgery #RCT's (45,445 patients; mainly #ortho) found that #DOAC's & #LMWH reduce #VTE but probably increase major bleeding to a similar extent. DOACs probably prevent symptomatic VTE more than #LMWH. https://t.co/7vrgVpfD3s pic.twitter.com/H5Fuq7p1hi
— Kari Tikkinen (@KariTikkinen) March 9, 2022
Updated guideline summary introduces new recommendations for use of medications around total hip and knee replacement.
10 Mar, 2022 | 10:45h | UTCGuideline Summary (full guideline not available yet): 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 – American College of Rheumatology
M-A: Surgical interventions for treating extracapsular hip fractures in older adults.
16 Feb, 2022 | 08:44h | UTCSummary: Which are the best treatments for hip fractures in older adults? – Cochrane Library
Author Interview: Interview with authors of Hip Fracture reviews
Commentary on Twitter
Which are the best treatments for #HipFractures in older adults?
A new review from @CochraneBJMT includes 184 studies with 26,073 people with a break just outside the hip joint & suggests that "there is no 'best treatment' for this type of broken hip".
https://t.co/Z9Zadn4THg pic.twitter.com/wxLZUim5vi
— Cochrane UK (@CochraneUK) February 11, 2022