Systematic Review | Ethical perspectives on surgical video recording for patients, surgeons and society11 Jul, 2023 | 13:44h | UTC
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.
Systematic Review | Tranexamic acid likely decreases red blood cell transfusion need in hip fracture surgery16 Jun, 2023 | 14:09h | UTC
Exploratory Analysis of a RCT | Low-dose colchicine linked to reduced incidence of knee and hip replacements7 Jun, 2023 | 13:50h | UTC
Association of Low-Dose Colchicine With Incidence of Knee and Hip Replacements: Exploratory Analyses From a Randomized, Controlled, Double-Blind Trial – Annals of Internal Medicine (link to abstract – $ for full-text)
M-A | Postoperative clinical outcomes for kinematically, restricted kinematically, or mechanically aligned total knee arthroplasty15 May, 2023 | 13:04h | UTC
Postoperative clinical outcomes for kinematically, restricted kinematically, or mechanically aligned total knee arthroplasty: a systematic review and network meta-analysis of randomized controlled trials – BMC Musculoskeletal Disorders
Development of evidence-based guidelines for the treatment and management of periprosthetic hip infection15 May, 2023 | 12:39h | UTC
Plasma D-Dimer Is Noninferior to Serum C-Reactive Protein in the Diagnosis of Periprosthetic Joint Infection – The Journal of Bone and Joint Surgery (link to abstract – $ for full-text)
RCT | Short-term indwelling foley catheters do not reduce the risk of postoperative urinary retention in THA and TKA22 Mar, 2023 | 13:14h | UTC
Short-Term Indwelling Foley Catheters Do Not Reduce the Risk of Postoperative Urinary Retention in Uncomplicated Primary THA and TKA: A Randomized Controlled Trial – The Journal of Bone and Joint Surgery (link to abstract – $ for full-text)
M-A | Evaluation of comparative efficacy and safety of surgical approaches for total hip arthroplasty6 Feb, 2023 | 13:01h | UTC
Commentary on Twitter
For primary total hip arthroplasty, all surgical approaches except direct lateral approach had greater improvements in hip score compared to posterior approach. However, the safety of different approaches did not show significant differences. https://t.co/WHpDGiyXhg
— JAMA Network Open (@JAMANetworkOpen) January 31, 2023
Key elements of enhanced recovery after total joint arthroplasty: a reanalysis of the ERAS guidelines20 Jan, 2023 | 14:49h | 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)
Study shows many patients com safely wait 10 years for follow-up after primary hip and knee replacement13 Jan, 2023 | 13:17h | UTC
Commentary on Twitter
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 osteoarthritis11 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)