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Arthroplasty

Systematic Review | Ethical perspectives on surgical video recording for patients, surgeons and society

11 Jul, 2023 | 13:44h | UTC

Ethical perspectives on surgical video recording for patients, surgeons and society: systematic review – BJS Open

 


Cohort Study | Increased revision rates seen in shoulder replacement surgeries by surgeons with less than 10 procedures annually

27 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

Editorial: Surgeon volume and patient outcomes in shoulder replacement surgery – The BMJ

News Release: Patients do better when surgeon averages 10 + annual shoulder ops – BMJ Newsroom

 


RCT | High-dose dual-antibiotic cement doesn’t lower infection rates in hip hemiarthroplasty

26 Jun, 2023 | 00:47h | UTC

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.

Article: High-dose dual-antibiotic loaded cement for hip hemiarthroplasty in the UK (WHiTE 8): a randomised controlled trial – The Lancet

News release: Antibiotic bone cement found not to reduce infection after hip replacement – University of Oxford

 


Systematic Review | Tranexamic acid likely decreases red blood cell transfusion need in hip fracture surgery

16 Jun, 2023 | 14:09h | UTC

Interventions for reducing red blood cell transfusion in adults undergoing hip fracture surgery: an overview of systematic reviews – Cochrane Library

Summary: What treatments reduce the need for a blood transfusion in adults who have broken their hip? – Cochrane Library

 


Exploratory Analysis of a RCT | Low-dose colchicine linked to reduced incidence of knee and hip replacements

7 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)

News Release: Low dose colchicine associated with lower incidence of total knee and hip replacements – American College of Physicians

Commentary: Colchicine linked to lower incidence of total knee, hip replacements in patients with chronic coronary artery disease – ACP Internist

 


Review | Fast track protocols and early rehabilitation after surgery in total hip arthroplasty

31 May, 2023 | 13:46h | UTC

Fast Track Protocols and Early Rehabilitation after Surgery in Total Hip Arthroplasty: A Narrative Review – Clinics and Practice

Related:

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

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

 


Evidence-based recommendations | Mid- to late-term follow-up of primary hip and knee arthroplasty

16 May, 2023 | 14:57h | UTC

Mid- to late-term follow-up of primary hip and knee arthroplasty: the UK SAFE evidence-based recommendations – Bone & Joint Open

 


M-A | Postoperative clinical outcomes for kinematically, restricted kinematically, or mechanically aligned total knee arthroplasty

15 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 infection

15 May, 2023 | 12:39h | UTC

Development of evidence-based guidelines for the treatment and management of periprosthetic hip infection – Bone & Joint Open

 


M-A | Surgical interventions for symptomatic knee osteoarthritis

12 May, 2023 | 13:26h | UTC

Surgical interventions for symptomatic knee osteoarthritis: a network meta-analysis of randomized control trials – BMC Musculoskeletal Disorders

 


Plasma D-Dimer may be useful in the diagnosis of periprosthetic joint infection

29 Mar, 2023 | 12:33h | 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)

News Release: D-dimer blood test shows value in detecting prosthetic joint infections – Wolters Kluwer

 


RCT | Short-term indwelling foley catheters do not reduce the risk of postoperative urinary retention in THA and TKA

22 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)

 


Review | Evidence-based informed consent form for total knee arthroplasty

17 Mar, 2023 | 12:58h | UTC

Evidence-based informed consent form for total knee arthroplasty – Journal of Orthopaedic Surgery and Research

 


Updated Guideline | Management of hip fracture

17 Feb, 2023 | 13:17h | UTC

Hip fracture: management – National Institute for Health and Care Management

Quality Standard: Hip fracture in adults – National Institute for Health and Care Management

 


M-A | Evaluation of comparative efficacy and safety of surgical approaches for total hip arthroplasty

6 Feb, 2023 | 13:01h | UTC

Evaluation of Comparative Efficacy and Safety of Surgical Approaches for Total Hip Arthroplasty: A Systematic Review and Network Meta-analysis – JAMA Network Open

 

Commentary on Twitter

 


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

 


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