Arthroplasty
RCT | In patients with end-stage ankle osteoarthritis, total ankle replacement and arthrodesis resulted in comparable results.
16 Nov, 2022 | 13:45h | UTCTotal 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
M-A | Clinical effectiveness and safety of spinal anesthesia vs. general anesthesia in patients undergoing hip fracture surgery.
24 Oct, 2022 | 14:09h | UTCRelated:
RCT: Spinal Anesthesia not Superior to General Anesthesia for Hip Surgery in Older Adults.
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 | UTCThe 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 | UTCEffect 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
See also: Visual Abstract
Video Editor’s Note: Effect of an Opioid-Sparing Protocol vs Standard Prescribing on Opioid Consumption After Knee or Shoulder Arthroscopy
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