Arthroplasty
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
Systematic Review: Arthroplasties for hip fracture in adults.
15 Feb, 2022 | 08:41h | UTCArthroplasties for hip fracture in adults – Cochrane Library
Summary: Hip replacement surgery in adults – Cochrane Library
Author Interview: Interview with authors of Hip Fracture reviews – Cochrane Library
RCT: In patients undergoing total knee arthroplasty, two doses of dexamethasone reduced pain intensity and consumption of morphine.
11 Feb, 2022 | 08:41h | UTC
RCT: In patients 60 years of age or older with an intracapsular hip fracture, cemented hemiarthroplasty resulted in better quality of life and lower risk of periprosthetic fracture than uncemented hemiarthroplasty.
10 Feb, 2022 | 10:19h | UTC
Commentary on Twitter
Among patients 60+ with an intracapsular hip fracture, cemented hemiarthroplasty resulted in a modestly better quality of life and a lower risk of periprosthetic fracture than uncemented hemiarthroplasty. https://t.co/BKhd0PzXDr pic.twitter.com/8fqx5HbITN
— NEJM (@NEJM) February 9, 2022
European Consensus: Prevention of periprosthetic joint infection in total hip and knee replacement.
30 Jan, 2022 | 14:17h | UTC
Cohort study: In patients with a prosthetic joint, prophylactic antibiotics are probably not needed for invasive dental procedures.
25 Jan, 2022 | 09:11h | UTCCommentary: Prophylactic Antibiotics Not Needed Before Invasive Dental Procedures – HealthDay
Commentary on Twitter
Case-crossover study analyzing the incidence of invasive dental procedures (IDP) over the 15-months before 9,427 late prosthetic joint infection hospital admissions (LPJI) and found no evidence of a temporal association b/w IDP and LPJI. https://t.co/hcpwpN0B4H
— JAMA Network Open (@JAMANetworkOpen) January 19, 2022
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 | UTCEffect 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.
Management of Hip Fractures in Older Adults: Evidence-Based Clinical Practice Guideline.
16 Dec, 2021 | 09:42h | UTCSummary: 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 | UTCSee also:
Update on medical management of acute hip fracture.
10 Aug, 2021 | 08:50h | UTCUpdate on medical management of acute hip fracture – Cleveland Clinical Journal of Medicine
Commentary on Twitter
Nice review of Periop mgmt for hip Fx. Uses a modified CCS guideline approach-no stress testing,bypass BNP as pts are high risk,postop co-mgmt +troponin. Also discusses other aspects. Major take home point – AVOID DELAYING SURGERY or mortality increases. https://t.co/5DATCuKuqU
— Steven Cohn, MD (@preopconsult) August 9, 2021
AAOS Guideline: Pharmacologic, physical, and cognitive pain alleviation for musculoskeletal extremity/pelvis surgery.
5 Aug, 2021 | 08:49h | UTCEvidence summary: 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 | UTCRelated: 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 | UTCAntibiotic 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
Consensus on pre-operative total knee replacement education and prehabilitation recommendations: a UK-based modified Delphi study
28 Apr, 2021 | 08:01h | UTC
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 | UTCSafety of Tranexamic Acid in Hip and Knee Arthroplasty in High-risk Patients – Anesthesiology (link to abstract – $ for full-text)
Commentaries on Twitter
Our study online @_Anesthesiology today: safety of TXA in high-risk pts ➡️data from 500 hospitals shows no increased risks of VTE, MI, seizures, ischemic stroke or TIA. @HipKneeDoc @MountSinaiOrtho ? https://t.co/za7SH8C7rj pic.twitter.com/J8hoW6stNm
— Jashvant Poeran (@jashvant_p) April 16, 2021
Safety of Tranexamic Acid in Hip and Knee Arthroplasty in High-risk Patients @_Anesthesiology
?TXA in high risk pts is not associated w/ venous thromboembolism, myocardial infarction, seizures, ischemic strokes, or TIAshttps://t.co/DwZe0brJ9L pic.twitter.com/KGcRCftcOl
— Emily Sharpe, MD (@emilysharpe) April 22, 2021
M-A: Intravenous tranexamic acid in surgical patients is not associated with increased risk of thromboembolic events and mortality
20 Apr, 2021 | 05:28h | UTCAssociation 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
Systematic review and meta-analysis of 216 RCTs (N=125,550 patients) finds no excess risk of thromboembolic events among surgical patients who received intravenous tranexamic acid (TXA) compared with placebo or no treatment.https://t.co/C18EJjpR7p
— Lucas Morin (@lucasmorin_eolc) April 18, 2021
M-A: Time to reconsider the routine use of tourniquets in total knee arthroplasty surgery
17 Mar, 2021 | 02:23h | UTC
M-A: Evaluation of exercise interventions and outcomes after hip arthroplasty
3 Mar, 2021 | 08:18h | UTC
Review: Diagnosis and treatment of hip and knee osteoarthritis
16 Feb, 2021 | 02:05h | UTCDiagnosis and Treatment of Hip and Knee Osteoarthritis: A Review – JAMA (free or a limited period)