Hip
M-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
RCT: Incisional negative pressure following high-risk direct anterior total hip arthroplasty.
4 May, 2022 | 10:35h | UTC
RCT: Clinical effectiveness of one ultrasound guided intra-articular corticosteroid and local anesthetic injection for hip osteoarthritis.
7 Apr, 2022 | 08:37h | UTCNews Release: Steroid injections may provide longer lasting benefits for hip pain than current best care – BMJ
Commentary on Twitter
Adding an ultrasound guided corticosteroid and local anaesthetic injection to advice and education offers rapid and sustained improvements in pain and function, finds new research https://t.co/fQHzvKv2wL
— The BMJ (@bmj_latest) April 7, 2022
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
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
Prevalence trends of site-specific osteoarthritis from 1990 to 2019: findings from the Global Burden of Disease Study 2019.
3 Mar, 2022 | 08:27h | UTCNews Release: Study reveals a persistently high burden of osteoarthritis across the globe – Wiley
RCT: Arthroscopic hip surgery compared with personalized hip therapy in people over 16 years old with femoroacetabular impingement syndrome.
2 Mar, 2022 | 09:04h | UTC
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 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
M-A: Patients generally may return to driving 4 weeks after hip arthroscopy and 6 weeks after knee arthroscopy.
10 Feb, 2022 | 08:31h | UTC
Commentary on Twitter
Patients are generally safe to drive *4 weeks* after hip arthroscopy and *6 weeks* after knee arthroscopy. Meta-Analysis from Palma et al in ASMAR this month gives us the evidence!
Is it time to revise your instructions for your patients? 🤔https://t.co/Bcg12tX0MM pic.twitter.com/wAhJx2vS8a
— Arthroscopy Journal (@ArthroscopyJ) October 20, 2021
European Consensus: Prevention of periprosthetic joint infection in total hip and knee replacement.
30 Jan, 2022 | 14:17h | UTC
Systematic Review: Cephalomedullary nails vs. extramedullary implants for extracapsular hip fractures in older adults.
30 Jan, 2022 | 13:44h | UTCSummary: Metal implants used to fix broken bones near the hip joint in older adults – Cochrane Library
Commentary on Twitter
In older adults with a hip fracture near the hip joint, how do different surgical treatments compare?
The latest Cochrane evidence from @CochraneBJMT looks at how cephalomedullary nails compare with extramedullary implants.
Full details 👉 https://t.co/C7dsON0tdy pic.twitter.com/0TBAZAM9Om
— Cochrane UK (@CochraneUK) January 29, 2022
Global, regional, and national burdens of hip osteoarthritis from 1990 to 2019: estimates from the 2019 Global Burden of Disease Study.
18 Jan, 2022 | 09:27h | UTC
Cluster randomized trial: no added value of duloxetine for patients with chronic pain due to hip or knee osteoarthritis.
16 Jan, 2022 | 22:59h | UTC
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:
Systematic Review: Multidisciplinary rehabilitation for older people with hip fractures.
18 Nov, 2021 | 08:28h | UTCOriginal Study: Multidisciplinary rehabilitation for older people with hip fractures – Cochrane Library
Commentary on Twitter
JUST PUBLISHED – Multidisciplinary #rehabilitation for older people with hip fractures ➡️ https://t.co/kjhycTCjE8 Updated @CochraneBJMT systematic review looks at the evidence from 28 trials involving 5,351. @CochraneRehab @CCGlobalAgeing #rehab pic.twitter.com/ZamV4xHObh
— The Cochrane Library (@CochraneLibrary) November 12, 2021
M-A: Effectiveness and safety of non-steroidal anti-inflammatory drugs and opioid treatment for knee and hip osteoarthritis – although Etoricoxib 60 mg/day and diclofenac 150 mg/day seem to be most effective treatments, topical diclofenac 70-81 mg/day is safer and should be considered as first line treatment.
17 Oct, 2021 | 21:14h | UTCNews release: Topical pain-killers more effective, safer than opioids for knee osteoarthritis pain – St. Michael’s Hospital
Commentary: Network meta-analysis compares analgesic regimens for osteoarthritis – medwire News
Commentary on Twitter
Etoricoxib 60 mg/day and diclofenac 150 mg/day seem to be the most effective oral NSAIDs for knee and hip osteoarthritis pain and physical function, but might not be appropriate in the presence of comorbidities or for long term use, concludes #BMJResearchhttps://t.co/rrtX3BnQE5
— The BMJ (@bmj_latest) October 16, 2021
Guideline Synopsis: The Non-Surgical Management of Hip and Knee Osteoarthritis.
1 Oct, 2021 | 10:00h | UTC