Hip | Links Medicus Content Curation & Alerts in Medicine

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

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 | Comparative efficacy of exercise therapy and oral NSAIDs and paracetamol for knee or hip osteoarthritis

1 Feb, 2023 | 13:28h | UTC

Comparative efficacy of exercise therapy and oral non-steroidal anti-inflammatory drugs and paracetamol for knee or hip osteoarthritis: a network meta-analysis of randomised controlled trials – British Journal of Sports Medicine

Commentary on Twitter

Network meta-analysis of 152 RCTs (17431 pts) comparing efficacy of exercise therapy, NSAIDs, Tylenol for knee or hip osteoarthritis: Found all 3 equivalent at 4 wk, 8 wk and 24 wks. https://t.co/rKck2AacL4 pic.twitter.com/YEAMh9UxTs

— Dr. John Cush (@RheumNow) January 10, 2023

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

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

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

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 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

Cohort Study | 1 in 3 patients with hemodynamically unstable pelvic fractures die.

1 Dec, 2022 | 13:54h | UTC

Association Between Hemorrhage Control Interventions and Mortality in US Trauma Patients With Hemodynamically Unstable Pelvic Fractures – JAMA Surgery (free for a limited period)

Invited Commentary: Nationwide Variation of Care for Patients With Bleeding Pelvic Fracture—An Opportunity to Rescue Better? – JAMA Surgery (free for a limited period)

Author Interview: Hemorrhage Control Interventions and Mortality in Trauma Patients With Hemodynamically Unstable Pelvic Fractures – JAMA

Commentary on Twitter

Study by @AZTraumaCats comparing pelvic fracture hemorrhage control interventions, >1/3 of pts died despite advancements in hemorrhage control strategies. Only pelvic angioembolization was assoc'd w reduction in mortality. https://t.co/j8ujPmr1vO @TopKniFe_B @TanyaAnand8

— JAMA Surgery (@JAMASurgery) November 30, 2022

SR | Adjunctive therapies in addition to land‐based exercise therapy for osteoarthritis of the hip or knee.

23 Nov, 2022 | 13:40h | UTC

Adjunctive therapies in addition to land‐based exercise therapy for osteoarthritis of the hip or knee – Cochrane Library

Commentary on Twitter

New Cochrane Review 🔥🔥

📣 "Compared with land-based exercise therapy, additional therapies plus exercise therapy, may not be more effective in improving pain, physical function, quality of life or joint changes."https://t.co/AU2LuyTwg8 pic.twitter.com/k2HYBMpJXp

— Physio Meets Science (@PhysioMeScience) October 17, 2022

RCT | Clinical and cost-effectiveness of single stage compared vs. two-stage revision for hip prosthetic joint infection.

4 Nov, 2022 | 13:49h | UTC

Clinical and cost effectiveness of single stage compared with two stage revision for hip prosthetic joint infection (INFORM): pragmatic, parallel group, open label, randomised controlled trial – The BMJ

M-A | Clinical effectiveness and safety of spinal anesthesia vs. general anesthesia in patients undergoing hip fracture surgery.

24 Oct, 2022 | 14:09h | UTC

Clinical effectiveness and safety of spinal anaesthesia compared with general anaesthesia in patients undergoing hip fracture surgery using a consensus-based core outcome set and patient-and public-informed outcomes: a systematic review and meta-analysis of randomised controlled trials – British Journal of Anaesthesiology

RCT: In older patients undergoing hip fracture surgery, regional anesthesia did not reduce the incidence of postoperative delirium compared to general anesthesia.

RCT: Spinal anesthesia is associated with more pain and prescription analgesic use after hip surgery compared to general anesthesia.

RCT: Spinal Anesthesia not Superior to General Anesthesia for Hip Surgery in Older Adults.

Long-term Survival after Combined Epidural–General Anesthesia or General Anesthesia Alone: Follow-up of a Randomized Trial – Anesthesiology

Delirium in Older Patients after Combined Epidural–General Anesthesia or General Anesthesia for Major Surgery: A Randomized Trial – Anesthesiology

Systematic Review | Antidepressants for hip and knee osteoarthritis.

24 Oct, 2022 | 14:04h | UTC

Antidepressants for hip and knee osteoarthritis – Cochrane Library

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 | UTC

The 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)

Systematic Review | Conservative vs. surgical management for femoro-acetabular impingement.

19 Oct, 2022 | 14:09h | UTC

Conservative vs. Surgical Management for Femoro-Acetabular Impingement: A Systematic Review of Clinical Evidence – Journal of Clinical Medicine

Arthroscopic hip surgery compared with personalised hip therapy in people over 16 years old with femoroacetabular impingement syndrome: UK FASHIoN RCT – Health Technology Assessment

Arthroscopic hip surgery compared with physiotherapy and activity modification for the treatment of symptomatic femoroacetabular impingement: multicentre randomised controlled trial – The BMJ

Systematic Review | Interventions for improving mobility after hip fracture surgery in adults.

14 Sep, 2022 | 13:11h | UTC

Interventions for improving mobility after hip fracture surgery in adults – Cochrane Library

Summary: Do mobility strategies improve and restore 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

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 | UTC

Effect 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 | Surgical reconstruction is superior to rehabilitation for patients with non-acute anterior cruciate ligament injury with persistent symptoms of instability.

22 Aug, 2022 | 12:16h | UTC

Rehabilitation versus surgical reconstruction for non-acute anterior cruciate ligament injury (ACL SNNAP): a pragmatic randomised controlled trial – The Lancet

Commentary on Twitter

Surgical reconstruction of non-acute ACL injury with persistent symptoms of instability was superior in comparison with rehabilitation at 18 months (KOOS4 mean difference 7.9 (95% CI 2.5–13.2)): https://t.co/y2taBzHolU pic.twitter.com/n0qW3B6cMv

— Søren T. Skou (@STSkou) August 19, 2022

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