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Hip

RCT | Ferric derisomaltose plus tranexamic acid may reduce blood transfusion risk by 50% in hip surgery

3 Aug, 2023 | 13:18h | UTC

Ferric derisomaltose and tranexamic acid, combined or alone, for reducing blood transfusion in patients with hip fracture (the HiFIT trial): a multicentre, 2 × 2 factorial, randomised, double-blind, controlled trial – The Lancet Haematology (link to abstract – $ for full-text)

 


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

 


RCT | Comparable 1-year outcomes for intramedullary nail vs. sliding hip screw in trochanteric fractures

22 Jun, 2023 | 15:06h | UTC

Intramedullary Nailing vs Sliding Hip Screw in Trochanteric Fracture Management: The INSITE Randomized Clinical Trial – JAMA Network Open

Invited Commentary: A Gap Between Evidence-Based Research and Clinical Practice in Management of Hip Fractures – JAMA Network Open

 

Commentary on Twitter

 


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

 


M-A | Post-surgery interventions for hip fracture

16 Jun, 2023 | 13:45h | UTC

Post-surgery interventions for hip fracture: a systematic review of randomized controlled trials – BMC Musculoskeletal Disorders

 


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

 


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

 


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)

 


M-A | Artificial intelligence for hip fracture detection and outcome prediction

20 Mar, 2023 | 13:13h | UTC

Artificial Intelligence for Hip Fracture Detection and Outcome Prediction: A Systematic Review and Meta-analysis – JAMA Network Open

 


RCT | The effect of skin traction on pain relief in patients with isolated intertrochanteric fractures

10 Mar, 2023 | 14:24h | UTC

The effect of skin traction on pain relief in patients with isolated intertrochanteric fractures, a randomized clinical trial – BMC Musculoskeletal Disorders

 


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

 


Consensus on primary cam morphology and femoroacetabular impingement syndrome

15 Feb, 2023 | 16:01h | UTC

Oxford consensus on primary cam morphology and femoroacetabular impingement syndrome – British Journal of Sports Medicine

Part 1: definitions, terminology, taxonomy and imaging outcomes

Part 2: research priorities on conditions affecting the young person’s hip

 


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 | 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

 


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

 


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

 


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

 


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

 


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

Related:

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.

RCT: Similar long-term survival after combined epidural–general anesthesia vs. general anesthesia alone.

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

 


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