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Knee

M-A | Primary surgery vs. primary rehabilitation for treating anterior cruciate ligament injuries.

6 Sep, 2022 | 14:35h | UTC

Primary surgery versus primary rehabilitation for treating anterior cruciate ligament injuries: a living systematic review and meta-analysis – British Journal of Sports Medicine

News Release: Anterior cruciate ligament tear: Is an operation always necessary? – Judith Merkelt-Jedamzik, Hochschule für Gesundheit

Related:

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

Early surgical reconstruction versus rehabilitation with elective delayed reconstruction for patients with anterior cruciate ligament rupture: COMPARE randomised controlled trial – The BMJ

 

Commentary on Twitter

 


Systematic Review | Interventions for preventing venous thromboembolism in adults undergoing knee arthroscopy.

26 Aug, 2022 | 13:10h | UTC

Interventions for preventing venous thromboembolism in adults undergoing knee arthroscopy – Cochrane Library

Summary: Treatments for preventing venous thromboembolism in adults who have keyhole surgery of the knee – Cochrane Library

 


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

 


Systematic Review | There is insufficient evidence to recommend running shoes for preventing lower limb running injuries in adults.

23 Aug, 2022 | 13:00h | UTC

Running shoes for preventing lower limb running injuries in adults – Cochrane Library

Summary: Running shoes for preventing lower-limb running injuries in adults – Cochrane Library

 

Commentary on Twitter

 


RCT | Small trial suggests intraosseous morphine may decrease postoperative pain and pain medication use after total knee arthroplasty.

15 Aug, 2022 | 12:03h | UTC

Intraosseous Morphine Decreases Postoperative Pain and Pain Medication Use in Total Knee Arthroplasty: A Double-Blind, Randomized Controlled Trial – The Journal of Arthroplasty

News 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 | UTC

Predictors 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)

 


Systematic Review | Evaluating the diagnostic pathway for acute anterior cruciate ligament injuries in trauma centers.

8 Aug, 2022 | 11:40h | UTC

Evaluating the diagnostic pathway for acute ACL injuries in trauma centres: a systematic review – BMC Musculoskeletal Disorders

 


A guide to regional analgesia for total knee arthroplasty.

20 Jul, 2022 | 12:13h | UTC

A 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

The impact of frailty on short-term mortality following primary total hip and knee arthroplasty due to osteoarthritis – Age and Ageing

 


Long-term follow up of a RCT | Physical therapy noninferior to early arthroscopic partial meniscectomy in patients with degenerative meniscal tears.

12 Jul, 2022 | 12:57h | UTC

Effect of Physical Therapy vs Arthroscopic Partial Meniscectomy in People With Degenerative Meniscal Tears: Five-Year Follow-up of the ESCAPE Randomized Clinical Trial – JAMA Network Open

Original Study: Effect of Early Surgery vs Physical Therapy on Knee Function Among Patients With Nonobstructive Meniscal Tears: The ESCAPE Randomized Clinical Trial – JAMA

 


M-A | Factors correlated with physical function 1 year after total knee arthroplasty in patients with knee osteoarthritis.

12 Jul, 2022 | 12:24h | UTC

Factors Correlated With Physical Function 1 Year After Total Knee Arthroplasty in Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis – JAMA Network Open

 

Commentary on Twitter

 


M-A | Little benefit from viscosupplementation in knee osteoarthritis.

11 Jul, 2022 | 12:39h | UTC

Viscosupplementation for knee osteoarthritis: systematic review and meta-analysis – The BMJ

News Release: Scant evidence to recommend use of hyaluronic acid injections for knee osteoarthritis – BMJ Newsroom

Commentary: Common injections don’t help knee osteoarthritis more than placebo, large data review finds – STAT

 

Commentary on Twitter

 


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 | UTC

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 – Arthritis Care & Research (PDF)

See also: Guideline Summary (PDF)

 


Systematic Review | No evidence in support of arthroscopic partial meniscectomy in adults with degenerative and nonobstructive meniscal symptoms.

5 Jul, 2022 | 11:38h | UTC

No evidence in support of arthroscopic partial meniscectomy in adults with degenerative and nonobstructive meniscal symptoms: a level I evidence-based systematic review – Knee Surgery, Sports Traumatology, Arthroscopy


M-A of randomized trials | Tourniquet use in total knee arthroplasty and the risk of infection.

4 Jul, 2022 | 11:55h | UTC

Tourniquet use in total knee arthroplasty and the risk of infection: a meta-analysis of randomised controlled trials – Journal of Experimental Orthopaedics


RCT: Diclofenac–hyaluronate conjugate intra-articular injection for hip, ankle, shoulder, and elbow osteoarthritis.

1 Jul, 2022 | 10:55h | UTC

Diclofenac–hyaluronate conjugate (diclofenac etalhyaluronate) intra-articular injection for hip, ankle, shoulder, and elbow osteoarthritis: a randomized controlled trial – BMC Musculoskeletal Disorders

 


RCT: Patella-stabilizing, motion-restricting knee brace versus a neoprene nonhinged knee brace after a first-time traumatic patellar dislocation.

30 Jun, 2022 | 10:31h | UTC

A Randomized Controlled Trial Comparing a Patella-Stabilizing, Motion-Restricting Knee Brace Versus a Neoprene Nonhinged Knee Brace After a First-Time Traumatic Patellar Dislocation – American Journal of Sports Medicine

 

Commentary on Twitter

Under a CC BY 4.0 License

 


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

Effectiveness of Pharmacological-Based Interventions, Including Education and Prescribing Strategies, to Reduce Subacute Pain After Total Hip or Knee Arthroplasty: A Systematic Review of Randomized Controlled Trials – Pain Medicine

Commentary: Multimodal Analgesia and Education Reduces Postoperative Arthroplasty Pain, Opioid Consumption – Rheumatology Advisor

 

Commentary on Twitter

 


M-A: Accuracy of Fluorodeoxyglucose Positron Emission Tomography/ Computerized Tomography for diagnosing periprosthetic joint infections.

21 Jun, 2022 | 10:38h | UTC

A Systematic Review and Meta-Analysis on the Accuracy of Fluorodeoxyglucose Positron Emission Tomography/ Computerized Tomography for Diagnosing Periprosthetic Joint Infections – Frontiers in Surgery

 


M-A: Effect of intravenous dexamethasone on postoperative pain in patients undergoing total knee arthroplasty.

11 May, 2022 | 10:52h | UTC

Effect of Intravenous Dexamethasone on Postoperative Pain in Patients Undergoing Total Knee Arthroplasty: A Systematic Review and Meta-Analysis – Pain Physician

 


M-A: Comparison of different strategies in revision arthroplasty of the knee with severe bone loss.

4 May, 2022 | 10:32h | UTC

Comparison of Different Strategies in Revision Arthroplasty of the Knee with Severe Bone Loss: A Systematic Review and Meta-Analysis of Clinical Outcomes – Journal of Arthroplasty

 


RCT: Pulsed low-intensity ultrasonography does not provide symptom relief to patients with knee osteoarthritis.

3 May, 2022 | 10:47h | UTC

Effect of Pulsed Low-Intensity Ultrasonography on Symptom Relief and Tibiofemoral Articular Cartilage Thickness Among Veterans Affairs Enrollees With Knee Osteoarthritis: A Randomized Clinical Trial – JAMA Network Open

Commentaries:

Pulsed low-intensity ultrasonography shows no benefit in knee OA – medwire News

Hopes Dashed for Novel Osteoarthritis Treatment — Noninvasive therapy looked like a sure winner until trial results came in – MedPage Today (free registration required)

 

Commentary on Twitter

 


RCT: Early surgery vs. exercise and education for meniscal tears in young adults.

25 Apr, 2022 | 00:51h | UTC

Early Surgery or Exercise and Education for Meniscal Tears in Young Adults – NEJM Evidence

Commentary:

Early Surgery Not Superior for Meniscal Tears in Young Adults – HealthDay

For young people with meniscal tears, surgery and exercise are equally effective – University of Southern Denmark

 

Commentary on Twitter

 


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 | UTC

Effect of Bariatric Surgery on Risk of Complications After Total Knee Arthroplasty: A Randomized Clinical Trial – JAMA Network Open

Commentary: Bariatric Surgery Before TKA Cuts Complications in Obese Patients – HealthDay

 

Commentary on Twitter

 


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

Efficacy of Liposomal Bupivacaine and Bupivacaine Hydrochloride vs Bupivacaine Hydrochloride Alone as a Periarticular Anesthetic for Patients Undergoing Knee Replacement: A Randomized Clinical Trial – JAMA Surgery

 


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