Knee
M-A | Primary surgery vs. primary rehabilitation for treating anterior cruciate ligament injuries.
6 Sep, 2022 | 14:35h | UTCNews Release: Anterior cruciate ligament tear: Is an operation always necessary? – Judith Merkelt-Jedamzik, Hochschule für Gesundheit
Related:
Commentary on Twitter
#NEW research: Surgery vs rehab for ACL injury ⚡️
What is the effectiveness of primary rehabilitation with optional surgical reconstruction compared to early surgical reconstruction for ACL rupture?
The findings are IN 💥
READ HERE ➡️ https://t.co/EWkeMnHP3s pic.twitter.com/Y9qf07mT4l
— British Journal of Sports Medicine (BJSM) (@BJSM_BMJ) August 30, 2022
Systematic Review | Interventions for preventing venous thromboembolism in adults undergoing knee arthroscopy.
26 Aug, 2022 | 13:10h | UTC
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 | UTCEffect 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
Systematic Review | There is insufficient evidence to recommend running shoes for preventing lower limb running injuries in adults.
23 Aug, 2022 | 13:00h | UTCRunning 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
👟Running shoes have been proposed as one means of reducing injury risk….but are they effective? @CochraneBJMT authors looked at 12 trials that lasted 6-26 wks with 11,240 people. https://t.co/09bt9SzEkh pic.twitter.com/qi5qk7W1I1
— The Cochrane Library (@CochraneLibrary) August 22, 2022
RCT | Small trial suggests intraosseous morphine may decrease postoperative pain and pain medication use after total knee arthroplasty.
15 Aug, 2022 | 12:03h | UTCNews 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 | UTCPredictors 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
A guide to regional analgesia for total knee arthroplasty.
20 Jul, 2022 | 12:13h | UTCA 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
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
M-A | Factors correlated with physical function 1 year after total knee arthroplasty in patients with knee osteoarthritis.
12 Jul, 2022 | 12:24h | UTC
Commentary on Twitter
This meta-analysis of 20 prospective cohort studies (11,317 patients) found associations between presurgical BMI, physical function, and osteoarthritis severity and physical function after total knee arthroplasty (TKA). https://t.co/tQf7HytTEW
— JAMA Network Open (@JAMANetworkOpen) July 11, 2022
M-A | Little benefit from viscosupplementation in knee osteoarthritis.
11 Jul, 2022 | 12:39h | UTCViscosupplementation 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
New research finds that injections of hyaluronic acid to treat knee osteoarthritis make almost no difference to pain and might raise risk of adverse events https://t.co/G80BHoOgl3
— The BMJ (@bmj_latest) July 7, 2022
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 | UTCSee 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 | UTCM-A of randomized trials | Tourniquet use in total knee arthroplasty and the risk of infection.
4 Jul, 2022 | 11:55h | UTCRCT: Diclofenac–hyaluronate conjugate intra-articular injection for hip, ankle, shoulder, and elbow osteoarthritis.
1 Jul, 2022 | 10:55h | UTC
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
Commentary on Twitter
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
👀👀👇👇https://t.co/lTCwn26scs pic.twitter.com/2tzNmOx862
— Physio Meets Science (@PhysioMeScience) April 26, 2022
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
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
M-A: Effect of intravenous dexamethasone on postoperative pain in patients undergoing total knee arthroplasty.
11 May, 2022 | 10:52h | UTC
M-A: Comparison of different strategies in revision arthroplasty of the knee with severe bone loss.
4 May, 2022 | 10:32h | UTC
RCT: Pulsed low-intensity ultrasonography does not provide symptom relief to patients with knee osteoarthritis.
3 May, 2022 | 10:47h | UTCCommentaries:
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
Phase 2a RCT finds no benefit from pulsed low-intensity ultrasound in the treatment of knee osteoarthritis in veterans. https://t.co/dEqjkqCadj pic.twitter.com/0qwKQ3rfkD
— JAMA Network Open (@JAMANetworkOpen) March 8, 2022
RCT: Early surgery vs. exercise and education for meniscal tears in young adults.
25 Apr, 2022 | 00:51h | UTCEarly 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
Commentary on Twitter
DREAM trial: In this pragmatic #RCT in active young adults with meniscal tears, early meniscal surgery was not superior to a strategy of supervised exercise therapy and education with the option of later surgery. @STSkou #OrthoTwitter #SurgTwitter https://t.co/TrnEUG98wP pic.twitter.com/V66ZbknksM
— NEJM Evidence (@NEJMEvidence) January 25, 2022
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 | UTCCommentary: Bariatric Surgery Before TKA Cuts Complications in Obese Patients – HealthDay
Commentary on Twitter
In this RCT, bariatric surgery before knee replacement (TKA) reduced the risk of complications in TKA in adults <65y with class II obesity scheduled to undergo TKA; 30% had sufficient symptom improvement to decline TKA altogether. https://t.co/qyhl0eIV2o
— JAMA Network Open (@JAMANetworkOpen) April 14, 2022
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