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Knee

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

 


RCT: Effect of intramuscular vs. intra-articular glucocorticoid injection on pain among adults with knee osteoarthritis.

7 Apr, 2022 | 08:35h | UTC

Effect of Intramuscular vs Intra-articular Glucocorticoid Injection on Pain Among Adults With Knee Osteoarthritis: The KIS Randomized Clinical Trial – JAMA Network Open

 

Commentary on Twitter

 


M-A: Impact of enhanced recovery pathways on safety and efficacy of hip and knee arthroplasty.

1 Apr, 2022 | 08:31h | UTC

Impact of enhanced recovery pathways on safety and efficacy of hip and knee arthroplasty: A systematic review and meta-analysis – World Journal of Orthopedics

Related:

Review: Enhanced recovery after surgery for major orthopedic surgery.

Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines (some guidelines are free)

 


International consensus meeting on venous thromboembolism in orthopedic surgery.

28 Mar, 2022 | 09:45h | UTC

Homepage: International Consensus Meeting on Venous Thromboembolism (free articles for a limited period)

Editorial

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

 


RCT: In patients with knee osteoarthritis, prehabilitation before total knee replacement did not improve functional outcomes.

25 Mar, 2022 | 08:32h | UTC

Effect of Prehabilitation Before Total Knee Replacement for Knee Osteoarthritis on Functional Outcomes: A Randomized Clinical Trial – JAMA Network Open

Commentary: Prehabilitation May Not Improve Knee Replacement Results – Medscape (free registration required)

 

Commentary on Twitter

 


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

Benefits and harms of direct oral anticoagulation and low molecular weight heparin for thromboprophylaxis in patients undergoing non-cardiac surgery: systematic review and network meta-analysis of randomised trials – The BMJ

 

Commentary on Twitter

 


Updated guideline summary introduces new recommendations for use of medications around total hip and knee replacement.

10 Mar, 2022 | 10:45h | UTC

News release: Updated guideline introduces new recommendations for use of medications around total hip and knee replacement – American College of Rheumatology

Guideline 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

 


Systematic Review: Arthroscopic surgery provides little or no clinically important benefit for patients with degenerative knee disease.

4 Mar, 2022 | 09:53h | UTC

Arthroscopic surgery for degenerative knee disease (osteoarthritis including degenerative meniscal tears) – Cochrane Library

Summary: Arthroscopic surgery for degenerative knee disease – Cochrane Library

Related:

Guideline: Arthroscopic Meniscal Surgery

Arthroscopic surgery for degenerative knee arthritis and meniscal tears: a clinical practice guideline

Randomized Trial: Early Surgery vs Physical Therapy on Knee Function Among Patients With Nonobstructive Meniscal Tears

Study: Adverse Outcomes After Arthroscopic Partial Meniscectomy

 


Prevalence trends of site-specific osteoarthritis from 1990 to 2019: findings from the Global Burden of Disease Study 2019.

3 Mar, 2022 | 08:27h | UTC

Prevalence trends of site-specific osteoarthritis from 1990 to 2019: findings from the Global Burden of Disease Study 2019 – Arthritis & Rheumatism

News Release: Study reveals a persistently high burden of osteoarthritis across the globe – Wiley

 


Cost-effectiveness of physical therapy vs. intra-articular glucocorticoid injection for knee osteoarthritis: a secondary analysis from a randomized clinical trial.

16 Feb, 2022 | 08:24h | UTC

Cost-effectiveness of Physical Therapy vs Intra-articular Glucocorticoid Injection for Knee Osteoarthritis: A Secondary Analysis From a Randomized Clinical Trial – JAMA Network Open

 


RCT: In patients undergoing total knee arthroplasty, two doses of dexamethasone reduced pain intensity and consumption of morphine.

11 Feb, 2022 | 08:41h | UTC

Effect of dexamethasone as an analgesic adjuvant to multimodal pain treatment after total knee arthroplasty: randomised clinical trial – The BMJ

 


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

Patients Generally May Return to Driving 4 Weeks After Hip Arthroscopy and 6 Weeks After Knee Arthroscopy: A Systematic Review and Meta-analysis – Arthroscopy, Sports Medicine, and Rehabilitation

 

Commentary on Twitter

 


Hyaluronic acid injections have increased for knee arthritis in the US, despite guideline recommendations against their use.

4 Feb, 2022 | 08:32h | UTC

Hyaluronic Acid Injections for Knee Osteoarthritis: Has Utilization Among Medicare Beneficiaries Changed Between 2012 and 2018? – The Journal of Bone & Joint Surgery (link to abstract – $ for full-text)

News Release: Hyaluronic acid injections have increased for knee arthritis – despite recommendations against their use

Related Guideline: Treatment of Osteoarthritis of the Knee: Evidence-Based Guideline, 2nd Edition – Journal of the American Academy of Orthopaedic Surgeons

 


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

No added value of duloxetine for patients with chronic pain due to hip or knee osteoarthritis: a cluster randomised trial – Arthritis & Rheumatism

 


Consensus Statement: Treatment of combined injuries to the anterior cruciate ligament and the medial collateral ligament complex.

17 Dec, 2021 | 08:38h | UTC

Treatment of Combined Injuries to the ACL and the MCL Complex: A Consensus Statement of the Ligament Injury Committee of the German Knee Society (DKG) – Orthopaedic Journal of Sports Medicine

 


Management of patellar tendinopathy: a systematic review and network meta-analysis of randomized studies.

16 Dec, 2021 | 08:35h | UTC

Management of patellar tendinopathy: a systematic review and network meta-analysis of randomised studies – BMJ Open Sport & Exercise Medicine

 


Systematic Review | Prehabilitation and rehabilitation for major joint replacement.

21 Nov, 2021 | 22:41h | UTC

Prehabilitation and Rehabilitation for Major Joint Replacement – Agency for Healthcare Research and Quality

See also:

Evidence Summary

Final Report

 


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 | UTC

Effectiveness and safety of non-steroidal anti-inflammatory drugs and opioid treatment for knee and hip osteoarthritis: network meta-analysis – The BMJ

News 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

 


Guideline Synopsis: The Non-Surgical Management of Hip and Knee Osteoarthritis.

1 Oct, 2021 | 10:00h | UTC

Synopsis of the 2020 US Department of Veterans Affairs/US Department of Defense Clinical Practice Guideline: The Non-Surgical Management of Hip and Knee Osteoarthritis – Mayo Clinic Proceedings

 


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