Orthopedics (all articles) | Page 13 of 38 | Links Medicus Content Curation & Alerts in Medicine

The Challenges in the Primary Prevention of Osteoarthritis

Opportunities for preventing OA across the lifespan.

👀👀👇👇https://t.co/9mdvpeoEW9 pic.twitter.com/VexC3qEOlr

— Physio Meets Science (@PhysioMeScience) April 18, 2022

Under a (CC BY 4.0) license

Consensus practice guidelines on interventions for cervical spine (facet) joint pain from a multispecialty international working group.

26 Apr, 2022 | 07:28h | UTC

Consensus practice guidelines on interventions for cervical spine (facet) joint pain from a multispecialty international working group – Reginal Anesthesia & Pain Medicine

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

https://twitter.com/nejmevidence/status/1486005957654052866

RCT: Subacromial balloon spacer is not better than debridement only for irreparable rotator cuff tears of the shoulder.

25 Apr, 2022 | 00:27h | UTC

Subacromial balloon spacer for irreparable rotator cuff tears of the shoulder (START:REACTS): a group-sequential, double-blind, multicentre randomised controlled trial – The Lancet

Systematic Review: Evidence-based treatment choices for acute lateral ankle sprain.

20 Apr, 2022 | 09:07h | UTC

Evidence-based treatment choices for acute lateral ankle sprain: a comprehensive systematic review – European Review for Medical and Pharmacological Sciences

AAOS Guideline: Prevention of surgical site infections after major extremity trauma.

19 Apr, 2022 | 02:35h | UTC

Prevention of Surgical Site Infections After Major Extremity Trauma: Evidence-Based Clinical Practice Guideline – American Academy of Orthopaedic Surgeons

Evidence Review: Prevention of Surgical Site Infection After Extremity Trauma (2022)

RCT: In patients with acute Achilles’ tendon rupture, a nonoperative strategy resulted in similar outcomes compared with routine surgical treatment.

18 Apr, 2022 | 10:53h | UTC

Nonoperative or Surgical Treatment of Acute Achilles’ Tendon Rupture – New England Journal of Medicine (link to abstract – $ for full-text)

Commentary: Heal Thyself: Most who tear Achilles tendon can skip surgery – Associated Press

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

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

Incidence of electric scooter–associated injuries in Finland from 2019 to 2021.

18 Apr, 2022 | 09:54h | UTC

Incidence of Electric Scooter–Associated Injuries in Finland From 2019 to 2021 – JAMA Network Open

Commentary on Twitter

This cross-sectional study found that actual incidence of any injury and major trauma was 18/100k and 5.9/100k trips taken with rental e-scooters in Finland. https://t.co/ZKz1j219vQ

— JAMA Network Open (@JAMANetworkOpen) April 14, 2022

Cluster RCT: A shorter antimicrobial prophylaxis duration (less than 24 hours after surgery) is noninferior to a more extended regimen (24-48 hours) after clean orthopedic surgery.

13 Apr, 2022 | 10:56h | UTC

Effect of Antimicrobial Prophylaxis Duration on Health Care–Associated Infections After Clean Orthopedic Surgery: A Cluster Randomized Trial – JAMA Network Open

Commentary on Twitter

Cluster RCT of patients who underwent clean orthopedic surgery found shorter antimicrobial prophylaxis duration (<24h postop) was noninferior to longer duration (<48h) in preventing health care associated infections and across a range of clinical outcomes. https://t.co/FFzxNiHxet

— JAMA Network Open (@JAMANetworkOpen) April 12, 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

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

M-A: The clinical effect and safety of new preoperative fasting time guidelines for elective surgery.

12 Apr, 2022 | 09:51h | UTC

The clinical effect and safety of new preoperative fasting time guidelines for elective surgery: a systematic review and meta-analysis – Gland Surgery

An international multidisciplinary consensus statement on fasting before procedural sedation in adults and children – Anaesthesia

Does my hospitalized patient need an NPO-after-midnight order preoperatively?

ESPEN practical guideline: Clinical nutrition in surgery – “Preoperative fasting from midnight is unnecessary in most patients. Patients undergoing surgery, who are considered to have no specific risk of aspiration, shall drink clear fluids until 2 h before anesthesia. Solids shall be allowed until 6 h before anesthesia.”

Pro-Con Debate: 1- vs 2-Hour Fast for Clear Liquids Before Anesthesia in Children.

Editorial: The rationale for the recommendations of the European Pediatric Fasting Guideline – “the authors of the 2021 ESAIC pediatric guideline have found reasons to recommend reductions to the minimum fasting times for infant formula to 4 h, for breast milk to 3 h and for clear fluids to 1 h”.

Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures: An Updated Report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration

Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology

Clear fluids fasting for elective paediatric anaesthesia: The European Society of Anaesthesiology consensus statement – European Journal of Anaesthesiology

Canadian Pediatric Anesthesia Society statement on clear fluid fasting for elective pediatric anesthesia – Canadian Journal of Anesthesia (free)

UK clinical guideline for the prevention and treatment of osteoporosis.

11 Apr, 2022 | 01:33h | UTC

UK clinical guideline for the prevention and treatment of osteoporosis – Archives of Osteoporosis

RCT: Clinical effectiveness of one ultrasound guided intra-articular corticosteroid and local anesthetic injection for hip osteoarthritis.

7 Apr, 2022 | 08:37h | UTC

Clinical effectiveness of one ultrasound guided intra-articular corticosteroid and local anaesthetic injection in addition to advice and education for hip osteoarthritis (HIT trial): single blind, parallel group, three arm, randomised controlled trial – The BMJ

News Release: Steroid injections may provide longer lasting benefits for hip pain than current best care – BMJ

Commentary on Twitter

Adding an ultrasound guided corticosteroid and local anaesthetic injection to advice and education offers rapid and sustained improvements in pain and function, finds new research https://t.co/fQHzvKv2wL

— The BMJ (@bmj_latest) April 7, 2022

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

This RCT found IM steroid injections were inferior to intrarticular injections for reducing pain in patients with knee osteoarthritis at 4 weeks but were noninferior at 8 and 24 weeks after injection. https://t.co/opq1C2BP8c pic.twitter.com/ucx4lvRDJQ

— JAMA Network Open (@JAMANetworkOpen) April 5, 2022