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Orthopedics (all articles)

Guideline Update: Timing of elective surgery and risk assessment after SARS-CoV-2 infection – “The guidance remains that patients should avoid elective surgery within 7 weeks of infection, unless the benefits of doing so exceed the risk of waiting”.

1 Mar, 2022 | 08:58h | UTC

Timing of elective surgery and risk assessment after SARS-CoV-2 infection: an update – Anaesthesia

Related:

Perioperative cardiovascular considerations prior to elective noncardiac surgery in patients with a history of Covid-19.

Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery

Study from 116 countries suggests surgery should be delayed for at least seven weeks following a COVID-19 diagnosis to reduce mortality risk

BJS commission on surgery and perioperative care post-COVID-19.

The risk of postoperative complications following major elective surgery in active or resolved COVID-19 in the United States – Major, elective surgery 0–4 weeks after Covid-19 is associated with greatly increased risk of postoperative complications; surgery performed 4–8 weeks after infection is still associated with an increased risk of pneumonia.

ASA Guidance: Preoperative testing for COVID-19 is essential, regardless of vaccination.

Position statement: Perioperative management of post-COVID-19 surgical patients.

Cohort study: Postoperative in-hospital mortality of patients with COVID-19 infection was more than double that in patients without COVID-19

 


What’s New in Pediatric Orthopedics.

25 Feb, 2022 | 10:48h | UTC

What’s New in Pediatric Orthopaedics – The Journal of Bone & Joint Surgery

 


What’s New in Sports Medicine.

25 Feb, 2022 | 10:46h | UTC

What’s New in Sports Medicine – The Journal of Bone & Joint Surgery (free for a limited period)

 


Review: Enhanced recovery after surgery for major orthopedic surgery.

24 Feb, 2022 | 10:01h | UTC

Enhanced recovery after surgery for major orthopedic surgery: a narrative review – Knee Surgery & Related Research

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

 


RCT: Full endoscopic discectomy non-inferior to open discectomy in patients with sciatica.

22 Feb, 2022 | 10:11h | UTC

Full endoscopic versus open discectomy for sciatica: randomised controlled non-inferiority trial – The BMJ

Commentary: Full-endoscopic transforaminal discectomy is “an effective alternative” to open microdiscectomy in treating sciatica – Spinal News International

 


Meta-analysis of randomized trials | Efficacy and safety of transcutaneous electrical nerve stimulation (TENS) for acute and chronic pain in adults.

22 Feb, 2022 | 08:32h | UTC

Efficacy and safety of transcutaneous electrical nerve stimulation (TENS) for acute and chronic pain in adults: a systematic review and meta-analysis of 381 studies (the meta-TENS study) – BMJ Open

 


Surgery students ‘losing dexterity to stitch patients’.

21 Feb, 2022 | 09:24h | UTC

Surgery students ‘losing dexterity to stitch patients’ – BBC

 


Dupuytren’s Disease—etiology and treatment.

17 Feb, 2022 | 08:25h | UTC

Dupuytren’s Disease—Etiology and Treatment – Deutsches Ärzteblatt International

 


M-A: Surgical interventions for treating extracapsular hip fractures in older adults.

16 Feb, 2022 | 08:44h | UTC

Surgical interventions for treating extracapsular hip fractures in older adults: a network meta‐analysis – Cochrane Library

Summary: Which are the best treatments for hip fractures in older adults? – Cochrane Library

Author Interview: Interview with authors of Hip Fracture reviews

 

Commentary on Twitter

https://twitter.com/CochraneUK/status/1492128296934555649

 


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

 


Systematic Review: Arthroplasties for hip fracture in adults.

15 Feb, 2022 | 08:41h | UTC

Arthroplasties for hip fracture in adults – Cochrane Library

Summary: Hip replacement surgery in adults – Cochrane Library

Author Interview: Interview with authors of Hip Fracture reviews  – Cochrane Library

 


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

 


RCT: In patients 60 years of age or older with an intracapsular hip fracture, cemented hemiarthroplasty resulted in better quality of life and lower risk of periprosthetic fracture than uncemented hemiarthroplasty.

10 Feb, 2022 | 10:19h | UTC

Cemented or Uncemented Hemiarthroplasty for Intracapsular Hip Fracture – New England Journal of Medicine

 

Commentary on Twitter

 


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

 


AAP Clinical Report: Diagnosis and Treatment of Idiopathic Congenital Clubfoot.

4 Feb, 2022 | 08:55h | UTC

Diagnosis and Treatment of Idiopathic Congenital Clubfoot – Pediatrics

 


Recommended musculoskeletal and sports ultrasound terminology: a Delphi-based consensus statement.

4 Feb, 2022 | 08:51h | UTC

Recommended musculoskeletal and sports ultrasound terminology: a Delphi-based consensus statement – British Journal of Sports Medicine

News Release: Multiple Societies Provide Support for New Consensus Statement on Musculoskeletal and Sports Ultrasound Terminology – American Medical Society for Sports Medicine

 

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

 


M-A: Timing of tracheostomy in acute traumatic spinal cord injury.

3 Feb, 2022 | 08:44h | UTC

Timing of tracheostomy in acute traumatic spinal cord injury: A systematic review and meta-analysis – Journal of Trauma and Acute Care Surgery

 


Cluster Randomized Trial: In older patients undergoing elective surgical procedures, a multimodal nonpharmacological prevention program reduced postoperative delirium occurrence and days with delirium.

2 Feb, 2022 | 08:38h | UTC

Outcomes of a Delirium Prevention Program in Older Persons After Elective Surgery: A Stepped-Wedge Cluster Randomized Clinical Trial – JAMA Surgery

Author Interview: Effective Delirium Prevention in Older Persons After Elective Surgery

 

Commentary on Twitter

 


Systematic Review: Non-operative treatment for lumbar spinal stenosis with neurogenic claudication.

2 Feb, 2022 | 08:08h | UTC

Non-operative treatment for lumbar spinal stenosis with neurogenic claudication: an updated systematic review – BMJ Open

 


Systematic Review: Value of imaging to guide interventional procedures in rheumatic and musculoskeletal diseases.

1 Feb, 2022 | 08:20h | UTC

Value of imaging to guide interventional procedures in rheumatic and musculoskeletal diseases: a systematic literature review informing EULAR points to consider – RMD Open

 

Commentary on Twitter

 


European Consensus: Prevention of periprosthetic joint infection in total hip and knee replacement.

30 Jan, 2022 | 14:17h | UTC

Prevention of Periprosthetic Joint Infection in Total Hip and Knee Replacement: One European Consensus – Journal of Clinical Medicine

 


Systematic Review: Cephalomedullary nails vs. extramedullary implants for extracapsular hip fractures in older adults.

30 Jan, 2022 | 13:44h | UTC

Cephalomedullary nails versus extramedullary implants for extracapsular hip fractures in older adults – Cochrane Library

Summary: Metal implants used to fix broken bones near the hip joint in older adults – Cochrane Library

 

Commentary on Twitter

https://twitter.com/CochraneUK/status/1487425423483064324

 


Review: Management of acute traumatic spinal cord injury.

28 Jan, 2022 | 08:04h | UTC

Management of Acute Traumatic Spinal Cord Injury: A Review of the Literature – Frontiers of Surgery

 


Review: Postoperative pain management in enhanced recovery pathways.

27 Jan, 2022 | 09:24h | UTC

Postoperative Pain Management in Enhanced Recovery Pathways – Journal of Pain Research

 


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