Orthopedics (all articles)
EULAR recommendations for intra-articular therapies.
28 May, 2021 | 08:16h | UTCEULAR recommendations for intra-articular therapies – Annals of Rheumatic Diseases
RCT: Among patients with prosthetic joint infection, antibiotic therapy for 6 weeks was NOT shown to be noninferior to antibiotic therapy for 12 weeks and resulted in a higher percentage of patients with unfavorable outcomes.
27 May, 2021 | 08:20h | UTCAntibiotic Therapy for 6 or 12 Weeks for Prosthetic Joint Infection – New England Journal of Medicine (link to abstract – $ for full-text)
M-A: Among patients undergoing total knee arthroplasty, glucocorticoid supplementation in periarticular infiltration analgesia is effective and does not increase complications or side effects.
21 May, 2021 | 08:22h | UTC
Systematic review: Prognostic factors for pain chronicity in low back pain – “Higher pain intensity, higher body weight, carrying heavy loads at work, difficult working positions, and depression were the most frequently observed risk factors for chronic low back pain”
20 May, 2021 | 08:32h | UTCPrognostic factors for pain chronicity in low back pain: a systematic review – Pain Reports
The catastrophization effects of an MRI report on the patient and surgeon and the benefits of ‘clinical reporting’: results from an RCT and blinded trials.
19 May, 2021 | 08:25h | UTCRelated: You cannot unsee your MRI report AND Direct communication between radiologists and patients improves the quality of imaging reports – European Radiology
Commentary on Twitter
Can viewing your MRI result in harm?
Interesting study in LBP patients. ?https://t.co/jTxMgWZip9You cannot forget your MRI result… https://t.co/AplRMQQZWj
— Howard Luks MD (@hjluks) May 11, 2021
Large cohort study confirms the renal toxicities of anti-inflammatories, suggesting Ibuprofen may be the safest option among them.
19 May, 2021 | 08:28h | UTCComparative Risks of Nonsteroidal Anti-Inflammatory Drugs on CKD – Clinical Journal of the American Society of Nephrology (link to abstract – $ for full-text)
Commentary: Study: Ibuprofen Found Safest NSAID for the Kidney – MPR
Commentary on Twitter
Comparative Risks of Nonsteroidal Anti-Inflammatory Drugs on CKD
Read this new @CJASN study and listen to the accompanying podcast:https://t.co/GL1ITzh4O4 pic.twitter.com/lZGeFqfrDZ
— Am Soc Nephrology (@ASNKidney) April 29, 2021
Editorial | “Peeling off musculoskeletal labels: sticks and stones may break my bones, but diagnostic labels can hamstring me forever”
11 May, 2021 | 08:59h | UTC
Commentary on Twitter
Grateful to share our new @BJSM_BMJ editorial @KarimKhan_IMHA @DrLouiseTulloh
Peeling off musculoskeletal labels: sticks and stones may break my bones, but diagnostic labels can hamstring me forever
?? https://t.co/5LAEUNK6d2#PreventingOverdiagnosis #TooMuchMedicine pic.twitter.com/ZD0CyxmGHp
— Daniel Friedman (@ddfriedman) May 6, 2021
Pathway for enhanced recovery after spinal surgery – a systematic review of evidence for use of individual components
5 May, 2021 | 08:26h | UTCSee also: Enhanced recovery after surgery (ERAS) and its applicability for major spine surgery – Best Practice & Research Clinical Anaesthesiology AND Consensus statement for perioperative care in lumbar spinal fusion: Enhanced Recovery After Surgery (ERAS®) Society recommendations – The Spine Journal AND Enhanced Recovery After Surgery (ERAS) Society Guidelines
Commentary on Twitter (thread – click for more)
Enhanced recovery after spine surgery (ERSS) is a multi-modal and trans-disciplinary approach to achieving the best outcomes in our patients. Key components supported by data (1/2) ⬇️ #orthotwitter #neurosurgery #surgery #outcomeshttps://t.co/t4VanByVyA
— Ruwan Ratnayake MD (@ratnayakemd) April 1, 2021
Opinion | Manual in‐line stabilization during tracheal intubation: effective protection or harmful dogma?
5 May, 2021 | 08:18h | UTC
American Academy of Orthopedic Surgeons Clinical Practice Guideline Summary for Limb Salvage or Early Amputation
28 Apr, 2021 | 08:14h | UTC
Consensus on pre-operative total knee replacement education and prehabilitation recommendations: a UK-based modified Delphi study
28 Apr, 2021 | 08:01h | UTC
Safety of tranexamic acid in hip and knee arthroplasty in high-risk patients – this large observational study did not show an increased risk for venous thromboembolism, myocardial infarction, seizures, ischemic strokes, or transient ischemic attacks, irrespective of patient high-risk status at baseline
28 Apr, 2021 | 07:59h | UTCSafety of Tranexamic Acid in Hip and Knee Arthroplasty in High-risk Patients – Anesthesiology (link to abstract – $ for full-text)
Commentaries on Twitter
Our study online @_Anesthesiology today: safety of TXA in high-risk pts ➡️data from 500 hospitals shows no increased risks of VTE, MI, seizures, ischemic stroke or TIA. @HipKneeDoc @MountSinaiOrtho ? https://t.co/za7SH8C7rj pic.twitter.com/J8hoW6stNm
— Jashvant Poeran (@jashvant_p) April 16, 2021
Safety of Tranexamic Acid in Hip and Knee Arthroplasty in High-risk Patients @_Anesthesiology
?TXA in high risk pts is not associated w/ venous thromboembolism, myocardial infarction, seizures, ischemic strokes, or TIAshttps://t.co/DwZe0brJ9L pic.twitter.com/KGcRCftcOl
— Emily Sharpe, MD (@emilysharpe) April 22, 2021
Opportunities and Challenges for the Next Phase of Enhanced Recovery After Surgery
22 Apr, 2021 | 08:28h | UTCOpportunities and Challenges for the Next Phase of Enhanced Recovery After Surgery: A Review – JAMA Surgery (free for a limited period)
See also: Enhanced Recovery After Surgery (ERAS) Society Guidelines
M-A: Intravenous tranexamic acid in surgical patients is not associated with increased risk of thromboembolic events and mortality
20 Apr, 2021 | 05:28h | UTCAssociation of Intravenous Tranexamic Acid With Thromboembolic Events and Mortality: A Systematic Review, Meta-analysis, and Meta-regression – JAMA Surgery (free for a limited period)
Invited commentary: Tranexamic Acid and Safety in the Right Patient – JAMA Surgery (free for a limited period)
Commentary on Twitter
Systematic review and meta-analysis of 216 RCTs (N=125,550 patients) finds no excess risk of thromboembolic events among surgical patients who received intravenous tranexamic acid (TXA) compared with placebo or no treatment.https://t.co/C18EJjpR7p
— Lucas Morin (@lucasmorin_eolc) April 18, 2021
M-A: Effectiveness of treatments for acute and subacute mechanical non-specific low back pain
14 Apr, 2021 | 01:39h | UTC
Commentary on Twitter
Just published in BJSM ???
Effectiveness of treatments for acute and subacute mechanical non-specific low back pain: a systematic review with network meta-analysis
?????https://t.co/bx06RPLTbT pic.twitter.com/RzHkwN2nTp
— Physio Meets Science (@PhysioMeScience) April 13, 2021
NICE Guideline: Assessment and Management of Chronic Pain in Over 16s
8 Apr, 2021 | 08:54h | UTC
How your doctor describes your medical condition can encourage you to say ‘yes’ to surgery when there are other options
6 Apr, 2021 | 00:56h | UTC
Commentary on Twitter
?Just out in @JOSPT
Labels for rotator cuff disease influence management preferences
People told they had a rotator cuff tear had higher perceived need for shoulder surgery than those told they have bursitis
Thread below ?@msk_health @MaryOKeeffe007https://t.co/sLkvYJ77at
— Joshua Zadro (@zadro_josh) April 1, 2021
RCT: Postoperative pain control is improved with Methadone + Ketamine vs. Methadone alone in spinal surgical patients
5 Apr, 2021 | 00:49h | UTCPerioperative Methadone and Ketamine for Postoperative Pain Control in Spinal Surgical Patients: A Randomized, Double-blind, Placebo-controlled Trial – Anesthesiology (link to abstract – $ for full-text)
Commentary on Twitter
In a randomized trial of 130 spinal surgery patients, adding ketamine to methadone reduced pain scores from 4 to 2 points on an 11-point Likert scale and roughly halved postoperative opioid use https://t.co/vGVuQ7z7HV
— Anesthesiology journal (@_Anesthesiology) March 19, 2021
RCT: Surgical microdiscectomy versus transforaminal epidural steroid injection in patients with sciatica secondary to herniated lumbar disc
25 Mar, 2021 | 08:12h | UTC
Commentary on Twitter
NEW RESEARCH—Surgical microdiscectomy and
transforaminal epidural steroid injection are similarly effective at reducing #pain and disability from #sciatica secondary to herniated lumbar disc https://t.co/xXOr1aOX8K #LancetRheumatology #OpenAccess pic.twitter.com/2CHh1YD2gm— The Lancet Rheumatology (@TheLancetRheum) March 19, 2021
Modeling study suggest patients should receive COVID-19 vaccine before surgery to reduce the risk of death
26 Mar, 2021 | 08:43h | UTCSee also: Infographic and Video
Commentary on Twitter
New from @CovidSurg–@GlobalSurg
?Vaccination significantly reduces death after elective surgery
?Fewer surgical patients need to be vaccinated than people in general population to save one life
▶️Prioritise elective surgery patients for vaccination
?https://t.co/iOUSixD6Cr pic.twitter.com/PTbOMoVPFl
— Dmitri Nepogodiev (@dnepo) March 25, 2021
RCT: Effect of Intrawound Vancomycin Powder in Operatively Treated High-risk Tibia Fractures
25 Mar, 2021 | 08:04h | UTCEffect of Intrawound Vancomycin Powder in Operatively Treated High-risk Tibia Fractures: A Randomized Clinical Trial – JAMA Surgery (free for a limited period)
Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery
23 Mar, 2021 | 02:33h | UTCSARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery – Anaesthesia
Commentary on Twitter
Our research has underpinned key recommendations in new guidance on SARS-CoV-2 infection & elective surgery from @Assoc_Anaes & @RCoANews & @RCSnews.
This guideline can act as a template for policy makers in other countries!
?https://t.co/kKgJXFf0vd pic.twitter.com/mJRasJTJws
— COVIDSurg (@CovidSurg) March 20, 2021
M-A: Time to reconsider the routine use of tourniquets in total knee arthroplasty surgery
17 Mar, 2021 | 02:23h | UTC
RCT: Little benefit from osteopathic manipulative treatment on activity limitations in patients with nonspecific subacute and chronic low back pain
16 Mar, 2021 | 01:39h | UTCEffect of Osteopathic Manipulative Treatment vs Sham Treatment on Activity Limitations in Patients With Nonspecific Subacute and Chronic Low Back Pain: A Randomized Clinical Trial – JAMA Internal Medicine (free for a limited period)
Visual abstract: Effect of Osteopathic Manipulative Treatment vs Sham Treatment on Activity Limitations in Patients With Nonspecific Subacute and Chronic Low Back Pain
RCT: Efficacy of a combination of conservative therapies vs. an education comparator on clinical outcomes in thumb base osteoarthritis
14 Mar, 2021 | 20:13h | UTCEfficacy of a Combination of Conservative Therapies vs an Education Comparator on Clinical Outcomes in Thumb Base Osteoarthritis: A Randomized Clinical Trial – JAMA Internal Medicine (free for a limited period)
Commentary: Mix of treatments could be way to restore hand function in thumb-base osteoarthritis – University of Sydney
Commentary on Twitter
In people with thumb base #osteoarthritis, a combination of conservative treatments provided small beneficial effects on hand function at 6 weeks, but not pain, compared to an education control. Effects on hand function and pain were greater at 12 weeks https://t.co/lxaIubgTKT
— JAMA Internal Medicine (@JAMAInternalMed) March 9, 2021