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Orthopedics (all articles)

EULAR recommendations for intra-articular therapies.

28 May, 2021 | 08:16h | UTC

EULAR 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 | UTC

Antibiotic 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

The Efficacy and Safety of Glucocorticoid on Periarticular Infiltration Analgesia in Total Knee Arthroplasty: A Systematic Review and Meta-Analysis of Randomized Controlled Trials – The Journal of Arthroplasty

 


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 | UTC

Prognostic 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 | UTC

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 – European Spine Journal

Related: You cannot unsee your MRI report AND Direct communication between radiologists and patients improves the quality of imaging reports – European Radiology

 

Commentary on Twitter

 


Large cohort study confirms the renal toxicities of anti-inflammatories, suggesting Ibuprofen may be the safest option among them.

19 May, 2021 | 08:28h | UTC

Comparative 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

 


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

Peeling off musculoskeletal labels: sticks and stones may break my bones, but diagnostic labels can hamstring me forever – British Journal of Sports Medicine

 

Commentary on Twitter

 


Pathway for enhanced recovery after spinal surgery – a systematic review of evidence for use of individual components

5 May, 2021 | 08:26h | UTC

Pathway for enhanced recovery after spinal surgery-a systematic review of evidence for use of individual components – BMC Anesthesiology

See 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)

 


Opinion | Manual in‐line stabilization during tracheal intubation: effective protection or harmful dogma?

5 May, 2021 | 08:18h | UTC

Manual in‐line stabilisation during tracheal intubation: effective protection or harmful dogma? – Anaesthesia

 


American Academy of Orthopedic Surgeons Clinical Practice Guideline Summary for Limb Salvage or Early Amputation

28 Apr, 2021 | 08:14h | UTC

American Academy of Orthopaedic Surgeons Clinical Practice Guideline Summary for Limb Salvage or Early Amputation – Journal of the American Academy of Orthopaedic Surgeons

 


Consensus on pre-operative total knee replacement education and prehabilitation recommendations: a UK-based modified Delphi study

28 Apr, 2021 | 08:01h | UTC

Consensus on pre-operative total knee replacement education and prehabilitation recommendations: a UK-based modified Delphi study – BMC Musculoskeletal Diseases

 


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 | UTC

Safety of Tranexamic Acid in Hip and Knee Arthroplasty in High-risk Patients – Anesthesiology (link to abstract – $ for full-text)

 

Commentaries on Twitter

 


Opportunities and Challenges for the Next Phase of Enhanced Recovery After Surgery

22 Apr, 2021 | 08:28h | UTC

Opportunities 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 | UTC

Association 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

 


M-A: Effectiveness of treatments for acute and subacute mechanical non-specific low back pain

14 Apr, 2021 | 01:39h | UTC

Effectiveness of treatments for acute and subacute mechanical non-specific low back pain: a systematic review with network meta-analysis – British Journal of Sports Medicine

 

Commentary on Twitter

 


NICE Guideline: Assessment and Management of Chronic Pain in Over 16s

8 Apr, 2021 | 08:54h | UTC

Chronic pain (primary and secondary) in over 16s: assessment of all chronic pain and management of chronic primary pain – National Institute for Health and Care Excellence

News release: NICE recommends range of effective treatments for people with chronic primary pain and calls on healthcare professionals to recognise and treat a person’s pain as valid and unique to them

 


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

How your doctor describes your medical condition can encourage you to say ‘yes’ to surgery when there are other options – The Conversation

Original study: Diagnostic Labels for Rotator Cuff Disease Can Increase People’s Perceived Need for Shoulder Surgery: An Online Randomized Controlled Experiment – Journal of Orthopaedic & Sports Physical Therapy

 

Commentary on Twitter

 


RCT: Postoperative pain control is improved with Methadone + Ketamine vs. Methadone alone in spinal surgical patients

5 Apr, 2021 | 00:49h | UTC

Perioperative 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

 


RCT: Surgical microdiscectomy versus transforaminal epidural steroid injection in patients with sciatica secondary to herniated lumbar disc

25 Mar, 2021 | 08:12h | UTC

Surgical microdiscectomy versus transforaminal epidural steroid injection in patients with sciatica secondary to herniated lumbar disc (NERVES): a phase 3, multicentre, open-label, randomised controlled trial and economic evaluation – The Lancet Rheumatology

 

Commentary on Twitter

 


Modeling study suggest patients should receive COVID-19 vaccine before surgery to reduce the risk of death

26 Mar, 2021 | 08:43h | UTC

SARS-CoV-2 vaccination modelling for safe surgery to save lives: data from an international prospective cohort study – University of Birmingham

Original study: SARS-CoV-2 vaccination modelling for safe surgery to save lives: data from an international prospective cohort study – British Journal of Surgery

See also: Infographic and Video

 

Commentary on Twitter

 


RCT: Effect of Intrawound Vancomycin Powder in Operatively Treated High-risk Tibia Fractures

25 Mar, 2021 | 08:04h | UTC

Effect 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 | UTC

SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery – Anaesthesia

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

 

Commentary on Twitter

 


M-A: Time to reconsider the routine use of tourniquets in total knee arthroplasty surgery

17 Mar, 2021 | 02:23h | UTC

Time to reconsider the routine use of tourniquets in total knee arthroplasty surgery: An abridged version of a Cochrane systematic review and meta-analysis – The Bone & Joint Journal

 


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 | UTC

Effect 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 | UTC

Efficacy 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

 


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