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Orthopedics (all articles)

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

https://twitter.com/lucasmorin_eolc/status/1383896490779635714

 

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

 

M-A: Little benefit from antidepressants for low back pain

11 Mar, 2021 | 08:02h | UTC

Efficacy, acceptability, and safety of antidepressants for low back pain: a systematic review and meta-analysis – Systematic Reviews

Commentary: Antidepressants provide no important benefits for managing low back pain – News Medical

Related meta-analysis: Little benefit from antidepressants for the treatment of back pain and osteoarthritis (study and commentaries)

 

RCT: Effect of ventral vs. dorsal spinal surgery on patient-reported physical functioning in patients with cervical spondylotic myelopathy

10 Mar, 2021 | 08:26h | UTC

Effect of Ventral vs Dorsal Spinal Surgery on Patient-Reported Physical Functioning in Patients With Cervical Spondylotic Myelopathy: A Randomized Clinical Trial – JAMA (free for a limited period)

Commentary: First-of-its kind study compares two surgeries head-to-head for common neck condition – Beth Israel Lahey Health

 

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

11 Mar, 2021 | 08:35h | UTC

Study from 116 countries suggests surgery should be delayed for at least seven weeks following a COVID-19 diagnosis to reduce mortality risk – Association of Anaesthetists of Great Britain and Ireland

Original study: Timing of surgery following SARS‐CoV‐2 infection: an international prospective cohort study – Anaesthesia

 

Commentary on Twitter

 

RCT: Early surgical reconstruction vs. rehabilitation with elective delayed reconstruction for patients with anterior cruciate ligament rupture

10 Mar, 2021 | 08:17h | UTC

Early surgical reconstruction versus rehabilitation with elective delayed reconstruction for patients with anterior cruciate ligament rupture: COMPARE randomised controlled trial – The BMJ

 

Meta-analysis: Comparison of Treatments for Frozen Shoulder

5 Mar, 2021 | 08:19h | UTC

Comparison of Treatments for Frozen Shoulder: A Systematic Review and Meta-analysis – JAMA Network Open

Commentary: Can IA Corticosteroids Turn Up the Heat on Frozen Shoulder Tx? – Physician’s Weekly

Related: Management of adults with primary frozen shoulder in secondary care (UK FROST): a multicentre, pragmatic, three-arm, superiority randomised clinical trial – The Lancet (link to abstract – $ for full-text)

 

Guideline: Epidural interventions in the management of chronic spinal pain

5 Mar, 2021 | 08:09h | UTC

Epidural Interventions in the Management of Chronic Spinal Pain: American Society of Interventional Pain Physicians (ASIPP) Comprehensive Evidence-Based Guidelines – Pain Physician

 

M-A: Evaluation of exercise interventions and outcomes after hip arthroplasty

3 Mar, 2021 | 08:18h | UTC

Evaluation of Exercise Interventions and Outcomes After Hip Arthroplasty: A Systematic Review and Meta-analysis – JAMA Network Open

 

Consensus Document: Venous thromboembolism prophylaxis in the trauma intensive care unit

2 Mar, 2021 | 01:52h | UTC

Venous thromboembolism prophylaxis in the trauma intensive care unit: an American Association for the Surgery of Trauma Critical Care Committee Clinical Consensus Document – Trauma Surgery & Acute Care Open

 

Deep learning algorithm detects universal trauma on pelvic radiographs

24 Feb, 2021 | 02:03h | UTC

A scalable physician-level deep learning algorithm detects universal trauma on pelvic radiographs – Nature Communications

Commentary: AI algorithm accurately detects trauma on pelvic radiographs – AuntMinnie

 

Commentary on Twitter

 

Musculoskeletal involvement of COVID-19: review of imaging

24 Feb, 2021 | 02:43h | UTC

Musculoskeletal involvement of COVID-19: review of imaging – Skeletal Radiology

Commentaries: Radiological images confirm ‘COVID-19 can cause the body to attack itself’ – Northwestern University AND Imaging highlights COVID-19’s MSK manifestations – AuntMinnie

 

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