Orthopedics (all articles)
Meta-analysis: Perioperative systemic dexamethasone reduces length of stay in total joint arthroplasty
21 Jan, 2021 | 01:52h | UTCPerioperative Systemic Dexamethasone Reduces Length of Stay in Total Joint Arthroplasty: A Systematic Review and Meta-Analysis of Randomized Controlled Trials – The Journal of Arthroplasty (link to abstract – $ for full-text)
Epidural corticosteroid injections for sciatica: An abridged Cochrane systematic review and meta-analysis
20 Jan, 2021 | 01:16h | UTCSource: EvidenceAlerts
Systematic review: Intra-articular ketamine for postoperative analgesia
20 Jan, 2021 | 01:13h | UTC
Commentary on Twitter
What is the impact of intra-articular ketamine for postoperative analgesia?https://t.co/61ECP4EOZ2#physiatry #rehab #painmanagement #ketamine pic.twitter.com/wEQhUvyd8E
— AJPM&R (@AJPMRjournal) November 16, 2020
Randomized trial: Similar outcomes with surgical plating vs. closed reduction for fractures in the distal radius in older patients
17 Jan, 2021 | 21:55h | UTCSurgical Plating vs Closed Reduction for Fractures in the Distal Radius in Older Patients: A Randomized Clinical Trial – JAMA Surgery (free for a limited period)
Commentaries: A Prospective Randomized Study With No Clinically Important Differences in Closed vs Open Treatment for Distal Radius Fracture in Elderly Individuals – JAMA Surgery (free for a limited period) AND Surgery or Cast? No Difference for Treating Wrist Fracture in Elderly – JAMA Surgery
Commentary on Twitter
RCT found no between-group differences in improvement in wrist pain or function at 12 months from VLP fixation over CR for displaced distal radius fractures in older people https://t.co/FdjK1hQagP @JoshuaLiaoMD pic.twitter.com/7CN3TQWzL9
— JAMA Surgery (@JAMASurgery) January 14, 2021
Postdischarge virtual visits for low-risk surgeries: A randomized noninferiority clinical trial
17 Jan, 2021 | 21:57h | UTCPostdischarge Virtual Visits for Low-risk Surgeries: A Randomized Noninferiority Clinical Trial – JAMA Surgery (free for a limited period)
Commentary: Surgical Centers Warm Up to Video Chats, Texts for Patient Follow-Up – MedPage Today (free registration required)
Randomized trial: Stable supportive shoes improve knee osteoarthritis symptoms when compared to flat flexible shoes
13 Jan, 2021 | 02:08h | UTCThe Effect of Flat Flexible Versus Stable Supportive Shoes on Knee Osteoarthritis Symptoms: A Randomized Trial – Annals of Internal Medicine (link to abstract – $ for full-text)
Summary for Patients: The Effect of Flat Flexible Versus Stable Supportive Shoes on Knee Osteoarthritis Symptoms
Commentary: Stable, Supportive Shoes Better for Knee Osteoarthritis Pain – NEJM Journal Watch
Observational study: Surgical decompression within 24 h of acute spinal cord injury is associated with improved sensorimotor recovery
13 Jan, 2021 | 01:49h | UTCThe influence of timing of surgical decompression for acute spinal cord injury: a pooled analysis of individual patient data – The Lancet Neurology (link to abstract – $ for full-text)
Commentary on Twitter
.@TheLancetNeuro Surgical decompression within one day of acute #spinalcordinjury is linked with improved sensorimotor recovery. The first 24-36 hours following injury seem to represent a crucial time frame to reach optimal #neurological recovery. @UofT https://t.co/Fi53K2YKBk pic.twitter.com/RDESblOgoM
— Neurology Today (@NeurologyToday) December 28, 2020
Axial spondyloarthritis: New advances in diagnosis and management
10 Jan, 2021 | 20:22h | UTCState of the Art Review: Axial spondyloarthritis: new advances in diagnosis and management – The BMJ
Randomized trial: In surgical patients at moderate or high risk of venous thromboembolism, pharmaco-thromboprophylaxis alone is as good as the combination of pharmaco-thromboprophylaxis and graduated compression stockings
16 Dec, 2020 | 10:00h | UTC
NICE Guideline: Osteoarthritis care and management
13 Dec, 2020 | 23:19h | UTCOsteoarthritis: care and management – National Institute for Health and Care Excellence
Systematic review: Tourniquet use for knee replacement surgery is probably associated with an increased risk of serious adverse events
13 Dec, 2020 | 23:17h | UTCTourniquet use for knee replacement surgery – Cochrane Library
Commentary: Featured Review: Tourniquet in knee replacement surgery
Meta-analysis: Epidural corticosteroid injections for sciatica are effective, although the effects are small and short-term
4 Dec, 2020 | 08:26h | UTC
Guideline for the perioperative management of hip fractures 2020
3 Dec, 2020 | 08:30h | UTCGuideline for the management of hip fractures 2020 – Anaesthesia
Commentary on Twitter
?This new @Assoc_Anaes guideline for the management of hip fractures from @IainMoppett and colleagues contains more specific recommendations about controversial areas of patient management than were made in 2011.
Available now and #FOAMed forever!
?https://t.co/B5cdxSx2mU pic.twitter.com/8nQiUNpdS2
— ??????????? (@Anaes_Journal) December 2, 2020
Review: Perioperative venous thromboembolism prophylaxis
3 Dec, 2020 | 08:28h | UTCPerioperative Venous Thromboembolism Prophylaxis – Mayo Clinic Proceedings
Systematic review: Peripheral nerve blocks for hip fractures reduce pain on movement, risk of acute confusional state, risk of chest infection, and time to first mobilization
27 Nov, 2020 | 08:37h | UTCPeripheral nerve blocks for hip fractures in adults – Cochrane Library
[Not published yet – presented at #ACR20] Randomized trial: Methotrexate improves function in people with knee osteoarthritis after 3 months
9 Nov, 2020 | 01:19h | UTC
Safe surgery: A cluster randomized trial showed that the implementation of control charts with feedback on indicators to surgical teams was associated with concomitant reductions in major adverse events in patients
9 Nov, 2020 | 01:23h | UTC
Review: Electrodiagnostic studies can help establish if a patient is likely to have a muscle disease, a disorder of neuromuscular junction transmission, axon loss, or demyelinating disease
5 Nov, 2020 | 08:56h | UTCUsing and interpreting electrodiagnostic tests – Cleveland Clinic Journal of Medicine
Review: Management of common postoperative complications
4 Nov, 2020 | 09:26h | UTCManagement of Common Postoperative Complications – Mayo Clinic Proceedings
Non-surgical management of knee osteoarthritis: Comparison of ESCEO and OARSI 2019 guidelines
30 Oct, 2020 | 01:02h | UTCCommentary: Knee OA guidance for clinicians simplified and streamlined – University of Oxford
Randomized trial: Targeting rehabilitation to improve outcomes after total knee arthroplasty in patients at risk of poor outcomes
18 Oct, 2020 | 23:04h | UTCCommentary: Self-Directed Physical Therapy Effective After Total Knee Arthroplasty – NEJM Journal Watch
Commentaries on Twitter
Outpatient therapist led rehabilitation was not superior to a single physiotherapist review and home exercise based regimen in patients at risk of poor outcomes after total knee arthroplasty, finds new research by @df_hamiltonhttps://t.co/DOTv1q8VJ6
— The BMJ (@bmj_latest) October 13, 2020
This study suggests that targeting postoperative physiotherapy to those most in need is a feasible delivery method, but that the actual content of the rehabilitation seems to have minimal influence on patient outcomes@df_hamiltonhttps://t.co/JISOQE4pMr
— The BMJ (@bmj_latest) October 17, 2020
[Abstract Only] Randomized trial: Physical therapy referral from primary care for acute back pain with sciatica
7 Oct, 2020 | 08:56h | UTCPhysical Therapy Referral From Primary Care for Acute Back Pain With Sciatica: A Randomized Controlled Trial – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentaries: For back pain, early MRI didn’t help, early physical therapy did, studies find – ACP Internist AND Early PT for Acute Back Pain and Sciatica Improves Disability – NEJM Journal Watch
Guideline: Physical therapist management of total knee arthroplasty
6 Oct, 2020 | 00:05h | UTCPhysical Therapist Management of Total Knee Arthroplasty – Physical Therapy
[Abstract Only] Randomized trial: Management of adults with primary frozen shoulder in secondary care
4 Oct, 2020 | 23:21h | UTCManagement 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)
Systematic review: It is unlikely that magnesium improves skeletal muscle cramps in older adults
4 Oct, 2020 | 22:48h | UTCMagnesium for skeletal muscle cramps – Cochrane Library