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Orthopedics (all articles)

Guideline: Management of Hip and Knee Osteoarthritis

31 Aug, 2018 | 02:31h | UTC

Guideline for the management of hip and knee osteoarthritis – Royal Australian College of General Practitioners (free PDF)

News Release: Updated osteoarthritis guideline designed to reduce unnecessary imaging and surgery (free)

Commentary: Australia hopes to reduce unnecessary imaging, surgery with updated osteoarthritis guidelines – Health Imaging (free)

““The Guideline for the management of knee and hip osteoarthritis,” offer up exercise and weight loss as a first line defense, and warn against costly treatments using glucosamine, opioids and arthroscopic surgery, said David Hunter, co-chair of the RACGP group responsible for the update.” (from Health Imaging)

 


Study: Mortality Effects of Timing Alternatives for Hip Fracture Surgery

11 Aug, 2018 | 02:38h | UTC

Mortality effects of timing alternatives for hip fracture surgery – Canadian Medical Association Journal (free)

Commentaries: Lower death rate when senior hip fractures are repaired quickly – Reuters (free) AND Delayed surgery for hip fractures cause of preventable deaths, study finds – The Globe and Mail (free) AND The sun should not set twice before hip fracture repair – CMAJ, via ScienceDaily (free)

 


Cohort Study: Risk Factors for Prosthetic Joint Infection After Hip Replacement

3 Aug, 2018 | 11:35h | UTC

Risk factors associated with revision for prosthetic joint infection after hip replacement: a prospective observational cohort study – The Lancet Infectious Diseases (free)

Commentaries: Risk factors in septic revisions following total hip arthroplasty – The Lancet Infectious Diseases (free) AND Several factors associated with hip replacement revision due to prosthetic joint infection – ACP Internist Weekly (free)

 


Study: Osteoporosis Treatment After Hip Fracture

26 Jul, 2018 | 18:37h | UTC

Association of Osteoporosis Medication Use After Hip Fracture With Prevention of Subsequent Nonvertebral Fractures: An Instrumental Variable Analysis – JAMA Network Open (free)

Commentaries: Osteoporosis Treatment After Hip Fracture: Bad News and Getting Worse – JAMA Network Open (free) AND Rate of Osteoporosis Drug Treatment to Prevent Recurrent Fractures Dropping – AJMC (free) AND Osteoporosis treatment often not started after hip fracture in elderly patients, study finds – ACP Internist (free)

 


Guideline: Diagnosis, Treatment and Prevention of Ankle Sprains

26 Jul, 2018 | 18:36h | UTC

Diagnosis, treatment and prevention of ankle sprains: update of an evidence-based clinical guideline – British Journal of Sports Medicine (free)

 


Randomized Trial: Subacromial Decompression vs Diagnostic Arthroscopy for Shoulder Impingement

20 Jul, 2018 | 03:28h | UTC

Subacromial decompression versus diagnostic arthroscopy for shoulder impingement: randomised, placebo surgery controlled clinical trial – The BMJ (free)

Commentary: Most common shoulder operation is no more beneficial than placebo surgery – University of Helsinki, via EurekAlert (free)

Related research with similar results: Arthroscopic subacromial decompression for subacromial shoulder pain (free article, editorial and commentaries)

 


Systematic Review: Negative Pressure Wound Therapy for Open Traumatic Wounds

13 Jul, 2018 | 02:31h | UTC

Negative pressure wound therapy for open traumatic wounds – Cochrane Library (free)

Summary: Negative pressure wound therapy for open traumatic wounds – Cochrane Library (free)

Related Research: Randomized Trial: Negative Pressure Wound Therapy No Better Than Regular Dressing in Severe Open Fracture of the Lower Limb (link to abstract and commentaries)

 


Overview of Guidelines for the Management of Non-Specific Low Back Pain in Primary Care

6 Jul, 2018 | 09:50h | UTC

Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview – European Spine Journal (free)

 


Meta-Analysis: Anticonvulsants in the Treatment of Low Back Pain and Lumbar Radicular Pain

6 Jul, 2018 | 09:37h | UTC

Anticonvulsants in the treatment of low back pain and lumbar radicular pain: a systematic review and meta-analysis – Canadian Medical Association Journal (free)

Commentaries: Class of drugs used as alternative to opioids for back pain are ineffective, have potentially serious side effects: report – The Globe and Mail (free) AND Anticonvulsant drugs ineffective for low back pain and can cause harm, despite increased prescribing – CMAJ, via EurekAlert (free)

Related Meta-Analysis: Benefits and safety of gabapentinoids in chronic low back pain (free research and commentaries)

 


Guideline: Management of Osteoporosis and Fragility Fractures

29 Jun, 2018 | 03:16h | UTC

Guidelines for the management of osteoporosis and fragility fractures – Internal and Emergency Medicine (free)

Related Guidelines: UK clinical guideline for the prevention and treatment of osteoporosis – Archives of Osteoporosis (free) AND Treatment of Low Bone Density or Osteoporosis to Prevent Fractures in Men and Women: A Clinical Practice Guideline Update from the American College of Physicians – Annals of Internal Medicine (free)

 


USPSTF Statement: Screening for Osteoporosis to Prevent Fractures

29 Jun, 2018 | 02:52h | UTC

Screening for Osteoporosis to Prevent Fractures: US Preventive Services Task Force Recommendation Statement – JAMA (free)

Editorials: Screening for Osteoporosis (free) AND Osteoporosis Screening—2 Steps May Be Too Much for Women Younger Than 65 Years (free)

Author Interview: USPSTF Recommendation Statement: Screening for Osteoporosis to Prevent Fractures (free)

See also: USPSTF Final Recommendation Statement (free)

 


Randomized Trial: More Weight Loss Associated with Better Outcomes in Knee Osteoarthritis

29 Jun, 2018 | 02:39h | UTC

Intentional Weight Loss for Overweight and Obese Knee Osteoarthritis Patients: Is More Better? – Arthritis Care & Research (free PDF)

Commentaries: Long-term weight loss of at least 20% helps improve outcomes in overweight, obese patients with knee osteoarthritis – ACP Internist (free) AND When it comes to weight loss in overweight and obese adults with knee osteoarthritis, more is better – Wiley, via ScienceDaily (free) AND More weight loss tied to less knee pain for obese people – Reuters (free) AND More Weight Loss Linked To Greater Decrease in Knee Arthritis Pain – MedicalResearch.com (free)

 


EULAR 2018: NSAIDs Account for Large Part of Osteoarthritis-CVD Link

22 Jun, 2018 | 02:50h | UTC

NSAIDs Account for Large Part of Osteoarthritis-CVD Link, Study Suggests – TCTMD (free)

 


Randomized Trial: Intramedullary Nail Fixation vs Locking Plate Fixation for Adults with a Fracture of the Distal Tibia

22 Jun, 2018 | 01:58h | UTC

Intramedullary nail fixation versus locking plate fixation for adults with a fracture of the distal tibia: the UK FixDT RCT – Health Technology Assessment (free) (via EvidenceAlerts)

 


Randomized Trial: Hip Arthroscopy vs Best Conservative Care for the Treatment of Femoroacetabular Impingement Syndrome

18 Jun, 2018 | 23:16h | UTC

Hip arthroscopy versus best conservative care for the treatment of femoroacetabular impingement syndrome (UK FASHIoN): a multicentre randomised controlled trial – The Lancet (free)

Commentaries: Hip arthroscopy: an evidence-based approach – The Lancet (free) AND New surgery for groin pain found to be more effective than physiotherapy – University of Warwick (free)

 


Guideline: Conservative Treatment on Lower Limb Muscle Injuries in Athlete

18 Jun, 2018 | 14:05h | UTC

Italian consensus conference on guidelines for conservative treatment on lower limb muscle injuries in athlete – BMJ Open Sport & Exercise Medicine (free)

 


Randomized Trial: Duloxetine in Patients with Knee Osteoarthritis

18 Jun, 2018 | 10:08h | UTC

A randomized, double-blind, placebo-controlled Phase III trial of duloxetine in Japanese patients with knee pain due to osteoarthritis – Journal of Pain Research (free)

 


Randomized Trial: Negative Pressure Wound Therapy No Better Than Regular Dressing in Severe Open Fracture of the Lower Limb

15 Jun, 2018 | 02:20h | UTC

Effect of Negative Pressure Wound Therapy vs Standard Wound Management on 12-Month Disability Among Adults With Severe Open Fracture of the Lower Limb: The WOLLF Randomized Clinical Trial – JAMA (free for a limited period)

Commentaries: High-tech treatment of open leg wounds no better than using regular dressings – University of Warwick (free) AND Negative-Pressure Therapy No Better for Open Fractures – Medscape (free registration required)

“Negative pressure wound therapy did not improve 12-month disability for patients with severe open fracture of the lower limb compared with standard wound dressing”

 


Randomized Trial: Aspirin Starting Five Days After Hip or Knee Arthroplasty for VTE Prophylaxis

7 Jun, 2018 | 23:29h | UTC

Aspirin may be a follow-on option to prevent blood clots, starting five days after hip or knee surgery – NIHR Signal (free)

See Original Article: Aspirin or Rivaroxaban for VTE Prophylaxis after Hip or Knee Arthroplasty – New England Journal of Medicine (link to abstract – $ for full-text) AND Quick Take Video Summary: Preventing VTE after Hip or Knee Arthroplasty (free)

 


Guideline: Investigation and Management of Periprosthetic Joint Infection in the Shoulder and Elbow

6 Jun, 2018 | 21:51h | UTC

Investigation and Management of Periprosthetic Joint Infection in the Shoulder and Elbow: Evidence and consensus based guidelines of the British Elbow and Shoulder Society – Shoulder & Elbow (free PDF)

 


Review: Orthopedic Traumatology for the Acute Care Surgeon

24 May, 2018 | 22:46h | UTC

Orthopaedic traumatology: fundamental principles and current controversies for the acute care surgeon – Trauma Surgery and Acute Care Open (free)

Source: Critical Care Reviews Newsletter

 


Comparative Effectiveness Trial: Chiropractic Care Improves Disability in Low Back Pain

23 May, 2018 | 12:38h | UTC

Effect of Usual Medical Care Plus Chiropractic Care vs Usual Medical Care Alone on Pain and Disability Among US Service Members With Low Back Pain: A Comparative Effectiveness Clinical Trial – JAMA Network Open (free)

Commentaries: Innovating to Improve Care for Low Back Pain in the Military: Chiropractic Care Passes Muster – JAMA Network Open (free) AND Chiropractic Care Improves Usual Management for Low Back Pain – Medscape (free registration required) AND Adding chiropractic to back pain care may reduce disability – Reuters (free)

 


EULAR Recommendations: Pain Management in Inflammatory Arthritis and Osteoarthritis

11 May, 2018 | 02:58h | UTC

EULAR recommendations for the health professional’s approach to pain management in inflammatory arthritis and osteoarthritis – Annals of Rheumatic Diseases (free)

Commentary: EULAR Releases Recommendations for Pain Management in OA, Inflammatory Arthritis – Rheumatology Advisor (free)

 


Randomized Trial: Vertebroplasty vs. Sham Procedure for Acute Osteoporotic Vertebral Compression Fractures

11 May, 2018 | 02:53h | UTC

Vertebroplasty versus sham procedure for painful acute osteoporotic vertebral compression fractures (VERTOS IV): randomised sham controlled clinical trial – The BMJ (free)

Editorial: No more vertebroplasty for acute vertebral compression fractures? (free)

Related Systematic Review: Percutaneous vertebroplasty for osteoporotic vertebral compression fracture – Cochrane Library (link to abstract and summary)

 


Review: The Role of Imaging in Diagnosing Axial Spondyloarthritis

9 May, 2018 | 16:13h | UTC

The Role of Imaging in Diagnosing Axial Spondyloarthritis – Frontiers in Medicine (free)

 


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