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Orthopedics (all articles)

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)

 


Randomized Trial: Education Plus Exercise vs Corticosteroid Injection vs Wait and See Approach for Gluteal Tendinopathy

4 May, 2018 | 02:03h | UTC

Education plus exercise versus corticosteroid injection use versus a wait and see approach on global outcome and pain from gluteal tendinopathy: prospective, single blinded, randomised clinical trial – The BMJ (free)

Commentary: The ongoing reduction in pain became the inspiration to never go back to “ground zero” – The BMJ Opinion (free)

 


Review: Lower Extremity Traumatic Amputations

23 Apr, 2018 | 21:04h | UTC

Lower extremity traumatic amputations—brief review of reconstruction, wound and soft tissue management, alternatives to conventional practice – Journal of Emergency and Critical Care Medicine (free)

Source: Critical Care Reviews Newsletter

 


Systematic Review: Exercise Interventions and Patient Beliefs for People with Hip, Knee or Hip and Knee Osteoarthritis

18 Apr, 2018 | 01:09h | UTC

Exercise interventions and patient beliefs for people with hip, knee or hip and knee osteoarthritis: a mixed methods review – Cochrane Library (free)

 


Review: Musculoskeletal Ultrasonography Basics

14 Apr, 2018 | 19:41h | UTC

Musculoskeletal ultrasonography basics – Cleveland Clinic Journal of Medicine (free)

 


Review: microbiology and antimicrobial therapy for diabetic foot infections

14 Apr, 2018 | 19:28h | UTC

Microbiology and Antimicrobial Therapy for Diabetic Foot Infections – Infection & Chemotherapy (free)

 


Systematic review: percutaneous vertebroplasty for osteoporotic vertebral compression fracture

12 Apr, 2018 | 01:07h | UTC

Percutaneous vertebroplasty for osteoporotic vertebral compression fracture – Cochrane Library (link to abstract – $ for full-text)

Summary: Featured Review: Vertebroplasty for treating spinal fractures due to osteoporosis – Cochrane Library (free)

High quality evidence shows that vertebroplasty does not provide more clinically important benefits than placebo but may cause people harm”.

 


Cost-effectiveness analysis: MRI after a normal CT for cervical clearance in blunt trauma

3 Apr, 2018 | 15:24h | UTC

Cost-effectiveness of Magnetic Resonance Imaging in Cervical Clearance of Obtunded Blunt Trauma After a Normal Computed Tomographic Finding – JAMA Surgery (link to abstract – $ for full-text)

Commentaries: Neck injury follow-up MRI may cost patients thousands in unnecessary exams – HealthImaging (free) AND No Benefit for MRI After Normal Cervical CT in Blunt Trauma – Physician’s Briefing (free)

 


Meta-Analysis: Efficacy of foot orthoses for the treatment of plantar heel pain

30 Mar, 2018 | 04:31h | UTC

Efficacy of foot orthoses for the treatment of plantar heel pain: a systematic review and meta-analysis – British Journal of Sports Medicine (link to abstract – $ for full-text)

Commentaries: Pricey orthotic insoles aren’t worth the cost – UPI (free) AND Custom-Made Foot Orthotics No Benefit for Plantar Heel Pain – Physician’s Briefing (free) AND Custom-made foot orthoses appear to be no better than over-the-counter insoles or other treatments – MedicalXpress (free) AND Foot orthotics may not be superior to conservative treatment for relieving plantar heel pain – ACP Internist (free)

 


Close Contact Casting vs Surgery for Initial Treatment of Unstable Ankle Fractures in Older Adults

30 Mar, 2018 | 03:10h | UTC

Three-Year Follow-up of a Trial of Close Contact Casting vs Surgery for Initial Treatment of Unstable Ankle Fractures in Older Adults – JAMA (link to abstract – $ for full-text)

Commentary: Ankle Fracture Casting Stands Up Against Surgery at 3 Years – MedPage Today (free registration required)

 


Low Back Pain – New Series from The Lancet Journals

23 Mar, 2018 | 02:41h | UTC

Low Back Pain – New Series from The Lancet Journals

– Homepage and Executive Summary (free)

– Article 1: What low back pain is and why we need to pay attention (free registration required)

– Article 2: Prevention and treatment of low back pain: evidence, challenges, and promising directions (free registration required)

– Invited Commentary: Low back pain: a major global challenge (free registration required)

– Viewpoint: Low back pain: a call for action (free registration required)

Commentaries: Low Back Pain Affects 540 Million People Worldwide, but Too Many Patients Receive the Wrong Care – University of Warwick, via NewsWise (free) AND Lower back pain being treated badly on a global scale, study says – The Guardian (free)

 


Meta-Analysis: Relative efficacy and safety of topical non-steroidal anti-inflammatory drugs for osteoarthritis

16 Mar, 2018 | 01:32h | UTC

Relative efficacy and safety of topical non-steroidal anti-inflammatory drugs for osteoarthritis: a systematic review and network meta-analysis of randomised controlled trials and observational studies – British Journal of Sports Medicine (free)

 


The Australian Rheumatology Association’s ‘top five’ list of investigations and interventions doctors and patients should question

8 Mar, 2018 | 22:12h | UTC

EVOLVE: The Australian Rheumatology Association’s ‘top five’ list of investigations and interventions doctors and patients should question – Internal Medicine Journal (free) (via @RSiemieniuk)

See other lists of low-value practices in Choosing Wisely U.S. / Choosing Wisely UKChoosing Wisely Australia AND Choosing Wisely Canada

Another interesting list of commonly used low-value practices that should be questioned.

 


Randomized controled trial: Opioid vs Nonopioid Medications in Patients With Chronic Back Pain or Hip or Knee Osteoarthritis Pain

8 Mar, 2018 | 22:06h | UTC

Effect of Opioid vs Nonopioid Medications on Pain-Related Function in Patients With Chronic Back Pain or Hip or Knee Osteoarthritis Pain: The SPACE Randomized Clinical Trial – JAMA (link to abstract – $ for full-text)

Commentaries: Opioids Don’t Beat Other Medications For Chronic Pain – NPR (free) AND More Data Opioids No Better for Chronic Back, Arthritis Pain – Medscape (free registration required) AND Opioids no better than NSAIDs for chronic back or arthritis pain – Reuters (free)

Related: Opioid Wisely – Choosing Wisely Canada (free) AND Guideline for opioid therapy and chronic noncancer pain – Canadian Medical Association Journal (free)

 


Opioid Wisely – Choosing Wisely Canada

8 Mar, 2018 | 21:29h | UTC

Opioid Wisely – Choosing Wisely Canada (free)

Related Guideline: Guideline for opioid therapy and chronic noncancer pain – Canadian Medical Association Journal (free)

See complete lists from Choosing Wisely U.S. / Choosing Wisely UKChoosing Wisely Australia AND Choosing Wisely Canada

This campaign encourages thoughtful conversation between clinicians and patients to reduce harms associated with opioid prescribing, with recommendations relevant to different specialties.

 


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