Orthopedics (all articles)
Opioid Wisely – Choosing Wisely Canada
8 Mar, 2018 | 21:29h | UTCOpioid 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 UK / Choosing 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.
Research: Comparative cardiovascular safety of non-steroidal anti-inflammatory drugs in patients with hypertension
8 Mar, 2018 | 20:44h | UTCComparative cardiovascular safety of non-steroidal anti-inflammatory drugs in patients with hypertension: a population-based cohort study – British Journal of Clinical Pharmacology (link to abstract – $ for full-text)
Commentary: Cardiovascular Risk Compared Among COX-2 Selective, Nonselective NSAIDs – MPR (free)
Posterior Cruciate Ligament: Current Concepts Review
1 Mar, 2018 | 21:55h | UTCPosterior Cruciate Ligament: Current Concepts Review – The Archives of Bone and Joint Surgery (free)
Systematic Review: Surgery for Trigger Finger
27 Feb, 2018 | 17:10h | UTCSurgery for trigger finger – Cochrane Library (link to abstract – $ for full-text)
Research: Bedtime Low Dose Amitriptyline in Chronic Neck Pain
27 Feb, 2018 | 15:44h | UTCRandomized double-blind controlled study of bedtime low dose amitriptyline in chronic neck pain – European Journal of Pain (link to abstract – $ for full-text)
Commentary: Low-dose amitriptyline reduces idiopathic chronic neck pain – Univadis (free registration required)
Are you ready for the ATLS 10th Edition Updates?
23 Feb, 2018 | 01:11h | UTCAre you ready for the ATLS 10th Edition Updates? – emDocs (free)
Related: Infographic: ATLS Trauma Update 2018
Research: Aspirin or Rivaroxaban for VTE Prophylaxis after Hip or Knee Arthroplasty
23 Feb, 2018 | 01:09h | UTCAspirin or Rivaroxaban for VTE Prophylaxis after Hip or Knee Arthroplasty – New England Journal of Medicine (link to abstract – $ for full-text)
Quick Take Video Summary: Preventing VTE after Hip or Knee Arthroplasty (free)
“Among patients who received 5 days of rivaroxaban prophylaxis after total hip or total knee arthroplasty, extended prophylaxis with aspirin was not significantly different from rivaroxaban in the prevention of symptomatic venous thromboembolism”.
New Choosing Wisely Lists in Pediatrics: Things Physicians and Patients Should Question
22 Feb, 2018 | 23:19h | UTCNew Choosing Wisely Lists in Pediatrics: Four Things Physicians and Patients Should Question in Pediatric Infectious Diseases and Medical Microbiology – Choosing Wisely Canada (free) AND Five Things Physicians and Patients Should Question in Pediatric Orthopedics – Choosing Wisely U.S. (free)
Related: The Choosing Wisely initiative was launched 5 years ago, and now has over 490 recommendations from 18 countries (free)
See complete lists from Choosing Wisely U.S., Choosing Wisely UK, Choosing Wisely Australia AND Choosing Wisely Canada
Systematic Review: Comprehensive Geriatric Assessment for Older People Admitted to a Surgical Service
16 Feb, 2018 | 01:32h | UTCComprehensive geriatric assessment for older people admitted to a surgical service – Cochrane Library (free)
Summary: Does special assessment of older people getting surgery improve their recovery after surgery? – Cochrane Library (free)
Research: Intravenous and Topical Tranexamic Acid Alone vs Tourniquet Use for Primary Total Knee Arthroplasty
16 Feb, 2018 | 00:51h | UTCIntravenous and Topical Tranexamic Acid Alone Are Superior to Tourniquet Use for Primary Total Knee Arthroplasty: A Prospective, Randomized Controlled Trial – The Journal of Bone and Joint Surgery (link to abstract – $ for full-text)
Source: EvidenceAlerts
Total Knee Arthroplasty: Improving Outcomes with a Multidisciplinary Approach
16 Feb, 2018 | 00:27h | UTC
Meta-Analysis: Tranexamic Acid Reduces Blood Loss in Intertrochanteric Fractures
16 Feb, 2018 | 00:26h | UTC
Meta-Analysis: Efficacy and Safety of Tranexamic Acid in Total Hip Replacement
15 Feb, 2018 | 11:14h | UTC
Review of Skiing and Snowboarding Injuries
4 Feb, 2018 | 17:44h | UTC
Two Common Operations to Fix a Broken Tibia Have Similar Outcomes
4 Feb, 2018 | 17:43h | UTCTwo common operations to fix a broken tibia have similar outcomes – NIHR Signal (free)
Original article: Effect of Locking Plate Fixation vs Intramedullary Nail Fixation on 6-Month Disability Among Adults With Displaced Fracture of the Distal Tibia: The UK FixDT Randomized Clinical Trial – JAMA (link to abstract – $ for full-text)
Research: Sham surgery versus labral repair or biceps tenodesis for type II SLAP lesions of the shoulder
4 Feb, 2018 | 17:44h | UTC“Neither labral repair nor biceps tenodesis had any significant clinical benefit over sham surgery for patients with SLAP II lesions in the population studied”.
A Surgical Procedure for Shoulder Pain is Less Effective than Previously Thought
30 Jan, 2018 | 19:54h | UTCA surgical procedure for shoulder pain is less effective than previously thought – NIHR Signal (free)
Original article: Arthroscopic subacromial decompression for subacromial shoulder pain (CSAW): a multicentre, pragmatic, parallel group, placebo-controlled, three-group, randomised surgical trial – The Lancet (free) AND Editorial: No benefit of arthroscopy in subacromial shoulder pain (free)
Review – Posttraumatic Delayed Vertebral Collapse: Kummell’s Disease
30 Jan, 2018 | 19:13h | UTC
Meta-Analysis: Weekend Surgical Care and Postoperative Mortality
23 Jan, 2018 | 16:47h | UTCCommentary: Evidence Supports ‘Weekend Effect’ for Mortality after Surgery – Wolters Kluwer, via NewsWise (free)
“The odds of postoperative mortality were 27 percent higher for patients admitted to the hospital on Saturday or Sunday, compared to those hospitalized on a weekday” (from NewsWise).
Research: Postsurgical Prescriptions for Opioid Naive Patients and Association with Overdose and Misuse
23 Jan, 2018 | 16:40h | UTC“The duration of treatment rather than dose is more strongly associated with opioid misuse after surgery, concludes this study” (via @bmj_latest see Tweet)
Recommendation Statement: Screening for Adolescent Idiopathic Scoliosis
10 Jan, 2018 | 23:23h | UTCEditorials: Evolving Recommendations for Scoliosis Screening: A Compelling Need for Further Research (free) AND Early Detection of Scoliosis—What the USPSTF “I” Means for Us (free)
Author interview: USPSTF Recommendation: Screening for Adolescent Idiopathic Scoliosis (free)
Commentaries: Not Enough Evidence on Benefits, Harms of Routine Scoliosis Screening for Children and Adolescents – The JAMA Network (free) AND U.S. doctors not certain all kids need scoliosis screening – Reuters (free)
Research: Screening in the Community to Reduce Fractures in Older Women
4 Jan, 2018 | 16:54h | UTCScreening in the community to reduce fractures in older women (SCOOP): a randomised controlled trial – The Lancet (link to abstract – $ for full-text)
Commentaries: Screening could catch a quarter of hip fractures before they happen – University of Manchester (free) AND FRAX Screening Reduces Hip Fractures in Healthy Older Women – Medscape (free registration required)
Guideline: Appropriate Use of Antimicrobial Agents across the Surgical Pathway
1 Jan, 2018 | 12:21h | UTC
Review: CT and MRI Techniques for Imaging Around Orthopedic Hardware
31 Dec, 2017 | 15:40h | UTCCT and MRI Techniques for Imaging Around Orthopedic Hardware – Rofo (free)
Review: Occult Knee Injuries Pearls and Pitfalls
29 Dec, 2017 | 19:35h | UTCEM Cases: Occult Knee Injuries Pearls and Pitfalls – emDocs (free)