Orthopedics (all articles)
Functional Gain and Pain Relief After Total Joint Replacement According to Obesity Status
10 Aug, 2017 | 19:27h | UTCFunctional Gain and Pain Relief After Total Joint Replacement According to Obesity Status – The Journal of Bone & Joint Surgery (link to abstract – $ for full-text)
Commentaries: Joint Replacement Weight Loss Requirements Challenged – Medscape (free registration required) AND Pain relief, functional outcomes after joint replacement similar in obese and normal-weight patients – News Medical (free)
The best running stride? The one that comes naturally
9 Aug, 2017 | 15:59h | UTCThe best running stride? The one that comes naturally – The New York Times (10 articles per month are free)
Related article: Self-optimization of Stride Length Among Experienced and Inexperienced Runners – International Journal of Exercise Science (free)
Hip Pain and Mobility Deficits-Hip Osteoarthritis
9 Aug, 2017 | 15:57h | UTCGuideline: Hip Pain and Mobility Deficits-Hip Osteoarthritis: Revision 2017 – Orthopaedic Section of the American Physical Therapy Association (APTA) (free)
A comprehensive guide to the new science of treating lower back pain
4 Aug, 2017 | 16:52h | UTCA comprehensive guide to the new science of treating lower back pain – VOX (free)
“Mainstream medicine has failed people with chronic back pain”
Are high heels bad for your health?
3 Aug, 2017 | 21:17h | UTCCommentary: Are high heels bad for your health? Two experts review the evidence – The Conversation (free)
Atypical fracture with long-term bisphosphonate therapy is associated with altered cortical composition and reduced fracture resistance
3 Aug, 2017 | 20:55h | UTCCommentaries: Long-Term Bisphosphonate Use Degrades Cortical Bone – Medscape (free registration required) AND How Do Bisphosphonates Cause Atypical Femoral Fractures? – MedPage Today (free registration required) AND Study highlights underlying mechanisms of fractures associated with osteoporosis drug – Cornell University, via EurekAlert (free)
Neck Pain: Updated Clinical Practice Guideline
3 Aug, 2017 | 13:59h | UTC
Effectiveness of oral glucosamine for knee and hip osteoarthritis
3 Aug, 2017 | 14:03h | UTCSubgroup analyses of the effectiveness of oral glucosamine for knee and hip osteoarthritis: a systematic review and individual patient data meta-analysis from the OA trail bank – Annals of Rheumatic Diseases (link to abstract – $ for full-text) (RT @PhysioMeScience see Tweet)
“Currently, there is no good evidence to support the use of glucosamine for hip or knee OA”
First-time patellar dislocation guidelines
3 Aug, 2017 | 13:29h | UTCI.S.Mu.L.T. first-time patellar dislocation guidelines – Muscle, Ligaments and Tendons Journal (free)
Low back, Cervical and Thoracic Spine Disorders Guidelines
1 Aug, 2017 | 17:32h | UTCNew National Guideline Clearinghouse (NGC) Summaries in Low back, Cervical and Thoracic Spine Disorders with focus on occupational health.
Low Back Disorders – American College of Occupational and Environmental Medicine (free summary from NGC – $ see original guideline in ACOEM website)
Cervical and thoracic spine disorders – American College of Occupational and Environmental Medicine (free summary from NGC – $ see original guideline in ACOEM website)
Treatment Outcomes for Patients with Failed Back Surgery
1 Aug, 2017 | 17:09h | UTCSystematic Review: Treatment Outcomes for Patients with Failed Back Surgery – Pain Physician (free PDF)
Online education, pain coaching and advice by video conference can reduce knee pain
28 Jul, 2017 | 18:10h | UTCOnline education, pain coaching and advice by video conference can reduce knee pain – NIHR Signal (free)
Original article: Effectiveness of an Internet-Delivered Exercise and Pain-Coping Skills Training Intervention for Persons With Chronic Knee Pain: A Randomized Trial – Annals of Internal Medicine (free) AND Commentaries: Online Intervention Reduces Knee Pain, Improves Mobility – Medscape (free registration required) AND The Internet may be an effective tool for treating chronic knee pain – 2 Minute Medicine (free) AND Chronic knee pain eased with the help of Skype – CNN (free text and video)
“Reduced pain for 73% of knee pain patients receiving videoconference physio, pain coaching and online education” (RT @NIHR_DC see Tweet)
Low back pain and sciatica in over 16s – NICE Quality Standard
28 Jul, 2017 | 16:06h | UTCLow back pain and sciatica in over 16s – NICE Quality Standard (free)
Related guideline: Low back pain and sciatica in over 16s: assessment and management – NICE (free)
Effectiveness of non-steroidal anti-inflammatory drugs for the treatment of pain in knee and hip osteoarthritis
28 Jul, 2017 | 17:24h | UTCEffectiveness of non-steroidal anti-inflammatory drugs for the treatment of pain in knee and hip osteoarthritis: a network meta-analysis – The Lancet (link to abstract – $ for full-text)
Diclofenac 150 mg/day is the most effective NSAID available at present (are the cardiac and renal risks worth it?) and Paracetamol does not seem to work for this condition.
Indirect decompression in spinal surgery
28 Jul, 2017 | 15:36h | UTCReview: Indirect decompression in spinal surgery – Journal of Clinical Neuroscience (free)
Is cyclobenzaprine useful for pain?
25 Jul, 2017 | 00:24h | UTCIs cyclobenzaprine useful for pain? – Therapeutics Initiative (free)
“…cyclobenzaprine is a long-acting sedative, not a muscle relaxant, and questioning whether any potential benefits are worth the side effects”. (from TI Newsletter). “If prescribed, a dose of 5 mg at bedtime should be tried first. Evidence suggests titration based on response and tolerability to a maximum dose of 15 mg/day, for no longer than one week”.
Implant Survival After Minimally Invasive Anterior or Anterolateral Vs. Conventional Posterior or Direct Lateral Approach
23 Jul, 2017 | 13:01h | UTCImplant Survival After Minimally Invasive Anterior or Anterolateral Vs. Conventional Posterior or Direct Lateral Approach: An Analysis of 21,860 Total Hip Arthroplasties from the Norwegian Arthroplasty Register (2008 to 2013) – The Journal of Bone and Joint Surgery (link to abstract – $ for full-text)
Commentary: Implant survival for minimally invasive vs. open hip surgery: 4 key notes – Spine Review (free)
Source: EvidenceAlerts (free resource to find articles of interest in all specialties)
“There were no significant differences among the surgical approaches with regard to the 2 and 5-year survival rates or RR of revision due to any cause”
The Evolving Story of Overlapping Surgery
23 Jul, 2017 | 14:09h | UTCViewpoint: The Evolving Story of Overlapping Surgery – JAMA (free) (RT @pash22 see Tweet)
Commentary: 3 steps to restore patient trust in overlapping surgeries – FierceHealthcare (free)
This interesting viewpoint discusses the practice of scheduling overlapping surgeries, in which a qualified practitioner finishes noncritical parts of the first operation while the primary surgeon moves to the next surgery.
Venous Thromboembolism Prophylaxis in Major Orthopedic Surgery: Systematic Review Update
22 Jul, 2017 | 14:08h | UTCVenous Thromboembolism Prophylaxis in Major Orthopedic Surgery: Systematic Review Update. Comparative Effectiveness Review – Agency for Healthcare Research and Quality (free report and summary)
See also: Executive summary (free PDF)
Source: ACP Journal Wise ($ resource to find articles of interest)
Comprehensive review on the evidence regarding thromboembolism prophylaxis in major orthopedic surgery.
Association of delay of urgent or emergency surgery with mortality and use of health care resources
10 Jul, 2017 | 15:09h | UTCCommentary: Patients whose emergency surgery is delayed are at higher risk of death – Canadian Medical Association Journal, via EurekAlert (free)
Source: STAT News Newsletter
“Delayed operating room access for emergency surgery was associated with increased risk of inhospital mortality, longer length of stay and higher costs”.
Basic radiological assessment of synovial diseases
7 Jul, 2017 | 13:30h | UTCReview: Basic radiological assessment of synovial diseases: a pictorial essay – European Journal of Rheumatology (free)
Arthroscopic surgery for degenerative knee arthritis and meniscal tears
5 Jul, 2017 | 15:30h | UTCWhat I Wish I’d Known About My Knees – The New York Times (10 articles per month are free)
Related guideline: Arthroscopic surgery for degenerative knee arthritis and meniscal tears: a clinical practice guideline – The BMJ (free)
“There’s little evidence to support many of the procedures people undergo in the hopes of avoiding a knee replacement”. (RT @NYTHealth see Tweet)
Delirium Prevention Strategies for Elderly Adults with Hip Fracture
30 Jun, 2017 | 15:18h | UTCSource: PracticalReviews ($)
See related article on the effect of multicomponent nonpharmacologic interventions to prevent delirium in abdominal surgery in our May 25th issue (see #5)
Delirium-friendly preprinted postoperative orders executed by regular nursing staff resulted in a significant reduction in postoperative delirium.
A Meta-analysis of the Impact of Aspirin, Clopidogrel, and Dual Antiplatelet Therapy on Bleeding Complications in Noncardiac Surgery
26 Jun, 2017 | 17:32h | UTCA Meta-analysis of the Impact of Aspirin, Clopidogrel, and Dual Antiplatelet Therapy on Bleeding Complications in Noncardiac Surgery – Annals of Surgery (link to abstract – $ for full-text)
Source: EvidenceAlerts (free resource to find articles of interest)
“Antiplatelet therapy at the time of noncardiac surgery confers minimal bleeding risk with no difference in thrombotic complications. In many cases, it is safe to continue antiplatelet therapy in patients with important indications for their use”
Effectiveness of conservative interventions in adults with shoulder impingement
23 Jun, 2017 | 20:41h | UTC