Orthopedics (all articles)

Treatment Outcomes for Patients with Failed Back Surgery

1 Aug, 2017 | 17:09h | UTC

Systematic 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 | UTC

Online 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 | UTC

Low back pain and sciatica in over 16s – NICE Quality Standard (free)

Effectiveness of non-steroidal anti-inflammatory drugs for the treatment of pain in knee and hip osteoarthritis

28 Jul, 2017 | 17:24h | UTC

Effectiveness 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 | UTC

Review: Indirect decompression in spinal surgery – Journal of Clinical Neuroscience (free)

Is cyclobenzaprine useful for pain?

25 Jul, 2017 | 00:24h | UTC

Is 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 | UTC

Implant 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 | UTC

Viewpoint: 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 | UTC

Venous Thromboembolism Prophylaxis in Major Orthopedic Surgery: Systematic Review Update. Comparative Effectiveness Review – Agency for Healthcare Research and Quality (free report and summary)

Association of delay of urgent or emergency surgery with mortality and use of health care resources

10 Jul, 2017 | 15:09h | UTC

Association of delay of urgent or emergency surgery with mortality and use of health care resources: a propensity score–matched observational cohort study – Canadian Medical Association Journal (free)

Commentary: 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 | UTC

Review: 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 | UTC

What I Wish I’d Known About My Knees – The New York Times (10 articles per month are 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 | UTC

Translating Delirium Prevention Strategies for Elderly Adults with Hip Fracture into Routine Clinical Care: A Pragmatic Clinical Trial – Journal of the American Geriatrics Society (free)

Source: PracticalReviews ($)

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 | UTC

A 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

Effectiveness of conservative interventions including exercise, manual therapy and medical management in adults with shoulder impingement: a systematic review and meta-analysis of RCTs – British Journal of Sports Medicine (free)

Yoga, Physical Therapy, or Education for Chronic Low Back Pain

21 Jun, 2017 | 02:13h | UTC

Yoga, Physical Therapy, or Education for Chronic Low Back Pain: A Randomized Noninferiority Trial – Annals of Internal Medicine (link to abstract – $ for full-text)

Commentaries: Yoga Vs. Physical Therapy For Chronic Low Back Pain: Which Is More Effective? – Forbes (free) AND Yoga Noninferior to Physical Therapy for Low Back Pain – Physician’s First Watch (free) AND Yoga as Good for Low Back Pain as Physical Therapy – Medscape (free registration required)

Antiplatelet Therapy in Patients With Coronary Stents Undergoing Elective Noncardiac Surgery

20 Jun, 2017 | 18:23h | UTC

Antiplatelet Therapy in Patients With Coronary Stents Undergoing Elective Noncardiac Surgery: Continue, Stop, or Something in Between? – JAMA (free)

EULAR/EFORT recommendations for the management of fragility fractures

19 Jun, 2017 | 12:54h | UTC

EULAR/EFORT recommendations for management of patients older than 50 years with a fragility fracture and prevention of subsequent fractures (free)

Guideline for the Perioperative Management of Antirheumatic Medication in Patients With Rheumatic Diseases Undergoing Elective Total Hip or Total Knee Arthroplasty

19 Jun, 2017 | 12:57h | UTC

2017 American College of Rheumatology/American Association of Hip and Knee Surgeons Guideline for the Perioperative Management of Antirheumatic Medication in Patients With Rheumatic Diseases Undergoing Elective Total Hip or Total Knee Arthroplasty (free)

Press release: New Guideline Aims to Reduce Infections in Total Hip & Knee Replacement Patients (free)

Commentaries: New medication guidelines for rheumatic disease patients having joint replacement – Hospital for Special Surgery, via EurekAlert (free) AND New Guidelines Issued on Antirheumatic Drugs for Patients Undergoing Knee or Hip Replacement – Physician’s First Watch (free)

Should you wait before having surgery for an ACL tear?

11 Jun, 2017 | 19:43h | UTC

Delaying ACL reconstruction and treating with exercise therapy alone may alter prognostic factors for 5-year outcome: an exploratory analysis of the KANON trial – British Journal of Sports Medicine (free)

Commentaries: Should you wait before having surgery for an ACL tear? – Reuters Health (free)

Prevention and Treatment of Glucocorticoid-Induced Osteoporosis

9 Jun, 2017 | 16:04h | UTC

2017 American College of Rheumatology Guideline for the Prevention and Treatment of Glucocorticoid-Induced Osteoporosis (free)

Commentary: ACR Releases Guideline on prevention & treatment of glucocorticoid-induced osteoporosis – American College of Rheumatology, via EurekAlert (free)

Commentary: USPSTF: Not Enough Evidence to Recommend Routine Scoliosis Screening – Physician’s First Watch (free)

Intra-articular triamcinolone not effective for knee osteoarthritis

17 May, 2017 | 20:16h | UTC

Effect of Intra-articular Triamcinolone vs Saline on Knee Cartilage Volume and Pain in Patients With Knee Osteoarthritis: A Randomized Clinical Trial – JAMA (free)

Author interview video: Comparison of Intra-articular Triamcinolone vs Saline for Knee Osteoarthritis (free)

JAMA report video: Comparison of Intra-articular Triamcinolone vs Saline for Knee Osteoarthritis (free)

Source: Study: Intra-articular triamcinolone not effective for symptomatic knee osteoarthritis – Healio Rheumatology (free)