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Orthopedics (all articles)

Cohort Study | 1 in 3 patients with hemodynamically unstable pelvic fractures die.

1 Dec, 2022 | 13:54h | UTC

Association Between Hemorrhage Control Interventions and Mortality in US Trauma Patients With Hemodynamically Unstable Pelvic Fractures – JAMA Surgery (free for a limited period)

Invited Commentary: Nationwide Variation of Care for Patients With Bleeding Pelvic Fracture—An Opportunity to Rescue Better? – JAMA Surgery (free for a limited period)

Author Interview: Hemorrhage Control Interventions and Mortality in Trauma Patients With Hemodynamically Unstable Pelvic Fractures – JAMA

 

Commentary on Twitter

 

Podcast | Back pain update.

29 Nov, 2022 | 14:07h | UTC

#368 Back Pain Update with
Dr. Austin Baraki – The Curbsiders

 

M-A | Risk factors for knee osteoarthritis after traumatic knee injury.

29 Nov, 2022 | 14:02h | UTC

Risk factors for knee osteoarthritis after traumatic knee injury: a systematic review and meta-analysis of randomised controlled trials and cohort studies for the OPTIKNEE Consensus – British Journal of Sports Medicine

Commentary: Risk factors for osteoarthritis after a knee injury – BJSM Blog

 

Commentary on Twitter

 

SR | Yoga for chronic non‐specific low back pain.

27 Nov, 2022 | 22:08h | UTC

Yoga for chronic non‐specific low back pain – Cochrane Library

Summary: Yoga for chronic non-specific low back pain – Cochrane Library

Commentaries: 

Yoga may have health benefits for people with chronic non-specific lower back pain – Cochrane Library

Is yoga good for back pain? Here’s the evidence – Evidently Cochrane

 

SR | Strategies to prevent and manage running-related knee injuries.

25 Nov, 2022 | 12:37h | UTC

Strategies to prevent and manage running-related knee injuries: a systematic review of randomised controlled trials – British Journal of Sports Medicine (link to abstract – $ for full-text)

Commentaries:

How can we prevent and manage running-related knee injuries? – BJSM Blog

Changes in technique, footwear and intervention prevent running-related knee injuries – Physician’s weekly

 

Commentary from the author on Twitter

 

RT | Routine early arthroscopic partial meniscectomy is not superior to physical therapy for traumatic meniscal tears.

25 Nov, 2022 | 12:38h | UTC

Arthroscopic partial meniscectomy versus physical therapy for traumatic meniscal tears in a young study population: a randomised controlled trial – British Journal of Sports Medicine

Commentary: Arthroscopic Partial Meniscectomy vs Physical Therapy for Traumatic Meniscal Tears in a Young Study Population: what does a recent RCT show? – BJSM Blog

 

Commentary on Twitter

 

Retrospective Cohort Study | Comparative analysis of all-terrain vehicles, motorcycle and automobile-related trauma in a rural community.

25 Nov, 2022 | 12:27h | UTC

Comparative analysis of all-terrain vehicles, motorcycle and automobile-related trauma in a rural border community of the USA – BMJ Open

Commentaries:

Children very vulnerable to severe injury from quad bike use – BMJ Open

More Male, Pediatric Patients Suffer ATV-Related Injury – HealthDay

Related: AAP Recommendations | Prevention of pediatric all-terrain vehicles related deaths and injuries.

 

Commentary on Twitter

 

RCT | Posterior cervical foraminotomy is noninferior to anterior cervical discectomy in patients with cervical radiculopathy.

23 Nov, 2022 | 13:48h | UTC

Noninferiority of Posterior Cervical Foraminotomy vs Anterior Cervical Discectomy With Fusion for Procedural Success and Reduction in Arm Pain Among Patients With Cervical Radiculopathy at 1 Year: The FACET Randomized Clinical Trial – JAMA Neurology (free for a limited period)

 

Commentary on Twitter

 

M-A | Optimal timing of anterior cruciate ligament reconstruction in patients with anterior cruciate ligament tear.

23 Nov, 2022 | 13:43h | UTC

Optimal Timing of Anterior Cruciate Ligament Reconstruction in Patients With Anterior Cruciate Ligament Tear: A Systematic Review and Meta-analysis – JAMA Network Open

 

Commentary on Twitter

 

SR | Adjunctive therapies in addition to land‐based exercise therapy for osteoarthritis of the hip or knee.

23 Nov, 2022 | 13:40h | UTC

Adjunctive therapies in addition to land‐based exercise therapy for osteoarthritis of the hip or knee – Cochrane Library

 

Commentary on Twitter

 

RCT | Comparison between different corticosteroid injection techniques in adhesive capsulitis.

21 Nov, 2022 | 14:18h | UTC

Comparison Between Corticosteroid Injection Into Coracohumeral Ligament and Inferior Glenohumeral Capsule and Corticosteroid Injection Into Posterior Glenohumeral Recess in Adhesive Capsulitis: A Prospective Randomized Trial – Pain Physician (PDF) 

 

RCT | In patients with end-stage ankle osteoarthritis, total ankle replacement and arthrodesis resulted in comparable results.

16 Nov, 2022 | 13:45h | UTC

Total Ankle Replacement Versus Arthrodesis for End-Stage Ankle Osteoarthritis: A Randomized Controlled Trial – Annals of Internal Medicine (link to abstract – $ for full-text)

News Release: Trial shows benefits of two forms of ankle surgery for osteoarthritis – University College London

Summary for Patients: Total Ankle Replacement Versus Arthrodesis for End-Stage Ankle Osteoarthritis

 

RCT | Genicular nerve block offers short-term pain relief in patients with knee osteoarthritis.

15 Nov, 2022 | 12:50h | UTC

Genicular Nerve Block for Pain Management in Patients With Knee Osteoarthritis: A Randomized Placebo-Controlled Trial – Arthritis & Rheumatology

Commentary: Genicular nerve block may provide short-term pain relief for knee osteoarthritis – medwire News

 

RCT | Clinical and cost-effectiveness of single stage compared vs. two-stage revision for hip prosthetic joint infection.

4 Nov, 2022 | 13:49h | UTC

Clinical and cost effectiveness of single stage compared with two stage revision for hip prosthetic joint infection (INFORM): pragmatic, parallel group, open label, randomised controlled trial – The BMJ

 

M-A | Risk of major adverse events associated with gabapentinoid and opioid combination therapy.

4 Nov, 2022 | 13:13h | UTC

Risk of major adverse events associated with gabapentinoid and opioid combination therapy: A systematic review and meta-analysis – Frontiers in Pharmacology

 

Narrative review of machine learning in rheumatic and musculoskeletal diseases: biases, goals, and future directions.

3 Nov, 2022 | 13:34h | UTC

Narrative Review of Machine Learning in Rheumatic and Musculoskeletal Diseases for Clinicians and Researchers: Biases, Goals, and Future Directions – The Journal of Rheumatology

 

NICE Guideline | Osteoarthritis in over 16s: diagnosis and management.

2 Nov, 2022 | 14:29h | UTC

Osteoarthritis in over 16s: diagnosis and management – National Institute for Health and Care Excellence

 

RCT | Povidone-iodine and chlorhexidine gluconate are similarly effective for preventing SSI in open fractures.

2 Nov, 2022 | 14:27h | UTC

Aqueous skin antisepsis before surgical fixation of open fractures (Aqueous-PREP): a multiple-period, cluster-randomised, crossover trial – The Lancet (link to abstract – $ for full-text)

News Release: Study finds antisepsis agents interchangeable in reducing infection risk in open fracture surgeries – Louisiana State University

Related:

Efficacy of different preoperative skin antiseptics on the incidence of surgical site infections: a systematic review, GRADE assessment, and network meta-analysis – The Lancet Microbe

Antiseptic Skin Agents to Prevent Surgical Site Infection After Incisional Surgery: A Randomized, Three-armed Combined Non-inferiority and Superiority Clinical Trial (NEWSkin Prep Study) – Annals of Surgery (link to abstract – $ for full-text)

Alcoholic chlorhexidine skin preparation or triclosan-coated sutures to reduce surgical site infection: a systematic review and meta-analysis of high-quality randomised controlled trials – The Lancet Infectious Diseases

Pragmatic randomized trial found similar rates of surgical site infectious with 2% alcoholic chlorhexidine skin preparation compared with povidone–iodine, or with triclosan-coated sutures compared with non-coated sutures.

 

EULAR points to consider to support people with rheumatic and musculoskeletal diseases in work participation.

2 Nov, 2022 | 14:20h | UTC

2021 EULAR points to consider to support people with rheumatic and musculoskeletal diseases to participate in healthy and sustainable paid work – Annals of the Rheumatic Diseases

News Release: Supporting workers with rheumatic and musculoskeletal diseases – European Alliance of Associations for Rheumatology

 

ACCP Guideline | Perioperative management of antithrombotic therapy.

1 Nov, 2022 | 12:18h | UTC

Perioperative Management of Antithrombotic Therapy: An American College of Chest Physicians Clinical Practice Guideline – CHEST

Executive Summary: Perioperative Management of Antithrombotic Therapy: An American College of Chest Physicians Clinical Practice Guideline – CHEST

 

Commentary on Twitter

 

M-A | Collagenase clostridium histolyticum injections vs. percutaneous needle fasciotomy vs. limited fasciectomy in the Dupuytren’s contracture.

1 Nov, 2022 | 12:05h | UTC

Short-term efficacy and adverse effects of collagenase clostridium histolyticum injections, percutaneous needle fasciotomy and limited fasciectomy in the treatment of Dupuytren’s contracture: a network meta-analysis of randomized controlled trials – BMC Musculoskeletal Disorders

 

M-A | Clinical effectiveness and safety of spinal anesthesia vs. general anesthesia in patients undergoing hip fracture surgery.

24 Oct, 2022 | 14:09h | UTC

Clinical effectiveness and safety of spinal anaesthesia compared with general anaesthesia in patients undergoing hip fracture surgery using a consensus-based core outcome set and patient-and public-informed outcomes: a systematic review and meta-analysis of randomised controlled trials – British Journal of Anaesthesiology

Related:

RCT: In older patients undergoing hip fracture surgery, regional anesthesia did not reduce the incidence of postoperative delirium compared to general anesthesia.

RCT: Spinal anesthesia is associated with more pain and prescription analgesic use after hip surgery compared to general anesthesia.

RCT: Spinal Anesthesia not Superior to General Anesthesia for Hip Surgery in Older Adults.

RCT: Similar long-term survival after combined epidural–general anesthesia vs. general anesthesia alone.

Long-term Survival after Combined Epidural–General Anesthesia or General Anesthesia Alone: Follow-up of a Randomized Trial – Anesthesiology

Delirium in Older Patients after Combined Epidural–General Anesthesia or General Anesthesia for Major Surgery: A Randomized Trial – Anesthesiology

 

Systematic Review | Antidepressants for hip and knee osteoarthritis.

24 Oct, 2022 | 14:04h | UTC

Antidepressants for hip and knee osteoarthritis – Cochrane Library

 

Systematic Review | Systemic corticosteroids for radicular and non‐radicular low back pain.

24 Oct, 2022 | 14:03h | UTC

Systemic corticosteroids for radicular and non‐radicular low back pain – Cochrane Library

 

RCT | The efficacy of bone wax in reduction of perioperative blood loss in total hip arthroplasty via direct anterior approach.

21 Oct, 2022 | 12:48h | UTC

The Efficacy of Bone Wax in Reduction of Perioperative Blood Loss in Total Hip Arthroplasty via Direct Anterior Approach: A Prospective Randomized Clinical Trial – The Journal of Bone and Joint Surgery (link to abstract – $ for full-text)

 

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