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Orthopedics (all articles)

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)

 


Crossover RCT | Spinal cord burst stimulation does not improve disability in chronic radicular pain after lumbar spine surgery.

19 Oct, 2022 | 14:29h | UTC

Effect of Spinal Cord Burst Stimulation vs Placebo Stimulation on Disability in Patients With Chronic Radicular Pain After Lumbar Spine Surgery: A Randomized Clinical Trial – JAMA (free for a limited period)

 

Commentary on Twitter

 


Systematic Review | Conservative vs. surgical management for femoro-acetabular impingement.

19 Oct, 2022 | 14:09h | UTC

Conservative vs. Surgical Management for Femoro-Acetabular Impingement: A Systematic Review of Clinical Evidence – Journal of Clinical Medicine

Related:

Arthroscopic hip surgery compared with personalised hip therapy in people over 16 years old with femoroacetabular impingement syndrome: UK FASHIoN RCT – Health Technology Assessment

Arthroscopic hip surgery compared with physiotherapy and activity modification for the treatment of symptomatic femoroacetabular impingement: multicentre randomised controlled trial – The BMJ

 


Cohort Study | Association between osseointegration of lower extremity amputation and mortality among adults.

18 Oct, 2022 | 12:49h | UTC

Association Between Osseointegration of Lower Extremity Amputation and Mortality Among Adults – JAMA Network Open

 


[Not published yet] Aspirin noninferior to LMW Heparin for prevention of death or pulmonary embolism after fracture surgery.

17 Oct, 2022 | 12:36h | UTC

Aspirin as effective as standard blood thinner to prevent life-threatening blood clots and death after fracture surgery – University of Maryland School of Medicine

 


Cohort Study | Association between osseointegration of lower extremity amputation and mortality among adults.

14 Oct, 2022 | 14:00h | UTC

Association Between Osseointegration of Lower Extremity Amputation and Mortality Among Adults – JAMA Network Open

 


M-A | Clinical effectiveness of tenotomy versus tenodesis for long head of biceps pathology.

13 Oct, 2022 | 13:41h | UTC

Clinical effectiveness of tenotomy versus tenodesis for long head of biceps pathology: a systematic review and meta-analysis – BMJ Open

 


Randomized controlled trials in hand surgery: a scoping review.

13 Oct, 2022 | 13:32h | UTC

Randomised controlled trials in hand surgery: a scoping review – BMJ Open

 


Systematic Review | Splinting for the non‐operative management of developmental dysplasia of the hip in children under six months.

12 Oct, 2022 | 13:53h | UTC

Splinting for the non‐operative management of developmental dysplasia of the hip (DDH) in children under six months of age – Cochrane Library

 


M-A | Effectiveness and safety of tranexamic acid use in acute traumatic injury in the prehospital and in-hospital settings.

7 Oct, 2022 | 14:06h | UTC

Effectiveness and Safety of Tranexamic Acid Use in Acute Traumatic Injury in the Prehospital and In-hospital Settings: A Systematic Review and Meta-Analysis of Randomized Controlled Trials – Annals of Surgery Open

 


Review | Regional anesthesia for shoulder surgery.

7 Oct, 2022 | 14:05h | UTC

Regional anesthesia for shoulder surgery – Minerva Anestesiologica

 


RCT | A postoperative multimodal opioid-sparing protocol can reduce opioid consumption after knee or shoulder arthroscopy.

5 Oct, 2022 | 13:57h | UTC

Effect of a Postoperative Multimodal Opioid-Sparing Protocol vs Standard Opioid Prescribing on Postoperative Opioid Consumption After Knee or Shoulder Arthroscopy: A Randomized Clinical Trial – JAMA (free for a limited period)

News Release: Orthopedic surgery patients do fine without opioid painkillers – McMaster University

See also: Visual Abstract

Video Editor’s Note: Effect of an Opioid-Sparing Protocol vs Standard Prescribing on Opioid Consumption After Knee or Shoulder Arthroscopy

 


Viewpoint | Using behavioral economics to decrease operating room costs and promote better surgeon accountability.

29 Sep, 2022 | 13:28h | UTC

Using Behavioral Economics to Decrease Operating Room Costs and Promote Better Surgeon Accountability – JAMA Surgery (free for a limited period)

 


M-A | Prevention of venous thromboembolic events in patients with lower leg immobilization after trauma.

27 Sep, 2022 | 13:04h | UTC

Prevention of venous thromboembolic events in patients with lower leg immobilization after trauma: Systematic review and network meta-analysis with meta-epsidemiological approach – PLOS Medicine

 


Guideline | Anemia management in surgical patients.

23 Sep, 2022 | 13:11h | UTC

Recommendations from the International Consensus Conference on Anemia Management in Surgical Patients (ICCAMS) – Annals of Surgery

 


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