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Orthopedics (all articles)

Consensus Paper | Surgical video data use, structure, and exploration (for research in AI, quality improvement, and education)

9 Aug, 2023 | 15:20h | UTC

SAGES consensus recommendations on surgical video data use, structure, and exploration (for research in artificial intelligence, clinical quality improvement, and surgical education) – Surgical Endoscopy

 


Cohort Study | Vegetarian diet linked to elevated hip fracture risk; BMI plays a partial role

9 Aug, 2023 | 15:16h | UTC

Risk of hip fracture in meat-eaters, pescatarians, and vegetarians: a prospective cohort study of 413,914 UK Biobank participants – BMC Medicine

 


Podcast | Knee pain pearls

9 Aug, 2023 | 15:08h | UTC

#406 Kneedful Things: Knee Pain 201 with Dr. Ted Parks – The Curbsiders

 


RCT | Ferric derisomaltose plus tranexamic acid may reduce blood transfusion risk by 50% in hip surgery

3 Aug, 2023 | 13:18h | UTC

Ferric derisomaltose and tranexamic acid, combined or alone, for reducing blood transfusion in patients with hip fracture (the HiFIT trial): a multicentre, 2 × 2 factorial, randomised, double-blind, controlled trial – The Lancet Haematology (link to abstract – $ for full-text)

 


RCT | Platelet-rich plasma injections lack efficacy in 52-week ankle osteoarthritis study

2 Aug, 2023 | 13:43h | UTC

Platelet-Rich Plasma Injections for the Treatment of Ankle Osteoarthritis – The American Journal of Sports Medicine

 


M-A | Updated evidence supports incisional negative pressure wound therapy for surgical site infection prevention

1 Aug, 2023 | 14:15h | UTC

Incisional negative pressure wound therapy for the prevention of surgical site infection: an up-to-date meta-analysis and trial sequential analysis – eClinicalMedicine

 


Guideline | Diagnosis and treatment of fragility fractures of the pelvis

14 Jul, 2023 | 12:39h | UTC

Clinical Guidelines for the Diagnosis and Treatment of Fragility Fractures of the Pelvis – Orthopaedic Surgery

 


Podcast | Overuse injuries in pediatrics

11 Jul, 2023 | 13:52h | UTC

#86: Overuse Injuries – The Leg Bone’s Connected to the Foot Bone! – The Cribsiders

 


Systematic Review | Ethical perspectives on surgical video recording for patients, surgeons and society

11 Jul, 2023 | 13:44h | UTC

Ethical perspectives on surgical video recording for patients, surgeons and society: systematic review – BJS Open

 


RCT | Opioids not more effective than placebo for acute low back and neck pain

5 Jul, 2023 | 01:15h | UTC

Opioid analgesia for acute low back pain and neck pain (the OPAL trial): a randomised placebo-controlled trial – The Lancet (link to abstract – $ for full-text)

News Releases:

Opioids no more effective than placebo for acute back and neck pain – University of Sidney

Opioid pain relievers do not reduce acute lower back and neck pain, study suggests – The Lancet

Commentary from the authors: Opioids don’t relieve acute low back or neck pain – and can result in worse pain, new study finds – The Conversation

 


M-A | Prophylactic intravenous tranexamic acid and thromboembolism in non-cardiac surgery

29 Jun, 2023 | 14:03h | UTC

Prophylactic intravenous tranexamic acid and thromboembolism in non-cardiac surgery: a systematic review, meta-analysis and trial sequential analysis – Anaesthesia

 


RCT | Arthroscopic capsular shift surgery shows no significant pain or functional improvement in atraumatic shoulder instability

29 Jun, 2023 | 13:45h | UTC

Arthroscopic capsular shift surgery in patients with atraumatic shoulder joint instability: a randomised, placebo-controlled trial – British Journal of Sports Medicine (link to abstract – $ for full-text)

 


Position Statement | Prehospital hemorrhage control and treatment by clinicians

27 Jun, 2023 | 14:02h | UTC

Prehospital Hemorrhage Control and Treatment by Clinicians: A Joint Position Statement – Annals of Emergency Medicine

 


Cohort Study | Increased revision rates seen in shoulder replacement surgeries by surgeons with less than 10 procedures annually

27 Jun, 2023 | 13:48h | UTC

Summary: This prospective cohort study investigated the correlation between surgeon volume and patient outcomes after elective shoulder replacement surgeries. Utilizing data from 39,281 procedures performed by 638 surgeons in UK public and private hospitals between 2012-20, the study focuses on adults aged 18 years or older.

The results indicate a significant connection between a surgeon’s mean annual volume and risk of adverse patient outcomes. Surgeons performing fewer than 10.4 procedures per year demonstrated a significantly increased risk of revision surgery, with the hazard ratio being almost twice as high as that of the lowest risk surgeons. Higher mean annual surgical volume correlated with lower risks of reoperations, fewer serious adverse events, and shorter hospital stays.

These findings suggest the need for strategic resource planning in surgical services, with considerations given to surgeon’s annual procedure volume to improve patient outcomes after shoulder replacement surgery. It should be noted that the study was limited in scope to surgeries performed within the NHS and private hospitals in England. Furthermore, potential confounding factors like patients’ social circumstances, carer availability, or body mass index were not considered.

Article: Association between surgeon volume and patient outcomes after elective shoulder replacement surgery using data from the National Joint Registry and Hospital Episode Statistics for England: population based cohort study – The BMJ

Editorial: Surgeon volume and patient outcomes in shoulder replacement surgery – The BMJ

News Release: Patients do better when surgeon averages 10 + annual shoulder ops – BMJ Newsroom

 


RCT | High-dose dual-antibiotic cement doesn’t lower infection rates in hip hemiarthroplasty

26 Jun, 2023 | 00:47h | UTC

Summary: This randomized superiority trial studied the effect of high-dose dual-antibiotic loaded cement versus standard care single-antibiotic loaded cement on deep surgical site infection (SSI) rates in hip hemiarthroplasty patients. This large-scale study, conducted in 26 UK hospitals, included people aged 60 and older with a hip fracture.

The trial randomly allocated 4936 participants to either treatment group. The primary outcome was deep SSI at 90 days post-randomisation. Notably, no significant difference was found between the groups. About 1.7% of participants in the single-antibiotic group and 1.2% in the dual-antibiotic group experienced a deep SSI (adjusted odds ratio 1.43; 95% CI 0.87–2.35; p=0.16). This result contradicts previous findings suggesting that high-dose dual-antibiotic cement could reduce infection rates.

Article: High-dose dual-antibiotic loaded cement for hip hemiarthroplasty in the UK (WHiTE 8): a randomised controlled trial – The Lancet

News release: Antibiotic bone cement found not to reduce infection after hip replacement – University of Oxford

 


Review | The antibiotic bead pouch – A useful technique for infection prevention and therapy in trauma surgery

26 Jun, 2023 | 00:35h | UTC

The antibiotic bead pouch – a useful technique for temporary soft tissue coverage, infection prevention and therapy in trauma surgery – Journal of Bone and Joint Infection

 


Review | Evaluation and management of diabetes-related foot infections

23 Jun, 2023 | 13:36h | UTC

Evaluation and Management of Diabetes-related Foot Infections – Clinical Infectious Diseases

Related: Guideline Series | Prevention and management of diabetes-related foot disease

 


Review | Nonsurgical management of major hemorrhage

22 Jun, 2023 | 15:16h | UTC

Nonsurgical management of major hemorrhage – Canadian Medical Association Journal

 


Editorial | How to become a good surgeon

22 Jun, 2023 | 15:12h | UTC

How to become a good surgeon – Advances in Ophthalmology Practice and Research

 


RCT | Comparable 1-year outcomes for intramedullary nail vs. sliding hip screw in trochanteric fractures

22 Jun, 2023 | 15:06h | UTC

Intramedullary Nailing vs Sliding Hip Screw in Trochanteric Fracture Management: The INSITE Randomized Clinical Trial – JAMA Network Open

Invited Commentary: A Gap Between Evidence-Based Research and Clinical Practice in Management of Hip Fractures – JAMA Network Open

 

Commentary on Twitter

 


The foot in diabetes – a reminder of an ever-present risk

21 Jun, 2023 | 13:10h | UTC

The foot in diabetes – a reminder of an ever-present risk – Clinical Medicine Journal

Related: Guideline Series | Prevention and management of diabetes-related foot disease

 


Systematic Review | Tranexamic acid likely decreases red blood cell transfusion need in hip fracture surgery

16 Jun, 2023 | 14:09h | UTC

Interventions for reducing red blood cell transfusion in adults undergoing hip fracture surgery: an overview of systematic reviews – Cochrane Library

Summary: What treatments reduce the need for a blood transfusion in adults who have broken their hip? – Cochrane Library

 


M-A | Post-surgery interventions for hip fracture

16 Jun, 2023 | 13:45h | UTC

Post-surgery interventions for hip fracture: a systematic review of randomized controlled trials – BMC Musculoskeletal Disorders

 


Consensus Statement | Concussion in sport

15 Jun, 2023 | 15:14h | UTC

Consensus statement on concussion in sport: the 6th International Conference on Concussion in Sport–Amsterdam, October 2022 – British Journal of Sports Medicine

News Release: International expert panel revises management of concussion in sport for optimal care of athletes at all levels of participation – BMJ

 


Imaging features of the postoperative spine: a guide to basic understanding of spine surgical procedures

15 Jun, 2023 | 14:43h | UTC

Imaging features of the postoperative spine: a guide to basic understanding of spine surgical procedures – Insights into Imaging

 


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