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Orthopaedics Evidence Update

28th March 2016


Ethnic minority musculoskeletal health.
Adebajo A, Shikoh S, Kumar K, Walker D.

Dynamic assessment of the wrist after total wrist arthroplasty.
Singh HP, Bhattacharjee D, Dias JJ, Trail I.

Unconstrained metacarpophalangeal joint arthroplasties: a systematic review.
Aujla RS, Sheikh N, Divall P, Bhowal B, Dias JJ.

Medical Students' and Interns' Interest in Orthopedic Surgery: The Gender Factor.
Bath MF, Harries RL, Gokani VJ.


The DAIR (debridement, antibiotics and implant retention) procedure for infected total knee replacement - a literature review.
Qasim SN, Swann A, Ashford R.

Lateral interbody fusion in the lumbar spine for low back pain

Osteoporosis: assessing the risk of fragility fracture


Cerebral palsy in under 25s: assessment and management

Ekso exoskeleton for rehabilitation in people with neurological weakness or paralysis
Cochrane Systematic Reviews
 
Radioisotopes for metastatic bone pain
Read Authors' Conclusions

Interventions for treating simple bone cysts in the long bones of children
Read Authors' Conclusions

Exercise for hand osteoarthritis
Read Authors' Conclusions

Interventions to prevent and treat corticosteroid-induced osteoporosis and prevent osteoporotic fractures in Duchenne muscular dystrophy
Read Authors' Conclusions

Topic: Total knee arthroplasty
Pump-based continuous local anesthetic infiltration may reduce pain at 24 hours and morphine consumption after total knee arthroplasty, but may increase risk of infection (BMC Musculoskelet Disord 2017 Jan 23)

Topic: Trigger finger (stenosing tenosynovitis) in adults
Ultrasound-guided percutaneous release of A1 pulley might be as effective as open release for resolution of triggering, and may lead to faster return to normal activities (World J Orthop 2017 Feb 18)

Topics: Shin painFemoral stress fractureStress fractures of the foot and ankle
ACR Appropriateness Criteria for stress (fatigue/insufficiency) fractures, excluding other vertebrae (National Guideline Clearinghouse 2017 Mar 20)

Topic: Elective total hip arthroplasty
Greater lifetime risk of revision in younger patients having total hip replacement (Lancet 2017 Feb 13)

Topic: Sports-related groin pain
Fascia iliaca compartment block may be less effective for postoperative pain management than local anesthetic infiltration in patients with soft tissue injuries and femoroacetabular impingement having hip arthroscopy (Arthroscopy 2017 Jan)

Topic: Management of rotator cuff tear
Exercise therapy reported to improve shoulder function and quality of life in patients with irreparable rotator cuff tear (BMC Musculoskelet Disord 2016 Jun 8)

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Other Selected Systematic Reviews

Risk factors for postoperative delirium following hip fracture repair in elderly patients: a systematic review and meta-analysis.

Risk factors for cartilage damage and osteoarthritis of the elbow joint: case-control study and systematic literature review.

Predicting sport and occupational lower extremity injury risk through movement quality screening: a systematic review.

Evaluation of the Quality, Accuracy, and Readability of Online Patient Resources for the Management of Articular Cartilage Defects.

No Clinically Important Difference in Knee Scores or Instability Between Transtibial and Inlay Techniques for PCL Reconstruction: A Systematic Review.

Three Patterns of Acetabular Deficiency Are Common in Young Adult Patients With Acetabular Dysplasia.

Intra-articular injections of botulinum toxin a for refractory joint pain: a systematic review and meta-analysis.

Phase-II trials in osteosarcoma recurrences: A systematic review of past experience.

Surgical treatment of infected shoulder arthroplasty. A systematic review.

Reports

Long term conditions scenarios: osteoporosis and wound care
NHS RightCare has published two new scenarios in its long term conditions series.  The scenarios, on osteoporosis and wound care, use fictional people to examine patient journeys, comparing sub-optimal but typical scenarios against ideal pathways.  The  scenarios contain modelled costs of care for commissioners.

NICE Shared Learning
OASIS Group: improving quality of life in patients with lower limb Osteoarthritis

Physical activity interventions for people with musculoskeletal conditions
Arthritis Research UK has published Providing physical activity interventions for people with musculoskeletal conditions. Produced in partnership with the Department of Health, Public Health England and NHS England it highlights the importance of providing physical activity interventions for people with musculoskeletal conditions. It details the resources that local authorities and commissioners can use to enable and support people with musculoskeletal conditions to be physically active

Copyright © 2016 UHL Clinical Librarian Service
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.

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