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Orthopaedics Evidence Update

November 2016

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Risk of hip fracture following a wrist fracture-A meta-analysis.
Johnson NA, Stirling ER, Divall P, Thompson JR, Ullah AS, Dias JJ .
Injury. 2016 Nov 3. pii: S0020-1383(16)30723-9.

Bedside Ultrasound vs X-ray for the Diagnosis of Forearm Fractures in Children.
Rowlands R, Rippey J, Tie S, Flynn J.
J Emerg Med. 2016 Nov 1. pii: S0736-4679(16)30888-5.

The influence of cemented femoral stem choice on the incidence of revision for periprosthetic fracture after primary total hip arthroplasty: an analysis of national joint registry data.

Palan J, Smith MC, Gregg P, Mellon S, Kulkarni A, Tucker K, Blom AW, Murray DW, Pandit H.
Bone Joint J. 2016 Oct;98-B(10):1347-1354.

The influence of cemented femoral stem choice on the incidence of revision for periprosthetic fracture after primary total hip arthroplasty: an analysis of national joint registry data.

Palan J, Smith MC, Gregg P, Mellon S, Kulkarni A, Tucker K, Blom AW, Murray DW, Pandit H.
Bone Joint J. 2016 Oct;98-B(10):1347-1354.

Non-surgical treatment of Achilles rupture: Does duration in functional weight bearing orthosis matter?
Aujla R, Kumar A, Bhatia M.
Foot Ankle Surg. 2016 Dec;22(4):254-258.
 
Graphical display of histopathology data from toxicology studies for drug discovery and development: An industry perspective.
Brown AP, Drew P, Knight B, Marc P, Troth S, Wuersch K, Zandee J.
Regul Toxicol Pharmacol. 2016 Oct 18. pii: S0273-2300(16)30298-7. 
 
No Association of Coronary Artery Disease with X-Chromosomal Variants in Comprehensive International Meta-Analysis.
Loley C, Alver M, Assimes TL, Bjonnes A, Goel A, Gustafsson S, Hernesniemi J, Hopewell JC, Kanoni S, Kleber ME, Lau KW, Lu Y, Lyytikäinen LP, Nelson CP, Nikpay M, Qu L, Salfati E, Scholz M, Tukiainen T, Willenborg C, Won HH, Zeng L, Zhang W, Anand SS, Beutner F, Bottinger EP, Clarke R, Dedoussis G, Do R, Esko T, Eskola M, Farrall M, Gauguier D, Giedraitis V, Granger CB, Hall AS, Hamsten A, Hazen SL, Huang J, Kähönen M, Kyriakou T, Laaksonen R, Lind L, Lindgren C, Magnusson PK, Marouli E, Mihailov E, Morris AP, Nikus K, Pedersen N, Rallidis L, Salomaa V, Shah SH, Stewart AF, Thompson JR, Zalloua PA, Chambers JC, Collins R, Ingelsson E, Iribarren C, Karhunen PJ, Kooner JS, Lehtimäki T, Loos RJ, März W, McPherson R, Metspalu A, Reilly MP, Ripatti S, Sanghera DK, Thiery J, Watkins H, Deloukas P, Kathiresan S, Samani NJ, Schunkert H, Erdmann J, König IR.
Sci Rep. 2016 Oct 12;6:35278. doi: 10.1038/srep35278.
 
Comparison of distal radius fracture intra-articular step reduction with volar locking plates and K wires: a retrospective review of quality and maintenance of fracture reduction.
Johnson NA, Dias JJ, Wildin CJ, Cutler L, Bhowal B, Ullah AS.
J Hand Surg Eur Vol. 2016 Oct 3. pii: 1753193416669502. [Epub ahead of print]
 
The influence of cemented femoral stem choice on the incidence of revision for periprosthetic fracture after primary total hip arthroplasty: an analysis of national joint registry data.
Palan J, Smith MC, Gregg P, Mellon S, Kulkarni A, Tucker K, Blom AW, Murray DW, Pandit H.
Bone Joint J. 2016 Oct;98-B(10):1347-1354.
New and Updated Cochrane Systematic Reviews

Pentasaccharides for the prevention of venous thromboembolism
Authors' conclusionsModerate to high quality evidence shows that fondaparinux is effective for short-term prevention of VTE when compared with placebo. It can reduce total VTE, DVT, total PE and symptomatic VTE, and does not demonstrate a reduction in deaths compared with placebo. Low to moderate quality evidence shows that fondaparinux is more effective for short-term VTE prevention when compared with LMWH. It can reduce total VTE and total DVT and does not demonstrate a reduction in deaths when compared with LMWH. However, at the same time, moderate to high quality evidence shows that fondaparinux increases major bleeding when compared with placebo and LMWH. Therefore, when fondaparinux is chosen for the prevention of VTE, attention should be paid to the person's bleeding and thrombosis risks. Most data were derived from patients undergoing orthopaedic surgery. Therefore, the conclusion predominantly pertains to these patients. Data on fondaparinux for other clinical conditions are sparse.
 

There were no new NICE guidelines in this issue
Other High Quality Evidence

Complication Rate Comparing Variable Angle Distal Locking Plate to Fixed Angle Plate Fixation of Distal Radius Fractures.

The effect of tourniquet and knee position during wound closure after total knee arthroplasty on early recovery of range of motion: a prospective, randomized study.

Arthroscopic lysis of adhesions improves knee range of motion after fixation of intra-articular fractures about the knee.

Do cobalt and chromium levels predict osteolysis in metal-on-metal total hip arthroplasty?

Current management of open fractures: results from an online survey.

Amputated limb by cerclage wire of femoral diaphyseal fracture: a case report.

Small female rib cage fracture in frontal sled tests.

Substantially higher prevalence of postoperative periprosthetic fractures in octogenarians with hip fractures operated with a cemented, polished tapered stem rather than an anatomic stem: A prospective cohort study involving 979 hips.

Survivorship and relative risk of revision in computer-navigated versus conventional total knee replacement at 8-year follow-up.


Preparation of the femoral bone cavity in cementless stems: broaching versus compaction.

Poor 10-year survivorship of hip resurfacing arthroplasty.

Cancellous and cortical bone mineral density around an elastic press-fit socket in total hip arthroplasty.

Factors that can predict pain with walking, 12 months after total knee arthroplasty.

Eradication of infection, survival, and radiological results of uncemented revision stems in infected total hip arthroplasties.

Monoblock versus modular polyethylene insert in uncemented total knee arthroplasty.

Cementless metaphyseal sleeves without stem in revision total knee arthroplasty.

Increased mortality after lower extremity fractures in patients <65 years of age.

Women with previous stress fractures show reduced bone material strength.
Table of Contents

Archives of Orthopaedic & Trauma Surgery
BMC Musculoskeletal Disorders
Current Orthopaedic Practice
International Journal of Orthopaedic And Trauma Nursing
Journal of back and musculoskeletal rehabilitation
Journal of Orthopaedic Research
Journal of Orthopaedic Surgery and Research
Journal of the American Academy of Orthopaedic Surgeons
Musculoskeletal Care
Musculoskeletal surgery
Orthopaedic Nursing
RMD Open: Rheumatic & Musculoskeletal Diseases
Our mailing address is: pip.divall@uhl-tr.nhs.uk
 
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