Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Mar 2019
Outcome Selection and Methodological Quality of Major and Minor Shoulder Surgery Studies: A Scoping Review.
Core outcome sets aim to select and standardize the choice of important outcomes reported in clinical trials to encourage more effective data synthesis, increase the reliability of comparing results, and minimize reporting bias. A core outcome set for elective shoulder surgery has yet to be defined, and therefore a systematic assessment of outcomes and methodology is necessary to inform the development of a core outcome set. ⋯ Level I, therapeutic study.
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Clin. Orthop. Relat. Res. · Mar 2019
Does Resection of the Primary Tumor Improve Survival in Patients With Metastatic Chondrosarcoma?
Although surgical resection or amputation has been the mainstay of localized chondrosarcoma management for many decades, its efficacy in patients with metastatic chondrosarcoma remains unknown, and likewise we do not know whether there are any tumor- or patient-related factors associated with better survival after surgery for metastatic chondrosarcoma. ⋯ Level III, therapeutic study.
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Clin. Orthop. Relat. Res. · Mar 2019
Prophylactic Fixation Can Be Cost-effective in Preventing a Contralateral Bisphosphonate-associated Femur Fracture.
Bisphosphonates reduce the risk of fractures associated with osteoporosis but increase the risk of atypical subtrochanteric femur fractures. After unilateral atypical femur fracture, there is risk of contralateral fracture, but the indications for prophylactic fixation are controversial. ⋯ Level III, economic and decision analyses.
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Clin. Orthop. Relat. Res. · Mar 2019
Meta AnalysisDoes Tourniquet Use in TKA Increase Postoperative Pain? A Systematic Review and Meta-analysis.
Although tourniquets are commonly used during TKA, that practice has long been surrounded by controversy. Quantifying the case for or against tourniquet use in TKA, in terms of patient-reported outcomes such as postoperative pain, is a priority. ⋯ Level I, therapeutic study.
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Clin. Orthop. Relat. Res. · Mar 2019
Observational StudyWhat Pain Levels Do TSA Patients Experience When Given a Long-acting Nerve Block and Multimodal Analgesia?
The pain experience for total shoulder arthroplasty (TSA) patients in the first 2 weeks after surgery has not been well described. Many approaches to pain management have been used, with none emerging as clearly superior; it is important that any approach minimizes postoperative opioid use. ⋯ Level IV, therapeutic study.