International Orthopaedic journal club. A forum for Orthopaedic surgeons to discuss and stay current with the latest research. #orthojc
International Orthopaedics
Joined August 2018
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Younger surgeons (<45y) had the highest recorded complication rates, middle aged (45-55) had the lowest in study of over 120k pts. Probably not surprising but is there a way we can 'hit the ground running' more efficiently?
#orthojc
@JArthroplasty
#hip
22% Dislocation rate following MoM revisions - 13% even when dual mobility used. #orthotwitter
@JArthroplasty
pubmed.ncbi.nlm.nih.gov/3573…
Orthopaedic Journal Club retweeted
We looked at this and found no difference in non-resurfaced TKA (Triathlon CR) with and without patella cartilage loss if that helps
pubmed.ncbi.nlm.nih.gov/3341…
Great summary podcast by @otatrauma of the VANCO study - reduced deep infection rates from g +ve bacteria by over 50% in tibial plateau/pilon fracture.
Should we be using it for all fractures?
#fracture
#surgery
open.spotify.com/episode/6Go…
The EBJIS along with the MSIS have developed this novel ‘traffic light’ approach which divides patients by the likelihood of infection (green or amber) or confirmed infection (red). Excellent resource in this month's @BoneJointJ
#orthojc
#infection
#infographic
Will this paper halt the movement towards uncemented stems for #NOF?
#orthojc
#orthotwitter
@JArthroplasty
For patients receiving an arthroplasty after a femoral neck fracture, cemented fixation of the stem leads to significantly decreased mortality compared to cementless fixation.
@ExeterHipUnit @hugortopedista @jointdocShields @EdinburghKnee
Visual abstract by @jaimelbellamyDO
More favourable results for Robotic TJA in the literature from papers with author compensation.. an acceptable bias or not given the industry? 💰
#orthotwitter
#ortho
#surgery
pubmed.ncbi.nlm.nih.gov/3319…
pubmed.ncbi.nlm.nih.gov/3319…
A great opportunity for residents/Sprs - sign up!
Daniel J. Berry MD, @MayoClinic surgeon and Senior Director of CCJR Executive Committee, has offered all trainee surgeons registration for FREE. Trainees can register for the meeting by following this link ccjr.com/winter-2020/registe… and attesting to their status as a resident. 👏🏻
Despite evolving techniques, large to massive cuff tears still have high failure rates. How do you manage these patients?
Lastest @jbjs
jbjs.org/reader.php?id=14061…
#Ortho
#surgery
#shoulder
Orthopaedic Journal Club retweeted
More centres signing up to the @harnt2020 complex ankle fracture study. Wales, Scotland and NI we need some more collaborators please! Information packs will be emailed out to all those who have registered interest this week. Looking forward to @TheOrthoHub F&A teaching tonight.
This is a very useful paper showing some tips and tricks when IM nailing tibial fractures. Percutaneous clamps, temporary plates, blocking wires/screws.
Any other pearls for reducing these fractures prior to nailing?
#orthojc
#tips
pubmed.ncbi.nlm.nih.gov/2776…
Latest @JArthroplasty article - handicap improvement of 0.85 at min 2 years post TKR for primary OA. return to course time of 3.7 months. Not bad at all 😎
#orthojc
#golf
#tkr
ncbi.nlm.nih.gov/pubmed/3200…
RCT showing non-inferiority of CBVF over autologous graft in fixation of tib plateau #s in rates of # healing, remodelling or subsidence. Blood loss and D1 pain lower though. Is the expense worth it? @jbjs
#orthojc
#orif
jbjs.org/rsuite/php/elensrea…
Recent study from the UK showing highly X-linked polys don’t fare as well as conventional in a retrospective cohort of over half a million.. is x-linking all that great after all? Limit use to THAs only?
@jbjs
#TKR
#orthojc
ncbi.nlm.nih.gov/pubmed/3172…
What 5 questions would you ask a patient referred with knee pain to establish presence & severity of OA?
@JArthroplasty
ncbi.nlm.nih.gov/pubmed/3156…?
#knee
#pain
#orthojc
Conversion to THA post hip labral tear - no difference between operative group (6.7%) & nonop group (5.3%) in study of 864.
Will this guide change in patient selection for op, or simply serve as useful info when counselling?
@JArthroplasty
arthroplastyjournal.org/arti…
#orthojc
#hip
C-arm contamination - it happens. Do we need to be more vigilant? re-drape after certain amount of time? Latest J of Orthopaedic Trauma
#orthojc
#surgery
ncbi.nlm.nih.gov/pubmed/3134…?
Garden 1/2 hips fixed with posterior tilt >20° (on lateral xr) more likely to require arthroplasty within 2y. A novel technique to aid the fix vs replace dilemma in these patients?
Latest @jbjs 🦵
#orthojc
#hip
ncbi.nlm.nih.gov/pubmed/3162…?
