ORTHOPAEDICS HORIZON SCANNING BULLETIN Volume 8 Issue 6

2017 American College of Rheumatology / American Association of Hip and Knee Surgeons Guideline for the Perioperative Management of Antirheumatic Medication in Patients With Rheumatic Diseases Undergoing Elective Total Hip or Total Knee Arthroplasty

Source: Arthritis Care and Research, 2017, 69 (8) p. 1111-1124

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Date of publication: August 2017

Publication type: Practice guidelines

In a nutshell: This collaboration between the American College of Rheumatology and the American Association of Hip and Knee Surgeons developed an evidence-based guideline for the perioperative management of antirheumatic drug therapy for adults with rheumatoid arthritis, spondyloarthritis including ankylosing spondylitis and psoriatic arthritis, juvenile idiopathic arthritis, or systemic lupus erythematosus undergoing elective total hip or total knee arthroplasty.

Length of publication: 14 pages

Some important notes: You will need an NHS Athens username and password to access this article. Please contact your local NHS library if you cannot access the full text. Follow this link to find your local NHS library.

Comparative efficacy and safety of anticoagulants for prevention of venous thromboembolism after hip and knee arthroplasty

Source: Acta Orthopaedica, 2017, August 8 [epub]   
 
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Date of publication: August 2017
 
Publication type: Research
 
In a nutshell:  New oral anticoagulants have been developed to prevent venous thromboembolism (VTE) after knee or hip arthroplasty. This study was a network meta-anaylsis for fondaparinux, dabigatran, rivaroxaban, apixaban, edoxaban, and enoxaparin. Outcome variables included a composite of total VTE and major/clinically relevant bleeding.
 
Length of publication: 8 pages
 
Some important notes:  You will need an NHS Athens username and password to access this article.  Please contact your local NHS library if you cannot access the full text.  Follow this link to find your local NHS library.

The frail fail: increased mortality and post-operative complications in orthopaedic trauma patients

Source:  Injury 2017, August 18 [epub]

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Date of publication:  August 2017

Publication type:  Journal article

In a nutshell:  investigates the utility of the Modified Frailty Index as a predictor of morbidity and mortality in orthopaedic trauma patients.  Uses the American College of Surgeons NSQIP database to identify patients aged 60 and above who underwent surgery for pelvis and lower extremity fractures between 2005–2014, calculating an MFI score for each patient.  Found that MFI was a significant predictor of morbidity and mortality in orthopaedic trauma patients and can be used by a multidisciplinary team to improve outcomes.

Some important notes:  You will need an NHS OpenAthens username and password to access this article.  Please contact your local NHS library if you cannot access the full text.  Follow this link to find your local NHS library.

Acknowledgement:  Injury

Using data to enhance performance and improve quality and safety in surgery

Source:  JAMA Surgery 2017, August 16 [epub]

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Date of publication:  August 2017

Publication type:  Journal article

In a nutshell:  reports on a “multiport synchronized data capture and analytic platform called the OR Black Box” which detects small variations in operating theatre processes that can accumulate to cause patient harm.

Some important notes:  You may need an NHS OpenAthens username and password to access this article.  Please contact your local NHS library if you cannot access the full text.  Follow this link to find your local NHS library.

Acknowledgement:  JAMA Surgery

Cost effectiveness of patellofemoral versus total knee arthroplasty in younger patients

Source:  Bone & Joint Journal 2017, 99(8), 1028–36

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Date of publication:  August 2017

Publication type:  Journal article

In a nutshell:  Analyses the cost-effectiveness of patellofemoral versus total knee arthroplasty for the management of isolated patellofemoral osteoarthritis in the United States-based population.

Length of publication:  9 pages

Some important notes:  You may need an NHS OpenAthens username and password to access this article.  Please contact your local NHS library if you cannot access the full text.  Follow this link to find your local NHS library.

Acknowledgement: Bone & Joint Journal

What’s new in ankle fractures

Source:  Injury 2017, August 9 [epub]

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Date of publication:  August 2017

Publication type:  Journal article

In a nutshell:  Reviews the following topics and looks forward to what might be expected in future literature: indications for operative treatment of isolated lateral malleolus fractures; need for fixation of the posterior malleolus; utilisation of the posterolateral approach; treatment of the syndesmosis; and the potential role of fibular nailing.

Some important notes:  You will need an NHS OpenAthens username and password to access this article.  Please contact your local NHS library if you cannot access the full text.  Follow this link to find your local NHS library.

Acknowledgement:  Injury