OrthoEvidence @OrthoEvidence Twitter profile

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OrthoEvidence

19 days

Reading the scientific literature is essential for evidence-based practice. Enter, The Pulse — a free newsletter bringing you the latest high-quality orthopedic research, twice a week. Join 28,000+ orthopedic professionals from around the world:

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OrthoEvidence

@OrthoEvidence

10 months

💉PRP vs. Corticosteroid for Knee Osteoarthritis: A Systematic Review of RCTs An OE Original Knee osteoarthritis is a pervasive condition, affecting as many as 1 in 6 adults. It is the most common cause of chronic pain and can lead to significant loss of function.

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OrthoEvidence

@OrthoEvidence

10 months

Surgical vs. Non-Surgical Treatment for ACL Tears An OE Original Pain. Lost training time. Risk of Osteoarthritis. ACL tears are one of the most common and troublesome injuries in sports. Surgical treatment -- the ACL Reconstruction -- is a popular intervention for many

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OrthoEvidence

@OrthoEvidence

10 months

💉PRP vs. Corticosteroid for Shoulder Pain: A Meta-Analysis An OE Original Shoulder pain affects more than 1 in 4 people and can significantly impact one's quality of life. Treatment options include injection therapy. Corticosteroids have been used for decades, however,

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OrthoEvidence

@OrthoEvidence

10 months

🦵 Arthroscopic Partial Meniscectomy vs Physical Therapy for Degenerative Meniscal Tears: A Systematic Review of RCTs An OE Original Degenerative meniscal tears typically occur in middle-to-older adults and are a strong predictor of knee osteoarthritis. Arthroscopic partial

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OrthoEvidence

@OrthoEvidence

9 months

💉Hyaluronic Acid Injection for Shoulder Conditions: A Systematic Review and Meta-Analysis of RCTs An OE Original Disability. Reduced quality of life. Increased societal burden. Shoulder pain can affect as much as 80% of people over 50. Hyaluronic acid injection has been used

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OrthoEvidence

@OrthoEvidence

8 months

💊Duloxetine for Hip & Knee Osteoarthritis: A Systematic Review & Meta-Analysis An OE Original Depression...anxiety...osteoarthritis? Duloxetine is commonly used as an antidepressant but has also been utilized to manage pain. Can it effectively manage pain from hip & knee

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OrthoEvidence

@OrthoEvidence

7 months

🦶Immobilization vs. Early Motion of the Ankle After Achilles Tendon Rupture: A Randomized Trial Published in @BJSM_BMJ Tom Brady. David Beckham. Kobe Bryant. Achilles tendon ruptures have affected some of our most beloved athletes. For patients who receive non-operative

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OrthoEvidence

@OrthoEvidence

9 months

Corticosteroid for Pain Relief After Total Knee Arthroplasty Published in the @jbjs Total knee arthroplasty (TKA) works...but it's really painful. As high as 26% of patients have substantial post-operative pain. Corticosteroids, in both periarticular and intravenous

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OrthoEvidence

@OrthoEvidence

8 months

🎾Tennis Elbow Treatment: A Systematic Review and Meta-Analysis An OE Original Pain. Tenderness. Weakness. Lateral epicondylitis, better known as tennis elbow, can be a real problem. Extracorporeal shockwave therapy & ultrasound therapy are popular treatments -- but which one

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OrthoEvidence

@OrthoEvidence

9 months

💊Aspirin for Thromboprophylaxis After Fracture: The PREVENT CLOT Trial Published in the @NEJM Venous thromboembolism is one of the most dangerous complications in trauma cases. Low molecular weight heparin is regularly used for prophylaxis. But could aspirin be just as good?

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OrthoEvidence

@OrthoEvidence

9 months

🦵To Operate or Not To Operate: Degenerative Meniscal Tears An OE Original Degenerative meniscal tears strongly predict knee osteoarthritis and can lead to disability, time off work, and reduced quality of life. The arthroscopic partial meniscectomy is one of the most common

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OrthoEvidence

@OrthoEvidence

11 months

Optimal Immobilization for Displaced Distal Radius Fracture Hot Off The Press In The @jbjs Cast immobilization after closed reduction can be highly effective. However, many suffer from pain and stiffness, which may be caused by prolonged immobilization. The typical length of

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OrthoEvidence

@OrthoEvidence

11 months

Robotic Total Knee Arthroplasty -- A Randomized Trial Hot off the Press in the @jbjs Robotic-assisted TKA could change how knee replacements are performed worldwide. However, more robust evidence is needed to confirm their effectiveness in relation to conventional methods.

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OrthoEvidence

@OrthoEvidence

1 year

Non-Operative vs. Operative Treatment for Humeral Shaft Fractures: Which is Better? Published in the @jbjs The optimal method of treatment for humeral shaft fractures remains a topic of contention. What is better, bracing or surgical fixation? And which fixation technique is

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OrthoEvidence

@OrthoEvidence

9 months

🏛️Best of OTA 2023 This year's @otatrauma meeting featured some of the latest high-quality research in the trauma space. If you didn't get a chance to attend, we've got you covered! Here are some of the key highlights from the meeting: 1⃣ Posterolateral vs. Direct Lateral

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OrthoEvidence

@OrthoEvidence

5 years

No difference in dislocation rates with or without sleeping position precautions following THA #arthroplasty #orthopaedics #orthoevidence #research

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OrthoEvidence

@OrthoEvidence

8 months

💉PRP vs. Micro-fragmented Adipose Tissue for Knee Osteoarthritis: A Randomized Trial Published in Orthopaedic Journal of Sports Medicine PRP injections have become widely popular. But another autologous treatment for knee osteoarthritis is micro-fragmented adipose tissue.

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OrthoEvidence

@OrthoEvidence

8 months

💉Spinal vs. General Anesthesia for Hip Fracture Surgery: A Systematic Review and Meta-Analysis An OE Original Anesthesia is a necessity in hip fracture surgery. Spinal and general anesthesia are most commonly used, but there's debate on which is safer and more effective. We

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OrthoEvidence

@OrthoEvidence

8 months

🪛 Routine vs. On-Demand Removal of Syndesmotic Screws in Ankle Fractures: A Randomized Trial Published in @BoneJointJ Most syndesmotic injuries are treated with screw fixation. But is syndesmotic screw removal necessary to optimize outcomes? The RODEO Trial compared routine

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OrthoEvidence

@OrthoEvidence

8 months

PRP for Achilles Tendon Rupture: A Randomized Trial Published in @BoneJointJ Platelet-rich plasma (PRP) injections are gaining momentum as an orthopedic treatment. But can it effectively treat Achilles tendon ruptures? Researchers from @UniofOxford aimed to find out!

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OrthoEvidence

@OrthoEvidence

10 months

4 Factors Influencing ACL Injury Rehabilitation An OE Insight We asked Dr. Darren de SA, an orthopaedic surgeon and professor at @McMasterSurgery , to break down the most important factors affecting ACL recovery. He identified 4 key factors: 1⃣ Pre-habilitation Most

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OrthoEvidence

@OrthoEvidence

1 year

Can Denervation of the Patella Improve Pain After TKA? 🔥 Hot Off The Press in @JArthroplasty Anterior knee pain after TKA is a problem. Some surgeons are choosing to denervate the patella using electrocautery, but does this really reduce pain and improve function? This study

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OrthoEvidence

@OrthoEvidence

10 months

The FixDT Trial: IM Nail vs. Locking Plate for Distal Tibia Fractures Published in @JAMA_current Distal tibia fractures can be tricky to operate on. With intramedullary (IM) nail fixation, there are concerns about malalignment and penetration of the ankle joint. And with

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OrthoEvidence

@OrthoEvidence

10 months

Direct Anterior vs. Antero-Lateral Approaches in Hip Hemiarthroplasty Published in Archives of Orthopaedic & Trauma Surgery Femoral neck fractures are one of the most common fractures in the elderly. Hip hemiarthroplasty is an effective treatment option, but which approach

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OrthoEvidence

@OrthoEvidence

9 months

Total vs. Partial Knee Replacement for Medial Compartment Osteoarthritis: The TOPKAT Trial Published in @TheLancet (2019) Millions of knee replacements are performed every year. Surgeons have two main options: partial knee replacement (PKR; or unicompartmental knee replacement)

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OrthoEvidence

@OrthoEvidence

9 months

🦠Preventing Surgical Site Infection in Arthroplasty Hot off the Press in the @NEJM 1 in-patient case of infection in knee arthroplasty can cost more than $28,000. Prevention is critical. Most guidelines recommend 1st and 2nd generation cephalosporin antimicrobials like

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OrthoEvidence

@OrthoEvidence

1 year

Intramedullary Nailing vs. Sliding Hip Screws: Is There A Difference? 🚨 Just released in @JAMANetworkOpen Intramedullary nails are the implant of choice for surgeons treating trochanteric hip fractures, despite costing more than sliding hip screws. But do they really provide

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OrthoEvidence

@OrthoEvidence

8 months

Arthroscopic vs. Open Shoulder Stabilization: 15-Year Follow-up Published in The American Journal of Sports Medicine Recurrent shoulder instability is commonly seen in athletes and military personnel, resulting in worse performance and function. Surgical stabilization of the

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OrthoEvidence

@OrthoEvidence

8 months

🦶Chronic Ankle Instability: A Meta-Analysis of Randomized Controlled Trials An OE Original Roughly 20% of ankle sprains become chronic. When surgery is needed, lateral ligament augmentation is the go-to. The modified Brostrom-Gould procedure (MBG) is the most common approach

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OrthoEvidence

@OrthoEvidence

1 year

💊 Does Vitamin D3 Supplementation Improve Fracture Healing? It's not uncommon for surgeons to prescribe Vitamin D3 in fracture patients. But does this really improve healing? This phase II RCT studied various doses of Vitamin D3 in acute fracture patients to find out...

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OrthoEvidence

@OrthoEvidence

1 year

🚨 In the New England Journal of Medicine 🚨 Aspirin or Low Molecular-Weight Heparin for Thromboprophylaxis after a Fracture? The results found that Aspirin was non-inferior to LMW heparin with respect to death at 90 days, albeit with a higher rate of deep vein thrombosis!

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OrthoEvidence

@OrthoEvidence

5 years

Did you know that 1 in 2 healthcare professionals are at risk for burnout? We discuss it all with @carrie_kollias & @colmjmccarthy - OrthoPod coming soon!

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OrthoEvidence

@OrthoEvidence

1 year

Skin Antisepsis in Open Fractures: The Aqueous PREP Trial Published in @TheLancet Many guidelines recommend alcohol-based solutions like chlorhexidine gluconate for skin antisepsis. However, many of the trials informing these guidelines were not based on open fracture surgery

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OrthoEvidence

@OrthoEvidence

1 year

🧵 Here are the 10 most common elective orthopaedic procedures:

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OrthoEvidence

@OrthoEvidence

1 year

To Operate or Not to Operate: Proximal Humerus Fractures There is no clear agreement on how to manage displaced proximal humerus fractures. A range of surgical approaches are available, including locking plate fixation, intramedullary nailing, and hemiarthroplasty. At the same

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OrthoEvidence

@OrthoEvidence

11 months

The Most Influential Articles in Orthopaedics We read a lot of articles at OE. Some papers are so influential that we see them cited again, and again, and again. By the end of this tweet, you'll know some of the most influential papers in orthopaedics: Harris 1969: Traumatic

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OrthoEvidence

@OrthoEvidence

8 months

🐯The ChEETAh Trial: Preventing Surgical Site Infection in Low-Middle Income Countries Published in @TheLancet Surgical site infection is the most common surgical complication. Especially in low-to-middle-income countries. Routine change of gloves and instruments before wound

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OrthoEvidence

@OrthoEvidence

7 years

How effective is subacromial decompression for subacromial shoulder pain?...

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OrthoEvidence

@OrthoEvidence

3 years

Uncemented #Arthroplasty in the Treatment of Hip Fractures: Too much risk, and too little reward. #orthoevidence #research #insight

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OrthoEvidence

@OrthoEvidence

3 years

OrthoEvidence remembers Dr. Freddie Fu and his legacy of impact in Orthopaedic Surgery. A mentor to thousands, a teacher to all, a scholar, and above all, an expert surgeon to his patients. @BorisZelle @BrianColeMD @SportsHipFemi @dr_sancheti @swion001

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OrthoEvidence

@OrthoEvidence

9 years

Low back pain: circumferential fusion outperforms PLF in terms of clinical outcomes #spine #surgery #pain #medicine http://t.co/mqu88aPhfX

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OrthoEvidence

@OrthoEvidence

6 years

1-3 week immobilization period following distal radius fracture improves early function vs 6 weeks #physiotherapy

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OrthoEvidence

@OrthoEvidence

9 months

🦵Patient Journey in Knee Osteoarthritis: What Defines Success? OE's Dr. Mohit Bhandari sat down with Dr. Aaron Johnson, a surgeon at the University of Maryland, to discuss treatment options for knee arthritis, and how surgeons and patients should define success when it comes to

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OrthoEvidence

@OrthoEvidence

4 years

ANNOUNCING! OrthoJOE, a podcast featuring JBJS Editor-in-Chief, Dr. Marc Swiontkowski and OrthoEvidence's Editor-in-Chief, Dr. Mohit Bhandari. Listen to our first episode. #orthoevidence #jbjs #podcast #orthojoe

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OrthoEvidence

@OrthoEvidence

10 months

💉Adding Dexmedetomidine to Femoral Nerve Blocks in Total Knee Arthroplasty: A Systematic Review of RCTs An OE Original Total knee arthroplasty (TKA) is an effective treatment for knee osteoarthritis. But the procedure is painful to recover from. Femoral nerve blocks have

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OrthoEvidence

@OrthoEvidence

11 months

More Pain, More Gain? Exercise for Osteoarthritis Based on Insights from @Dinosaur_MD The relationship between OA and physical activity is hotly debated. Does running cause or prevent OA? Should patients with OA engage in exercise, even if waiting for a total joint replacement?

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OrthoEvidence

@OrthoEvidence

9 months

All-Polyethylene vs. Metal-Backed Tibial Components in Total Knee Arthroplasty: A Meta-Analysis of RCTs Just released in @JArthroplasty What is the best type of tibial component in total knee arthroplasty (TKA)? Three different meta-analyses have compared metal-backed and

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OrthoEvidence

@OrthoEvidence

10 years

Recurrent shoulder #dislocation reduced with immobilization in abduction & ext. rotation #shoulder #orthopaedics http://t.co/M1gusCOQ7l

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OrthoEvidence

@OrthoEvidence

9 years

Early surgery in sciatica patients results in improved pain relief and perceived recovery #sciatica #ortho http://t.co/RtU25SbmtZ

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OrthoEvidence

@OrthoEvidence

8 years

Schroth exercise administered clinically was beneficial in adolescent idiopathic scoliosis #ortho #rehab

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OrthoEvidence

@OrthoEvidence

1 year

Ceramic-On-Ceramic vs. Metal-on-Conventional Polyethylene Bearings in Total Hip Arthroplasty 🚨 A 20-YEAR Follow-Up Study A clinical trial started in 1996 aimed to find out how Ceramic-on-Ceramic (CoC) and Metal-on-Conventional Polyethylene (MoPc) compared with respect to

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OrthoEvidence

@OrthoEvidence

4 years

Chlorhexidine vs Povidone-Iodine Skin Disinfectant for the Prevention of Surgical Site Infection #orthopaedics #orthoevidence #research

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OrthoEvidence

@OrthoEvidence

1 year

Tourniquet use during total knee arthroplasty is HIGHLY controversial. Whether it’s blood loss, complications or pain, surgeons can’t seem to agree on its benefits and risks. This meta-analysis aimed to clear up the confusion around tourniquet use in TKA:

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OrthoEvidence

@OrthoEvidence

5 years

No difference between IM nail or locked plate for proximal tibia fractures #orthoevidence #orthopaedics #tibia #fracture #trauma

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OrthoEvidence

@OrthoEvidence

10 months

Want to read the full OE Original? Check it out here 👇 And let us know how you are managing degenerative meniscal tears in your own practice!

Arthroscopic Partial Meniscectomy versus Physical Therapy: Which one is more effective for Degene...

In this OE Original, we present a meta-analysis comparing the effectiveness of arthroscopic partial meniscectomy versus physical therapy for degenerative meniscal tears.

myorthoevidence.com

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OrthoEvidence

@OrthoEvidence

8 years

No effect of kinesio taping on OA knee pain, function, inflammation vs. sham taping #ortho #physio #kinesiotape

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OrthoEvidence

@OrthoEvidence

1 year

Does this information surprise you? How can we change Orthopedics to become more diverse and inclusive? Full podcast:

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OrthoEvidence

@OrthoEvidence

4 years

Internal Fixation vs Functional Bracing for Treatment of Closed Displaced Humeral Shaft Fractures #orthopaedics #trauma #orthoevidence #research

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OrthoEvidence

@OrthoEvidence

9 months

💊The NoPain Trial: Reducing Opioid Consumption in Knee & Shoulder Arthroscopy Published in @JAMA_current Orthopedic surgeons are among the top prescribers of opioids. Can an opioid-sparing pain protocol - consisting of education, NSAIDs, and acetaminophen - reduce

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OrthoEvidence

@OrthoEvidence

5 years

Anticoagulants not effective at preventing major VTE following knee arthroscopy #sportsmedicine #orthopaedics #orthoevidence #research

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OrthoEvidence

@OrthoEvidence

10 months

Improving Pain with Digital Interventions After Knee Replacement Just published in @JAMANetworkOpen Total knee arthroplasty is an effective treatment for end-stage knee osteoarthritis. However, post-operative rehabilitation is critical -- many patients suffer from pain and have

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OrthoEvidence

@OrthoEvidence

5 years

Collagenase or fasciotomy for the treatment of Dupuytren’s contracture? A network meta- analysis. #oeoriginal #orthoevidence #research #freemembership

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OrthoEvidence

@OrthoEvidence

9 years

ISAKOS 2015: Hyaluronic acid more effective that corticosteroid injection for patients with patellar tendinopathy http://t.co/JjLVTWqHJY

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OrthoEvidence

@OrthoEvidence

8 years

No significant difference in midterm results between anatomic double- & single-bundle ACLR #ortho #sportsmed

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@OrthoEvidence

3 years

International Consensus in Orthopaedic Care (with special guest Javad Parvizi) OrthoJoe Podcast

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OrthoEvidence

@OrthoEvidence

9 years

Early weight bearing after Achilles tendon repair improves functional and clinical outcome compared to immobilization http://t.co/h3sHHuelJs

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@OrthoEvidence

3 years

Improving Outcomes for Open Fractures: An Orthoplastic Approach to Care

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@OrthoEvidence

6 years

Autologous blood product injection no more effective than placebo saline for Achilles tendinopathy

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OrthoEvidence

@OrthoEvidence

2 years

We are pleased to celebrate Canadian Orthopaedic Care Day — dedicated to all those in Orthopaedics; surgeons, nurses, physical therapists, researchers and administrative professionals. 🍁 #CdnOrthoDay #OrthoCareCanada

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OrthoEvidence

@OrthoEvidence

5 years

Benefit of BM-MSC addition in core decompression in treatment of osteonecrosis of the femoral head #orthoevidence #orthopaedics

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OrthoEvidence

@OrthoEvidence

8 years

Arthroscopic vs. open acromioplasty vs. physiotherapy for subacromial impingement syndrome #ortho #shoulder

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OrthoEvidence

@OrthoEvidence

1 year

DID YOU KNOW? In 1971, Dr Frank Gunston published his designs for a new polycentric knee implant, the 1st to consider the natural biomechanics of the knee! 🦿

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OrthoEvidence

@OrthoEvidence

8 years

Mesenchymal stem cell injections for knee OA demonstrate potential benefit #ortho #knee #stemcell

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@OrthoEvidence

8 years

Hyaluronic acid injection therapy may provide comparable outcomes to steroid injections for trigger finger #hand

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@OrthoEvidence

6 years

From Fridays mailer: Operative versus nonoperative treatment for full-thickness rotator cuff tears.

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@OrthoEvidence

8 years

Does acromioplasty reduce the rate of rotator cuff tears in patients with shoulder impingement? #ortho #shoulder ...

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@OrthoEvidence

4 years

Debate: The 24 hour Time to Surgery Standard for Hip Fractures May Be Harming Patients. #orthoevidence #orthopaedics #research #evidence #orthoevidence

Debate: The 24 hour Time to Surgery Standard for Hip Fractures May Be Harming Patients.

In this OE original, we examine studies evaluating the timing of hip fracture surgery. Principally, two design options are compared. The first is a clinical trial in which patients are randomized to...

myorthoevidence.com

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OrthoEvidence

@OrthoEvidence

1 year

Oral vs. Intravenous Antibiotics for Bone & Joint Infection Published in the NEJM (2019; 380: 425-436) The management of bone or joint infection typically involves intravenous antibiotics. But can oral antibiotics provide comparable results? This trial aimed to find out 👇

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OrthoEvidence

@OrthoEvidence

2 years

🎙New OPEN ACCESS OrthoPod: New Lancet Trial Bursts the Balloon: Subacromial Balloon Spacer for Irreparable Rotator Cuff Tears⁣ with @AndyMetOrtho #orthotwitter

New Lancet Trial Bursts the Balloon: Subacromial Balloon Spacer for Irreparable Rotator Cuff Tears

myorthoevidence.com

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OrthoEvidence

@OrthoEvidence

3 years

Have you become dated🤔?⁣⁣ View Marc and Mo's discussion on the OrthoJoe E. 23: Evidence-Based Orthopedics (Second Edition) and the Future of Books in Orthopaedic Learning @jbjs

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@OrthoEvidence

6 years

PRP injection more effective than corticosteroid injection after 12 weeks for gluteal tendinopathy

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@OrthoEvidence

6 years

97 patients with an acute syndesmotic #injury were randomized to surgical stabilization with either a suture button device or a syndesmotic screw.

Better function, pain, and reduction with suture button vs screw fixation for syndesmotic injury

97 patients with an acute syndesmotic injury were randomized to surgical stabilization with either a suture button device or a syndesmotic screw. Patients were followed-up for results on function,...

myorthoevidence.com

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OrthoEvidence

@OrthoEvidence

11 years

We would like to welcome all members of the @APTAtweets to OrthoEvidence! We are excited on bringing best evidence to PTs across the world.

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OrthoEvidence

@OrthoEvidence

4 years

Does the treatment of hip fractures with intramedullary nails kill patients? #oeoriginal #orthopaedics #fractures #nails

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@OrthoEvidence

9 years

Acromioplasty does not provide a significant advantage over exercise for patients with #shoulder impingement syndrome http://t.co/JPGb3C6Cxk

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10 months

Citation: OrthoEvidence. Platelet-rich Plasma (PRP) Versus Corticosteroid Injection for Knee Osteoarthritis: A Systematic Review of Randomized Controlled Trials. OE Original. 2022;5(11):2. Available from:

Platelet-rich Plasma (PRP) Versus Corticosteroid Injection for Knee Osteoarthritis: A Systematic...

We conducted a systematic review and meta-analysis of randomized controlled trials to determine the efficacy and safety of intra-articular injection of PRP versus a corticosteroid for patients with...

myorthoevidence.com

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4 years

OE Partners with @jbjs for a Rapid Evidence-Based Review on Novel Coronavirus COVID-19: Current Evidence and Evolving Strategies. Access it now:

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8 years

Are there differences in clinical outcome between graft-tensioning protocols in ACL reconstruction? #ortho #ACL ...

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2 years

Mo and Marc @jbjs are joined by @DrAntoniaChen and Andrew Schoenfeld in a discussion of their vision for the newest JBJS podcast, “Your Case Is On Hold,” which covers each upcoming issue of JBJS, with an added dose of entertainment and pop culture.⁣⁣

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7 years

Partial meniscectomy vs conservative therapy for nonobstructive meniscal tears #knee #ortho ...

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7 years

Summaries of the best evidence presented at AAOS 2017 are now available on OrthoEvidence. Follow the link to few...

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7 years

Greater knee function and stability, similar OA rate with ACL reconstruction versus rehab only #ortho #sportsmed

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10 years

Platelet-rich plasma injections improve degenerative knee cartilage functional outcomes #orthopaedics #PRP #Knee http://t.co/Y86QwP80G7

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@OrthoEvidence

8 years

Unipolar and bipolar hemiarthroplasty provide similar outcomes in #elderly with displaced femoral neck #fractures

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5 years

The effects of tourniquet use on blood loss in primary total knee arthroplasty for patients with osteoarthritis: a meta-analysis. #orthoevidence #orthopaedics #acereport2 .0 #research #arthroplasty #knee

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@OrthoEvidence

8 years

Both PRP and HA injections improve pain and function in early knee OA compared to saline #ortho #knee #OA

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2 years

🎙️NEW ORTHOPOD: Surgery Wins in Trial of Operative VS Non-Op Treatment of Non-Acute ACL Injury with @david_j_beard , University of Oxford⁣. #orthotwitter Watch the full episode⬇️

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OrthoEvidence

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9 years

OrthoEvidence’s best of 2015! Now you can review the best evidence published in 2015 in orthopaedics based on...

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