Joelho
Estudo randomizado | Cirurgia precoce vs. exercício e educação para rupturas de menisco em adultos jovens.
27 Abr, 2022 | 15:37hEarly Surgery or Exercise and Education for Meniscal Tears in Young Adults – NEJM Evidence
Comentário:
Early Surgery Not Superior for Meniscal Tears in Young Adults – HealthDay
Comentário no Twitter
DREAM trial: In this pragmatic #RCT in active young adults with meniscal tears, early meniscal surgery was not superior to a strategy of supervised exercise therapy and education with the option of later surgery. @STSkou #OrthoTwitter #SurgTwitter https://t.co/TrnEUG98wP pic.twitter.com/V66ZbknksM
— NEJM Evidence (@NEJMEvidence) January 25, 2022
Estudo randomizado | Entre pacientes que aguardam por um artroplastia total de joelho com IMC acima de 35, a cirurgia bariátrica antes do procedimento foi associada com risco reduzido de complicações.
19 Abr, 2022 | 12:17hComentário: Bariatric Surgery Before TKA Cuts Complications in Obese Patients – HealthDay
Comentário no Twitter
In this RCT, bariatric surgery before knee replacement (TKA) reduced the risk of complications in TKA in adults <65y with class II obesity scheduled to undergo TKA; 30% had sufficient symptom improvement to decline TKA altogether. https://t.co/qyhl0eIV2o
— JAMA Network Open (@JAMANetworkOpen) April 14, 2022
Estudo randomizado | Em pacientes submetidos a artroplastia de joelho, a administração de bupivacaína lipossomal periarticular não melhorou a recuperação ou a dor pós-operatória em comparação com o cloridrato de bupivacaína isolado.
14 Abr, 2022 | 17:30hEstudo randomizado | Efeitos da injeção de glicocorticoide intramuscular vs. intra-articular sobre a dor em adultos com osteoartrite de joelho.
8 Abr, 2022 | 21:37h
Comentário no Twitter
This RCT found IM steroid injections were inferior to intrarticular injections for reducing pain in patients with knee osteoarthritis at 4 weeks but were noninferior at 8 and 24 weeks after injection. https://t.co/opq1C2BP8c pic.twitter.com/ucx4lvRDJQ
— JAMA Network Open (@JAMANetworkOpen) April 5, 2022
M-A | Impacto das vias de recuperação melhorada na segurança e eficácia da artroplastia de quadril e de joelho.
1 Abr, 2022 | 12:50hConteúdos relacionados:
Review: Enhanced recovery after surgery for major orthopedic surgery.
Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines (algumas diretrizes são de acesso gratuito)
Reunião de consenso internacional sobre tromboembolismo venoso na cirurgia ortopédica.
29 Mar, 2022 | 14:09hPágina principal: International Consensus Meeting on Venous Thromboembolism (artigos gratuitos por tempo limitado)
Recommendations from the ICM-VTE: General
Recommendations from the ICM-VTE:: Foot & Ankle
Recommendations from the ICM-VTE: Hand & Wrist
Recommendations from the ICM-VTE: Hip & Knee
Recommendations from the ICM-VTE: Oncology
Recommendations from the ICM-VTE: Pediatric
Recommendations from the ICM-VTE: Shoulder & Elbow
Recommendations from the ICM-VTE: Sports
Recommendations from the ICM-VTE: Trauma
Recommendations from the ICM-VTE: Spine
Estudo randomizado | Em pacientes com osteoartrose de joelho, a pré-habilitação antes da artroplastia total de joelho não melhorou os desfechos funcionais.
25 Mar, 2022 | 15:27hComentário: Prehabilitation May Not Improve Knee Replacement Results – Medscape (necessário cadastro gratuito)
Comentário no Twitter
In this randomized clinical trial that included 262 participants, prehabilitation for knee osteoarthritis did not improve functional outcomes in total knee replacement. Findings question the usefulness of prehabilitation before total knee replacement. https://t.co/vsMxQ8PYJ7
— JAMA Network Open (@JAMANetworkOpen) March 9, 2022
Metanálise de estudos randomizados | Benefícios e prejuízos de anticoagulantes orais diretos e da heparina de baixo peso molecular para a tromboprofilaxia de pacientes submetidos a cirurgia não cardíaca.
10 Mar, 2022 | 15:52h
Comentário no Twitter
Led by Maura Marcucci, network meta-analysis of of 68 surgery #RCT's (45,445 patients; mainly #ortho) found that #DOAC's & #LMWH reduce #VTE but probably increase major bleeding to a similar extent. DOACs probably prevent symptomatic VTE more than #LMWH. https://t.co/7vrgVpfD3s pic.twitter.com/H5Fuq7p1hi
— Kari Tikkinen (@KariTikkinen) March 9, 2022
Resumo de diretriz atualizada introduz novas recomendações para o uso de medicamentos reumatológicas no perioperatório de artroplastia total de quadril e de joelho.
10 Mar, 2022 | 15:46hComunicado de imprensa: Updated guideline introduces new recommendations for use of medications around total hip and knee replacement – American College of Rheumatology
Resumo da diretriz (diretriz completa ainda não disponível): 2022 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 – American College of Rheumatology
Revisão sistemática | Artroscopia fornece pouco ou nenhum benefício clinicamente importante para pacientes com doença degenerativa no joelho.
8 Mar, 2022 | 16:06hResumo: Arthroscopic surgery for degenerative knee disease – Cochrane Library
Conteúdos relacionados:
Guideline: Arthroscopic Meniscal Surgery
Study: Adverse Outcomes After Arthroscopic Partial Meniscectomy