Ortopedia

Diretriz de Práticas Clínicas para a reabilitação pós-cirúrgica em pacientes idosos com fraturas de quadril.

12 Jul, 2021 | 11:24h

Clinical Practice Guideline for Postoperative Rehabilitation in Older Patients With Hip Fractures – Annals of Rehabilitation Medicine

Relacionado: Guideline for the perioperative management of hip fractures 2020

Revisão | A maioria dos procedimentos articulares não é suportada por evidências de alta qualidade – “Há uma necessidade urgente de se priorizar as pesquisas sobre intervenções ortopédicas comuns.”

12 Jul, 2021 | 11:17h

Comunicado de imprensa: Most common joint procedures not backed by high quality evidence – The BMJ

Estudo original: Common elective orthopaedic procedures and their clinical effectiveness: umbrella review of level 1 evidence – The BMJ

Comentário no Twitter

This review of the 10 most common elective orthopaedic procedures suggests that most of these procedures recommended by national guidelines and used by surgeons have insufficient readily available, high quality evidence on their clinical effectivenesshttps://t.co/63B7XEXeyh

— The BMJ (@bmj_latest) July 10, 2021

Estudo randomizado | Imobilização gessada tradicional não é superior à imobilizador removível em adultos com fratura de tornozelo.

12 Jul, 2021 | 11:15h

Use of cast immobilisation versus removable brace in adults with an ankle fracture: multicentre randomised controlled trial – The BMJ

Comunicado de imprensa: Cast no better than brace for broken ankles – University of Warwick

M-A | Pouco benefício no uso de relaxantes musculares para adultos com dor lombar não específica.

9 Jul, 2021 | 15:49h

Efficacy, acceptability, and safety of muscle relaxants for adults with non-specific low back pain: systematic review and meta-analysis – The BMJ

Comentário: New analysis finds muscle relaxant drugs to be largely ineffective for low back pain – News Medical

Estudos relacionados: M-A: Effectiveness of treatments for acute and subacute mechanical non-specific low back pain E RCT: Little benefit from osteopathic manipulative treatment on activity limitations in patients with nonspecific subacute and chronic low back pain E M-A: Little benefit from antidepressants for low back pain E Meta-analysis: Little benefit from antidepressants for the treatment of back pain and osteoarthritis E ACP/AAFP Guideline: Nonpharmacologic and pharmacologic management of acute pain from non–low back, musculoskeletal injuries in adults

Comentários no Twitter

Muscle relaxants are largely ineffective for #lowback #pain. They might increase the risk of side effects.

Published today in @bmj_latest ⬇️

Proud to be a part of this excellent team led by @AidanCashin

Paper: https://t.co/4p7gd7PJIe pic.twitter.com/3CLvL7JUfI

— Hayley Leake (@HayleyLeake) July 8, 2021

This systematic review found very low certainty evidence that muscle relaxant drugs for the treatment of acute low back pain might provide a small and not clinically meaningful improvement in pain intensity at two weeks or less @Pain_NeuRa https://t.co/HGwN4Oekrq

— The BMJ (@bmj_latest) July 8, 2021

M-A de estudos observacionais: Associação entre fixação cirúrgica dentro de 24 horas de uma fratura de quadril e mortalidade.

6 Jul, 2021 | 11:11h

The association between surgical fixation of hip fractures within 24 hours and mortality: a systematic review and meta-analysis – The Bone & Joint Journal (link para o resumo – $ para o texto completo)

Diretriz multidisciplinar na tendinopatia do tendão calcâneo (de Aquiles).

30 Jun, 2021 | 10:37h

Dutch multidisciplinary guideline on Achilles tendinopathy – British Journal of Sports Medicine

Consenso | Minimização do risco de lesão e doença em corredores jovens.

24 Jun, 2021 | 10:51h

Youth running consensus statement: minimising risk of injury and illness in youth runners – British Journal of Sports Medicine

Editorial | Fisioterapeutas podem reduzir o uso excessivo de intervenções com o Choosing Wisely.

23 Jun, 2021 | 10:48h

Physiotherapists can reduce overuse by Choosing Wisely – Journal of Physiotherapy

Veja a lista completa de práticas de baixo valor: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia E Choosing Wisely Canada

Estudo randomizado | Estimulação nervosa periférica percutânea (neuromodulação) para dor pós-cirúrgica.

16 Jun, 2021 | 10:47h

Percutaneous Peripheral Nerve Stimulation (Neuromodulation) for Postoperative Pain: A Randomized, Sham-controlled Pilot Study – Anesthesiology

Comentário: Peripheral Nerve Stimulation May Cut Pain After Orthopedic Surgery – HealthDay

M-A | Ibuprofeno e outros anti-inflamatórios não hormonais (AINH) são superiores a codeína no manejo da dor pós-cirúrgica de paciente ambulatorial.

15 Jun, 2021 | 11:16h

Comunicado de imprensa: Ibuprofen and other NSAIDs superior to codeine for managing outpatient postoperative pain – Canadian Medical Association Journal

Artigo original: Managing postoperative pain in adult outpatients: a systematic review and meta-analysis comparing codeine with NSAIDs – Canadian Medical Association Journal