Orthopaedics and Trauma最新文献_第3页

Common tendinopathies around the elbow 常见的肘部肌腱疾病

Orthopaedics and Trauma Pub Date : 2024-08-01 DOI: 10.1016/j.mporth.2024.05.001

Parag Raval, Victoria Gibbs, Jenna Shepherd, Radhakant Pandey

{"title":"Common tendinopathies around the elbow","authors":"Parag Raval, Victoria Gibbs, Jenna Shepherd, Radhakant Pandey","doi":"10.1016/j.mporth.2024.05.001","DOIUrl":"10.1016/j.mporth.2024.05.001","url":null,"abstract":"<div><p>There are a number of factors that can contribute to the exacerbation of tendinopathies around the elbow. In order to effectively manage patients, it is important to understand the natural progression of these conditions, injury mechanisms, potential risk factors and the range of pathological manifestations. Presently, disease-modifying treatments for tendinopathy are lacking, placing non-operative approaches, staged physiotherapy and support at the forefront of primary options. Conservative management proves successful for medial and lateral epicondylitis, though some cases may require up to a year for improvement. Short-term relief can be achieved with non-steroidal anti-inflammatory drugs and corticosteroid injections, although their long-term efficacy is uncertain, and evidence for alternative injection therapies is limited. Surgical intervention can be considered if non-operative management proves ineffective after 6–12 months, often involving open resection, debridement, and repair. While arthroscopic techniques offer promise, they present inherent risks, particularly in patients with prior surgeries. Despite the rarity of distal triceps and biceps tendinopathies, prompt diagnosis and non-operative approaches are pivotal, with surgery considered if symptoms persist after 6 months. Overall, favourable outcomes can be achieved for common elbow tendinopathies with control of risk factors and appropriate care.</p></div>","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"38 4","pages":"Pages 182-189"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141954484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

CME questions on The Elbow 关于肘部的继续医学教育问题

Orthopaedics and Trauma Pub Date : 2024-08-01 DOI: 10.1016/j.mporth.2024.05.010

引用次数: 0

The importance of frailty in orthopaedics: definition, standardization, complications and guidance 虚弱在矫形外科中的重要性：定义、标准化、并发症和指导

Orthopaedics and Trauma Pub Date : 2024-06-01 DOI: 10.1016/j.mporth.2024.03.011

Claire Bainbridge, Vidhya Nair

引用次数: 0

CME questions on Principles of Orthopaedics 骨科原理》继续医学教育问题

Orthopaedics and Trauma Pub Date : 2024-06-01 DOI: 10.1016/j.mporth.2024.03.010

引用次数: 0

Do plasma-rich protein injections have a role in orthopaedics? A systematic review and meta-analysis of the randomized control trials 富血浆蛋白注射剂在矫形外科中发挥作用吗？随机对照试验的系统回顾和荟萃分析

Orthopaedics and Trauma Pub Date : 2024-06-01 DOI: 10.1016/j.mporth.2024.03.006

Marjan Raad, Priya Sekhon, Alastair Robertson

引用次数: 0

Foot and ankle injuries in women's soccer: epidemiology and risk factors 女子足球运动中的足踝损伤：流行病学和风险因素

Orthopaedics and Trauma Pub Date : 2024-06-01 DOI: 10.1016/j.mporth.2024.03.008

Adrian J. Talia, Rick Brown

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Answers to the CME questions on Hip Fracture 有关髋部骨折的继续医学教育问题解答

Orthopaedics and Trauma Pub Date : 2024-06-01 DOI: 10.1016/j.mporth.2024.03.009

引用次数: 0

Sustainable orthopaedics: the needs and challenges 可持续骨科：需求与挑战

Orthopaedics and Trauma Pub Date : 2024-06-01 DOI: 10.1016/j.mporth.2024.03.007

Frank Davis, Gareth Chan, Stephen Bendall, Benedict A. Rogers

{"title":"Sustainable orthopaedics: the needs and challenges","authors":"Frank Davis, Gareth Chan, Stephen Bendall, Benedict A. Rogers","doi":"10.1016/j.mporth.2024.03.007","DOIUrl":"10.1016/j.mporth.2024.03.007","url":null,"abstract":"<div><p>Climate change is undoubtedly a global threat, with extreme weather events, air pollution, and food insecurity disproportionately impacting low-income countries. The healthcare sector, whilst responsible for 4.4% of global net carbon emissions, has been slow in addressing its environmental footprint. This article explores the needs and challenges to achieve sustainable orthopaedic surgery. Orthopaedic surgery continues to create a large carbon footprint, primarily through the use of single-use consumables and energy-intensive operating theatres. While efforts to reduce environmental harm have primarily targeted changes within the operating theatre, a comprehensive approach must consider the entire surgical pathway. The principles of <em>reduce, reuse</em> and <em>recycle</em> are paramount. Reducing surgical caseload and advancing digital healthcare afford opportunities to streamline patient interactions, reduce travel emissions and improve efficiency. Furthermore, reevaluating routine practices, such as preoperative investigations and postoperative care, can minimize unnecessary resource consumption. Improving the sustainability of orthopaedics will bring conflicting clinical, financial and environmental challenges. However, with increasing awareness among healthcare professionals and support from it's professional bodies, there is growing momentum toward sustainable orthopaedic surgery. Transitioning to sustainable orthopaedic surgery neccesitates a broad approach encompassing prevention, optimization, and streamlining of the surgical pathway. Addressing environmental concerns alongside clinical outcomes is imperative for the future of orthopaedic surgery.</p></div>","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"38 3","pages":"Pages 156-161"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141047860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Arthroplasty registries: a valuable tool to orthopaedic surgeons, manufacturers, patients and regulators? 关节成形术登记：矫形外科医生、制造商、患者和监管机构的宝贵工具？

Orthopaedics and Trauma Pub Date : 2024-06-01 DOI: 10.1016/j.mporth.2024.03.001

Jasper G. Gerbers, Rob GHH. Nelissen

{"title":"Arthroplasty registries: a valuable tool to orthopaedic surgeons, manufacturers, patients and regulators?","authors":"Jasper G. Gerbers, Rob GHH. Nelissen","doi":"10.1016/j.mporth.2024.03.001","DOIUrl":"10.1016/j.mporth.2024.03.001","url":null,"abstract":"<div><p>Historically, orthopaedic implants required little clinical evidence before market introduction, either in the USA or the European Union (EU). There have been major incidents, with faulty designs or manufacturing techniques resulting in patient harm. The new EU Medical Device Regulations (MDR) have significantly changed the requirements around the introduction to the market of new medical devices in the EU. Initiatives like CORE-MD are founded to improve this process. EUDAMED will provide a mandatory European implant safety register. Real-world data, such as implant registries, have a major role to play in the continuous monitoring of implants, but this depends on them having high completeness (>95%) as well as coverage. Registries can also be used for post-market surveillance. Although implant registries use endpoints such as revision, as well as patient-reported outcomes, long-term follow-up is still needed to detect mediocre implants. For new designs, this often takes too long and potentially exposes patients to mediocre implants. This can be prevented by using more accurate, highly predictive methods at early follow-up (at 1 year), such as implant migration studies. Furthermore, registry-based or nested randomized controlled trials can be used to evaluate new implant designs and surgical techniques. Monitoring implants through registries remains vital in order to detect early or late unexpected failures related to the implant, surgical technique or indication, enhancing both implant development as well as patient safety.</p></div>","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"38 3","pages":"Pages 118-123"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141032213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Human factors in trauma and orthopaedic surgery: a short overview 创伤和矫形外科中的人为因素：简要概述

Orthopaedics and Trauma Pub Date : 2024-06-01 DOI: 10.1016/j.mporth.2024.03.002

John A. Hardie, Peter A. Brennan

引用次数: 0