Orthopaedics and Trauma最新文献_第9页

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

Management of haematogenous bone and joint infection in developing countries 发展中国家血源性骨与关节感染的管理

Orthopaedics and Trauma Pub Date : 2024-06-01 DOI: 10.1016/j.mporth.2024.03.005

Myung-Sang Moon

引用次数: 0

The Scottish Arthroplasty Project: Scotland's approach to a National Joint Registry 苏格兰关节成形术项目：苏格兰建立国家关节登记处的方法

Orthopaedics and Trauma Pub Date : 2024-06-01 DOI: 10.1016/j.mporth.2024.03.003

Justine Burt, Andrew Brunt, Andrew J. Hall, Jon V. Clarke, Phil Walmsley

{"title":"The Scottish Arthroplasty Project: Scotland's approach to a National Joint Registry","authors":"Justine Burt, Andrew Brunt, Andrew J. Hall, Jon V. Clarke, Phil Walmsley","doi":"10.1016/j.mporth.2024.03.003","DOIUrl":"10.1016/j.mporth.2024.03.003","url":null,"abstract":"<div><p>The core function of joint registries is to collect, collate, and present data about patients who undergo joint replacement surgery, and afford clinicians and administrators a range of analytic functions to monitor service performance. This article describes the development, evolution, and future of arthroplasty registries, drawing particularly from the experience of the Scottish Arthroplasty Project (SAP). The SAP was established in 1999 and is one of the oldest arthroplasty registries in the world. It collects information on patients undergoing hip, knee, ankle, shoulder, and elbow arthroplasty. The primary aim is to encourage continual improvement in the quality of care provided for arthroplasty patients in Scotland. It is distinct in terms of administration and methodology from the National Joint Registry (NJR) of England, Wales, and Northern Ireland as it monitors patients rather than implants. Since its inception, its work has contributed to a reduction in overall complication rates and a significant decrease in hospital length of stay for the growing number of patients undergoing arthroplasty. It continues to provide a robust database that is used to underpin national guidance through data-driven research. The research carried out by dedicated SAP fellows has enhanced the research portfolio of the SAP and raised its profile through high quality peer-reviewed publications. The SAP continues to evolve and by collaborating with other Scottish registries it will provide larger datasets containing greater diversity and granularity of information. These developments as well as ongoing analysis of existing areas ensure that the SAP continues to maintain and improve standards in arthroplasty across Scotland.</p></div>","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"38 3","pages":"Pages 130-136"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141044852","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

Skeletal muscle structure, function and pathology 骨骼肌结构、功能和病理

Orthopaedics and Trauma Pub Date : 2024-06-01 DOI: 10.1016/j.mporth.2024.03.004

James Allen, Mark Ramsden, Sohail Nisar

引用次数: 0

Reducing morbidity and mortality in the hip fracture patient group 降低髋部骨折患者群体的发病率和死亡率

Orthopaedics and Trauma Pub Date : 2024-02-20 DOI: 10.1016/j.mporth.2024.01.004

Martyn J Parker

{"title":"Reducing morbidity and mortality in the hip fracture patient group","authors":"Martyn J Parker","doi":"10.1016/j.mporth.2024.01.004","DOIUrl":"https://doi.org/10.1016/j.mporth.2024.01.004","url":null,"abstract":"<div><p>A review of the literature was undertaken to determine which amenable factors could be identified that would potentially improve the morbidity or mortality after hip fracture. Only four factors were identified that have been clearly reported to be associated with a reduction in mortality or morbidity, these were early surgery, cemented arthroplasty and experience of the surgeon and peri-operative antibiotics. Five interventions were identified that may reduce mortality or morbidity: nerve blocks, nutritional support, pharmacological thromboembolic prophylaxis, mechanical intermittent pneumatic compression and nail fixation of extracapsular fractures. Several other factors were identified for which it remains uncertain if they will reduce mortality or morbidity: preoperative assessment, β-blockers, blood transfusion, anti-embolism stockings, choice of surgical implant, cardiac output monitoring during surgery, choice of anaesthesia, prevention of intraoperative hypotension, anabolic steroids, multidisciplinary care, and rehabilitation. Continuing research is required to define which interventions are clearly effective and to further identify any adverse effects.</p></div>","PeriodicalId":39547,"journal":{"name":"Orthopaedics and Trauma","volume":"38 2","pages":"Pages 89-94"},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140290529","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