Challenges of Randomized Controlled Surgical Trials

Oct 6, 2017 by in ORTHOPEDIC Comments Off on Challenges of Randomized Controlled Surgical Trials

The concept of evidence-based medicine has gained broad support in the medical community, because clinical decisions based on information from rigorous scientific study are most likely to provide optimal care….

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Evidence-Based Orthopedic Surgery: Is It Possible?

Oct 6, 2017 by in ORTHOPEDIC Comments Off on Evidence-Based Orthopedic Surgery: Is It Possible?

The promise of evidence-based medicine is to integrate the highest levels of clinical data with patient outcomes. After framing the question and identifying appropriate studies, evaluating their relevance to clinical…

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Principles of Evidence-Based Medicine

Oct 6, 2017 by in ORTHOPEDIC Comments Off on Principles of Evidence-Based Medicine

Evidence–based medicine integrates clinical expertise, patients’ values and preferences, and the best available evidence from the medical literature. Evidence–based orthopedics is a model to assist surgeons to improve the process…

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A Critical Appraisal of the SPRINT Trial

Feb 23, 2017 by in ORTHOPEDIC Comments Off on A Critical Appraisal of the SPRINT Trial

The Study to Prospectively evaluate Reamed Intramedullary Nails in Tibial fractures (SPRINT) was a randomized controlled trial to evaluate rates of reoperation and complications resulting from reamed versus unreamed intramedullary…

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Graft Selection for Anterior Cruciate Ligament Reconstruction: A Level I Systematic Review Comparing Failure Rates and Functional Outcomes

Feb 23, 2017 by in ORTHOPEDIC Comments Off on Graft Selection for Anterior Cruciate Ligament Reconstruction: A Level I Systematic Review Comparing Failure Rates and Functional Outcomes

Tear of the anterior cruciate ligament (ACL) is the most common ligamentous injury of the knee. Reconstructing this ligament is often required to restore functional stability of the knee. Many…

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Hip Resurfacing Arthroplasty: A Review of the Evidence for Surgical Technique, Outcome, and Complications

Feb 23, 2017 by in ORTHOPEDIC Comments Off on Hip Resurfacing Arthroplasty: A Review of the Evidence for Surgical Technique, Outcome, and Complications

Hip resurfacing arthroplasty has reemerged as a valid reconstruction option for the osteoarthritic hip. Patient selection is critical for excellent surgical outcomes, especially when compared with total hip arthroplasty. However,…

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DVT Prophylaxis in Total Joint Reconstruction

Feb 23, 2017 by in ORTHOPEDIC Comments Off on DVT Prophylaxis in Total Joint Reconstruction

Deep venous thrombosis (DVT) is the end result of a complex interaction of events including the activation of the clotting cascade in conjunction with platelet aggregation. Patients undergoing major lower…

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