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67,618 results
  • Surgical versus conservative interventions for treating acromioclavicular dislocation of the shoulder in adults. [Review]
    Cochrane Database Syst Rev 2019; 10:CD007429Tamaoki MJ, Lenza M, … Faloppa F
  • CONCLUSIONS: There is low-quality evidence that surgical treatment has no additional benefits in terms of function, return to former activities, and quality of life at one year compared with conservative treatment. There is, however, low-quality evidence that people treated conservatively had improved function at six weeks compared with surgical management. There is very low-quality evidence of little difference between the two treatments in pain at one year, treatment failure usually resulting in secondary surgery, or patient satisfaction with cosmetic result. Although surgery may result in more people sustaining adverse events, this varied between the trials, being more common in techniques such as K-wire fixation that are rarely used today. There remains a need to consider the balance of risks between the individual outcomes: for example, surgical adverse events, including wound infection or dehiscence and hardware complication, against risk of adverse events that may be more commonly associated with conservative treatment such as persistent symptoms or discomfort, or both.There is a need for sufficiently powered, good-quality, well-reported randomised trials of currently used surgical interventions versus conservative treatment for well-defined injuries.
  • Developmental dysplasia of the hip: update of management. [Review]
    EFORT Open Rev 2019; 4(9):548-556Vaquero-Picado A, González-Morán G, … Moraleda L
  • The term 'developmental dysplasia of the hip' (DDH) includes a wide spectrum of hip alterations: neonatal instability; acetabular dysplasia; hip subluxation; and true dislocation of the hip.DDH alters hip biomechanics, overloading the articular cartilage and leading to early osteoarthritis. DDH is the main cause of total hip replacement in young people (about 21% to 29%).Development of the acetab…
  • Dual mobility total hip arthroplasty: should everyone get one? [Review]
    EFORT Open Rev 2019; 4(9):541-547Blakeney WG, Epinette JA, Vendittoli PA
  • Hip instability following total hip arthroplasty (THA) remains a major challenge and is one of the main causes of revision surgery.Dual mobility (DM) implants have been introduced to try to overcome this problem. The DM design consists of a small femoral head captive and mobile within a polyethylene liner.Numerous studies have shown that DM implants reduce the rate of dislocation compared to fixe…
  • Tuning element distribution, structure and properties by composition in high-entropy alloys. [Journal Article]
    Nature 2019; 574(7777):223-227Ding Q, Zhang Y, … Yu Q
  • High-entropy alloys are a class of materials that contain five or more elements in near-equiatomic proportions1,2. Their unconventional compositions and chemical structures hold promise for achieving unprecedented combinations of mechanical properties3-8. Rational design of such alloys hinges on an understanding of the composition-structure-property relationships in a near-infinite compositional …
  • Topics, Skills, and Cases for an Undergraduate Musculoskeletal Curriculum in Southern Africa: A Consensus from Local and International Experts. [Journal Article]
    J Bone Joint Surg Am 2019Held MFG, Laubscher M, … Learning Innovation via Orthopaedic Networks (LION) Group
  • CONCLUSIONS: A wide geographic, academic, and expertise-specific footprint of experts informed this international consensus through their various clinical and academic circumstances. Knowledge topics, skills, and cases concerning orthopaedic trauma and infection were prioritized by the highest percent agreement. Acute primary care for fractures and dislocations ranked high. Furthermore, the diagnosis and the treatment of conditions not requiring specialist referral were prioritized. This study can inform national curricula in southern Africa and assist in the allocation of student clinical rotations.
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