Evidence Based Orthopedics (Subscribe)

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Heparin, low molecular weight heparin and physical methods for preventing deep vein thrombosis and pulmonary embolism following surgery for hip fractures (Cochrane Review)

Prophylaxis using heparin and low molecular weight heparin
Heparins and some mechanical pumping devices may help prevent blood clots forming in the legs after surgery for hip fracture
Patients with hip fracture may develop blood clots (thrombosis) in their legs. Some of these blood clots may travel to the lungs and cause a blockage (embolism), which can be fatal. Various drugs and physical devices are sometimes used to try and prevent these complications. This review of randomised trials found that both heparins and mechanical pumping devices significantly decrease the incidence of deep vein thrombosis. There was not enough evidence to conclude about the effect on lung (pulmonary) embolism, mortality or possible side effects for either heparin or mechanical methods.
Handoll HHG, Farrar MJ, McBirnie J, Tytherleigh-Strong G, Milne AA, Gillespie WJ

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Management of Early Rheumatoid Arthritis

Management of Early Rheumatoid Arthritis. SIGN Guideline
SIGN Publication No. 48 ISBN 1899893 37 7 Published December 2000

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National Institue of Clinical Excellence - Hip Prosthesis

This link provides the documents and evidence used in the appraisal of health technologies used by the National Institute of Clinical Excellence for Hip prosthesis in the United Kingdom.

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Oswestry Outcome Centre

The Oswestry Outcome Centre is an organisation dedicated to the the collection of clinical data and assessment of major planned operations. Aims are to provide evidence of expertise in the field of major joint arthroplasty. To enable us to plot an individuals progress against a standard survival curve in order to ascertain how well they are doing. To identify problems or benefits of each type of prosthesis.

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Patient autonomy in the management of back pain

Respect for patient autonomy is an important ethical principle for medical practitioners; however, previous investigators have reported inconsistent attitudes amongst practitioners towards respect for patient autonomy. This study in empirical ethics used qualitative methods to investigate GPs' attitudes towards respect for patient autonomy in consultations for low back pain. Wendy A Rogers Department of General Practice, Flinders University of South Australia

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Prevention and Management of Hip Fracture in Older People

Hip fracture is a common serious injury that occurs mainly in older people. For many previously fit patients it means loss of prior full mobility; for some frailer patients the permanent loss of the ability to live at home. And for the frailest of all it may bring pain, confusion and disruption to complicate an already distressing last illness. Mortality after hip fracture is high: around 30% at one year. Despite significant improvements in both surgery and rehabilitation in recent decades, hip fracture remains, for patients and their carers, a much-feared injury.

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Regional Nerve Block in Fractured Neck of Femur

Meta-analysis of 27 papers on Regional Nerve Block in Fractured Neck of Femura. Conclusion: In patients with suspected fractured neck of femur, regional nerve block may be of benefit in reducing parenteral analgesic requirements.
Best BETs - Best Evidence Topics

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Scottish Hip Fracture Audit

Hip fracture is a common, serious injury which occurs predominantly in the elderly. The care of hip fracture patients is complex, multidisciplinary and multi-agency. Trauma services vary in structure and resources available to them for the care and rehabilitation of hip fracture patients. The Scottish Hip Fracture audit aims to improve services for these patients by providing high quality relevant data on the care and rehabilitation of hip fracture patients

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Scottish Intercollegiate Guidelines Network - SIGN

The Scottish Intercollegiate Guidelines Network (SIGN) was formed in 1993. Our objective is to improve the quality of health care for patients in Scotland by reducing variation in practice and outcome, through the development and dissemination of national clinical guidelines containing recommendations for effective practice based on current evidence.

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Virginia Joint Registry

The Virginia Joint Registry was organized in 2005 by interested hip and knee surgeons to address the need for utilization data for joint replacement services, as well as to provide surveillance data on the function of these replacements.

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Western Slope Study Group

The Western Slope Study Group (WSSG) was founded in 1997 as a multidisciplinary not-for-profit corporation dedicated to musculoskeletal education and research. WSSG's activities have historically emphasized orthopaedics due to the fact that the founder and director, Michael Dohm, M.D. is an orthopaedic surgeon. The groupís educational offerings have attracted participation from physician interns, nurses, orthopaedic technicians, physical therapists, occupational therapists, chiropractors, family physicians, massage therapists, and orthopaedic surgeons, both M.D. and D.O., among others.

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Bandolier Orthopaedics - Oxford popular

Evidence Based Orthopaedics from Bandolier relating to arthritis and bone and joint problems.

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Boxmind

Boxmind is the home of Academic Excellence, Online. Boxmind is an online education consultancy that, through a combination of expert advice, outstanding rich media content and proprietary software, assists academic institutions and corporations to exploit the full potential of the electronic delivery of educational material.Has musculoskeltal database of quality links

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Clinical Trials in Spine Medicine

Clinical Trials in Spine Medicine lists industry-sponsored trials that are actively recruiting patients.

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Cochrane Library

Free access to Cohrane Library, must be from a registered country; at present Australia, UK, Finland, Ireland, Norway

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