Management and outcomes of thoracic sarcomas - a collaboration between Orthopaedic Oncology and cardiothoracic surgery: seven-year clinical data from a tertiary referral centre by Zaid Ahmed Shamsi, Vlad Paraoan, Chang Kim, Sarah Raihanah Saifuddin, Thomas D A Cosker, Duncan Whitwell, Christopher L M H Gibbons, Dionisios Stavroulias, Francesco DiChiara

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Comparison of intravenous dexmedetomidine versus ketamine–dexmedetomidine combination on spinal block characteristics in patients undergoing lower limb orthopaedic surgery – A randomised clinical trial by Annapureddy Sai Krishna, Jyotsna Agarwal, Samiksha Khanuja, Sandeep Kumar, Adam Khan, Khairat Mohammad Butt

“…This study was designed to compare the effects of intravenous dexmedetomidine versus low-dose ketamine–dexmedetomidine combination infusion on spinal anaesthesia in lower limb orthopaedic surgeries. Methods: This randomised study was conducted in 60 patients scheduled for unilateral lower limb surgeries under spinal anaesthesia. …”
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Mixed methods evaluation of the Getting it Right First Time programme in elective orthopaedic surgery in England: an analysis from the National Joint Registry and Hospital Episode Statistics by Stephen Morris, James Mason, Rosalind Raine, Peter Martin, Naomi J Fulop, Elena Pizzo, Andrew Hutchings, Helen Barratt, Jean Ledger, Raj Mehta, Sarah Jasim, Fiona Aspinal, Rafael Gafoor

“…Objective To evaluate the impact of the ‘Getting it Right First Time’ (GIRFT) national improvement programme in orthopaedics, which started in 2012.Design Mixed-methods study comprising statistical analysis of linked national datasets (National Joint Registry; Hospital Episode Statistics; Patient-Reported Outcomes); economic analysis and qualitative case studies in six National Health Service (NHS) Trusts.Setting NHS elective orthopaedic surgery in England.Participants 736 088 patients who underwent primary hip or knee replacement at 126 NHS Trusts between 1 April 2009 and 31 March 2018, plus 50 NHS staff.Intervention Improvement bundle including ‘deep dive’ visits by senior clinician to NHS Trusts, informed by bespoke set of routine performance data, to discuss how improvements could be made locally.Main outcome measures Number of procedures conducted by low volume surgeons; use of uncemented hip implants in patients >65; arthroscopy in year prior to knee replacement; hospital length of stay; emergency readmissions within 30 days; revision surgery within 1 year; health-related quality of life and functional status.Results National trends demonstrated substantial improvements beginning prior to GIRFT. …”
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Effect of Different Doses of Intrathecal Nalbuphine as Adjuvant to Hyperbaric Bupivacaine on Characteristics of Subarachnoid Block in Pelvic and Lower Limb Orthopaedic Surgeries: A Randomised Clinical Study by Anupama Kumari, Shraddha Jogani, Nilesh Shah, Sara Mary Thomas

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Early Economic Evaluation Demonstrates That Noncomputerized Tomography Robotic-Assisted Surgery Is Cost-Effective in Patients Undergoing Unicompartmental Knee Arthroplasty at High-Volume Orthopaedic Centres by Leo M. Nherera, Sanjay Verma, Paul Trueman, Simon Jennings

“…Results. For a high-volume orthopaedic centre that performs 100 UKA operations per year, non-CT r-UKA was more costly than t-UKA but offered better clinical outcomes, and the estimated cost per QALY was £2,831. …”
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Fourth-generation Ceramic Head Fracture in Total Hip Arthroplasty: A Case Report and Literature Review by Clark Yin, MD, Lauren Eberhardt, MD, Matthew Cederman, BS, Henry Haley, MD, Andrew Steffenmeier, MD, Mark Karadsheh, MD

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Novel sequential proximal iliopsoas compartment block: A four-in-one block as a primary anaesthetic technique for intramedullary femoral nailing surgery: A retrospective study by Carlos Rodrigues Almeida

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Efficacy of 5 µg and 10 µg Dexmedetomidine as Adjuvants to 3 mL 0.5% Hyperbaric Bupivacaine in Pelvic and Lower Limb Orthopaedic Surgeries: A Randomised Clinical Study by Jigisha Bharatbhai Mehta, Shreya Jatin Patel, Nilesh Vrajmohan Shah, Dinesh K Chauhan, Sara Mary Thomas

“…Introduction: Low-dose bupivacaine used in spinal anaesthesia results in speedy recovery. For lower limb orthopaedic surgeries, to provide sufficient anaesthesia and prolong postoperative analgesia in a less cumbersome way, author can add potent adjuvants like dexmedetomidine (an alpha-2 adrenergic receptor agonist) in effective and safer doses intrathecally. …”
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Early Mobilization in Post-Orthopedic Surgery Patients: A Scoping Review by Rhamelani P, Mahdhiya NZ, Yoviana I, Jessica J, Komariah M

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Study protocol of the PRINCESS trial—PReoperative INtermittent fasting versus CarbohydratE loading to reduce inSulin resiStance versus standard of care in orthopaedic patients: a randomised controlled trial by Markus W Hollmann, Abraham H Hulst, Benedikt Preckel, Jeroen Hermanides, Ayla Y Stobbe, Eline S de Klerk, Robert van Wilpe, Arthur J Kievit, Kee Fong Choi, Mireille F M van Stijn

“…We hypothesise that TRF, as well as CHL, improve postoperative IR.Methods and analysis This open-label, single-centre, randomised controlled trial will compare the effect of short-term preoperative TRF, CHL and standard preoperative fasting on perioperative IR. A total of 75 orthopaedic patients presenting for elective intermediate to major surgery at a Dutch academic hospital will be randomly assigned to a control group (standard preoperative fasting), a TRF group or a CHL group. …”
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Effectiveness of negative pressure wound therapy in treating deep surgical site infections after spine surgery: a meta-analysis of single-arm studies by Shiwei Ren, Huan Liu, Zhengqi Chang

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Work-Life Balance in Pediatric Orthopaedics: The Role of the LeadersBox 1 – Fostering work-life balance for my team: Corinna Franklin, MDBox 2 – Work-life balance interventions: Rebecca E.... by Steven L. Frick, MD, Rebecca Glavin, MBA, MSW, LCSW, Corinna Franklin, MD, AB, Peter M. Waters, MD, MMSc

“…Journal of the Pediatric Orthopaedic Society of North America…”
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Comparing the effects of three local anaesthetic agents on cardiac conduction system - A randomised study by Vaishali Agarwal, Pravin K. Das, Soumya S. Nath, Manoj Tripathi, Bhuwan Tiwari

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ADvAnced PhysioTherapy in MuSculosKeletal Triage: Investigating prognostic factors, healthcare utilisation and clinical outcomes (ADAPT MSK) - a cohort study protocol. [version 2;... by Louise Keating, Fiona Callan, Helen P. French, Sarah Casserley-Feeney

Subjects: “…Musculoskeletal triage; physiotherapy; orthopaedic triage…”
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Periprosthetic joint infections: navigating innovations and potential translation by Andreas Fontalis, Warran Wignadasan, Babar Kayani, Fares S. Haddad

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Unicompartmental knee arthroplasty: an exemplar of surgical and engineering collaboration by Richie H. S. Gill, Fares S. Haddad

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A systematic review and mapping exercise to assess the content validity of patient-reported outcome measures for adults having reconstructive surgery of the lower limb by Jennie Lister, Sophie James, Hemant K. Sharma, Catherine Hewitt, Helen Fulbright, Heather Leggett, Catriona McDaid

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Improved Function After Anterior Controllable Antedisplacement and Fusion for Cervical Ossification of Posterior Longitudinal Ligament: A Long‐Term Follow‐Up by Yangyang Shi, Kaiqiang Sun, Linhui Han, Chen Yan, Jinyu Wang, Jingyun Yang, Yuan Wang, Ximing Xu, Jingchuan Sun, Jiangang Shi

“…Orthopaedic Surgery…”
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Biomechanical Analysis and Solution Suggestions of Screw Replacement Scenarios in Femoral Neck Fracture Surgeries: Finite Element Method by Yılmaz Güvercin, Murat Yaylacı, Ayberk Dizdar, Mehmet Emin Özdemir, Sevil Ay, Ecren Uzun Yaylacı, Umitcan Karahasanoğlu, Hüseyin Uygun, Gökhan Peker

“…Orthopaedic Surgery…”
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Jack Surgery: Reconstructing Collapsed Femoral Head in Association Research Circulation Osseous Stage III Osteonecrosis: A Series of 13 Cases by Ying Zhong, Yichen Gong, Shuaijie Lv, Wenxi Du, Xun Liu, Jianhua Zhang, Peijian Tong

“…Orthopaedic Surgery…”
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