Surgery

Risk of early revision in total hip arthroplasty: the relative contribution of the surgeon versus the hospital – Cameron Handford et al.

2024-06-05T13:03:06+10:00Hip, Musculoskeletal, Publications, Risk, Surgery|

Early revision for total hip arthroplasty is a serious adverse outcome. There are multiple contributing risk factors for early revision. Risk factors can exist at the level of the surgeon and the level of the institution. The primary research question of this study was to [...]

Implementation of supplemental physiotherapy following hip fracture surgery: a protocol for the process evaluation of a randomised controlled trial – Eleanor Raper et al.

2024-06-04T13:40:09+10:00Ageing, Hip, Musculoskeletal, Physiotherapy, Publications, Surgery|

Patient outcomes following low-trauma hip fracture are suboptimal resulting in increased healthcare costs and poor functional outcomes at 1 year. Providing early and intensive in-hospital physiotherapy could help improve patient outcomes and reduce costs following hip fracture surgery. The HIP fracture Supplemental Therapy to Enhance [...]

Participant recruitment and attrition in surgical randomised trials with placebo controls versus non-operative controls: a meta-epidemiological study and meta-analysis – Pragadesh Natarajan et al.

2024-06-04T13:02:19+10:00Placebos, Publications, Randomised Control Trial (RCT), Research, Risk, Surgery|

Placebo control trials are the gold standard for determining the true therapeutic effect of interventions. However, placebo trials commonly face difficulties in participant recruitment due to a lack of willingness to participate especially in surgical placebo trials due to its inherently invasive nature and higher [...]

Development of a patient decision aid for children and adolescents following anterior cruciate ligament rupture: an international mixed-methods study – Andrew R Gamble et al.

2024-06-04T12:31:31+10:00Clinical guidelines, Decision aids, Health literacy, Knee, Musculoskeletal, Publications, Shared decision making, Surgery, Treatment|

Our aim was to develop and user-test a patient decision aid for children and adolescents following ACL rupture to be used with parents and health professionals that presents evidence-based information on treatment options. Patient decision aids are resources that present balanced information on the benefits [...]

Aspirin as Venous Thromboembolism Prophylaxis in Arthroplasty Patients: An Analysis of Clinical Practice Guidelines Recommendations – Kimberley K. Lun et al.

2024-06-04T12:16:58+10:00Cardiovascular disease, Clinical guidelines, Hip, Knee, Musculoskeletal, Publications, Surgery|

Venous thromboembolism (VTE) is a recognized postoperative complication of hip or knee arthroplasty and incurs major morbidity and mortality. While anticoagulants are the mainstay of chemoprophylaxis, aspirin has recently emerged as a popular prophylactic agent. However, there is a lack of high-quality evidence comparing aspirin [...]

Establishing a hierarchy of total knee arthroplasty patients’ goals and its congruity to health professionals’ perceptions: a cohort study – Sascha Karunaratne et al.

2024-04-07T16:49:13+10:00Knee, Musculoskeletal, Osteoarthritis, Pain, Publications, Risk, Shared decision making, Surgery, Treatment|

This study established a hierarchy of the goals most important to patients, identifying key goals as improving mobility, reducing pain, and improving daily tasks. Health professionals involved in the recommendation of knee arthroplasty were generally found to be able to identify what patients wanted to [...]

RECITAL: a non-inferiority randomised control trial evaluating a virtual fracture clinic compared with in-person care for people with simple fractures (study protocol) – Min Jiat Teng et al.

2024-04-07T13:15:38+10:00Imaging, Musculoskeletal, Pain, Physiotherapy, Publications, Surgery, Treatment, Virtual Care/Telehealth|

Most simple undisplaced fractures can be managed without surgery by immobilising the limb with a splint, prescribing medication for pain, and providing advice and early rehabilitation. Recent systematic reviews based on retrospective observational studies have reported that virtual fracture clinics can deliver follow-up care that [...]

First implantable cardiac defibrillator insertions in New South Wales, 2005–2020: an analysis of linked administrative data – Lin Zhu et al.

2024-04-05T14:44:05+11:00Ageing, Cardiovascular disease, Publications, Risk, Surgery|

Our population-based analysis of linked administrative data found that the annual number of first insertions of ICDs steadily increased in NSW during 2005–2016. Most ICD recipients were men, especially in older age groups, and the rise in annual number was most marked for men aged [...]

HIP fracture Supplemental Therapy to Enhance Recovery (HIPSTER): a protocol for a randomised controlled trial – Lara A Kimmel et al.

2024-02-13T14:11:15+11:00Ageing, Hip, Musculoskeletal, Physiotherapy, Publications, Surgery, Treatment|

Hip fractures result in substantial health impacts for patients and costs to health systems. Many patients require prolonged hospital stays and up to 60% do not regain their prefracture level of mobility within 1 year. Physical rehabilitation plays a key role in regaining physical function [...]

A mixed methods approach to investigating physical activity in people with obesity participating in a chronic care programme awaiting total knee or hip arthroplasty – Natalie Pavlovic et al.

2024-02-13T14:02:32+11:00Clinical guidelines, Hip, Knee, Musculoskeletal, Osteoarthritis, Publications, Surgery|

This study captured the physical activity trajectory and explored barriers and enablers to physical activity in a socially and culturally diverse sample with obesity awaiting TKA or THA. For context, we collected many baseline measures capturing disease severity. The baseline average Oxford scores indicated moderate [...]

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