The Bone & Joint Journal @BoneJointJ Twitter profile

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The Bone & Joint Journal

8 days

🩺 CLINICAL CONSENSUS RECOMMENDATIONS FOR THE NON-SURGICAL TREATMENT OF CHILDREN WITH PERTHES’ DISEASE IN THE UK 📋 #BJJ #Pediatrics #Disease @GallowayAdam @davidkeenePT @_anna_anderson @HoltonColin @ProfTonyRedmond @HeidiSiddle @RichaSuzy @MrDanPerry

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The Bone & Joint Journal

@BoneJointJ

1 year

This infographic summarizes the various alignment strategies currently employed in total knee arthroplasty. #KneeReplacement #KneeArthroplasty #Infographic #BJJ @bjjeditor

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The Bone & Joint Journal

@BoneJointJ

6 months

🔎CASE IN FOCUS! 🩻 How would you treat this fracture in a fit and active 73-year-old male patient five years after a well-functioning primary THA? a) Revision - cement in cement b) Revision - uncemented fluted taper c) Fixation - PPF locking plate d) Fixation - DCP #THA #BJJ

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The Bone & Joint Journal

@BoneJointJ

3 years

Patients treated with suture button for acute syndesmotic injury have better outcomes than patients treated with syndesmotic screw at one, two and five years say surgeons #orthopedics #arthritis

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The Bone & Joint Journal

@BoneJointJ

2 years

Five years after syndesmotic injury treated with either suture button (SB) or syndesmotic screw, we found better AOFAS and OMA scores, and lower incidence of ankle OA, in the SB group. #ortho #trauma

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The Bone & Joint Journal

@BoneJointJ

3 years

JUST PUBLISHED!: Study finds patients in a state ‘worse than death’ while waiting for a hip or knee arthroplasty has nearly doubled during the COVID-19 pandemic @EdinburghKnee @JamesRDMurray @NICEComms #FreeAccess #COVID19

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The Bone & Joint Journal

@BoneJointJ

3 years

This review gives an update on the relevant anatomy and classification systems for medial malleolar fractures and an overview of the current literature regarding their management, including surgical approaches and the choice of implants #knee #fracture

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The Bone & Joint Journal

@BoneJointJ

3 years

A substantial proportion of UK orthopaedic surgeons regularly use a tourniquet for lower limb #fracture fixation #surgery . RCTs have shown that tourniquet use is associated with increased pain & risk of complications, with no differences in blood loss

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The Bone & Joint Journal

@BoneJointJ

4 years

Deep gluteal syndrome is an increasingly recognized disease entity. This comprehensive review aims to provide the latest information on the epidemiology, aetiology, pathology, features, diagnosis and treatment #hip #pain #orthotwitter

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The Bone & Joint Journal

@BoneJointJ

3 years

In a new study, surgeons report tranexamic acid is safe to administer perioperatively in #hip #fracture patients, is associated with lower transfusion rate and reduced thromboembolic events and is not associated with an increased risk of mortality

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The Bone & Joint Journal

@BoneJointJ

2 years

Five years after syndesmotic injury treated with either suture button or syndesmotic screw, we found better AOFAS and OMA scores, and lower incidence of ankle OA, in the suture button group. #arthritis #ortho

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The Bone & Joint Journal

@BoneJointJ

10 months

"There is no evidence that single or multiple platelet-rich plasma had any additional beneficial effect compared to saline injection up to 12 months, follow-up after treatment of early-stage symptomatic osteoarthritis of the knee". #Arthritis #Knee #BJJ

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The Bone & Joint Journal

@BoneJointJ

1 year

The functional outcome after nail and plate fixation was equivalent; however, the complication rate and number of secondary operations was significantly higher after nail fixation. #AnkleFracture #Ortho #Trauma

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The Bone & Joint Journal

@BoneJointJ

5 years

Surgeons report that the suprapatellar approach for anterograde tibial nailing results in less anterior knee pain postoperatively than the infrapatellar approach, & advise that surgeons should consider using the suprapatellar approach routinely #kneepain

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The Bone & Joint Journal

@BoneJointJ

2 years

❔ OrthoQuiz 🩺 A 22-year-old man presents with a 18-month history of left hip pain. This is his radiograph. What is the diagnosis? #OrthoQuiz #orthopedics #hippain #orthotwitter

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The Bone & Joint Journal

@BoneJointJ

2 years

Importantly, given the popularity of PRP injections for symptomatic early OA, there is no evidence that single or multiple PRP had any additional beneficial effect compared to saline injection. #arthritis #knee

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The Bone & Joint Journal

@BoneJointJ

4 years

Women in orthopaedics experience discrimination on a day-to-day basis. We need to work harder to eliminate gender bias & encourage more women to join the field. This paper is so important. #orthopedics #genderbias #womeninsurgery #diversity

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The Bone & Joint Journal

@BoneJointJ

5 years

Surgeons recently report that the direct anterior approach is associated with the greatest risk for complications related to approach after total hip arthroplasty #totalhiparthroplasty #surgicalcomplications

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The Bone & Joint Journal

@BoneJointJ

3 years

"In order to maximize the strength of the tibial tray/cement interface, cement should be applied to the component soon after mixing, contamination of the interface should be avoided, & the keel & the plateau should be cemented" #kneearthroplasty #ortho

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The Bone & Joint Journal

@BoneJointJ

3 years

"In total, 19% of patients awaiting THA & 12% awaiting TKA for degenerative joint disease are in a health state worse than death. Although specific comorbidities contribute to this, hip- or knee-specific function, mainly pain, appear key determinants..."

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The Bone & Joint Journal

@BoneJointJ

4 years

"There is a 12.5% increase in the risk of 30-day mortality associated with the use of an intramedullary nail compared with a sliding hip screw in the treatment of a trochanteric fractures of the hip" #intramedullarynail #slidinghipscrew #hipfracture

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The Bone & Joint Journal

@BoneJointJ

4 years

The @baskonline Arthroscopic Meniscal Surgery Treatment Guidance will facilitate the consistent identification & treatment of patients with meniscal lesions. It's hoped this guidance will be adopted nationally by #surgeons #arthroscopy #meniscectomy

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The Bone & Joint Journal

@BoneJointJ

3 years

Check out February's infographic which illustrates 'most elderly patients with displaced distal radius fractures can be treated nonoperatively' #infographic #orthotwitter

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The Bone & Joint Journal

@BoneJointJ

4 years

In total, 19% of patients awaiting total hip #arthroplasty and 12% awaiting total knee arthroplasty for degenerative joint disease are in a health state 'worse than death' report surgeons. Read the article and listen to the #podcast here @EdinburghKnee

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The Bone & Joint Journal

@BoneJointJ

4 years

Operative repair of acute Achilles tendon rupture does not give superior patient-reported outcomes to nonoperative management conclude surgeons from @EdinburghTrauma @DuckworthOrthEd #Achillestendon #tendonrupture #operativevsnonoperative #infographic

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The Bone & Joint Journal

@BoneJointJ

1 year

Elderly patients who undergo intramedullary nailing for an intertrochanteric fracture can benefit from a single dose of 15 mg/kg tranexamic acid before the onset of surgery. #Trauma #TranexamicAcid #Surgery #BJJ @VasNikolaou

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The Bone & Joint Journal

@BoneJointJ

7 months

🦴 FOUR WEEKS VERSUS SIX WEEKS OF IMMOBILIZATION IN A CAST FOLLOWING CLOSED REDUCTION FOR DISPLACED DISTAL RADIAL FRACTURES IN ADULT PATIENTS 🤝 Read the full paper now! #Fracture #WristFracture #RCT #Orthopedics #VideoAbstract #BJJ

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The Bone & Joint Journal

@BoneJointJ

3 years

Check out this month's infographic on tranexamic acid effectively reducing blood loss and transfusion rates in elderly patients undergoing surgery for hip fracture #infographic #orthotwitter

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The Bone & Joint Journal

@BoneJointJ

4 years

A study of 418,857 total hip arthroplasties shows an association between the use of antibiotic-loaded bone cement and lower rates of revision due to prosthetic joint infection #hiparthroplasty #bonecement #antibiotics #jointinfection #orthotwitter

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The Bone & Joint Journal

@BoneJointJ

2 years

Specific patient- and trigger finger-related determinants are associated with the success rate of steroid injection therapy, and these findings can aid the decision-making process on how best to treat a patient. #CarpalTunnel #TriggerFinger #BJJ

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The Bone & Joint Journal

@BoneJointJ

3 years

This study supports the use of dorsal tangential views to minimize dorsal penetrating screws after volar plating. One could argue that 3D fluoroscopy is not required to be part of a surgeon’s armamentarium to avoid screw penetration #wristsurgery #ortho

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The Bone & Joint Journal

@BoneJointJ

2 years

Patients treated with suture button for acute syndesmotic injury have better outcomes than patients treated with syndesmotic screw at one, two and five years. #injury #orthopedics #BJJ

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The Bone & Joint Journal

@BoneJointJ

3 years

Study examines deep gluteal syndrome as a cause of posterior hip pain and sciatica-like pain and finds a systematic and rational approach including MRI are needed for an accurate diagnosis #MRI #Hip

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The Bone & Joint Journal

@BoneJointJ

3 years

Large bone defects are caused by #trauma , infection, and tumour. New study concludes induced membrane technique using beta-tricalcium phosphate provided satisfactory clinical & radiological outcomes for segmental bone defects in the lower limbs #ortho

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The Bone & Joint Journal

@BoneJointJ

3 years

This review gives an update on the relevant anatomy and classification systems for medial malleolar fractures and an overview of the current literature regarding their management, including surgical approaches and the choice of implants #trauma #ortho

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The Bone & Joint Journal

@BoneJointJ

1 year

A retrospective cross-sectional analysis was performed on patients who underwent unilateral THA by a single surgeon at the authors' institution from March 2013 to June 2017. #HipReplacement #Surgery #BJJ

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The Bone & Joint Journal

@BoneJointJ

4 years

There is convincing evidence that, taking all factors into account, #aspirin is an effective, inexpensive, and safe form of venous #thromboembolism ( #VTE ) following #arthroplasty in patients without a major risk factor for VTE, such as previous VTE

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The Bone & Joint Journal

@BoneJointJ

9 months

🦴 ORTHOQUIZ 👦 A ten-year-old right-hand dominant boy presents with right elbow pain following a fall from monkey bars whilst playing. What is your diagnosis? #OrthoQuiz #PedsOrtho #Trauma #OrthoTwitter #BJJ

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The Bone & Joint Journal

@BoneJointJ

3 years

"One-fifth of patients awaiting total hip arthroplasty and 12% of patients awaiting total knee arthroplasty are defined as in a health state ‘worse than death’ by the EuroQol five-dimension score" #hiparthroplasty #kneearthroplasty #NHS @EdinburghKnee

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The Bone & Joint Journal

@BoneJointJ

4 years

"One-fifth of patients awaiting total hip arthroplasty and 12% of patients awaiting total knee arthroplasty are defined as in a health state ‘worse than death’ by the EuroQol five-dimension score" say @EdinburghKnee et al #arthroplasty #qualityoflife

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The Bone & Joint Journal

@BoneJointJ

6 years

"In elderly patients with hip fractures, early surgery within 24 hours of admission is independently associated with less pulmonary complications including pneumonia, failure to extubate, and reintubation, as well as shorter length of stay." #hip #fracture

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The Bone & Joint Journal

@BoneJointJ

5 years

Surgeons from @nyulangone report that the posterior approach to total hip #arthroplasty had a significantly lower overall complication rate compared with the anterior approach, with an equal dislocation rate #hiparthroplasty #visualabstract

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The Bone & Joint Journal

@BoneJointJ

5 years

Lumbar fusion is known to reduce variation in pelvic tilt between standing & sitting; new study finds that patients with previous history of lumbar spinal fusion have a significantly higher rate of dislocation of their total hip arthroplasty #spine #hip

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The Bone & Joint Journal

@BoneJointJ

4 years

Patients treated with suture button for acute syndesmotic injury have better outcomes than patients treated with syndesmotic screw at one, two and five years suggest surgeons from Norway #suturebutton #syndesmoticinjury #syndesmoticscrew #videoabstract

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The Bone & Joint Journal

@BoneJointJ

6 years

Aspirin is safe to use as the main thromboprophylactic agent in primary arthroplasty; it is not associated with an increased incidence of symptomatic DVT, PE or death

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The Bone & Joint Journal

@BoneJointJ

3 years

Study finds that nonoperative management of completely displaced distal radial fractures in appropriately selected cases results in excellent outcomes without exposing the child to the risks of surgery #pediatrics #orthopedics

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The Bone & Joint Journal

@BoneJointJ

4 years

Diagnosis of dorsal screw penetration after volar plating of a distal radial fracture: intraoperative dorsal tangential views versus 3D fluoroscopy #3D #fracture #radial

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The Bone & Joint Journal

@BoneJointJ

4 years

JUST PUBLISHED!: The theoretical mortality risk of an asymptomatic patient with a negative SARS-CoV-2 test developing COVID-19 after elective orthopaedic surgery @the_SWLEOC @nickcaplan23 @PG_Orthopaedics @DeiaryKader #COVID19 #mortalityrisk #orthopaedics

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The Bone & Joint Journal

@BoneJointJ

4 years

Due to the association with lower #mortality , sliding hip screws should be used in preference to intramedullary nails to treat trochanteric hip #fractures , other than for particular subtypes of fracture such as pathological & atypical fractures

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The Bone & Joint Journal

@BoneJointJ

3 years

NEW INFOGRAPHIC!: The EBJIS definition of periprosthetic joint infection: a practical guide for clinicians #inforgraphic #orthotwitter #prosthetics

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The Bone & Joint Journal

@BoneJointJ

5 years

In the #treatment of #active #elderly #patients with an intracapsular #fracture of the #hip there is no difference in the functional #outcome between #hemiarthroplasty and total hip #arthroplasty treatments at 12 years postoperatively #WeekendWisdom

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The Bone & Joint Journal

@BoneJointJ

6 months

Is delayed surgery associated with increased mortality in patients with an intracapsular hip fracture who undergo THA, compared to those who are treated with a hemiarthroplasty or internal fixation? #Fracture #Arthroplasty #BJJ @docfarrow @A_MacLullich

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The Bone & Joint Journal

@BoneJointJ

3 years

"In order to maximize the strength of the tibial tray/cement interface, cement should be applied to the component soon after mixing, contamination of the interface should be avoided, & the keel & the plateau should be cemented" finds study #knee #ortho

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The Bone & Joint Journal

@BoneJointJ

2 years

This cross-sectional study included 326 patients who were randomly selected from waiting lists at four centres and had been waiting for six months or more for a primary THA. #HipReplacement #Orthopedics #BJJ @jackbayram @katiephughes @AndyBallantyne5

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The Bone & Joint Journal

@BoneJointJ

6 years

Fractures of the #hip are arguably the most important #public #health #problem faced by #orthopaedic #surgeons today; new study from @YaleMed advocates fixation of 31A1 #fractures with a sliding hip screw and all others with an intramedullary device

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The Bone & Joint Journal

@BoneJointJ

4 years

An RCT from @UCPH_health showed no functional advantage in repairing the pronator quadratus after volar plating of distal radius fractures

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The Bone & Joint Journal

@BoneJointJ

4 years

"Patients undergoing a clean primary total knee arthroplasty with a history of a prosthetic joint infection (PJI) in another lower limb arthroplasty have a 3-fold higher risk of developing a PJI compared to matched cohorts" #jointinfection #arthroplasty

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The Bone & Joint Journal

@BoneJointJ

3 years

Surgeons report performing total #knee replacement without patellar resurfacing was associated with an increased risk of revision. Secondary patellar resurfacing led to a high risk of re-revision. This represents a potential substantial #healthcare burden

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The Bone & Joint Journal

@BoneJointJ

6 years

Planning and measurement of the intended position of the acetabular component in the supine position may fail to predict clinically significant changes in its orientation during functional activities

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The Bone & Joint Journal

@BoneJointJ

4 years

These results indicate that a contemporary cemented hemiarthroplasty gives better results than an uncemented hemiarthroplasty for patients with a displaced intracapsular fracture of the hip #arthroplasty #fracture #hip #orthotwitter

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The Bone & Joint Journal

@BoneJointJ

6 years

The number of arthroplasties being performed increases each year; there is convincing #evidence that, taking all factors into account, #aspirin is an #effective , #inexpensive and #safe form of venous thromboembolism following the #procedure

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The Bone & Joint Journal

@BoneJointJ

1 year

Fracture-related infections with a short duration of infection can successfully be treated with debridement, antimicrobial therapy, and implant retention when basic prerequisites are present. #Infection #Surgery #BJJ

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The Bone & Joint Journal

@BoneJointJ

6 years

Meniscal allograft transplantation is undertaken to improve #pain and #function in #patients with a symptomatic meniscal deficient #knee compartment; how does it compare to non-operative #treatment ? #debate #trial #infographic

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The Bone & Joint Journal

@BoneJointJ

2 years

We had the great pleasure of hosting the ABC Fellows before they embark on their much delayed tour. We wish them a fantastic trip!

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The Bone & Joint Journal

@BoneJointJ

6 years

The #pelvis rotates in the sagittal plane during daily #activities . These rotations have a direct #effect on the functional #orientation of the #acetabulum ; this #study aims to quantify changes in pelvic tilt between different #functional #positions

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The Bone & Joint Journal

@BoneJointJ

4 years

JUST PUBLISHED!: IMPACT-Scot report on COVID-19 and hip fractures @andrewhallortho @docfarrow @IMPACTAudits @A_MacLullich @EdinburghKnee @pjjenkins80 @DuckworthOrthEd #COVID19 #hipfracture #lockdown #orthotwitter

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The Bone & Joint Journal

@BoneJointJ

4 years

New study affirms that there is a negative emotional impact of prosthetic joint infection on surgeons which can be minimized by improved peer support & working in multidisciplinary teams #prostheticjointinfection #orthopaedicsurgeons #peersupport

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The Bone & Joint Journal

@BoneJointJ

6 years

"There's convincing evidence that, taking all factors into account, aspirin is an effective, inexpensive, & safe form of VTE following arthroplasty in patients without a major risk factor for VTE, such as previous VTE" #ThursdayThoughts #aspirin @bjjeditor

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The Bone & Joint Journal

@BoneJointJ

5 years

The Thompson #prosthesis is a generic monoblock #hemiarthroplasty designed 65 years ago & is intended for cemented implantation. @CornetResearch report that it may provide similar health-related quality of life compared with modern #implants #hipfracture

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The Bone & Joint Journal

@BoneJointJ

7 years

Patients receiving TKA younger than 55 years should be informed about the increased #risks of #dissatisfaction #knee

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The Bone & Joint Journal

@BoneJointJ

7 months

🦵 THE LANGUAGE OF KNEE ALIGNMENT ✨ Read the full paper now! #KneeArthroplasty #KneeReplacement #BJJ

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The Bone & Joint Journal

@BoneJointJ

4 years

"The suprapatellar approach for anterograde tibial nailing results in less anterior knee pain postoperatively than the infrapatellar approach" conclude surgeons in a recent paper #tibialshaftfracture #kneepain #tibialnailing

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The Bone & Joint Journal

@BoneJointJ

1 year

❔ OrthoQuiz 🦴 Review this AP radiograph of the left shoulder. What is your diagnosis? #OrthoQuiz #Shoulder #OrthoTwitter #MedEd #Diagnosis #BJJ

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The Bone & Joint Journal

@BoneJointJ

5 years

The orientation of the acetabular component is an important determinant of outcome following total hip arthroplasty; new study notes that pelvic position is more reliable when the patient is in the supine position #hiparthroplasty #pelvicposition

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The Bone & Joint Journal

@BoneJointJ

8 months

A shorter period of immobilization in adult patients with displaced and adequately reduced distal radial fractures leads to a better short-term range of movement of the wrist. #Fracture #WristFracture #Trauma #Orthopedics #BJJ

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The Bone & Joint Journal

@BoneJointJ

3 years

Recent study affirms that there is a negative emotional impact of prosthetic joint infection on surgeons. Receiving peer support was regarded as the most important coping strategy #infection #surgeons #surgery #orthopedics #orthotwitter

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The Bone & Joint Journal

@BoneJointJ

3 years

Study assesses the effect of time to surgical intervention from admission on mortality and morbidity for patients with hip fractures #Fracture #Orthopedics

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The Bone & Joint Journal

@BoneJointJ

9 months

Refractures in children are rare: this study shows that 0.88% of children who sustain a fracture of the long bones refracture within the first year after the primary fracture. #PedsOrtho #Fracture #Injury #BJJ

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The Bone & Joint Journal

@BoneJointJ

3 years

"Aspirin is more effective than warfarin for the prevention of venous thromboembolism (VTE) following simultaneous bilateral total knee arthroplasty, and serves as the more appropriate agent for VTE prophylaxis for patients in all risk categories" #knee

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The Bone & Joint Journal

@BoneJointJ

4 years

JUST PUBLISHED!: 'Perioperative COVID-19 nearly doubled the background postoperative mortality risk following surgery.' @andrewhallortho @MakOrtho @RobinsonOrth @gjmacpherson @DuckworthOrthEd @pjjenkins80 #COVID19 #orthotwitter

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The Bone & Joint Journal

@BoneJointJ

3 years

Study concludes that there is a 12.5% increase in the risk of 30-day mortality associated with the use of an intramedullary nail compared with a sliding hip screw in the treatment of a trochanteric fractures of the hip #hipsurgery #ortho

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The Bone & Joint Journal

@BoneJointJ

6 years

Stable, unstable & subtrochanteric intertrochanteric #fractures vary widely in their #anatomical & #biomechanical characteristics; @YaleMed surgeons advocate #fixation of 31A1 fractures with a sliding #hip screw & all others with an intramedullary device

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The Bone & Joint Journal

@BoneJointJ

5 years

Recent RCT from @mikereednhs , @xlgriffin &co confirms use of the traditional Thompson #hemiarthroplasty in the treatment of the displaced intracapsular #hip #fracture shows no difference in #outcome when compared with modern cemented hemiarthroplasty

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The Bone & Joint Journal

@BoneJointJ

5 years

Hemiarthroplasty or total hip arthroplasty for the treatment of a displaced intracapsular fracture in active elderly patients? Surgeons find no difference in outcomes at 12 years #hemiarthroplasty #totalhiparthroplasty

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The Bone & Joint Journal

@BoneJointJ

5 years

Surgeons in Amsterdam report that in treatment of active elderly patients with an intracapsular hip fracture there is no difference in the functional outcome between #hemiarthroplasty & total hip #arthroplasty treatments at 12 years post-operatively

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The Bone & Joint Journal

@BoneJointJ

6 years

Rotator cuff #tendinopathy has a multifactorial origin; rejecting the mechanistic theory has led to abandoning operative #treatment at initial presentation. New study confirms that an #exercise regime is the most clinically and cost-effective treatment

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The Bone & Joint Journal

@BoneJointJ

1 year

Acute fracture combined with chronic malunion on the femoral shaft can be successfully treated with the clamshell osteotomy technique assisted by intramedullary nail fixation. #Trauma #Fracture #Orthopedics #BJJ

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The Bone & Joint Journal

@BoneJointJ

3 years

Surgeons find that repairing pronator quadratus made no difference to the clinical outcome, 12 months after volar plating of a distal radial #fracture & conclude there is no functional advantage in repairing this muscle under these circumstances #ortho

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The Bone & Joint Journal

@BoneJointJ

3 years

The results of this study indicate that the clinical outcomes after one-stage revision are similar to those after two-stage revision for chronic culture-negative periprosthetic joint infection #infection #arthroplasty

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The Bone & Joint Journal

@BoneJointJ

4 years

New study reports that in patients with an intracapsular hip #fracture , use of contemporary cemented hemiarthroplasty doesn't increase risk of mortality perioperatively, at 30 days or 1 year postoperatively compared with uncemented #hemiarthroplasty

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The Bone & Joint Journal

@BoneJointJ

6 years

Intra-articular delivery of #antibiotics is shown to be #safe and #effective , and is now the first option for #treatment of #infected total #joint #arthroplasty in our institution

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The Bone & Joint Journal

@BoneJointJ

4 years

Five years after syndesmotic injury treated with either suture button or syndesmotic screw, surgeons @VestreViken @Oslounivsykehus &co found better AOFAS and OMA scores, and lower incidence of ankle #osteoarthritis , in the suture button group #ankleinjury

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The Bone & Joint Journal

@BoneJointJ

5 years

Various guidelines have been proposed for acetabular component orientation in total hip arthroplasty; surgeons in Australia advise that optimal orientation is patient-specific & requires an evaluation of functional pelvic tilt preoperatively #WeekendWisdom

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The Bone & Joint Journal

@BoneJointJ

6 years

One of the most serious complications of #hip and #knee arthroplasties is surgical site #infection ; this #study found no #evidence that the use of triclosan-coated #sutures reduced rates of infection #infographic #WeekendWisdom @mikereednhs

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