BOOK
Evidence Based Medicine in Orthopedic Surgery, An Issue of Orthopedic Clinics - E-Book
Safdar N. Khan | Mark A. Lee | Munish C. Gupta
(2010)
Additional Information
Book Details
Abstract
Articles include: Definition and Principles, Evidence-Based Orthopaedics: Is it possible? Conflict of Interest and Orthopaedic Publications, SPRINT Trial, Clavicle fractures, Intracapsular femur neck fractures, SPORT trial: Spinal stenosis, Cervical spondylotic myelopathy – anterior vs posterior approaches, Total disc replacement vs Fusion, Flexible constructs for spinal fusion, DVT prophylaxis in adult reconstruction, Hip resurfacing – what is the evidence, Graft selection/type in ACL surgery, LEAP Trial, BESTT Trial, SPORT trial: Lumbar disc herniations,
SPORT trial: Degenerative spondylolisthesis.
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Front Cover | Cover | ||
Contributors | iii | ||
Contents | vii | ||
Orthopedic Clinics of North America | xii | ||
Preface: Evidence–Based Medicine in Orthopedic Surgery | xiii | ||
Chapter 1. Principles of Evidence-Based Medicine | 131 | ||
EVIDENCE-BASED ORTHOPEDICS | 131 | ||
GRADING OF EVIDENCE | 132 | ||
CHALLENGES OF CONDUCTING RCTS IN SURGERY | 132 | ||
THE VALUE OF OBSERVATIONAL STUDIES WHEN NO RCTS EXIST | 132 | ||
LEARNING THE ‘‘NEW’’ LANGUAGE OF EBM | 132 | ||
PRACTICING EBM | 135 | ||
WHY BOTHER WITH EBM? | 137 | ||
REFERENCES | 137 | ||
Chapter 2. Evidence-Based Orthopedic Surgery: Is It Possible? | 139 | ||
MEASURING OUTCOMES | 140 | ||
CLINICIAN-BASED OUTCOMES | 140 | ||
PATIENT-REPORTED OUTCOMES | 140 | ||
EVALUATING EXISTING OUTCOMES MEASURES | 141 | ||
EVIDENCE-BASED ORTHOPEDICS: IS IT POSSIBLE? | 141 | ||
REFERENCES | 142 | ||
Chapter 3. Challenges of Randomized Controlled Surgical Trials | 145 | ||
RCTS AND EVIDENCE-BASED MEDICINE | 146 | ||
BARRIERS TO PERFORMING AND PUBLISHING RCTS | 146 | ||
QUALITY OF PUBLISHED RCTS | 148 | ||
POTENTIAL SUBJECTS’ LACK OF COMPREHENSION AND SUPPORT OF RANDOMIZATION AS A BARRIER TO RECRUITMENT | 149 | ||
OTHER BARRIERS TO SUBJECT RECRUITMENT AND RETENTION | 150 | ||
ALTERNATIVES TO SURGICAL RCTS | 150 | ||
ETHICAL CONCERNS REGARDING SURGICAL RCTS | 151 | ||
CASE STUDY | 153 | ||
SUMMARY | 153 | ||
REFERENCES | 154 | ||
Chapter 4. Optimal Treatment of Femoral Neck Fractures According to Patient’s Physiologic Age: An Evidence- Based Review | 157 | ||
FEMORAL NECK FRACTURES IN YOUNG PATIENTS | 157 | ||
SHOULD THE INTRACAPSULAR PRESSURE/ HEMATOMA BE DECOMPRESSED? | 158 | ||
WHICH IMPLANT IS BEST FOR FEMORAL NECK FRACTURES IN YOUNG PATIENTS? | 158 | ||
SUMMARY OF THE EVIDENCE: PHYSIOLOGICALLY YOUNG PATIENTS | 159 | ||
EXPERT OPINION | 159 | ||
FEMORAL NECK FRACTURES IN OLD PATIENTS | 160 | ||
IS THERE A ROLE FOR NONOPERATIVE MANAGEMENT IN THE ELDERLY WITH FEMORAL NECK FRACTURES? | 160 | ||
WHAT IS THE BEST IMPLANT FOR INTERNAL FIXATION IN THE ELDERLY PATIENT POPULATION? | 162 | ||
WHAT TYPE OF ACUTE ARTHROPLASTY IS THE BEST FOR FEMORAL NECK FRACTURES? | 163 | ||
SUMMARY OF THE EVIDENCE: PHYSIOLOGICALLY OLDER PATIENTS | 163 | ||
REFERENCES | 165 | ||
Chapter 5. Fusion Versus Disk Replacement for Degenerative Conditions of the Lumbar and Cervical Spine: Quid Est Testimonium? | 167 | ||
LUMBAR FUSION | 167 | ||
CERVICAL SPINE | 176 | ||
THE PHILOSOPHY | 178 | ||
SUMMARY | 178 | ||
REFERENCES | 178 | ||
Chapter 6. Contemporary Management of Symptomatic Lumbar Spinal Stenosis | 183 | ||
PATHOPHYSIOLOGY AND CLINICAL PRESENTATION | 183 | ||
NONSURGICAL TREATMENT | 184 | ||
SURGICAL TREATMENT | 185 | ||
EVIDENCE FOR SURGICAL TREATMENT OF SPINAL STENOSIS | 185 | ||
THE SPORT STUDY | 188 | ||
SUMMARY | 189 | ||
REFERENCES | 190 | ||
Chapter 7. Cervical Spondylotic Myelopathy: A Review of the Evidence | 193 | ||
GOALS | 193 | ||
NATURAL HISTORY | 193 | ||
SURGICAL APPROACH | 195 | ||
LAMINOPLASTY, LAMINECTOMY, AND LAMINECTOMY AND FUSION | 198 | ||
CERVICAL ARTHROPLASTY | 200 | ||
SUMMARY | 201 | ||
REFERENCES | 201 | ||
Chapter 8. Dynamic Constructs for Spinal Fusion: An Evidence-Based Review | 203 | ||
CERVICAL SPINE | 204 | ||
LUMBAR SPINE | 206 | ||
TRAUMA | 210 | ||
SUMMARY | 212 | ||
REFERENCES | 213 | ||
Chapter 9. Contemporary Management of Symptomatic Lumbar Disc Herniations | 217 | ||
LUMBAR DISCECTOMY | 217 | ||
SPORT TRIAL | 218 | ||
SPORT STUDY HYPOTHESIS | 219 | ||
SPORT STUDY POPULATION | 219 | ||
HIGH CROSSOVER RATE | 222 | ||
NO STRATIFICATION OF KNOWN PROGNOSTIC FACTORS | 222 | ||
DISCUSSION | 222 | ||
REFERENCES | 223 | ||
Chapter 10. Clavicle Fractures in 2010: Sling/Swathe or Open Reduction and Internal Fixation? | 225 | ||
TREATMENT OPTIONS | 226 | ||
COMPARATIVE STUDIES | 227 | ||
SUMMARY | 230 | ||
REFERENCES | 231 | ||
Chapter 11. Lower Extremity Assessment Project (LEAP) – The Best Available Evidence on Limb-Threatening Lower Extremity Trauma | 233 | ||
REFERENCES | 238 | ||
Chapter 12. A Critical Appraisal of the SPRINT Trial | 241 | ||
OVERVIEW OF THE METHODOLOGY USED IN THE SPRINT TRIAL | 241 | ||
THE RESULTS OF THE SPRINT TRIAL | 242 | ||
CRITICAL APPRAISAL OF THE SPRINT TRIAL METHODOLOGY | 242 | ||
SUMMARY | 245 | ||
REFERENCES | 245 | ||
Chapter 13. Graft Selection for Anterior Cruciate Ligament Reconstruction: A Level I Systematic Review Comparing Failure Rates and Functional Outcomes | 249 | ||
METHODS | 253 | ||
RESULTS | 253 | ||
OUTCOMES | 254 | ||
DISCUSSION | 255 | ||
SUMMARY | 260 | ||
REFERENCES | 260 | ||
Chapter 14. Hip Resurfacing Arthroplasty: A Review of the Evidence for Surgical Technique, Outcome, and Complications | 263 | ||
MODERN IMPLANT DESIGN | 263 | ||
SURGICAL TECHNIQUE | 264 | ||
MODERN HIP RESURFACING ARTHROPLASTY OUTCOMES | 266 | ||
COMPLICATIONS AND CONCERNS | 267 | ||
SUMMARY | 268 | ||
REFERENCES | 269 | ||
Chapter 15. DVT Prophylaxis in Total Joint Reconstruction | 273 | ||
AMERICAN COLLEGE OF CHEST PHYSICIANS GUIDELINES | 274 | ||
AMERICAN ACADEMY OF ORTHOPEDIC SURGEONS GUIDELINES | 274 | ||
LOW MOLECULAR WEIGHT HEPARINS | 275 | ||
FONDAPARINUX | 275 | ||
WARFARIN | 276 | ||
ASPIRIN | 277 | ||
MECHANICAL PROPHYLAXIS (PNEUMATIC COMPRESSION BOOTS AND INTERMITTENT PLANTAR COMPRESSION DEVICES) | 278 | ||
AUTHORS’ COMMENTARY ON CURRENT GUIDELINES | 278 | ||
REFERENCES | 278 | ||
Index | 281 |