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 |