It is thought that pre-operative levels of knee pain, strength, flexibility and functional ability can influence the outcome of total knee joint replacement surgery. Therefore many hospitals offer pre-habilitation programmes with the aim of improving strength and range of movement of the knee with impacts on pain and function. So do these programmes work? The [read the full story…]
Do you know that over 1 million hip replacements are carried out each year? The majority of Total Hip Replacements are for people with severe arthritis of the hip that causes pain and reduction in function. We elves wanted to know for someone with osteoarthritis of the hip what are the medium term health related [read the full story…]
In her debut blog, Nicky Butler considers a systematic review, which explores whether rehabilitation following lumbar spinal decompression surgery is effective.
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In this blog, Lesley Dawson considers a recent systematic review whose aim was to identify the most effective method for the treatment of the symptomatic bipartite patella.
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Lesley Dawson highlights a recent study that analysed how failures are defined in cartilage surgery and how survival rates may change according to different definitions.
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The Scottish Intercollegiate Guidelines Network (SIGN) has just launched their updated guideline on antibiotic prophylaxis in surgery. SIGN’s first guideline of this topic (SIGN 45) was published in 2000 and updated in 2008. The guideline does not aim to provide every surgical speciality with a comprehensive text on preventing surgical site infection (SSI), but rather [read the full story…]
This guidance has been published and should be read alongside the Commissioning Policy A05 Complex and Specialised Obesity Surgery Services of the NHS Commissioning Board April 2013. It has been sponsored by the British Obesity and Metabolic Surgery Society, and is supported by a number of relevant professional bodies, including the Association of UK Dietitians [read the full story…]
Yesterday I looked at a systematic review of biodegradable plates for orthognathic surgery. One of the trials included in the review (Buijs et al) had reported outcomes at 8 weeks. Recently the authors of that study have reported 2-year results (van Bakelen et al). The original aim of the study was to compare the clinical [read the full story…]
Temporomandibular joint disorders (TMD) are normally managed conservatively however it has been estimated that aroung 5% require a surgical interventions (arthrocentesis, arthroscopy, condylotomy, and disc repair or removal (menisectomy). A small subset of patietsn may require Temporomandibular Joint (TMJ) replacement . Indications for replacement include:- bony ankylosis failed previous alloplastic and autogenous joint replacement post-traumatic [read the full story…]
Piezosurgery (piezoelectric bone surgery) is considered to reduce intraoperative bleeding, creating a better visibility of the surgical field and make the cutting of hard tissue possible, through a “selective cutting” without encountering necrosis from overheating, and without damaging nerves and vessel. The aim of this study was to compare piezoelectric surgery to the conventional rotatory [read the full story…]
