This study really caught my attention: Long-term Outcome After Nonoperative Treatment for Rockwood I and II Acromioclavicular Joint Injuries published in the American Journal of Sports Medicine. You don´t see this kind of studies every day in sports surgery journals. Actually I managed to find only 20 studies ever published in the AJSM which mentioned […]
About: Aleksi R
Posts by Aleksi R:
Simplest things are usually hardest
I was doing some background research related to a comparison of continuous variables when sample size is sufficiently small. I came up with this paper by de Winter titled Using the Student’s t-test with extremely small sample sizes. I viewed the relevant results and when I got to the very final sentence of the paper […]
All those novel surgical techniques and classification systems
In my last post I asked for more research investigating the value our research has produced to our patients. This is something I tweeted a year ago. One might ask if all these new techniques really translate to actual beneft for our patients? Or just benefit for the authors? Here is similar analysis for new […]
We need more research on impact of our research
Number of scientific publications increases massively every year. All sorts of “novel techniques” and “novel approaches” are published continuously. Arthroscopic surgery is a good example. I would guess that ACL reconstrution surgery has the highest number of publications in the field of arthroscopic and sports surgery. Kay et al. published “historical analysis” in ACL surgery […]
Example of change of attitude
As I wrote yesterday, in some injuries and conditions, it is very hard for us surgeons to say is it better to operate or treat nonoperatively. Echalier et al. conclude in their study: This study supports open reduction and internal fixation with an anatomical plate of displaced fractures of the middle third of the clavicle […]
Change of attitude
Objective superiority between treatment options is becoming rarer in orthopaedics. This means that in numerous conditions, such as in Achilles tendon ruptures, distal radius fractures in the elderly patients and midshaft clavicle fractures, superiority of treatment options, namely operative and nonoperative, is based on patient values and preferences. Patient may not value slightly reduced risk […]
What do we need in open fracture research?
Randomized clinical trials are quite rare in open fracture research. Hence, Albright et al. should be commended about their work published in the Clinical Orthopaedics and Related Research. They compared external fixator and intramedullary nail in the treatment of open tibia fractures in Tanzania. This study was further discussed in a CORR Insight which are […]
Benefits of hip resurfacing
I outlined some recent perspectives about hip resurfacing in a post almost two years ago. These perspectives are still well supported as the findings by McLawhorn et al. show. They performed a propensity-score matched analysis between THA and hip resurfacing in “appropriate” patients. They conclude: HRA may provide a functional benefit in sports and recreation […]
Answers are only needed when there are questions to be answered
St Mart et al. conclude in their review: Given the already high satisfaction rate of manual THA, further high-quality comparative studies are required utilizing outcome scores that are not limited by high ceiling effects to assess whether robotic systems justify their additional expense The first part is very often ignored when robotics and other new […]
Silver bullet for fracture healing?
Platelet-rich plasma (PRP) is one of those innovations in orthopaedics which has always had huge potential. It is widely used for variety of different acute and chronic conditions, but unfortunately the evidence of efficacy is still very weak. Fracture healing has been suggested as potential target for PRP. Recent review in the Injury journal quite […]