LIPUS has been proposed to improve fracture healing but no evidence supports this proposal. Omer Ilahi writes in a recent editorial in the Arthroscopy: Still, the positive findings of animal investigations with LIPUS in the acute setting are intriguing. I therefore find myself in agreement with Lai et al. in that large, randomized, placebo-controlled human […]
Arthroscopy 15 weeks before TKR surgery?
This post could be also titled “Why we dichotomize: Part XXIXCM”, but I´ll focus on the subject matter. Gu et al. investigated how prior knee arthroscopy affects the subsequent total knee replacement surgery. They concluded: This study suggests that an interval of at least 36 weeks should be maintained between the 2 procedures to minimize […]
Continues discourse about “level V evidence”
In my recent post I discussed about “Level V Guideline” for subacromial decompression. I naturally participated to the discussion Drs Poolman and van den Bekerom had started. We wrote in our letter: ‘Optimal patient selection’ can be considered a myth until evidence of effect modifiers arises. We argue that if there were subpopulations that benefit […]
Patient preferences in orthopaedic conditions
What doctors think is important don´t always align with what patients think is important. I think this is a growing aspect in medicine and very important foundation for the shared decision making. Shapira et al. published an interesting study in the Medical Decision Making journal titled: “When Is a Harm a Harm? Discordance between Patient […]