Role of sisu, a special form of courage, grit, and determination in orthopaedics

Sochacki et al. write as follows in recent study criticizing sham-controlled studies in orthopaedics: Additionally, two studies in this systematic review were performed in Finland. Unfortunately, any study investigating an intervention (e.g. surgery) on individuals born and raised in Finland cannot be extrapolated to the rest of the world. Finns embrace sisu, a special form […]

Views of orthopaedics – part 2

I continue discussing an excellent editorial published in the BJJ. Alex Trompeter writes: We are now seeing the pendulum swing in terms of treatments we select, as our understanding of the science of fracture fixation improves. Moreimportant, however, is the recognition that the patient’s own experience is the most vital outcome when measuring the success […]

Views on orthopaedics motivated by recent editorial – Part 1

A recent editorial in the Bone & Joint Journal was about weight-bearing in orthopaedic traumatology. Written by Alex Trompeter, the title was intriguing: A call to arms: it’s time to bear weight! This editorial was best I have read in a while. Besides weight-bearing, Trompeter addressed many other general topics. In following posts I will […]

Propensity scores, orthopaedics and shared decision making

This is something I posted on Twitter last October. Extended discussion can be found below the tweets Propensity score matching is often used when two cohorts of patient are compared. Aim is to have somewhat comparable groups so effect of treatment or intervention could be estimated reliably. In short, two groups of patient tread by […]

Increasing incidence of quadriceps tendon rupture

Our study about increasing incidence of surgically treated quadriceps tendon ruptures was just published in the Knee Surgery, Sports Traumatology, Arthroscopy. At this moment it is in Open Access format so full-text is freely available. Below is the grabstract, ie. graphical abstract, of our study. In our study we write “There is no evidence of […]

A little prediction

A week ago Mortensen et al. published a study protocol investigating medial unicompartmental versus total knee arthroplasty for anteromedial tibio-femoral osteoarthritis. This study setting is very interesting. Both total knee replacement (TKR) and unicompartmental knee replacement (UKR) can be used to treat medial sided knee osteoarthritis. Mortensen et al. nicely sum up both pros and […]