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 […]

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 […]

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 […]

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 […]