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 […]

Treatment outcomes and shared decision making

Key points Clinical equipoise will become more common in orthopaedics When treatment outcomes are subjective and have large heterogeneity, shared decision making should be used Clinical equipoise means a situation when there is no objective superiority between two choices. The lack of superiority may be due to complete lack of data or evidence about certain […]

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 […]