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2008 Management of Osteoporosis popular

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SIGN Guideline Management of Osteoporosis (pdf file)

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2004 Antibiotics for preventing infection in open limb fractures popular

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Summary: Antibiotics are effective in preventing early infection in open fractures of the limbs Wound and bone infections are common complications following open fractures of the limbs. For more than 20 years, in developed countries, the use of antibiotics has been a part of a standard management protocol that also includes irrigation, surgical debridement, and stabilisation when indicated. The review of trials found that antibiotics are effective in decreasing the incidence of wound infections, as compared to no antibiotics or placebo. No studies on bone infection or long-term morbidity were identified. (Cochrane Review)
Gosselin RA, Roberts I, Gillespie WJ. Antibiotics for preventing infection in open limb fractures. Cochrane Database of Systematic Reviews 2004, Issue 1. Art. No.: CD003764.

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2003 Evidence based guidelines for fixing broken hips- an update popular

Update in eMJA of 1996 study "How best to fix broken hips" (qv) Michael N Chilov, Ian D Cameron and Lyn M March MJA 2003; 179 (9): 489-493

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American Academy of Orthopaedic Surgery Advisory Statements popular

Antibiotic Prophylaxis for Dental Patients with Total Joint Replacements, Antibiotic Prophylaxis for Urological Patients with Total Joint Replacements, Cell- and Tissue-Engineered Products, Commitment to Excellence, "CDH" Should be "DDH", Family Violence Guidelines for Orthopaedic Utilization Review, Implant Device Recalls, The Importance of Good Communication in the Physician-Patient Relationship, Orthopaedic Medical Testimony, Package Pricing, Physicians' Responsibilities in Regard to Violence, Preventing the Transmission of Bloodborne Pathogens, Sideline Preparedness for the Team Physician Team Physician Consensus Statement, The Scope of Orthopaedic Practice in Managed Care Arrangements, Thermography Use of Lasers in Orthopaedic Surgery, Use of Musculoskeletal Tissue Allografts, The Use of Prophylactic Antibiotics in Orthopaedic Medicine and the Emergence of Vancomycin-Resistant Bacteria, Wrong-Site Surgery.

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Antithrombotic Therapy popular

Antithrombotic Therapy. SIGN Guideline. SIGN Publication No. 36 ISBN 1899893 76 8 Published March 1999

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Bandolier Knowledge - Oxford popular

Evidence Based Orthopaedics from Bandolier relating to arthritis and bone and joint problems.

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Cochrane Musculoskeletal Group popular

The Cochrane Musculoskeletal Group provides systematic reviews of the effects of healthcare interventions for musculoskeletal diseases.

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Cochrane Musculoskeletal Injuries Group popular

The Cochrane Injuries Group provides systematic reviews of the effects of healthcare interventions for injuries.?

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1997 Heparin low molecular weight heparin and physical methods for preventing deep vein thrombosis and pulmonary embolism following surgery for hip fractures Cochrane Review

Prophylaxis using heparin and low molecular weight heparin
Heparins and some mechanical pumping devices may help prevent blood clots forming in the legs after surgery for hip fracture
Patients with hip fracture may develop blood clots (thrombosis) in their legs. Some of these blood clots may travel to the lungs and cause a blockage (embolism), which can be fatal. Various drugs and physical devices are sometimes used to try and prevent these complications. This review of randomised trials found that both heparins and mechanical pumping devices significantly decrease the incidence of deep vein thrombosis. There was not enough evidence to conclude about the effect on lung (pulmonary) embolism, mortality or possible side effects for either heparin or mechanical methods.
Handoll HHG, Farrar MJ, McBirnie J, Tytherleigh-Strong G, Milne AA, Gillespie WJ Last assessed as up-to-date: June 23. 2002

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2000 Management of Early Rheumatoid Arthritis

Management of Early Rheumatoid Arthritis. SIGN Guideline
SIGN Publication No. 48 ISBN 1899893 37 7 Published December 2000

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2006 Acetaminophen For Osteoarthritis

Acetaminophen for osteoarthritis (Cochrane Review) Towheed TE, Maxwell L, Judd MG, Catton M, Hochberg MC, Wells G The Cochrane Database of Systematic Reviews 2006, Issue 1. Art. No.: CD004257.pub2. Authors' conclusions: The evidence to date suggests that NSAIDs are superior to acetaminophen for improving knee and hip pain in people with OA. The size of the treatment effect was modest, and the median trial duration was only six weeks, therefore, additional considerations need to be factored in when making the decision between using acetaminophen or NSAIDs. In OA subjects with moderate-to-severe levels of pain, NSAIDs appear to be more effective than acetaminophen.

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2008 Antibiotic Prophylaxis in Surgery

This guideline makes recommendations on best practice in the use of peri-operative prophylactic antibiotics to prevent surgical site infections (SSI). SSI is a major cause of healthcare acquired infection.
Other areas of concern such as antibiotic allergy, cost effectiveness and meticillin-resistant Staphylococcus aureus (MRSA) are considered.
Guideline No. 104, ISBN 978 1 905813 34 6, July 2008

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Best BETS Best Evidence Topics

Collection of reviews of the best evidence on a variety of clinical topics.

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Bias towards publishing positive results in orthopedic and general surgery

Bias towards publishing positive results in orthopedic and general surgery: a patient safety issue? Erik A Hasenboehler , Imran K Choudhry , Justin T Newman , Wade R Smith , Bruce H Ziran and Philip F Stahel
Patient Safety in Surgery 2007, 1:4
Conclusions There is a disproportionately high number of articles reporting positive results published in the surgical literature. A bias towards publishing positive data will systematically overestimate the clinical relevance of treatment effects by disregarding important information derived from unpublished negative studies. This "publication bias" remains an area of concern and may affect the quality of care of patients undergoing surgical procedures.

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Cochrane Library

Free access to Cohrane Library, must be from a registered country; at present Australia, UK, Finland, Ireland, Norway

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