Recon
There is strong evidence to support the use in intraarticular corticosteroid injections to improve function and reduce pain in the short-term for patients w/ symptomatic OA of the hip. On the contrary, there is strong evidence that intraarticular injection of ____ does not perform better than placebo for function, stiffness, and pain in patients with symptomatic OA fo the hip.
Hyaluronic Acid
Should ACL tears indicated for surgery should be treated with ACL reconstruction or repair?
ACL tears indicated for surgery should be treated with ACL reconstruction rather than repair because of the lower risk of revision surgery.
There is strong evidence supports that children younger than thirty-six months with a diaphyseal femur fracture be evaluated for what?
Child abuse.
Evidence supports which technique (subscapularis peel, lesser tuberosity osteotomy, or tenotomy) when performing shoulder arthroplasty?
Moderate quality evidence supports that surgeons can utilize subscapularis peel, lesser tuberosity osteotomy, or tenotomy when performing shoulder arthroplasty. No evidence supporting one over the other.
Should femoral stems be cemented in patients undergoing arthroplasty for femoral neck fractures?
There is a strong recommendation for cemented femoral stems in patients undergoing arthroplasty for FNFxs.
Are lateral wedge insoles recommended for patients with knee osteoarthritis?
There is strong evidence recommending against these.
When performing an ACL reconstruction, which graft has a strong recommendation to improve patient outcomes and decrease ACL graft failure rate, particularly in young and/or active patients.
Autograft (over allograft).
There is moderate evidence recommending this treatment for displaced (Gartland Type II and III, and displaced flexion) pediatric supracondylar fractures of the humerus.
Closed reduction internal fixation (CRPP)
Should acromioplasty be routinely performed concomitantly in patients undergoing arthroscopic repair for small to medium sized full-thickness rotator cuff tears?
Moderate strength evidence does not support the routine use of acromioplasty as a concomitant treatment as compared to arthroscopic repair alone for patients with small to medium sized full-thickness rotator cuff tears.
There is a strong recommendation that _______ should be administered to reduce blood loss and blood transfusion in patients with hip fractures.
Tranexamic Acid.
(1) What is the recommendation towards femoral nerve blocks vs adductor canal blocks in TKAs?
(2) What is associated with femoral nerve blocks used for TKAs?
(1) Strong recommendation for.
(2) Decreased quadriceps strength
When surgical treatment is indicated for an acute isolated ACL tear, early reconstruction is preferred because the risk of additional cartilage and meniscal injury starts to increase within what time frame?
3 months
Moderate evidence supports not performing universal ultrasound screening for what of newborn infants?
Developmental Hip Dysplasia.
Strong evidence supports that anatomic total shoulder arthroplasty demonstrates more favorable function and pain relief in the short- to mid-term follow-up when compared to ______ for the treatment of glenohumeral osteoarthritis
Hemiarthroplasty
After closed fracture fixation, negative pressure wound therapy may mitigate the risk of revision surgery or SSIs. Is NPWT recommended after open fracture treatment?
After open fracture fixation, negative pressure wound therapy does not appear to offer an advantage when compared to sealed dressings as it does not decrease wound complications or amputations. This is a strong recommendation.
Strong recommendation for what blood tests to be used to aid in the preoperative diagnosis of PJI? (3 answers)
1) ESR
2) CRP
3) IL-6
In a skeletally mature patient which ACL graft should be chosen to reduce the risk of anterior knee or kneeling pain?
When performing an ACL reconstruction with autograft for skeletally mature patients, surgeons may favor BTB to reduce the risk of graft failure or infection, or hamstring to reduce the risk of anterior or kneeling pain.
Strong evidence supports performing an imaging study before 6 months of age in infants with one or more of the following risk factors for developmental hip dysplasia (3)
1) breech presentation
2) family history
3) history of clinical instability.
Is there any difference in long-term (> 1 year) patient-reported outcomes or cuff healing rates between open and arthroscopic repairs?
Strong evidence supports no difference; however, arthroscopic-only technique is associated with better short-term improvement in post operative recovery of motion and decreased visual analog scale (VAS) scores.
Should perioperative traction be used routinely for patients with a hip fracture?
Preoperative traction should not routinely be used for patients with a hip fracture. There is strong recommendation against this.
What is the recommendation for this statement:
There is no difference in composite/functional outcomes or complications between kinematic or mechanical alignment principles in total knee arthroplasty.
Strong recommendation in agreement with the statement.
What is the level of recommendation for the following statement:
"ALL reconstruction / LET could be considered when performing hamstring autograft reconstruction in select patients to reduce graft failure and improve short-term function, although long-term outcomes are yet unclear."
Moderate recommendation for.
Moderate evidence supports that a practitioner re-examine infants previously screened as having a normal hip examination on subsequent visits up to what age?
6 months of age
There is ____ evidence that patient reported outcomes (PRO) improve with physical therapy in symptomatic patients with full thickness rotator cuff tears.
Strong evidence
Does operative treatment for geriatric patients (most commonly defined in studies as 65 years of age and older) lead to improved long-term patient reported outcomes compared to non-operative treatment with distal radius fractures?
Strong evidence suggests that operative treatment for geriatric patients (most commonly defined in studies as 65 years of age and older) does not lead to improved long-term patient reported outcomes compared to non-operative treatment.