Clinical Librarian Service Current Awareness Bulletin Musculoskeletal - June 2011
Contents:
1. NICE Guidelines:
Please click on the title to see full text:
1) Hip fracture
2. New Cochrane Systematic Reviews from the Cochrane Library:
For the full text of the Cochrane Systematic Reviews please click on the title. We have included the Author’s Conclusion so you can speedily see if a therapy change is indicated. Author’s Conclusions are taken directly from the Cochrane Website and represent the work of the author.
Author’s conclusions. A favourable effect of computer assisted surgery for cruciate ligament reconstructions of the knee compared with conventional reconstructions could neither be demonstrated nor refuted. There is insufficient evidence to advise for or against the use of CAS. There is a need for improved reporting of future studies of this technology.
3) Dynamic compression plating versus locked intramedullary nailing for humeral shaft fractures in adults
Author’s conclusions. The available evidence shows that intramedullary nailing is associated with an increased risk of shoulder impingement, with a related increase in restriction of shoulder movement and need for removal of metalwork. There was insufficient evidence to determine if there were any other important differences, including in functional outcome, between dynamic compression plating and locked intramedullary nailing for humeral shaft fractures.
Author’s conclusions. The available evidence shows that intramedullary nailing is associated with an increased risk of shoulder impingement, with a related increase in restriction of shoulder movement and need for removal of metalwork. There was insufficient evidence to determine if there were any other important differences, including in functional outcome, between dynamic compression plating and locked intramedullary nailing for humeral shaft fractures.
Kurup H, Hossain M, Andrew JG. Dynamic compression plating versus locked intramedullary nailing for humeral shaft fractures in adults. Cochrane Database of Systematic Reviews 2011, Issue 6
Author’s conclusions. There is a lack of robust evidence to inform on the timing of mobilisation, and specifically on the use of early mobilisation, after non-surgical or surgical treatment for adults with elbow fractures.There is a need for high quality, well-reported, adequately powered, randomised controlled trials that compare early versus delayed mobilisation in people with commonly-occurring elbow fractures, treated with or without surgery. Trials should use validated upper limb function scales, and assessment should be both short-term (to monitor recovery and early complications) and long-term (at least one year).
Harding P, Rasekaba T, Smirneos L, Holland
3. Systematic Reviews:
For abstracts of the reviews below please click on the titles. There may be a link to full text in the top right hand corner of the webpage. You may have to log in using your NHS Athens username and password, if you don’t have one go to Register for Athens and register for free.
If full text is not available then please contact us to request a copy. This is a free service but you will need to complete our Article Request Form. Or you may email Aneesa directly quoting the number(s) of the articles you would like.
4. Economic Evaluations:
For abstracts of the economic evaluations below please click on the titles. There may be a link to full text in the top right hand corner of the webpage. You may have to log in using your NHS Athens username and password, if you don’t have one go to Register for Athens and register for free.
If full text is not available then please contact us to request a copy. This is a free service but you will need to complete our Article Request Form. Or you may email Aneesa directly quoting the number(s) of the articles you would like.
5. Health Technology Assessments:
For abstracts of the Health Technology Assessments below please click on the titles. There may be a link to full text in the top right hand corner of the webpage. You may have to log in using your NHS Athens username and password, if you don’t have one go to Register for Athens and register for free.
If full text is not available then please contact us to request a copy. This is a free service but you will need to complete our Article Request Form. Or you may email Aneesa directly quoting the number(s) of the articles you would like.
6. Other relevant articles:
For abstracts of the articles below please click on the titles. There may be a link to full text in the top right hand corner of the webpage. You may have to log in using your NHS Athens username and password, if you don’t have one go to Register for Athens and register for free.
If full text is not available then please contact us to request a copy. This is a free service but you will need to complete our Article Request Form. Or you may email Aneesa directly quoting the number(s) of the articles you would like.
18) Platelet rich plasma in arthroscopic rotator cuff repair: a prospective RCT study, 2-year follow-up
For more information please contact the Musculoskeletal Clinical Librarian: Pip Divall |
Leicester General Hospital |
Telephone: 0116 2588124 Email: pip.divall@uhl-tr.nhs.uk |
This bulletin has been created by the University Hospitals of Leicester Clinical Librarian Team. We are continually striving to improve our services therefore if you have any feedback regarding this service, please do email us.
Thank You.
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