Title: A comparison of outcomes with and without a tourniquet in total knee arthroplasty: a systematic review and meta-analysis of randomized controlled trials. Authors: Alcelik I, Pollock RD, Sukeik M, Bettany-Saltikov J, Armstrong PM, Fismer P. Journal: J Arthroplasty. 2012 Mar; 27(3):331-40. Epub 2011 Sep 22. Level of Study: Level I Meta Analysis Journal Club Review: Tourniquet use during Total Knee [...]

Title: The use of calcium phosphate bone cement in fracture treatment. A meta-analysis of randomized trials. Journal Club Authors: Bajammal SS, Zlowodzki M, Lelwica A, Tornetta P 3rd, Einhorn TA, Buckley R, Leighton R, Russell TA, Larsson S, Bhandari M Journal: J Bone Joint Surg Am. 2008 Jun; 90(6):1186-96 Level of study: Level I Meta analysis Review Metaphyseal fractures often leads to voids, which have [...]

Journal Club Title: Nonoperative compared with operative treatment of acute scaphoid fractures. A randomized clinical trial. Authors: Vinnars B, Pietreanu M, Bodestedt A, Ekenstam F, Gerdin B. Journal: J Bone Joint Surg Am. 2008 Jun; 90(6):1176-85. Level of study: Level II randomized study Review: Recently there has been a growing trend in recommending internal fixation for the majority of acute [...]

Title: Skin-derived fibroblasts for the treatment of refractory Achilles tendinosis: preliminary short-term results. Authors: Obaid H, Clarke A, Rosenfeld P, Leach C, Connell D. Journal: J Bone Joint Surg Am. 2012 Feb 1; 94(3):193-200. Journal Club Level of study: Therapy Level I randomized trial       Review Chronic Achilles tendinosis, is a disorder commonly affecting active individuals and is [...]

Correction accuracy and collateral laxity in open versus closed wedge high tibial osteotomy. A one-year randomised controlled study. Journal Club   Authors: Gaasbeek RD, Nicolaas L, Rijnberg WJ, van Loon CJ, van Kampen A. Int Orthop.: 2010 Feb; 34(2):201-7. Epub 2009 Aug 27.   Level of Study: Level II Randomized trial Review Various osteotomies have been defined for Osteoarthritis (OA) [...]

Asymmetric loads and pain associated with backpack carrying by children.  Authors: Macias BR, Murthy G, Chambers H, Hargens AR. Journal: J Pediatr Orthop. 2008 Jul-Aug;28(5):512-7. Journal Club Level of Study: Therapy level II randomized trial Review Shoulder and back pain in school children is commonly associated with wearing heavy backpacks. However the effect of weight distribution on back pain [...]

A comparison of regional and general anaesthesia for total replacement of the hip or knee: a meta-analysis. J0urnal Club J Bone Joint Surg Br. 2009 Jul;91(7):935-42 Hu S, Zhang ZY, Hua YQ, Li J, Cai ZD Level II Meta Anaysis Review Regional anaesthesia (RA) is the preferred method for variety of surgical procedures. Clear conclusion regarding the choice of anaesthesia [...]

Title: Injectable collagenase Clostridium histolyticum: a new nonsurgical treatment for Dupuytren’s disease. Journal: J Hand Surg Am. 2010 Dec; 35(12):2027-38.e1. Authors: Gilpin D, Coleman S, Hall S, Houston A, Karrasch J, Jones N Level of study: Therapy level I randomized trial Review: Numbers of surgical techniques have been proposed for Dupuytrens contracture, each with its own merit and demerit. Various injectable [...]

Bridging external fixation and supplementary Kirschner-wire fixation versus volar locked plating for unstable fractures of the distal radius: a randomised, prospective trial.  Journal Club Journal: J Bone Joint Surg Br. 2008 Sep; 90(9):1214-21. Authors: Egol K, Walsh M, Tejwani N, Mc Laurin T, Wynn C, Paksima N   Level of Study: Therapy II Randomized Trial Review: 88 patients with distal radius [...]

Is Sodium hyauronate injection effective in persistent shoulder pain syndrome? Journal Club Title of article reviewed: Treatment of persistent shoulder pain with sodium hyaluronate: a randomized, controlled trial. A multicenter study. Authors: Blaine T, Moskowitz R, Udell J, Skyhar M, Levin R, Friedlander J, Daley M, Altman R Journal: J Bone Joint Surg Am. 2008 May; 90(5):970-9 Level of the study: Therapy Level [...]

Ongoing positive effect of platelet-rich plasma versus corticosteroid injection in lateral epicondylitis: a double-blind randomized controlled trial with 2-year follow-up. Journal Club Journal: Am J Sports Med. 2011 Jun;39(6):1200-8 Authors: Gosens T, Peerbooms JC, van Laar W, den Oudsten BL Level Of Study: Therapeutic Level I randomized trial   Synopsis of the study: The study was done to determine [...]

The diagnostic performance of MRI in osteoarthritis: a systematic review and meta-analysis. Journal Club Journal: Osteoarthritis Cartilage. 2012 Jan; 20(1):13-21. Authors : Menashe L, Hirko K, Losina E, Kloppenburg M, Zhang W, Li L, Hunter DJ Level of study: Metal analysis Level I study             Synopsis of the study: Results [...]

Proprioceptive Deficits after ACL Injury Are They Clinically Relevant?  Journal Club Journal: Br J Sports Med. 2012; 46(3):180-192.  Authors: Alli Gokeler; Anne Benjaminse; Timothy E Hewett; Scott M Lephart,; Lars Engebretsen; Eva Ageberg; Martin Engelhardt; Markus P Arnold,; Klaas Postema; Egbert Otten; Pieter U Dijkstra   Synopsis Anterior Cruciate Ligament (ACL) is one of the most [...]

A Prospective Randomized Trial Comparing Nonoperative Treatment with Volar Locking Plate Fixation for Displaced and Unstable Distal Radial Fractures in Patients Sixty-five Years of Age and Older Rohit Arora, Martin Lutz; Christian Deml, Dietmar Krappinger, Luzian Haug, Markus Gabl. Department of Trauma Surgery and Sports Medicine, Medical University Innsbruck (MUI), Anichstrasse 35, A-6020 Innsbruck, Austria [...]

  Effective pain control and improved function with use of perioperative cocktail injection in patients undergoing TKR A Prospective, Randomized Trial Mullaji et al..The Journal of Arthroplasty Volume 25, Issue 6 , Pages 851-857, September 2010 Level II Randomised control Trial Adequate analgesia is essential for excellent recovery during rehabilitation in a post TKR patient. [...]

Journal Club Rivaroxaban versus enoxaparin for thromboprophylaxis after total knee arthroplasty (RECORD4): a randomised trial. Turpie AG, Lassen MR, Davidson BL, Bauer KA, Gent M, Kwong LM, Cushner FD, Lotke PA, Berkowitz SD, Bandel TJ, Benson A,Misselwitz F, Fisher WD; RECORD4 Investigators. The Lancet.  Volume 373, Issue 9676, Pages 1673 – 1680, 16 May 2009         Summary: Prophylaxis for venous thromboembolism is recommended for [...]

A Randomized Trial of Vertebroplasty for Osteoporotic Spinal Fractures. David F. Kallmes, M.D., Bryan A. Comstock, M.S., Patrick J. Heagerty, Ph.D., Judith A. Turner, Ph.D., David J. Wilson, F.R.C.R. N Engl J Med 2009; 361:569-579 August 6, 2009 Review: 131 patients suffering from chronic pain due to vertebral compression fractures (1-3) were randomized to receive [...]

JOURNAL CLUB Comparison of Bipolar Hemiarthroplasty with Total Hip Arthroplasty for Displaced Femoral Neck Fractures: A Concise Four-Year Follow-up of a Randomized Trial*   Carl Johan Hedbeck, MD; Anders Enocson, MD, PhD; Gunilla Lapidus, MD; Richard Blomfeldt, MD, PhD; Hans Törnkvist, MD, PhD; Sari Ponzer, MD, PhD; Jan Tidermark, MD, PhD    The Journal of Bone [...]

Journal Club Functional Outcome Following Intramedullary Nailing of the Femur: A Prospective Randomized Comparison of Piriformis Fossa and Greater Trochanteric Entry Portals James P. Stannard, MD1; Larry Bankston, MD2; Lydia A. Futch, PT, DSc, ATC3; Gerald McGwin, PhD4; David A. Volgas, MD1    1 Department of Orthopaedics, University of Missouri, One Hospital Drive, MC213, DC053.00, Columbia, MO [...]

Journal Club  Outcomes after a single-stage procedure for cell-based cartilage repair: a prospective clinical safety trial with 2-year follow-up. Am J Sports Med. 2011 Jun;39(6):1170-9. Epub 2011 Apr 1. Cole BJ, Farr J, Winalski CS, Hosea T, Richmond J, Mandelbaum B, De Deyne PG. Source Brian J. Cole, Midwest Orthopaedics, Chicago, IL 60612, USA. 29 patients with focal articular cartilage defects were [...]