SciELO - Scientific Electronic Library Online

 
vol.16 número1The role of interventional angiography and embolisation in the management of high-energy pelvic ring injuries with uncontrolled haemorrhage índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • En proceso de indezaciónSimilares en Google

Compartir


SA Orthopaedic Journal

versión On-line ISSN 2309-8309
versión impresa ISSN 1681-150X

Resumen

MARAIS, Leonard C. The changing landscape of evidence-based orthopaedics. SA orthop. j. [online]. 2017, vol.16, n.1, pp.16-18. ISSN 2309-8309.

It is difficult to find fault with the reasoning behind the move towards an evidence-based approach in the teaching and practice of orthopaedics. With numerous options available, treatment strategy selection has to be based on more than just intuition and prior experience. Furthermore, there are several strong arguments for the need to practice Evidence-Based Orthopaedics (EBO). We have seen novel implant technologies enter the market, only to exit relatively shortly afterwards. Recall metal-on-metal articulations being hailed as the solution to all our problems? Less than five years later we saw reports of 49% failure rates at six-year follow-up.1 In addition, research continues to disprove longstanding orthopaedic axioms. We can now say, with relative confidence, that debriding an open fracture within six hours is not as important as previously believed.2 This principle is also illustrated by a recent randomised study that found no advantage in the damage control concept in the treatment of femur shaft fractures in polytrauma patients.3 Interestingly, patients treated with external fixation in this series had an increased time in ICU on ventilation compared to patients treated by reamed nailing of the femur. And thus, the evidence-based tenet remains largely intact.

        · texto en Inglés     · Inglés ( pdf )

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons