OrthoQB

Evidence library

The trials, meta-analyses and guidelines that shape orthopaedic diagnosis and management, each summarised in one screen: what it asked, what it found, and how it changed practice. Every citation is checked against PubMed.

AllDiagnosisManagementPrognosisPrevention
All topicsShoulderElbowWristHandPeripheral nerveHip (young adult & sports)Hip arthroplastyKnee soft tissue & sportsKnee arthroplastyFoot & ankleSpineUpper limb traumaPelvis & acetabulumLower limb traumaMajor trauma & polytraumaFracture clinic & non-operative carePost-op care & complicationsOperative technique & equipmentInfectionPaediatricsTumoursRheumatology & metabolic boneBasic scienceResearch, statistics & guidelines
Major trauma networks (England)EClinicalMedicine 2018
Changing the System - Major Trauma Patients and Their Outcomes in the NHS (England) 2008-17.
After network implementation there were improvements in risk-adjusted odds of survival, faster senior care and CT, and more patients treated in major trauma centres.
Registry studyPrognosisMajor trauma & polytrauma
LEAPThe New England journal of medicine 2002
An analysis of outcomes of reconstruction or amputation after leg-threatening injuries.
Functional outcomes at 2 years were similar after salvage and amputation, with substantial disability in both groups. Poor outcome was linked to complications needing readmission and to social and economic factors rather than treatment choice, and reconstruction carried a higher rehospitalisation rate.
Cohort studyPrognosisMajor trauma & polytrauma