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
Kocher supracondylar pinning RCTThe Journal of bone and joint surgery. American volume 2007
Lateral entry compared with medial and lateral entry pin fixation for completely displaced supracondylar humeral fractures in children. A randomized clinical trial.
Neither group had a major loss of reduction or an iatrogenic ulnar nerve injury; mild loss of reduction, radiographic angles, alignment and elbow motion did not differ significantly between lateral-entry and crossed pinning.
Randomised trialManagementPaediatrics
Herring Perthes multicentre studyThe Journal of bone and joint surgery. American volume 2004
Legg-Calve-Perthes disease. Part II: Prospective multicenter study of the effect of treatment on outcome.
Children over 8 years at onset with lateral pillar B or B/C border hips had significantly better outcomes with surgery, whereas younger children with these groups did well regardless of treatment, and lateral pillar C hips did poorly whatever the treatment.
Cohort studyManagementPaediatrics
Ponseti method (Morcuende)Pediatrics 2004
Radical reduction in the rate of extensive corrective surgery for clubfoot using the Ponseti method.
Very few feet required extensive corrective surgery; relapses were strongly associated with poor adherence to foot abduction bracing.
Cohort studyManagementPaediatrics