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
IMPACT PONV (Apfel)The New England journal of medicine 2004
A factorial trial of six interventions for the prevention of postoperative nausea and vomiting.
Ondansetron, dexamethasone and droperidol each reduced PONV risk by roughly a quarter, and propofol and avoiding nitrous oxide also helped; the effects were independent and additive, so combining interventions reduced risk further.
Randomised trialPreventionPost-op care & complications
Geriatric consultation for delirium (Marcantonio)Journal of the American Geriatrics Society 2001
Reducing delirium after hip fracture: a randomized trial.
Proactive geriatric consultation significantly reduced the incidence of delirium (about one third vs one half) and reduced severe delirium by a greater margin.
Randomised trialPreventionPost-op care & complications