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
Revised Tokuhashi scoreSpine 2005
A revised scoring system for preoperative evaluation of metastatic spine tumor prognosis.
Scores of 0-8 predicted survival under 6 months, 9-11 at least 6 months and 12-15 at least 1 year, and predicted prognosis agreed well with actual survival.
Cohort studyPrognosisTumours
Mirels scoreClinical orthopaedics and related research 1989
Metastatic disease in long bones. A proposed scoring system for diagnosing impending pathologic fractures.
Lesions that fractured had a higher mean score than those that did not (10 versus 7), and fracture risk climbed as the score rose above 7; Mirels proposed that lesions scoring 7 or less can be irradiated safely, whereas higher scores merit prophylactic fixation before radiotherapy.
Cohort studyPrognosisTumours
Enneking stagingClinical orthopaedics and related research 1980
A system for the surgical staging of musculoskeletal sarcoma.
Stage I (low grade), II (high grade) and III (metastatic), each subdivided into A (intracompartmental) and B (extracompartmental), stratified prognosis and linked to defined surgical margins (intralesional, marginal, wide, radical).
OtherPrognosisTumours