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orthopedic surgery
Indications:
- bone disease &/or joint disease not amenable to medical treatment
* many common elective orthopedic surgical procedures lack strong evidence of effectiveness [2]
- carpal tunnel release & total knee arthroplasty appear to be superior to nonsurgical management alone
- total hip arthroplasty & arthroscopic meniscal repair have not been compared with nonsurgical management in randomized trials
- arthroscopic partial meniscectomy, rotator cuff repair, subacromial decompression, reconstruction of the anterior cruciate ligament, lumbar spine decompression, & lumbar spine fusion appear to be no better than nonsurgical treatment [3]
Complications:
- older age, diabetes mellitus, baseline renal insufficiency, & other comorbidities are associated with increased risk for acute renal failure after orthopedic surgery
- acute renal failure, in turn, is associated with increased mortality [1]
- hyponatremia, SIADH in elderly (30%)
Notes:
- see surgery
Related
orthopedics
Specific
ablation of bone neoplasm
anterior cervical decompression & fusion (ACDF)
application of orthopedic device
arthrectomy; resection of joint
arthrodesis; joint fusion
arthroplasty
arthroscopic surgery
arthrotomy
aspiration/injection of bone cyst
bursectomy
cartilage repair
chondrocyte implantation
chondroplasty
chymopapain disk injection therapy
epiphysiodesis
gastrocnemius release; Strayer procedure
Hallux rigidus repair
hammertoe repair
impression/preparation obturator prosthesis
incision bone cortex
joint capsulotomy
knee surgery
Krukenberg procedure
lateral retinacular release
meniscectomy
ostectomy
osteochondral allograft
osteoplasty (bone grafting)
osteotomy
pelvic fixation
prophylactic orthopedic surgery
reconstruction of dislocating patella
reduction of joint dislocation
repair of bone fracture
repair of hip dislocation
repair of patellar tendon
repair of ruptured musculotendinous cuff
scapulopexy
sequestrectomy
spinal surgery; vertebral surgery
syndesmorrhaphy
synovectomy
tenodesis
tenolysis
tenotomy; tendotomy; tendon release
thermal capsulorrhaphy
General
surgery
References
- Bell S et al.
Risk of postoperative acute kidney injury in patients
undergoing orthopaedic surgery - development and validation
of a risk score and effect of acute kidney injury on survival:
Observational cohort study.
BMJ 2015 Nov 11; 351:h5639
PMID: 26561522
- Geriatric Review Syllabus, 10th edition (GRS10)
Harper GM, Lyons WL, Potter JF (eds)
American Geriatrics Society, 2019
- Blom AW, Donovan RL, Beswick AD et al.
Common elective orthopaedic procedures and their clinical effectiveness:
Umbrella review of level 1 evidence.
BMJ 2021 Jul 7; 374:n1511
PMID: 34233885 PMCID: PMC8262448 Free PMC article
https://www.bmj.com/content/374/bmj.n1511