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OrthoJOE

60. Evidence-Based Medicine in Orthopaedics

In this episode, Marc and Mo discuss the origins of the term “Evidence-Based Medicine,” the subsequent development of the “Evidence-Based Orthopaedics” section in JBJS, and how the dissemination of clear summaries of evidence-based information from across the literature has the potential to influence clinical decision-making. Links: • Wright JG, Swiontkowski MF. Introducing a New Journal Section: Evidence-Based Orthopaedics. J Bone Joint Surg. 2000;82(6):759. https://bit.ly/3Sv3vyt • JBJS Levels of Evidence: https://bit.ly/3kx7gH4 • Lamplot JD. In Patients with Nonacute ACL Deficiency and Instability, ACL Reconstructive Surgery Improved Pain and Function More Than Physiotherapy at 18 Months. J Bone Joint Surg Am. 2023 Feb 15;105(4):320. doi: 10.2106/JBJS.22.01260. Epub 2022 Dec 16. PMID: 36729530. https://bit.ly/3m5ft5D • Asnis PD, Hazzard S. Exercise-Based Physical Therapy Was Not Inferior to Arthroscopic Partial Meniscectomy for Knee Function Over 5 Years in Adults with Degenerative Meniscal Tears. J Bone Joint Surg Am. 2023 Feb 15;105(4):321. doi: 10.2106/JBJS.22.01256. Epub 2022 Dec 16. PMID: 36729418. https://bit.ly/3m9GapT • Taylor SA. In Total Shoulder Arthroplasty, Preoperative Washes with Benzyl Peroxide, with or without Clindamycin, Reduced Skin Cutibacterium acnes Colonization Compared with pHisoHex Before Skin Preparation and Draping but Not During Surgery. J Bone Joint Surg Am. 2023 Feb 15;105(4):322. doi: 10.2106/JBJS.22.01257. Epub 2023 Jan 3. PMID: 36728520. https://bit.ly/3KGz0DC Subspecialties: • Knee • Orthopaedic Essentials • Shoulder Keywords: Orthopaedics, orthopedics, JBJS, OrthoEvidence, evidence-based orthopaedics, EBO, evidence-based medicine, levels of evidence, RCT, Gordon Guyatt, David Sackett, Brian Haynes, McMaster University, James Heckman, James Wright, Ron Navarro, NLM, National Library of Medicine, RCT, ACP journal club, ACL, physiotherapy, knee, meniscectomy, meniscal tear, total shoulder arthroplasty, Lancet, JAMA, Journal of Shoulder and Elbow Surgery, NEJM

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