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repOrt – Periodico online di SICOOP – 16/02

repOrt – Periodico online di SICOOP – 16/02

Periodico online di SICOOP – 16/02

Peer-Review Fraud — Hacking the Scientific Publication Process

In August 2015, the publisher Springer retracted 64 articles from 10 different subscription journals “after editorial checks spotted fake email addresses, and subsequent internal investigations uncovered fabricated peer review reports,” according to a statement on their website.1 The retractions came only months after BioMed Central, an open-access publisher also owned by Springer, retracted 43 articles for the same reason.. more …

 

BACTERIAL CONTAMINATION OF DIATHERMY TIPS USED DURING ORTHOPAEDIC PROCEDURES

There are well documented hazards associated with diathermy use including burns injury, electrocution, hypoxic stress, inhalation of diathermy plume, and gene mutation. No single study to date has focused on the potential for diathermy tips to cause wound contamination and infection. We sought to identify whether diathermy tips could be possible sources of infection in orthopaedic procedures. more …

Prophylactic antibiotics in total joint arthroplasty, evolution or devolution?

The surgical profession has come a long way since the catastrophic infection rates that plagued our profession prior to Lord Lister’s promotion, and the eventual widespread implementation of aseptic antiseptic technique. The successive advance in health care that along with anaesthesia, had a significant impact on the surgical field, was the discovery of antibiotics. As these discoveries evolved, post-operative infections became an infrequent, yet no less devastating complication. Following, Sir John Charnley’s development of the total hip replacement, hip and knee arthroplasty procedures have become several of the most effective elective surgical procedures in human health care. However, the insertion of a large foreign implant increases the risk of a deep surgical site infection and accentuates the need for effective peri-operative strategies.more …

 

Pelvic Ring Fractures: What the Orthopedic Surgeon Wants to Know

The central challenge for the orthopedic surgeon evaluating a patient with pelvic fractures is to determine the causative forces and their underlying biomechanical implications, because they help define management and affect the overall prognosis. An understanding of the Young and Burgess classification system enables radiologists to better evaluate pelvic ring injuries, potentially improving the detection of subtle but critical imaging findings, and may direct further imaging to look for associated musculoskeletal and visceral injuries. more …

A Randomized, Controlled Trial of Total Knee Replacement

More than 670,000 total knee replacements are performed annually in the United States; however, high-quality evidence to support the effectiveness of the proce- dure, as compared with nonsurgical interventions, is lacking. In patients with knee osteoarthritis who were eligible for unilateral total knee re- placement, treatment with total knee replacement followed by nonsurgical treatment resulted in greater pain relief and functional improvement after 12 months than did nonsurgical treatment alone. more …