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Randomized trial data finds superior recovery, function, and independence with fast-track THA protocols.
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"Fast-track", or enhanced recovery, total hip arthroplasty claim a host of benefits, including reduced hospital stay, and enhanced recovery. It's been around since the 1990s, but uptake has been relatively slow, and the question begs: does it really provide the clinical advantages it claims? This randomized trial aimed to find out.
90 patients scheduled for a primary unilateral total hip arthroplasty were randomized to receive a fast-track protocol procedure or a standard protocol procedure. Primary outcomes of interest included function, length of stay, the need for transfusion, and adverse events.
Patients who underwent fast-track surgery left the hospital significantly quicker than those receiving standard care (4 days vs 6.4 days, p<0.001).
Patients in the fast-track group reported greater independence (p=0.024).
Fast-track surgery led to superior functional outcomes at 6 weeks and 60 months.
Blood transfusion was required in 1 fast-track patient, compared to 5 standard care patients.
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Bottom Line: This study reports compelling evidence in support of fast-track protocols in total hip arthroplasty, with improved function and recovery post-operation.
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Full Analysis →
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5-year data presented at this year's AAOS conference in New Orleans finds that women who start menopausal hormone therapy early have reduced risk of osteoporosis and fragility fractures.
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With populations rapidly aging around the world, a growing number of women are taking trips to their physicians for musculoskeletal issues during the peri-menopausal period. Hormone replacement therapy (HRT) is becoming increasingly popular intervention for this population, with the ability to mitigate many prevalent symptoms, like hot flashes.
But a recent 5-year cohort study, presented at this year's AAOS 2026 conference, found that even more benefits: women undergoing HRT may even be at lower risk of osteoporosis, as well as fragility fractures.
“We have to get awareness to our OB/GYN colleagues that HRT is really something that should be considered if the patient is a candidate to decrease the fracture burden going forward in the future,” study investigator James Barsi said.
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Full Analysis →
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It's hard to understand the present -- and future -- of orthopaedic research without perusing the pages of history.
In this fantastic episode of OrthoJoe, Drs Mohit Bhandari & Marc Swiontkowski sit down with Vern Tolo, one of the most esteemed pediatric orthopaedic surgeons in the field. Dr Tolo, in addition to his clinical responsibilities over the years, served as Editor-in-Chief of JBJS and presided over a wide range of organizational changes and innovations at the journal.
His work at JBJS resulted in the creation of the American and British volumes, the launching of 3 online-only journals, the creation of subspecialty "corridors", the incorporation of video content, and more!
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Watch it Now →
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Effectiveness of mHealth Interventions to Improve Pain Intensity and Functional Disability in Individuals With Hip or Knee Osteoarthritis: A Systematic Review and Meta-analysis — In adults with hip or knee osteoarthritis, do mHealth-supported active exercise interventions compared with exercise therapy or education without mHealth improve pain intensity and functional disability?
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Does Orthosis Improve Outcomes of Conservative Treatment in Trigger Fingers? A 3-Arm Prospective Randomized Controlled Trial — In adults with Green grade 1–3 trigger finger, does nighttime extension orthosis combined with cortisone injection compared with orthosis alone or cortisone injection alone improve symptom resolution and reduce triggering frequency?
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Bone Marrow Aspirate Concentrate May Decrease Reoperation in Osteochondral Allograft Transplantation: A Prospective, Randomized, Double-Blind Investigation — In adults undergoing osteochondral allograft transplantation of the knee, does graft augmentation with BMAC compared with osteochondral allograft transplantation without BMAC improve graft integration and reduce reoperation rates?
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Two ways to inform your clinical decisions |
FastTrack — what your peers are reading across the networkOE Signal — personalized weekly evidence based on your interests |
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